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Pediatric Rehabilitation

Children with chronic diseases often have impaired motor function which negatively affects their coordination, balance, and posture. In turn, this limits their ability to perform normal functions such as walking and can result in secondary disorders relating to the weakened state of their neurological, muscular, and skeletal systems.

Why Hypervibe Whole Body Vibration?

Hypervibe produces pivotal vibration, which causes the pelvis to rotate and as a result, produces a more natural alternating bipedal motion. Combined with Hypervibe’s full range of frequency and highest g force levels for the money, this makes Hypervibe the best choice machine for pediatric rehabilitation.

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  • When is pediatric rehabilitation necessary?

    Children’s development into maturity is a very individual process, which is different per child, but mainly revolves around establishing fundamental skills such as head balance, sitting, and walking. If any of the skills are not learned this could seriously limit the child’s growth and maturity.

    The success of pediatric rehabilitation lies in supporting and assisting children toward a normal stage transition.

  • Whole Body Vibration in pediatric rehabilitation

    Whole body vibration (WBV) is an alternative or adjunct to traditional pediatric therapy programs. It is a unique form of therapy due to being incredibly efficient from a perspective of time and from the neuromuscular reflex response it produces. Children that are not able to stimulate their muscles due to their condition, can receive a high amount of stimulation to the neuromuscular system and as a consequence the skeletal system to aid with pediatric rehabilitation.

  • How WBV is used for pediatric rehabilitation

    The most exciting feature of WBV as a therapeutic intervention is that it doesn’t require specific cognitive and motor skills to be performed.

    Children that are able to stand on the machine can do so with assistance of a tower or their therapist/caregiver, children that can stay seated can train on the machine while seated. For those who cannot stand with or without basic assistance, a specialized tilting table combined with a vibration plate at the bottom of the table can be utilized.

    The exercises on the vibration machine must be performed in static or dynamic positions based on the goal of the treatment. It’s recommended the exercises be accustomed to the needs of the child for instance the usage of additional accessories or toys that should be befitting the age of the child.

  • Using whole body vibration for children with cerebral palsy

    Because cerebral palsy (CP) is the most common reason for a physical disability in children, it is also the most frequently investigated disease in regards to children and WBV, and there is significant evidence of beneficial effects.

    WBV is widely used by therapists to improve muscle strength, muscle mass, muscle spasticity, mobility, motor control, and bone density in children with CP.1,2,3,4

    Such interventions typically begin under medical supervision with a therapist and then continue as part of a home therapy program designed by the therapist.

  • Use of whole body vibration for children with other conditions

    Although the pediatric research to date focuses mostly on CP, positive outcomes have also been observed in scientific research for children with Down Syndrome5, Osteogenesis Imperfecta6, Cystic Fibrosis7, Spinal Muscular Atrophy8, Scoliosis9, Spina Bifida10

  • References

    • Eklund G, Steen M. Muscle vibration therapy in children with cerebral palsy. Scand J Rehabil Med. 1969;1(1):35–7.
    • Stark C, Nikopoulou-Smyrni P, Stabrey A, Semler O, Schoenau E. Effect of a new physiotherapy concept on bone mineral density, muscle force, and gross motor function in children with bilateral cerebral palsy. J Musculoskeletal Neuronal Interact. 2010;10(2):151–8.
    • Gusso S, Munns CF, Colle P, Derraik JG, Biggs JB, Cutfield WS, et al. Effects of whole-body vibration training on physical function, bone and muscle mass in adolescents and young adults with cerebral palsy. Sci Rep. 2016;6:22518.
    • Lee BK, Chon SC. Effect of whole body vibration training on mobility in children with cerebral palsy: a randomized controlled experimenter-blinded study. Clin Rehabil. 2013;27(7):599–607.
    • Saquetto MB, Pereira FF, Queiroz RS, da Silva CM, Conceicao CS, Gomes NM. Effects of whole-body vibration on muscle strength, bone mineral content and density, and balance and body composition of children and adolescents with Down syndrome: a systematic review. Osteoporos Int. 2018;29(3):527–33
    • Sa-Caputo DC, Dionello CDF, Frederico EHFF, Paineiras-Domingos LL, Sousa-Goncalves CR, Morel DS, et al. Whole-body vibration exercise improves functional parameters in patients with osteogenesis imperfecta: a systematic review with a suitable approach. Afr J Tradit Complement Altern Med. 2017;14(3):199–208.
    • O’Keefe K, Orr R, Huang P, Selvadurai H, Cooper P, Munns CF, et al. The effect of whole body vibration exposure on muscle function in children with cystic fibrosis: a pilot efficacy trial. J Clin Med Res. 2013;5(3):205–16.
    • Stark C, Duran I, Cirak S, Hamacher S, Hoyer-Kuhn HK, Semler O, et al. Vibration-assisted home training program for children with spinal muscular atrophy. Child Neurol Open. 2018;5(1–9).
    • Lam TP, Ng BK, Cheung LW, Lee KM, Qin L, Cheng JC. Effect of whole body vibration (WBV) therapy on bone density and bone quality in osteopenic girls with adolescent idiopathic scoliosis: a randomized, controlled trial. Osteoporos Int. 2013;24(5):1623–36.
    • Stark C, Hoyer-Kuhn HK, Semler O, Hoebing L, Duran I, Cremer R, et al. Neuromuscular training based on whole body vibration in children with spina bifida: a retrospective analysis of a new physiotherapy treatment program. Childs Nerv Syst. 2015;31(2):301–9.
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