Effect of whole-body vibration on abdominal thickness and sitting ability in children with spastic diplegia

Abstract

Objective: Reduced muscle and bone mass, improper muscle function, and varying degrees of mobility dysfunctions are the main complications of cerebral palsy (CP). Many children with CP also present with poor abdominal muscle activation. Whole-body vibration (WBV) is a unique approach for enhancing strength and motor abilities in several clinical conditions. This study aimed to determine the influence of a 12-week WBV intervention on the thickness of the abdominal muscles and the sitting ability of children with diplegia. Methods: A total of 30 children with spastic diplegic CP (aged 4e6 years) were randomly divided into two groups (control and experimental). The control group received a selected physical therapy program for 1 h, and the study group received WBV training for 10 min in addition to the same selected program for the control group for 3 times/week over a period of 12 weeks. Thereafter, abdominal muscle thickness and sitting ability were measured using ultrasonography and the Gross Motor Function Measure-88 (GMFM-88, sitting domain). Results: Post treatment values revealed significant improvement in the measured variables in favour of the experimental group (p < 0.05), as there was improvement in the thickness of the four abdominal muscles compared to the control group (external oblique: F ¼ 38.783; internal oblique: F ¼ 99.547; transverse abdominis: F ¼ 111.557, and rectus abdominis: F ¼ 129.940, p < 0.05). Additionally, the study group showed a significantly greater improvement in GMFM-88 values compared to the control group (F ¼ 129.940, p < 0.05). Conclusion: WBV can be a viable strategy for improving sitting ability and abdominal muscle thickness among children with spastic diplegia.