Effects of mechanical vibration of the foot sole and ankle tendons on cutaneomuscular responses in man

Effect of upper limb focal muscle vibration on cortical activity: A systematic review with a focus on primary motor cortex

This systematic review aimed to investigate the effects of upper extremity focal muscle vibration (FMV) on cortical activity. A systematic literature search was conducted for articles published in English in the SCOPUS, PEDro, PUBMED, REHABDATA, MEDLINE, and Web of Science databases. Eighteen studies (6 controlled and 12 experimental studies) were included in the systematic review. A total of 264 individuals (20 to 68 years) participated in the studies. The outcome of this review showed that FMV might have contradictory effects on cortical areas: (a) Reduction of cortical activity in the primary motor cortex (M1) and somatosensory cortex (S1), (b) no changes in the cortical activity of M1, and (c) increased cortical activity of M1 and S1. These effects may depend on different factors such as frequency and amplitude of FMV, vibration exposure time, and muscle status. However, no single factor can definitely be accounted for the variance.

Afferent stimulation inhibits abnormal cutaneous reflex activity in patients with spinal cord injury spasticity syndrome

BACKGROUND

Tibialis Anterior (TA) cutaneous reflex (CR) activity evoked following cutaneous stimulation of the plantar (Pl) surface (Pl-TA CR) has demonstrated hyperreflexia and damage of inhibitory mechanisms in subjects with spinal cord injury (SCI) and spasticity.

OBJECTIVES

To modulate Pl-TA CR and Soleus H-reflex activity with transcutaneous electrical nerve stimulation (TENS) and vibratory stimulation of the plantar pad during rest and controlled isometric plantarflexion.

METHODS

Non-injured subjects (n = 11) and individuals with incomplete SCI with (n = 14) and without spasticity (n = 14) were recruited. The effect of TENS and vibratory stimuli on Pl-TA CR and soleus H-reflex activity were assessed during rest and controlled ramp-and-hold plantarflexion.

RESULTS

Vibration failed to inhibit H-reflex activity during rest or plantarflexoin following SCI compared to healthy subjects. In contrast, vibration-induced inhibition of Pl-TA CR was specifically detected in SCI spastic subjects during both rest and the hold phase of plantarflexion. TENS inhibited Pl-TA CR activity in the SCI spasticity group only during hold plantarflexion.

CONCLUSIONS

Plantar vibratory stimuli inhibited the pl-TA CR, but not the H reflex, during rest and controlled movement in SCI spastic subjects. Assessment of Pl-TA CR modulation should contribute to the development of modality-specific sensory stimuli programmes for the neurorehabilitation of SCI spasticity.

Investigating the role of vibrotactile noise in early response to perturbation

Timely reaction to perturbation is important in activities of daily living. Modulation of reaction time to and early recovery from perturbation via vibrotactile noise was investigated. It was hypothesized that subthreshold vibrotactile noise applied to the upper extremity can accelerate a person's reaction to and recovery from handle perturbation. This intervention was developed based on previous studies in which the earliest cue available for people to detect handle perturbation was somatosensation detecting changes in pressure on the hand whose sensitivity can improve with subthreshold vibrotactile noise. To induce a handle perturbation, a sudden upward load was applied to the handle that subjects were lightly grasping. Eighteen healthy subjects were instructed to stop the handle from moving up when they detected the perturbation. The muscle reaction time and handle stabilization time with and without vibrotactile noise were determined. The results showed that the muscle reaction time and handle stabilization time significantly decreased by 3 ms ( ) and 6 ms ( ), respectively, when vibrotactile noise was applied to the upper extremity, regardless of where the noise was applied among four different locations within the upper extremity ( p > 0.05). In conclusion, the application of subthreshold vibrotactile noise enhanced persons' muscle reaction time to handle perturbation and led to early recovery from the perturbation. Use of the vibrotactile noise may increase a person's ability to rapidly respond to perturbation of a grasped object in potentially dangerous situations such as holding onto ladder rungs from elevation or manipulating knives.