#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. Medicine and science in sports and exercise, 37(12), 2120–2125. https://doi.org/10.1249/01.mss.0000178106.68569.7e (https://pubmed.ncbi.nlm.nih.gov/16331139/). 2. Khalifeloo, M., Naghdi, S., Ansari, N. N., Akbari, M., Jalaie, S., Jannat, D., & Hasson, S. (2018). A study on the immediate effects of plantar vibration on balance dysfunction in patients with stroke. Journal of exercise rehabilitation, 14(2), 259–266. https://doi.org/10.12965/jer.1836044.022 (https://pubmed.ncbi.nlm.nih.gov/29740561/). 3. Karimi-AhmadAbadi, A., Naghdi, S., Ansari, N. N., Fakhari, Z., & Khalifeloo, M. (2018). A clinical single blind study to investigate the immediate effects of plantar vibration on balance in patients after stroke. Journal of bodywork and movement therapies, 22(2), 242–246. https://doi.org/10.1016/j.jbmt.2017.04.013 (https://pubmed.ncbi.nlm.nih.gov/29861214/). 4. Celletti, C., Suppa, A., Bianchini, E., Lakin, S., Toscano, M., La Torre, G., Di Piero, V., & Camerota, F. (2020). Promoting post-stroke recovery through focal or whole body vibration: criticisms and prospects from a narrative review. 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European journal of physical and rehabilitation medicine, 50(2), 231–242 (https://pubmed.ncbi.nlm.nih.gov/24842220/). 13. Li, W., Luo, F., Xu, Q., Liu, A., Mo, L., Li, C., & Ji, L. (2022). Brain oscillatory activity correlates with the relief of post-stroke spasticity following focal vibration. Journal of integrative neuroscience, 21(3), 96. https://doi.org/10.31083/j.jin2103096 (https://pubmed.ncbi.nlm.nih.gov/35633177/). 14. Murillo, N., Kumru, H., Vidal-Samso, J., Benito, J., Medina, J., Navarro, X., & Valls-Sole, J. (2011). Decrease of spasticity with muscle vibration in patients with spinal cord injury. Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology, 122(6), 1183–1189. https://doi.org/10.1016/j.clinph.2010.11.012 (https://pubmed.ncbi.nlm.nih.gov/21172739/). 15. Murillo, N. (2011). Neuromodulación de la espasticidad en pacientes con lesión medular mediante vibración y estimulación magnética transcraneal (http://hdl.handle.net/10803/3840). 16. Wang, H., Chandrashekhar, R., Rippetoe, J., & Ghazi, M. (2020). Focal Muscle Vibration for Stroke Rehabilitation: A Review of Vibration Parameters and Protocols. Applied Sciences, 10(22), 8270. MDPI AG. Retrieved from http://dx.doi.org/10.3390/app10228270 (https://www.mdpi.com/2076-3417/10/22/8270). 17. Filippi, G. M., Rodio, A., Fattorini, L., Faralli, M., Ricci, G., & Pettorossi, V. E. (2023). Plastic changes induced by muscle focal vibration: A possible mechanism for long-term motor improvements. Frontiers in neuroscience, 17, 1112232. https://doi.org/10.3389/fnins.2023.1112232 (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9992721/). 18. Hagbarth, K. E., & Eklund, G. (1969). The muscle vibrator--a useful tool in neurological therapeutic work. Scandinavian journal of rehabilitation medicine, 1(1), 26–34 (https://pubmed.ncbi.nlm.nih.gov/5406721/). 19. Zapatillas Nushu (https://magnes.ch/solutions/nushu/). 20. Sadeghi, M., & Sawatzky, B. (2014). Effects of vibration on spasticity in individuals with spinal cord injury: a scoping systematic review. American journal of physical medicine & rehabilitation, 93(11), 995–1007. https://doi.org/10.1097/PHM.0000000000000098 (https://pubmed.ncbi.nlm.nih.gov/24743464/). 21. DeForest, B. A., Bohorquez, J., & Perez, M. A. (2020). Vibration attenuates spasm-like activity in humans with spinal cord injury. The Journal of physiology, 598(13), 2703–2717. https://doi.org/10.1113/JP279478 (https://pubmed.ncbi.nlm.nih.gov/32298483/). 22. Calabrò, R. S., Naro, A., Russo, M., Milardi, D., Leo, A., Filoni, S., Trinchera, A., & Bramanti, P. (2017). Is two better than one? Muscle vibration plus robotic rehabilitation to improve upper limb spasticity and function: A pilot randomized controlled trial. PloS one, 12(10), e0185936. https://doi.org/10.1371/journal.pone.0185936 (https://pubmed.ncbi.nlm.nih.gov/28973024/). 23. Chen, Y. L., Jiang, L. J., Cheng, Y. Y., Chen, C., Hu, J., Zhang, A. J., Hua, Y., & Bai, Y. L. (2023). Focal vibration of the plantarflexor and dorsiflexor muscles improves poststroke spasticity: a randomized single-blind controlled trial. Annals of physical and rehabilitation medicine, 66(3), 101670. https://doi.org/10.1016/j.rehab.2022.101670 (https://pubmed.ncbi.nlm.nih.gov/35940478/).