Electromyographic Response of the Abdominal Muscles and Stabilizers of the Trunk to Reflex Locomotion Therapy (RLT). A Preliminary Study
Reflex locomotion therapy (RLT) was developed by Vaclav Vojta in 1954 as a diagnostic and treatment tool. This therapy is mainly used to rehabilitate children with motor disorders and risk of cerebral palsy. It is also used for adults with neurological and motor impairment. RLT is based on specific...
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Published in | Journal of clinical medicine Vol. 11; no. 13; p. 3866 |
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Language | English |
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Abstract | Reflex locomotion therapy (RLT) was developed by Vaclav Vojta in 1954 as a diagnostic and treatment tool. This therapy is mainly used to rehabilitate children with motor disorders and risk of cerebral palsy. It is also used for adults with neurological and motor impairment. RLT is based on specific postures and regular stimulation points through which a series of reflex responses are triggered. The neurophysiological mechanisms of this therapy have recently been discovered. This study aims to objectively evaluate muscular responses at the abdominal level after stimulation in the first phase of reflex rolling by showing, with surface electromyography analysis (sEMG), the muscular activity in trunk stabilizing muscles (rectus abdominis, external oblique, internal oblique, and serratus anterior) before, during, and after the application of RLT. A total sample of 27 healthy subjects over 18 years of age was recruited. An experimental study on a cohort was conducted. Two experimental conditions were considered: stimuli according to the Vojta protocol, and a control non-STI condition. Regarding muscular electrical activity, statistically significant differences were determined in all muscles during right-sided stimulation in the VSTI condition (p < 0.001), but not in the non-STI condition. The mean increase in muscle activity in the VSTI condition during the first stimulation ranged from 7% to 20% in the different abdominal muscles. In conclusion, an sEMG response was observed in the abdominal muscles during stimulation of the pectoral area as described in RLT, compared to stimulation of non-described areas. |
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AbstractList | Reflex locomotion therapy (RLT) was developed by Vaclav Vojta in 1954 as a diagnostic and treatment tool. This therapy is mainly used to rehabilitate children with motor disorders and risk of cerebral palsy. It is also used for adults with neurological and motor impairment. RLT is based on specific postures and regular stimulation points through which a series of reflex responses are triggered. The neurophysiological mechanisms of this therapy have recently been discovered. This study aims to objectively evaluate muscular responses at the abdominal level after stimulation in the first phase of reflex rolling by showing, with surface electromyography analysis (sEMG), the muscular activity in trunk stabilizing muscles (rectus abdominis, external oblique, internal oblique, and serratus anterior) before, during, and after the application of RLT. A total sample of 27 healthy subjects over 18 years of age was recruited. An experimental study on a cohort was conducted. Two experimental conditions were considered: stimuli according to the Vojta protocol, and a control non-STI condition. Regarding muscular electrical activity, statistically significant differences were determined in all muscles during right-sided stimulation in the VSTI condition (p < 0.001), but not in the non-STI condition. The mean increase in muscle activity in the VSTI condition during the first stimulation ranged from 7% to 20% in the different abdominal muscles. In conclusion, an sEMG response was observed in the abdominal muscles during stimulation of the pectoral area as described in RLT, compared to stimulation of non-described areas. Reflex locomotion therapy (RLT) was developed by Vaclav Vojta in 1954 as a diagnostic and treatment tool. This therapy is mainly used to rehabilitate children with motor disorders and risk of cerebral palsy. It is also used for adults with neurological and motor impairment. RLT is based on specific postures and regular stimulation points through which a series of reflex responses are triggered. The neurophysiological mechanisms of this therapy have recently been discovered. This study aims to objectively evaluate muscular responses at the abdominal level after stimulation in the first phase of reflex rolling by showing, with surface electromyography analysis (sEMG), the muscular activity in trunk stabilizing muscles (rectus abdominis, external oblique, internal oblique, and serratus anterior) before, during, and after the application of RLT. A total sample of 27 healthy subjects over 18 years of age was recruited. An experimental study on a cohort was conducted. Two experimental conditions were considered: stimuli according to the Vojta protocol, and a control non-STI condition. Regarding muscular electrical activity, statistically significant differences were determined in all muscles during right-sided stimulation in the VSTI condition ( p < 0.001), but not in the non-STI condition. The mean increase in muscle activity in the VSTI condition during the first stimulation ranged from 7% to 20% in the different abdominal muscles. In conclusion, an sEMG response was observed in the abdominal muscles during stimulation of the pectoral area as described in RLT, compared to stimulation of non-described areas. |
Author | Llamas-Ramos, Rocío de la Fuente, Antonio Sánchez-González, Juan Luis Bermejo-Gil, Beatriz María Martín-Nogueras, Ana María Llamas-Ramos, Inés Pérez-Robledo, Fátima |
AuthorAffiliation | 1 Department of Nursing and Physiotherapy, University of Salamanca, 37008 Salamanca, Spain; fatima_pr@usal.es (F.P.-R.); beatriz.bermejo@usal.es (B.M.B.-G.); rociollamas@usal.es (R.L.-R.); inesllamas@usal.es (I.L.-R.); anamar@usal.es (A.M.M.-N.) 2 Department of Physiology and Pharmacology, Institute of Neurosciences of Castilla and León (INCyL), University of Salamanca, Avenida Alfonso X El Sabio s/n, 37007 Salamanca, Spain; jfuente@usal.es |
AuthorAffiliation_xml | – name: 2 Department of Physiology and Pharmacology, Institute of Neurosciences of Castilla and León (INCyL), University of Salamanca, Avenida Alfonso X El Sabio s/n, 37007 Salamanca, Spain; jfuente@usal.es – name: 1 Department of Nursing and Physiotherapy, University of Salamanca, 37008 Salamanca, Spain; fatima_pr@usal.es (F.P.-R.); beatriz.bermejo@usal.es (B.M.B.-G.); rociollamas@usal.es (R.L.-R.); inesllamas@usal.es (I.L.-R.); anamar@usal.es (A.M.M.-N.) |
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CitedBy_id | crossref_primary_10_1016_j_jbmt_2024_01_020 crossref_primary_10_3389_fneur_2023_1209477 crossref_primary_10_3389_fneur_2024_1391448 crossref_primary_10_3390_jcm12237373 crossref_primary_10_3390_biomedicines11123203 |
Cites_doi | 10.1016/j.jbmt.2017.07.002 10.5213/inj.2142344.172 10.12965/jer.1836498.249 10.1109/TNSRE.2021.3120369 10.1007/BF02760897 10.1589/jpts.29.301 10.1186/s12984-021-00824-4 10.3233/THC-191726 10.1589/jpts.25.1605 10.1016/j.jbmt.2021.01.001 10.1016/j.rh.2013.04.005 10.3390/app12042225 10.1186/s42466-020-00070-4 10.3390/medicina57111149 10.1097/MD.0000000000010253 10.1016/j.neuroscience.2017.02.005 10.3390/children8121113 |
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Keywords | Vojta therapy muscle activity tactile stimulation electromyography neurorehabilitation |
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Snippet | Reflex locomotion therapy (RLT) was developed by Vaclav Vojta in 1954 as a diagnostic and treatment tool. This therapy is mainly used to rehabilitate children... |
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SubjectTerms | Abdomen Clinical medicine Cognition & reasoning Electrodes electromyography muscle activity neurorehabilitation Registration Software tactile stimulation Vojta therapy |
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Title | Electromyographic Response of the Abdominal Muscles and Stabilizers of the Trunk to Reflex Locomotion Therapy (RLT). A Preliminary Study |
URI | https://www.ncbi.nlm.nih.gov/pubmed/35807151 https://www.proquest.com/docview/2686030635/abstract/ https://search.proquest.com/docview/2687725650 https://pubmed.ncbi.nlm.nih.gov/PMC9267217 https://doaj.org/article/94f6626fd76044569bfd2ff66243e867 |
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