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Local Application of Vibration in Motor Rehabilitation – Scientific and Practical Considerations
Vibration stimulates specific receptors, cutaneous and musculo-tendinous. The afferent impulses travel through spinal neurons to thalamus and cortical structures. The local muscular response to a vibration is a tonic vibratory reflex. This reflex depends on many factors: frequency, amplitude, and tendon and muscle length. Based upon this reflex, vibration produced alteration of isometric and isotonic contraction, flexibility, spasticity. Many studies investigated facilitator effects on movement in stroke patients and spinal cord injuries. There is further need to set the place of vibration in the therapeutic field of motor control enhancement.
Keywords: Vibration, muscle, facilitation, spasticity