PRESCRIPTION: Whole Body Vibration Therapy
Diminished Balance and Equilibrium, Inappropriate or Diminished Proprioceptive Feedback.
Improve balance, reinforce structural and functional changes by improving proprioceptive response. When the eyes are closed the righting reflexes are disrupted and emphasis for balance is placed on vestibular and proprioceptive inputs. A vibration plate stimulates proprioceptive input.
Vertical balance is maintained by righting reflexes that include a combination of inputs and feedback loops consisting of visual, vestibular and proprioceptive inputs processed by the central nervous system. These input systems share equal weighting when the spinal system is functionally efficient. When the spinal system becomes structurally and functionally compromised the visual system becomes dominant in maintaining balance.
Indications for Use:
When normal alignment, function and balance of the spinal system are disrupted vibration therapy stimulates rehabilitation of the righting reflex by exaggerating proprioceptive and vestibular input.
Directions for Use:
The patient stands on a vibration plate set at low amplitude (1.5 mm) and a frequency of 30 hz. The patient is supported in the upright posture with a vertical support. The patient is instructed to close their eyes and try to maintain balance. The typical reaction is swaggering left/right and forward/backwards. The patient tries to stabilize the upright position. When the upright position is stabilized the patient then rotates their head left and right trying to disrupt balance. If disruption is noted the head is returned to a neutral position and then re-entered into the destabilizing position. This is repeated until the destabilizing position is stabilized.
Advanced training includes:
(1) expanding cervical ranges of motion to include lateral flexion and flexion and extension, (2) torso lateral bending and rotation, (3) lumbar lateral bending and rotation, (4) repeat steps 1-3 with a one legged stance, (5) steps 1-4 without a vertical support.
Following spinal manipulation and rehabilitation.
This procedure is prescribed as medically necessary for the patient given the diagnosis.
Attending Chiropractic Physician