#64: Vibración focal en neurorrehabilitación adulta (+entrevista Serafín Ortigueira)

En este episodio, hablo sobre vibración focal en neurorrehabilitación del adulto, apoyándome posteriormente en la charla con el fisioterapeuta Serafín Ortigueira, quien tiene amplia experiencia con esta técnica. Describo brevemente la vibración focal, sus mecanismos de acción y algunas de las aplicaciones clínicas actuales, sobre todo en pacientes con ictus y lesión medular.
La vibración focal es una técnica sencilla de aplicar, pero tiene mecanismos que deben ser comprendidos para aplicarla con toda su riqueza y posibilidades que brinda, ya sea para el tratamiento de la espasticidad, mejora del control motor o o incluso aspectos coaduyaventes a nivel visceral o respiratorio.
Referencias del episodio:
1. Shinohara M. (2005). Effects of prolonged vibration on motor unit activity and motor performance. (pubmed.ncbi.nl....
2. Khalifeloo, M et al. (2018). A study on the immediate effects of plantar vibration on balance dysfunction in patients with stroke.(pubmed.ncbi.nl....
3. Karimi-AhmadAbadi, A. et al. (2018). A clinical single blind study to investigate the immediate effects of plantar vibration on balance in patients after stroke. (pubmed.ncbi.nl....
4. Celletti, C. et al. (2020). Promoting post-stroke recovery through focal or whole body vibration: criticisms and prospects from a narrative review. (pubmed.ncbi.nl....
5. Paoloni, M. (2010). Segmental muscle vibration improves walking in chronic stroke patients with foot drop: a randomized controlled trial. (pubmed.ncbi.nl....
6. Moggio, L. et al. (2022). Vibration therapy role in neurological diseases rehabilitation: an umbrella review of systematic reviews. (pubmed.ncbi.nl....
7. Rosenkranz, K., & Rothwell, J. C. (2003). Differential effect of muscle vibration on intracortical inhibitory circuits in humans. (www.ncbi.nlm.n....
8. Binder, C., Kaya, A. E., & Liepert, J. (2009). Vibration prolongs the cortical silent period in an antagonistic muscle. (pubmed.ncbi.nl....
9. Bertasi, V. et al. (2000). The excitability of human cortical inhibitory circuits responsible for the muscle silent period after transcranial brain stimulation. (pubmed.ncbi.nl....
10. Mortaza, N. et al. (2019). Upper limb tendon/muscle vibration in persons with subacute and chronic stroke: a systematic review and meta-analysis. (pubmed.ncbi.nl....
11. Avvantaggiato, C. et al. (2021). Localized muscle vibration in the treatment of motor impairment and spasticity in post-stroke patients: a systematic review. (pubmed.ncbi.nl....
12. Murillo, N. et al. (2014). Focal vibration in neurorehabilitation. (pubmed.ncbi.nl....
13. Li, W. et al. (2022). Brain oscillatory activity correlates with the relief of post-stroke spasticity following focal vibration. (pubmed.ncbi.nl....
14. Murillo, N. et al. (2011). Decrease of spasticity with muscle vibration in patients with spinal cord injury. (pubmed.ncbi.nl....
15. Murillo, N. (2011). Neuromodulación de la espasticidad en pacientes con lesión medular mediante vibración y estimulación magnética transcraneal (hdl.handle.net/....
16. Wang, H. et al. (2020). Focal Muscle Vibration for Stroke Rehabilitation: A Review of Vibration Parameters and Protocols. (www.mdpi.com/2....
17. Filippi et al. (2023). Plastic changes induced by muscle focal vibration: A possible mechanism for long-term motor improvements. (www.ncbi.nlm.n....
18. Hagbarth, K. E., & Eklund, G. (1969). The muscle vibrator--a useful tool in neurological therapeutic work. (pubmed.ncbi.nl....
19. Zapatillas Nushu (magnes.ch/solu....
20. Sadeghi, M., & Sawatzky, B. (2014). Effects of vibration on spasticity in individuals with spinal cord injury: a scoping systematic review. (pubmed.ncbi.nl....
21. DeForest, B. A., Bohorquez, J., & Perez, M. A. (2020). Vibration attenuates spasm-like activity in humans with spinal cord injury. (pubmed.ncbi.nl....
22. Calabrò, R. S. et al. (2017). Is two better than one? Muscle vibration plus robotic rehabilitation to improve upper limb spasticity and function: A pilot randomized controlled trial. (pubmed.ncbi.nl....
23. Chen, Y. L. et al. (2023). Focal vibration of the plantarflexor and dorsiflexor muscles improves poststroke spasticity: a randomized single-blind controlled trial. (pubmed.ncbi.nl....
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