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Miyachi R, Nagamori Y, Kanazawa Y, Kitagawa T, Yamazaki T. Effects of whole-body vibration-based trunk training on lumbar motor control: A randomized controlled trial. Hum Mov Sci 2025; 99:103321. [PMID: 39874836 DOI: 10.1016/j.humov.2025.103321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2024] [Revised: 01/10/2025] [Accepted: 01/15/2025] [Indexed: 01/30/2025]
Abstract
Lumbar motor control is an important factor for the prevention and improvement of low back pain and the enhancement of sports performance. Interventions for lumbar motor control are complex and difficult; however, training with whole-body vibrations has the potential to be simple and effective. Therefore, this study aimed to verify the effects of 4 weeks of trunk training with whole-body vibrations on each component of lumbar motor control. This single-blind, randomized controlled trial recruited 24 healthy university students (12 males and 12 females) who were randomized to undergo either whole-body or non-whole-body vibration training. The lumbar motion angle and angular jerk cost were measured during each lumbar motor control task (pelvic tilting, ball-catching, and quadruped rocking). There was a significant group × period interaction for the lumbar spine motion angle in the anterior pelvic tilt; however, no significant group × period interaction was observed in the other tasks. Regarding the comparison of pre- and post-intervention outcomes in the whole-body vibration training group, the lumbar spine motion angle of the anterior pelvic tilt was significantly smaller post-intervention than pre-intervention. In the ball-catching task, the lumbar spine motion angle was significantly smaller post-intervention than pre-intervention. Backward rocking resulted in a significantly greater lumbar spine motion angle post-intervention than pre-intervention. In conclusion, whole-body vibration enhances the control of decreasing lumbar motion. However, it does not improve all components of lumbar motor control and should be considered based on the target component.
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Affiliation(s)
- Ryo Miyachi
- Faculty of Health and Medical Sciences, Hokuriku University, Kanazawa, Japan; Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan.
| | - Yui Nagamori
- Faculty of Health and Medical Sciences, Hokuriku University, Kanazawa, Japan
| | - Yuji Kanazawa
- Faculty of Health and Medical Sciences, Hokuriku University, Kanazawa, Japan
| | - Takashi Kitagawa
- Department of Physical Therapy, School of Health Sciences, Shinshu University, Matsumoto, Japan
| | - Toshiaki Yamazaki
- Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan
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Yamashita H, Yamaoka T, Shimomura R, Ichimura S, Murata Y, Itoh A, Mima T, Koganemaru S. Therapeutic Intervention for Trunk Control Impairments in Central Nervous System Disorders: A Comprehensive Review of Methods and Efficacy. Prog Rehabil Med 2025; 10:20250002. [PMID: 39822314 PMCID: PMC11732755 DOI: 10.2490/prm.20250002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2024] [Accepted: 11/18/2024] [Indexed: 01/19/2025] Open
Abstract
Objectives Trunk control involves multiple brain regions related to motor control systems. Therefore, patients with central nervous system (CNS) disorders frequently exhibit impaired trunk control, decreasing their activities of daily living (ADL). Although some therapeutic interventions for trunk impairments have been effective, their general effects on CNS disorders remain unclear. This review aimed to clarify this issue in patients with stroke, cerebellar ataxia, and Parkinson's disease (PD), representing trunk control impairment by lesions in the cortical and corticospinal systems, cerebellum, and basal ganglia, respectively. Methods Using online databases, we searched for randomized controlled trials that investigated the effects of therapeutic interventions for trunk impairments in patients with stroke, cerebellar ataxia, and PD, reported in English from 2013 to 2023. Results Overall, 50 articles were reviewed. Core-stability exercise (CSE), which activates the trunk muscles, specifically in the lumbar and pelvic areas, through postural adjustment tasks, is effective in patients with stroke, cerebellar ataxia, and PD. Weight-shifting exercise, unstable surface training, training with transcutaneous electrical stimulation, and noninvasive brain stimulation have been effective in patients following stroke. The combination of CSE with task-oriented training based on daily activities has been effective in patients with cerebellar ataxia. Perceptual training, repetitive trans-spinal magnetic stimulation, and aquatic training effectively improved alignment and balance function in patients with PD. Conclusions This review provides evidence-based strategies to improve trunk control, ADL, and quality of life for patients with trunk control impairments caused by CNS disorders.
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Affiliation(s)
| | - Tatsuya Yamaoka
- Division of Rehabilitation Medicine, Murata Hospital, Osaka,
Japan
| | - Ryota Shimomura
- Division of Rehabilitation Medicine, Murata Hospital, Osaka,
Japan
| | | | - Yuuki Murata
- Department of Rehabilitation Medicine, Murata Hospital,
Osaka, Japan
| | - Akihiro Itoh
- Department of Neurosurgery, Murata Hospital, Osaka,
Japan
| | - Tatsuya Mima
- The Graduate School of Core Ethics and Frontier Sciences,
Ritsumeikan University, Kyoto, Japan
| | - Satoko Koganemaru
- Department of Rehabilitation Medicine, Osaka Medical and
Pharmaceutical University, Osaka, Japan
- Human Brain Research Center, Graduate School of Medicine
Kyoto University, Kyoto, Japan
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Zhang Q, Wang S, Yin M, Li Z, Bi S, Yin Z, Song L, Xu Y, Xu W, Wang P, Shi B. Clinical Study on the Treatment of Non-isotropic Cervical Spondylosis by Neck Pain Granules Combined with Tuina. Comb Chem High Throughput Screen 2024; 27:2295-2300. [PMID: 38013444 DOI: 10.2174/0113862073264710231107051811] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Revised: 09/03/2023] [Accepted: 10/04/2023] [Indexed: 11/29/2023]
Abstract
BACKGROUND Cervical spondylotic radiculopathy is a common form of cervical spondylosis caused by degeneration of the cervical spine. Currently, non-surgical treatment is the preferred treatment method, and Chinese medicine is widely used. OBJECTIVE To investigate the effect of radiculopathy spondylosis by tuina spinning and lifting technique. METHODS Experimental Design: We conducted a 12-week, open-label, analyst-blinded, randomized clinical trial (2 weeks of intervention plus 10 weeks of observational follow-up). A total of 25 patients with radiculopathy were collected, and data was analyzed during the treatment and recovery period. INTERVENTIONS Neck pain granules group: a package of oral neck pain granules after meals, three times a day, treatment for 2 weeks; neck pain granules combined with massage lifting technique, treatment group: use, massage lifting technique treatment, once every two days, normal take neck pain granules, treatment for 2 weeks. All cases were followed up for 2.5 months. Main Monitoring Indicators: Visual Analog Scale, Neck Dysfunction Index score, and Tanaka jiu (Tanaka Yasuhisa Cervical Spondylosis Symptom Scale) were recorded on time, and statistical statistics were made. RESULT The scores of VAS and NDI were significantly more effective in the neck pain granules combined with the tuina group than in the neck pain granules group, while the Tanaka Yasuhisa Cervical Spondylosis Symptom Scale was not significantly different between the two groups. CONCLUSION The treatment effect of neck pain granules combined with tuina was significantly better than that of traditional Chinese medicine alone.
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Affiliation(s)
- Qinghao Zhang
- Neck-Shoulder and Lumbocrural Pain Hospital of Shandong First Medical University, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, China
| | - Shiguan Wang
- Department of Clinical Laboratory, Qilu Hospital of Shandong University, Jinan, China
| | - Meng Yin
- Shandong Academy of Occupational Health and Occupational Medicine, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, China
| | - Ziteng Li
- Neck-Shoulder and Lumbocrural Pain Hospital of Shandong First Medical University, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, China
- School of Acupuncture and Tuina, Shandong University of Traditional Chinese Medicine, Jinan, China
| | - Shihao Bi
- Neck-Shoulder and Lumbocrural Pain Hospital of Shandong First Medical University, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, China
| | - Zuozhen Yin
- Neck-Shoulder and Lumbocrural Pain Hospital of Shandong First Medical University, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, China
| | - Litao Song
- Neck-Shoulder and Lumbocrural Pain Hospital of Shandong First Medical University, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, China
| | - Yuntai Xu
- Neck-Shoulder and Lumbocrural Pain Hospital of Shandong First Medical University, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, China
- School of Acupuncture and Tuina, Shandong University of Traditional Chinese Medicine, Jinan, China
| | - Wenchang Xu
- Neck-Shoulder and Lumbocrural Pain Hospital of Shandong First Medical University, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, China
- School of Acupuncture and Tuina, Shandong University of Traditional Chinese Medicine, Jinan, China
| | - Ping Wang
- Orthopedics Department, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China
| | - Bin Shi
- Neck-Shoulder and Lumbocrural Pain Hospital of Shandong First Medical University, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, China
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Alghadir AH, Zafar H, Khan M. Acute effects of muscle vibration on elbow joint position sense in healthy young men: A randomized trial. Medicine (Baltimore) 2023; 102:e35017. [PMID: 37682203 PMCID: PMC10489333 DOI: 10.1097/md.0000000000035017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Accepted: 08/09/2023] [Indexed: 09/09/2023] Open
Abstract
BACKGROUND The study aimed to investigate and compare the acute effects of 2 local vibration frequencies (63 Hz vs 42 Hz frequencies) applied to the biceps brachii muscles on the elbow joint position sense (JPS) in healthy young men. METHODS A 3-arm parallel-group design with randomization of participants was used. Forty-five healthy young men aged 19 to 30 years were randomly assigned to 3 groups: to receive 63 Hz (n = 15) in experimental group 1 (EG1) or 42 Hz (n = 15) in experimental group 2 (EG2) or sham vibration in the control group (n = 15). Participants in the EG1 and EG2 received 5 bouts of 1-minute vibration exposure to the biceps brachii muscle, with a 1-minute rest between the bouts. In control group, sham vibration was applied with the same duration and interval as in EG1 and EG2. The active elbow joint position error was selected as an outcome measure to assess elbow JPS. The target angle and the angle reproduced were measured using a Universal Goniometer. The difference between the target and the reproduced angles was calculated to determine active elbow joint position error. Measurements were made before the vibration application and right after it. RESULTS No statistically significant difference was observed in the JPS of the elbow joint over time in any group (P = .625). No statistically significant differences were observed between the 33 groups in the JPS of the elbow (P = .075). CONCLUSION There was no acute effect of vibration of the biceps brachii muscle at 63 and 42 Hz on active elbow JPS in healthy adults.
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Affiliation(s)
- Ahmad H. Alghadir
- Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Hamayun Zafar
- Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Masood Khan
- Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
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Rüger A, Laudner K, Delank KS, Schwesig R, Steinmetz A. Effects of Different Forms of Sensorimotor Training on Postural Control and Functional Status in Patients with Chronic Low Back Pain. J Pers Med 2023; 13:jpm13040634. [PMID: 37109020 PMCID: PMC10145057 DOI: 10.3390/jpm13040634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Revised: 03/28/2023] [Accepted: 04/03/2023] [Indexed: 04/07/2023] Open
Abstract
The aim of this study was to compare three sensorimotor training forms in patients with chronic low back pain to determine their effects on the reduction of pain-related impairment and changes in posturography. Over two weeks, during the multimodal pain therapy (MMPT) period, six sessions of sensorimotor physiotherapy or training in the Galileo® or Posturomed® (n = 25 per group) were performed. A significant reduction in pain-related impairment after the intervention phase was shown across all groups (time effect: p < 0.001; ηp2 = 0.415). There was no change in postural stability (time effect: p = 0.666; ηp2 = 0.003), but there was a significant improvement in the peripheral vestibular system (time effect: p = 0.014; ηp2 = 0.081). An interaction effect was calculated for the forefoot-hindfoot ratio (p = 0.014; ηp2 = 0.111). Only the Posturomed® group showed an improvement in anterior-posterior weight distribution (heel load: 47% vs. 49%). These findings suggest that these forms of sensorimotor training in the context of MMPT are suitable for reducing pain-related impairment. Posturography demonstrated stimulation of a subsystem, but no improvement in postural stability.
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Affiliation(s)
- Alex Rüger
- Department of Orthopedic and Trauma Surgery, Martin-Luther-University Halle-Wittenberg, 06120 Halle, Germany
- Department of Ophthalmology, Martin-Luther-University Halle-Wittenberg, 06120 Halle, Germany
| | - Kevin Laudner
- Department of Health Sciences, University of Colorado, Colorado Springs, CO 80918, USA
| | - Karl-Stefan Delank
- Department of Orthopedic and Trauma Surgery, Martin-Luther-University Halle-Wittenberg, 06120 Halle, Germany
| | - René Schwesig
- Department of Orthopedic and Trauma Surgery, Martin-Luther-University Halle-Wittenberg, 06120 Halle, Germany
| | - Anke Steinmetz
- Department of Trauma, Reconstructive Surgery and Rehabilitation Medicine, University Medicine Greifswald, Physical and Rehabilitation Medicine, 17475 Greifswald, Germany
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Zhang Y, Xu P, Deng Y, Duan W, Cui J, Ni C, Wu M. Effects of vibration training on motor and non-motor symptoms for patients with multiple sclerosis: A systematic review and meta-analysis. Front Aging Neurosci 2022; 14:960328. [PMID: 36034149 PMCID: PMC9415382 DOI: 10.3389/fnagi.2022.960328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2022] [Accepted: 07/01/2022] [Indexed: 11/15/2022] Open
Abstract
Background Vibration therapy is one of the rehabilitation programs that may be effective in treating both motor and non-motor symptoms in Multiple Sclerosis patients. We conducted a comprehensive systematic review and meta-analysis to assess the effects of vibration therapy on motor and non-motor symptoms (functional mobility, balance, walking endurance, gait speed, fatigue, and quality of life) of this population. Methods A systematic search of PubMed, Embase, the Cochrane Library, Web of Science, Physiotherapy Evidence Database, Scopus, Google Search Engine, and the China National Knowledge Infrastructure (CNKI). Two reviewers independently assessed the study quality. Results Fourteen studies with 393 participants were finally included in the meta-analysis. The pooled results showed that vibration therapy had a significant advantage over the control intervention in improving balance function [mean difference (MD) = 2.04, 95% confidence interval (CI): 0.24-3.84, P = 0.03], and walking endurance (SMD = 0.34, 95% CI: 0.07-0.61, P = 0.01). Meanwhile, the degree of disability subgroup analysis revealed that the Expanded Disability Status Scale (EDSS) score (3.5-6) significantly improved functional mobility (MD: -1.18, 95% CI: -2.09 to 0.28, P = 0.01) and balance function (MD: 3.04, 95% CI: 0.49-5.59, P = 0.02) compared with the control group, and the EDSS (0-3.5) were more beneficial in walking endurance. The duration subgroup analysis indicated a significant difference in the effect of the duration (<4 weeks) on enhancing walking endurance (SMD: 0.46, 95% CI: 0.04-0.87, P = 0.03). However, no significant improvement was found in functional mobility, gait speed, fatigue, and quality of life. Conclusion Vibration therapy may improve balance function and walking endurance, and the degree of disability and duration of intervention may affect outcomes. The evidence for the effects of vibration therapy on functional mobility, gait speed, fatigue, and quality of life remains unclear. More trials with rigorous study designs and a larger sample size are necessary to provide this evidence. Systematic Review Registration PROSPERO, https://www.crd.york.ac.uk/prospero/#recordDetails, identifier: CRD42022326852.
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Affiliation(s)
| | | | | | | | | | | | - Ming Wu
- Department of Rehabilitation Medicine, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China
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Locatelli L, Castiglioni S, Maier JAM. From Cultured Vascular Cells to Vessels: The Cellular and Molecular Basis of Vascular Dysfunction in Space. Front Bioeng Biotechnol 2022; 10:862059. [PMID: 35480977 PMCID: PMC9036997 DOI: 10.3389/fbioe.2022.862059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2022] [Accepted: 03/18/2022] [Indexed: 11/23/2022] Open
Abstract
Life evolved on this planet under the pull of gravity, shielded from radiation by the magnetosphere and shaped by circadian rhythms due to Earth’s rotation on its axis. Once living beings leave such a protective environment, adaptive responses are activated to grant survival. In view of long manned mission out of Earth’s orbit, it is relevant to understand how humans adapt to space and if the responses activated might reveal detrimental in the long run. Here we review present knowledge about the effects on the vessels of various extraterrestrial factors on humans as well as in vivo and in vitro experimental models. It emerges that the vasculature activates complex adaptive responses finalized to supply oxygen and nutrients to all the tissues and to remove metabolic waste and carbon dioxide. Most studies point to oxidative stress and mitochondrial dysfunction as mediators of vascular alterations in space. Unraveling the cellular and molecular mechanisms involved in these adaptive processes might offer hints to design proper and personalized countermeasures to predict a safe future in space.
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Affiliation(s)
- Laura Locatelli
- Department of Biomedical and Clinical Sciences L. Sacco, Università di Milano, Milano, Italy
| | - Sara Castiglioni
- Department of Biomedical and Clinical Sciences L. Sacco, Università di Milano, Milano, Italy
| | - Jeanette A M Maier
- Department of Biomedical and Clinical Sciences L. Sacco, Università di Milano, Milano, Italy.,Interdisciplinary Centre for Nanostructured Materials and Interfaces (CIMaINa), Università di Milano, Milan, Italy
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Wang C, Gu Z, Yu J, Zhang P, Yang F. Clinical observation of Long chiropractic treatment on patients with neurogenic cervical spondylosis: Study protocol for a randomized controlled trial. Medicine (Baltimore) 2022; 101:e28861. [PMID: 35244040 PMCID: PMC8896486 DOI: 10.1097/md.0000000000028861] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Accepted: 01/31/2022] [Indexed: 12/15/2022] Open
Abstract
Neurogenic cervical spondylosis is the most common type of cervical spondylosis, accounting for approximately 60% percent of the incidence of cervical spondylosis. Cervical spine Long manipulation and sling exercise training (SET) have obtained good therapeutic results in clinical rehabilitation. The aim of this study was to evaluate the effect of Long manipulation combined with SET on neurogenic cervical spondylosis. In this assessor-blind, randomized controlled trial, 90 eligible patients will be randomized into a combination treatment group (Long manipulation combined with SET), a Long manipulation group and a conventional massage group. The visual analogue score, the Neck Disability Index score, and muscle fatigue in the bilateral upper oblique and Musculus sternocleidomastoideus, using mean power frequency and median frequency from the surface electromyography frequency domain index, will be assessed before and after the intervention at 0 and 4 weeks, respectively.Trial registration: Registered in the Chinese Clinical Trial Registration Center with the number ChiCTR2100054978. Registered December 30, 2021.
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Affiliation(s)
- Chen Wang
- School of Sport Medicine and Rehabilitation, Beijing Sport University, Beijing, China
| | - Zhongping Gu
- Department of Rehabilitation, Faculty of Health Services and Management, Ningbo College of Health Science, Ningbo, China
| | - Junwu Yu
- Department of Rehabilitation, Faculty of Health Services and Management, Ningbo College of Health Science, Ningbo, China
| | - Peizhen Zhang
- School of Sport Medicine and Rehabilitation, Beijing Sport University, Beijing, China
| | - Faming Yang
- Department of Rehabilitation, Faculty of Health Services and Management, Ningbo College of Health Science, Ningbo, China
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Kim JW, Lee JH. Effect of whole-body vibration therapy on lower extremity function in subacute stroke patients. J Exerc Rehabil 2021; 17:158-163. [PMID: 34285892 PMCID: PMC8257441 DOI: 10.12965/jer.2142246.123] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Accepted: 05/15/2021] [Indexed: 11/22/2022] Open
Abstract
This study aimed to investigate the effect of whole-body vibration therapy on lower extremity function in subacute stroke patients. Subacute stroke patients who were able to undergo gait training were randomly divided into a vibration therapy group and a control group. All patients attended 20-min training sessions twice daily, 5 times a week for 2 weeks. Each session included 45 squats. The vibration group trained on a vibration platform and the control group trained on the ground. The degree of maximal isokinetic voluntary contraction torque was evaluated, and manual muscle tests of hip and knee flexion and extension were performed. The Berg Balance Scale, 10-m walk test, Timed Up and Go Test, and Functional Ambulation Category were used. A total of 38 patients, 20 in the vibration group and 18 in the control group, were included in the analysis. After the 2-week therapy, the vibration group showed significant improvements in lower extremity strength, balance, and gait performance. The vibration group showed significantly better performance on the Berg Balance Scale, 10-m walk test, and Functional Ambulation Category than the control group. There were no significant differences in maximal isokinetic voluntary contraction torque or manual muscle tests between the groups. Our results suggest that additional training with whole-body vibration may effectively improve the balance and gait performance of subacute stroke patients. Further studies on large populations are required to determine the therapy’s clinical efficacy.
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Affiliation(s)
- Jin Wan Kim
- Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine, Busan, Korea
| | - Jong Hwa Lee
- Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine, Busan, Korea
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Abdel-Aal NM, Allam NM, Eladl HM. Efficacy of whole-body vibration on balance control, postural stability, and mobility after thermal burn injuries: A prospective randomized controlled trial. Clin Rehabil 2021; 35:1555-1565. [PMID: 34053249 DOI: 10.1177/02692155211020861] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVE To investigate the additive effects of whole-body vibration (WBV) training to the traditional physical therapy program (TPTP) on balance control, postural stability, and mobility after thermal burn injuries. DESIGN A single-blinded, randomized controlled study. SETTING Outpatient physical therapy setting. PARTICIPANTS Forty participants, 20-45 years old, with deep second-degree thermal burn involving the lower limbs and trunk, with 35%-40% total body service area, were randomly allocated either into the study group or the control group. INTERVENTION The study group received WBV plus TPTP while the control group received the TPTP only. Interventions were applied three sessions a week for eight weeks. OUTCOME MEASURES Anteroposterior stability index (APSI), mediolateral stability index (MLSI), overall stability index (OSI), timed-up and go (TUG), and Berg balance scale (BBS) were measured at baseline and after eight weeks of interventions. RESULTS There were statistically significant differences in APSI, MLSI, OSI, BBS, and TUG in favor of the WBV group after eight weeks of intervention (P < 0.001). After eight weeks of intervention, the mean (SD) for APSI, MLSI, OSI, BBS, and TUG scores were 1.87 ± 0.51, 41.36 ± 0.18, 1.95 ± 0.56, 47.2 ± 6.12, and 8.15 ± 1.05 seconds in the WBV group, and 2.41 ± 0.71, 2.21 ± 0.54, 2.68 ± 0.73, 40.65 ± 4.7, and 10.95 ± 2.44 seconds in the control group, respectively. CONCLUSIONS The whole-body vibration training combined with the TPTP was more beneficial in improving APS, MLS, OSI, TUG, and BBS than TPTP alone. It might be considered a useful adjunctive therapy in treating patients with healed wounds with a deep second-degree burn of the trunk and lower limbs.
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Affiliation(s)
- Nabil Mahmoud Abdel-Aal
- Department of Physical Therapy for Basic Sciences, Faculty of Physical Therapy, Cairo University, Giza, Egypt
| | - Nesma M Allam
- Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt
| | - Hadaya Mosaad Eladl
- Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt
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11
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Lyons KD, Parks AG, Dadematthews O, Zandieh N, McHenry P, Games KE, Goodlett MD, Murrah W, Roper J, Sefton JM. Core and Whole Body Vibration Exercise Influences Muscle Sensitivity and Posture during a Military Foot March. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18094966. [PMID: 34067028 PMCID: PMC8124145 DOI: 10.3390/ijerph18094966] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Revised: 04/21/2021] [Accepted: 05/04/2021] [Indexed: 11/16/2022]
Abstract
Military foot marches account for 17-22% of Army musculoskeletal injuries (MSI), with low back pain (LBP) being a common complaint. Core-exercise and whole-body vibration (WBV) have been shown to decrease LBP in patients with chronic low back MSI. This study investigated if WBV and/or core-exercise influenced LBP or posture associated with a military ruck march. A randomized control trial with three groups: (1) WBV and core-exercise (WBVEx); (2) core-exercise alone (Ex); and (3) control evaluated the effects of core-exercise and WBV on LBP during/after a two 8 K foot marches with a 35 lb rucksack. The intervention groups completed three weeks of core-exercise training with/without WBV. Outcome measurements included visual analog scale (VAS), algometer, posture and electromyography (EMG). LBP, pressure threshold, and posture were elevated throughout the foot march regardless of group. LBP remained elevated for 48 h post foot march (p = 0.044). WBVEx and Ex did not have a significant effect on LBP. WBVEx and Ex both decreased muscle sensitivity and increased trunk flexion (p < 0.001) during the second foot march (FM2). The 8 K foot marches significantly increased LBP. Core-exercise training with/without WBV decreases low back muscle sensitivity. WBV and core-exercise increases trunk flexion which may help improve performance and may influence LBP.
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Affiliation(s)
- Kaitlin D. Lyons
- School of Kinesiology, Auburn University, Auburn, AL 36849, USA; (K.D.L.); (A.G.P.); (O.D.); (N.Z.); (P.M.); (J.R.)
| | - Aaron G. Parks
- School of Kinesiology, Auburn University, Auburn, AL 36849, USA; (K.D.L.); (A.G.P.); (O.D.); (N.Z.); (P.M.); (J.R.)
| | - Oluwagbemiga Dadematthews
- School of Kinesiology, Auburn University, Auburn, AL 36849, USA; (K.D.L.); (A.G.P.); (O.D.); (N.Z.); (P.M.); (J.R.)
| | - Nilophar Zandieh
- School of Kinesiology, Auburn University, Auburn, AL 36849, USA; (K.D.L.); (A.G.P.); (O.D.); (N.Z.); (P.M.); (J.R.)
| | - Paige McHenry
- School of Kinesiology, Auburn University, Auburn, AL 36849, USA; (K.D.L.); (A.G.P.); (O.D.); (N.Z.); (P.M.); (J.R.)
| | - Kenneth E. Games
- Department of Applied Medicine and Rehabilitation, Indiana State University, Terre Haute, IN 47809, USA;
| | | | - William Murrah
- Educational Foundations, Leadership and Technology, Auburn University, Auburn, AL 36849, USA;
| | - Jaimie Roper
- School of Kinesiology, Auburn University, Auburn, AL 36849, USA; (K.D.L.); (A.G.P.); (O.D.); (N.Z.); (P.M.); (J.R.)
| | - JoEllen M. Sefton
- School of Kinesiology, Auburn University, Auburn, AL 36849, USA; (K.D.L.); (A.G.P.); (O.D.); (N.Z.); (P.M.); (J.R.)
- Correspondence: ; Tel.: +1-334-844-1694
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12
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Huang DD, Chen LH, Yu Z, Chen QJ, Lai JN, Li HH, Liu G. Effect of suspension training on neuromuscular function, postural control, and knee kinematics in anterior cruciate ligament reconstruction patients. World J Clin Cases 2021; 9:2247-2258. [PMID: 33869600 PMCID: PMC8026838 DOI: 10.12998/wjcc.v9.i10.2247] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2020] [Revised: 12/14/2020] [Accepted: 01/28/2021] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Suspension training (SET) is a method of neuromuscular training that enables the body to carry out active training under unstable support through a suspension therapy system. However, there have been few reports in the literature on the application of SET to anterior cruciate ligament reconstruction (ACLR) patients. It is not clear what aspects of the patient's function are improved after SET.
AIM To investigate the effect of SET on the neuromuscular function, postural control, and knee kinematics of patients after ACLR surgery.
METHODS Forty participants were randomized to an SET group or a control group. The SET group subjects participated in a SET protocol over 6 wk. The control group subjects participated in a traditional training protocol over 6 wk. Isokinetic muscle strength of the quadriceps and hamstrings, static and dynamic posture stability test, and relative translation of the injured knee were assessed before and after training.
RESULTS The relative peak torque of the quadriceps and hamstrings in both groups increased significantly (P < 0.001), and the SET group increased by a higher percentage than those in the control group (quadriceps: P = 0.004; hamstrings: P = 0.011). After training, both groups showed significant improvements in static and dynamic posture stability (P < 0.01), and the SET group had a greater change than the control group (P < 0.05). No significant improvement on the relative translation of the injured knee was observed after training in either group (P > 0.05).
CONCLUSION Our findings show that SET promotes great responses in quadriceps and hamstring muscle strength and balance function in ACLR patients.
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Affiliation(s)
- Dong-Dong Huang
- Department of Rehabilitation Medicine, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, Guangdong Province, China
| | - Liang-Hua Chen
- Department of Rehabilitation Medicine, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, Guangdong Province, China
| | - Zhe Yu
- Department of Rehabilitation Medicine, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, Guangdong Province, China
| | - Quan-Jun Chen
- Department of Rehabilitation Medicine, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, Guangdong Province, China
| | - Jie-Nuan Lai
- Department of Rehabilitation Medicine, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, Guangdong Province, China
| | - Hai-Hong Li
- Department of Rehabilitation Medicine, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, Guangdong Province, China
| | - Gang Liu
- Department of Rehabilitation Medicine, Nanfang Hospital, Southern Medical University, Guangzhou 510515, Guangdong Province, China
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13
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Navasiolava N, Yuan M, Murphy R, Robin A, Coupé M, Wang L, Alameddine A, Gauquelin-Koch G, Gharib C, Li Y, Custaud MA. Vascular and Microvascular Dysfunction Induced by Microgravity and Its Analogs in Humans: Mechanisms and Countermeasures. Front Physiol 2020; 11:952. [PMID: 32973543 PMCID: PMC7468431 DOI: 10.3389/fphys.2020.00952] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2020] [Accepted: 07/14/2020] [Indexed: 12/19/2022] Open
Abstract
Weightlessness and physical inactivity have deleterious cardiovascular effects. The space environment and its ground-based models offer conditions to study the cardiovascular effects of physical inactivity in the absence of other vascular risk factors, particularly at the macro- and microcirculatory levels. However, the mechanisms involved in vascular dysfunction and remodeling are not sufficiently studied in the context of weightlessness and its analogs including models of physical inactivity. Here, we summarize vascular and microvascular changes induced by space flight and observed in models of microgravity and physical inactivity and review the effects of prophylactic strategies (i.e., countermeasures) on vascular and microvascular function. We discuss physical (e.g., exercise, vibration, lower body negative pressure, and artificial gravity) and nutritional/pharmacological (e.g., caloric restriction, resveratrol, and other vegetal extracts) countermeasures. Currently, exercise countermeasure appears to be the most effective to protect vascular function. Although pharmacological countermeasures are not currently considered to fight vascular changes due to microgravity, nutritional countermeasures are very promising. Dietary supplements/natural health products, especially plant extracts, should be extensively studied. The best prophylactic strategy is likely a combination of countermeasures that are effective not only at the cardiovascular level but also for the organism as a whole, but this strategy remains to be determined.
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Affiliation(s)
| | - Ming Yuan
- State Key Laboratory of Space Medicine Fundamentals and Application, China Astronaut Research and Training Center (ACC), Beijing, China
| | - Ronan Murphy
- School of Health and Human Performance, Faculty of Science & Health, Dublin City University, Dublin, Ireland
| | - Adrien Robin
- Clinical Research Center, CHU d'Angers, Angers, France.,Mitovasc, UMR INSERM 1083-CNRS 6015, Université d'Angers, Angers, France
| | - Mickael Coupé
- Mitovasc, UMR INSERM 1083-CNRS 6015, Université d'Angers, Angers, France
| | - Linjie Wang
- State Key Laboratory of Space Medicine Fundamentals and Application, China Astronaut Research and Training Center (ACC), Beijing, China
| | - Asmaa Alameddine
- Mitovasc, UMR INSERM 1083-CNRS 6015, Université d'Angers, Angers, France
| | | | - Claude Gharib
- Institut NeuroMyoGène, Faculté de Médecine Lyon-Est, Université de Lyon, Lyon, France
| | - Yinghui Li
- State Key Laboratory of Space Medicine Fundamentals and Application, China Astronaut Research and Training Center (ACC), Beijing, China
| | - Marc-Antoine Custaud
- Clinical Research Center, CHU d'Angers, Angers, France.,Mitovasc, UMR INSERM 1083-CNRS 6015, Université d'Angers, Angers, France
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14
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Wang W, Wang S, Lin W, Li X, Andersen LL, Wang Y. Efficacy of whole body vibration therapy on pain and functional ability in people with non-specific low back pain: a systematic review. BMC Complement Med Ther 2020; 20:158. [PMID: 32460819 PMCID: PMC7251707 DOI: 10.1186/s12906-020-02948-x] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2019] [Accepted: 05/12/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Whole body vibration (WBV) is currently increasing in popularity as a treatment modality for musculoskeletal disorders and improving health-related quality of life. Recent research has shown that WBV can reduce low back pain and improve the functional abilities for patients, however, optimal frequency and duration of vibration for therapeutic use is unclear. This review was conducted to summarize and determine the efficacy of whole body vibration therapy on individuals with non-specific low back pain (NLBP) and evaluated methodological quality of the included studies. METHODS Online literature searches through the Web of Science, PubMed, Cochrane Library databases, PEDro, Ovid, EBSCO (Medline) and Scopus were conducted up to December 2019. Randomized controlled trials investigating the effect of WBV on pain intensity and/or functional ability in individuals with non-specific low back pain (NLBP) were included. Details of the sample characteristics, treatment of the comparison group, WBV parameters and outcome measures were recorded, and methodological quality appraised using the PEDro scale. RESULTS 7 published RCTs (418 patients) were included in the systematic review. Due to heterogeneity in vibration parameters and prescriptions, and small number of studies, no meta-analysis was performed. Four out of the six included studies using pain as an outcome measure showed that WBV had a beneficial effect on pain compared with the control group, whereas only two trials were considered to be of high methodological quality. Among the six studies which measured functional ability, three studies with good quality reported significant between-group differences in favor of WBV. CONCLUSIONS There is limited evidence suggests that WBV is beneficial for NLBP when compared with other forms of interventions (stability training, classic physiotherapy, routine daily activity). Due to the small sample sizes and statistical heterogeneity, we still cannot draw conclusions that WBV is an effective intervention. Further high-quality studies are needed before clinical recommendations can be provided to support its use in a general population with NLBP and to explore the optimal treatment protocol. TRIAL REGISTRATION PROSPERO registration number: CRD42017074775.
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Affiliation(s)
- Weiming Wang
- Department of Rehabilitation Medicine, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
| | - Shuting Wang
- Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, SAR China
| | - Wujian Lin
- Department of Rehabilitation Medicine, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
| | - Xian Li
- Department of Rehabilitation Medicine, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
| | - Lars L. Andersen
- National Research Centre for the Working Environment, Copenhagen, Denmark
| | - Yuling Wang
- Department of Rehabilitation Medicine, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
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15
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Ali MS, Awad AS, Elassal MI. The effect of two therapeutic interventions on balance in children with spastic cerebral palsy: A comparative study. J Taibah Univ Med Sci 2019; 14:350-356. [PMID: 31488967 PMCID: PMC6717138 DOI: 10.1016/j.jtumed.2019.05.005] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2019] [Revised: 05/24/2019] [Accepted: 05/29/2019] [Indexed: 01/11/2023] Open
Abstract
Objectives Postural control involves controlling the position of the body in space to achieve stability and orientation. Core stability is needed to improve balance and postural control. Whole-body vibration is a unique strategy for muscle strengthening in various clinical situations. This study compared the effects of whole-body vibration and a core stability program on balance in children with spastic cerebral palsy, with an intervention period of 12 weeks. Methods A total of 72 children with spastic cerebral palsy (hemiplegic and diplegic), of both sexes (age, 5–8 years), were selected from the outpatient clinic of the Faculty of Physical Therapy, Cairo University. The children were randomly assigned to 2 groups. Group A underwent a core stability program for 30 min and group B underwent whole-body vibration training for 10 min, at 3 times a week for 12 weeks for both groups. Balance was assessed using the Biodex Balance System. Results A significant improvement in all variables (p < 0.05) was observed in each group, with greater improvement of all stability indices (anteroposterior, mediolateral, and overall) in group B. There were non-significant differences in all stability indices between hemiplegic and diplegic children (p > 0.05). Conclusion Whole-body vibration and core stability exercises are recommended for the treatment of children with spastic cerebral palsy. Whole-body vibration was more effective than the core stability program in improving balance in children with spastic cerebral palsy.
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Affiliation(s)
- Mostafa S Ali
- Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Egypt
| | - Ahmed S Awad
- Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Egypt
| | - Mohamed I Elassal
- Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Egypt
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16
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Sajadi N, Bagheri R, Amiri A, Maroufi N, Shadmehr A, Pourahmadi M. Effects of Different Frequencies of Whole Body Vibration on Repositioning Error in Patients With Chronic Low Back Pain in Different Angles of Lumbar Flexion. J Manipulative Physiol Ther 2019; 42:227-236. [PMID: 31255307 DOI: 10.1016/j.jmpt.2018.11.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2017] [Revised: 07/16/2018] [Accepted: 11/02/2018] [Indexed: 10/26/2022]
Abstract
OBJECTIVE This study aimed to evaluate the effect of high and low frequency of whole body vibration (WBV) on repositioning error in 3 different angles of lumbar flexion in patients with chronic low back pain. METHODS Twenty-four participants with chronic low back pain, aged between 20 and 35 years, were included in this randomized crossover trial study. Participants were randomly assigned into 2 groups as follows: (1) low frequency/high frequency, and (2) high frequency/low frequency. Participants received high-frequency (50 Hz) and low-frequency (30 Hz) WBV in a semi-squat position for 5 minutes in 2 sessions, with 2 weeks of rest. Before and after the WBV, lumbar repositioning error in 30% and 60% of lumbar full flexion and neutral position with eyes closed when standing was evaluated using an electrogoniometer. RESULTS The repositioning error was decreased in neutral, 30%, and 60% of lumbar flexion after the low-frequency and high-frequency WBV. Post hoc testing revealed that the effect of angle was not significant in repositioning error changes between high-frequency and low-frequency WBV (P > .05). However, the effect of low-frequency WBV on the repositioning error was significantly higher compared with high-frequency WBV (P < .05). CONCLUSION Low-frequency WBV might induce more improvement in the accuracy of lumbopelvic repositioning compared with high-frequency WBV with the method of WBV used in this study.
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Affiliation(s)
- Nashmin Sajadi
- Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences and Health Services, Tehran, Iran
| | - Rasool Bagheri
- Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran
| | - Ali Amiri
- Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences and Health Services, Tehran, Iran.
| | - Nader Maroufi
- Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences and Health Services, Tehran, Iran
| | - Azadeh Shadmehr
- Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences and Health Services, Tehran, Iran
| | - Mohammadreza Pourahmadi
- Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences and Health Services, Tehran, Iran
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17
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Wang XQ, Gu W, Chen BL, Wang X, Hu HY, Zheng YL, Zhang J, Zhang HY, Chen PJ. Effects of whole-body vibration exercise for non-specific chronic low back pain: an assessor-blind, randomized controlled trial. Clin Rehabil 2019; 33:1445-1457. [PMID: 31099264 DOI: 10.1177/0269215519848076] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To confirm the benefits of whole-body vibration exercise for pain intensity and functional disability in patients with non-specific chronic low back pain. DESIGN Single-blind randomized controlled trial. SETTING Outpatient. SUBJECTS Eighty-nine patients with non-specific chronic low back pain met the inclusion criteria, they were randomly allocated to either the intervention group (n = 45) or the control group (n = 44). INTERVENTION The intervention group received whole-body vibration exercises three times a week for 12 weeks. The control group received general exercise protocol three times a week for 12 weeks. MAIN OUTCOMES The primary outcome measures were pain intensity and functional disability measured by the visual analog scale scores and Oswestry Disability Index. The secondary outcome measures included lumbar joint position sense, quality of life (Short Form Health Survey 36) and overall treatment effect (Global Perceived Effect). RESULTS A total of 84 subjects completed the 12-week study program. After 12 weeks, compared with the control group, the mean visual analog scale and Oswestry Disability Index scores decreased by additional 1 point (95% confidence interval (CI) = -1.22 to -0.78; P < 0.001), 3.81 point (95% CI, -4.98, -2.63; P < 0.001) based on adjusted analysis in the intervention group. And the intervention group provided additional beneficial effects for in terms of lumbar joint position sense (P < 0.05), quality of life (P < 0.05), and Global Perceived Effect (P = 0.012). CONCLUSION The study demonstrated that whole-body vibration exercise could provide more benefits than general exercise for relieving pain and improving functional disability in patients with non-specific chronic low back pain.
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Affiliation(s)
- Xue-Qiang Wang
- 1 Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China.,2 Department of Rehabilitation Medicine, Shanghai Shangti Orthopaedic Hospital, Shanghai, China
| | - Wei Gu
- 3 Department of Rehabilitation Medicine, Affiliated to Traditional Chinese Medicine Faculty, Changhai Hospital, Shanghai, China
| | - Bing-Lin Chen
- 1 Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China
| | - Xin Wang
- 3 Department of Rehabilitation Medicine, Affiliated to Traditional Chinese Medicine Faculty, Changhai Hospital, Shanghai, China
| | - Hao-Yu Hu
- 1 Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China
| | - Yi-Li Zheng
- 1 Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China
| | - Juan Zhang
- 1 Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China
| | - Han-Yu Zhang
- 1 Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China
| | - Pei-Jie Chen
- 1 Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China.,2 Department of Rehabilitation Medicine, Shanghai Shangti Orthopaedic Hospital, Shanghai, China
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18
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Chow DHK, Lee TY, Pope MH. Effects of whole body vibration on spinal proprioception in healthy individuals. Work 2019; 61:403-411. [PMID: 30373993 DOI: 10.3233/wor-182816] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Low back pain (LBP) is a common health problem with high reoccurrence rate. As patients with LBP are often found to be proprioception impaired, new proprioception exercises should be explored. Whole body vibration (WBV) has been proven to improve muscle function and proprioception. OBJECTIVE The aim of this study was to determine the effects of WBV on spinal proprioception when WBV was administered in standing and seated postures. METHODS Twenty healthy male individuals (mean age: 23.2±1.2 years) were recruited and randomly assigned to two WBV groups: WBV in standing or WBV in seated posture. Their body posture, lumbar repositioning ability, maximum reaching distance and lumbopelvic coordination during dynamic motion in flexion and extension were assessed before, immediately after, 30 minutes after and 1 hour after 5 minutes of WBV (18 Hz, 6 mm amplitude) exposure. A Mixed ANOVA was used to analyze the effects of group and time factors on these four outcome measures. RESULTS There were no significant interaction (group and time) and group effects on all outcome measures. Participants were found to have significant different time effect on body posture, lumbar repositioning ability, maximum reaching distance and lumbopelvic coordination. CONCLUSIONS WBV could significantly improve spinal proprioception including body posture, lumbar repositioning ability, maximum reaching distance and lumbopelvic coordination in healthy individuals. WBV protocol is recommended to confirm its clinical application for improving spinal proprioception and its effects on patients with LBP is warranted.
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Affiliation(s)
- D H K Chow
- Department of Health & Physical Education, The Education University of Hong Kong, Tai Po, New Territories, Hong Kong
| | - T Y Lee
- Department of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong
| | - M H Pope
- Department of Occupational Medicine, University of Aberdeen, Aberdeen, Scotland, UK
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19
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Zheng YL, Zhang ZJ, Peng MS, Hu HY, Zhang J, Wang XQ. Whole-body vibration exercise for low back pain: A meta-analysis protocol of randomized controlled trial. Medicine (Baltimore) 2018; 97:e12534. [PMID: 30235777 PMCID: PMC6160172 DOI: 10.1097/md.0000000000012534] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2018] [Accepted: 08/31/2018] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Low back pain (LBP) affects about 80% of the population at some time in their lives. Exercise therapy is the most widely used nonsurgical intervention for low back pain in practice. Thus, whole-body vibration (WBV) exercise is becoming increasingly popular in relieving musculoskeletal pain and in improving function. However, the efficacy of WBV exercise is not without dispute for low back pain. This meta-analysis, with its comprehensive and rigorous methodology, will provide better insight into this problem. METHODS Published articles will be identified using electronic searches from 1950 to 2018. The Cochrane Library, PubMed, Web of Science, Embase, CINAHL-Ebsco, PEDro, and China Biology Medicine will be searched for randomized controlled trials. Studies without a parallel comparison group will be excluded. Two reviewers will independently select relevant studies that investigate on WBV exercise for patients with LBP. Data extraction will be done independently by the same 2 reviewers who selected the studies. The primary outcome will be to assess pain, back-specific disability index, and adverse effect. Continuous data will be pooled by calculating the mean difference using the random-effects model. RESULTS The results of the final meta-analysis will provide an evidence of WBV exercise for low back pain. CONCLUSION This meta-analysis will provide a detailed summary of the evidence on the effects of WBV exercise on patients with LBP, in comparison with general exercise or without treatment. This review will benefit to researchers and policy makers who are interested in the treatment of LBP by WBV exercise.
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Affiliation(s)
- Yi-Li Zheng
- Department of Sport Rehabilitation, Shanghai University of Sport
- Department of Rehabilitation Medicine, Shanghai Shangti Orthopaedic Hospital, Shanghai
| | - Zhi-Jie Zhang
- Rehabilitation Therapy Center, Henan Province Orthopedic Hospital, Luoyang, China
| | - Meng-Si Peng
- Department of Sport Rehabilitation, Shanghai University of Sport
| | - Hao-Yu Hu
- Department of Sport Rehabilitation, Shanghai University of Sport
| | - Ju Zhang
- Department of Sport Rehabilitation, Shanghai University of Sport
| | - Xue-Qiang Wang
- Department of Sport Rehabilitation, Shanghai University of Sport
- Department of Rehabilitation Medicine, Shanghai Shangti Orthopaedic Hospital, Shanghai
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20
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Alp A, Efe B, Adalı M, Bilgiç A, Demir Türe S, Coşkun Ş, Karabulut M, Ertem U, Günay SM. The Impact of Whole Body Vibration Therapy on Spasticity and Disability of the Patients with Poststroke Hemiplegia. Rehabil Res Pract 2018; 2018:8637573. [PMID: 30225145 PMCID: PMC6129331 DOI: 10.1155/2018/8637573] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2018] [Revised: 02/11/2018] [Accepted: 03/12/2018] [Indexed: 12/27/2022] Open
Abstract
OBJECTIVE To determine if whole body vibration therapy (WBV) effectively improves functional outcome in patients with poststroke hemiplegia. MATERIALS AND METHODS In this single-blind RCT, WBV group (n = 10) had 40 hz frequency/4 mm amplitude vibration during 5 minutes/session, 3 days a week, for a duration of 4 weeks. The control group (n = 11) had no vibration therapy for the same duration while standing on the same platform. Patients in both of the groups did 15 minutes of stretching and active range of motion exercises before the intervention. Outcome measures were Modified Ashworth Scale (MAS), Functional Independence Measurement (FIM), and Timed 10-Meter Walk Test (10 mWT). RESULTS Only 10 mWT improved at the 1st week (p = 0.002), 1st month (p < 0.001), and 3rd month (p < 0.001) in favor of the intervention group. There was positive correlation also between 10 mWT and ankle spasticity (p < 0.001, r = 0.931). CONCLUSION This study suggests that WBV therapy may be a complementary therapy in gait rehabilitation and functional outcome of the patients with calf muscle spasticity.
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Affiliation(s)
- Alev Alp
- Faculty of Medicine, Physical Therapy and Rehabilitation Department, Uludag University, Bursa, Turkey
| | - Bilge Efe
- Faculty of Medicine, Physical Therapy and Rehabilitation Department, Uludag University, Bursa, Turkey
| | - Mihriban Adalı
- Faculty of Medicine, Physical Therapy and Rehabilitation Department, Uludag University, Bursa, Turkey
| | - Adnan Bilgiç
- Faculty of Medicine, Physical Therapy and Rehabilitation Department, Uludag University, Bursa, Turkey
| | - Sevda Demir Türe
- Faculty of Medicine, Physical Therapy and Rehabilitation Department, Uludag University, Bursa, Turkey
| | - Şeyma Coşkun
- Faculty of Medicine, Physical Therapy and Rehabilitation Department, Uludag University, Bursa, Turkey
| | - Merve Karabulut
- Faculty of Medicine, Physical Therapy and Rehabilitation Department, Uludag University, Bursa, Turkey
| | - Uğur Ertem
- Faculty of Medicine, Physical Therapy and Rehabilitation Department, Uludag University, Bursa, Turkey
| | - Selim Mahmut Günay
- Faculty of Medicine, Physical Therapy and Rehabilitation Department, Uludag University, Bursa, Turkey
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21
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Lurie RC, Cimino SR, Gregory DE, Brown SHM. The effect of short duration low back vibration on pain developed during prolonged standing. APPLIED ERGONOMICS 2018; 67:246-251. [PMID: 29122196 DOI: 10.1016/j.apergo.2017.10.007] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2017] [Revised: 09/24/2017] [Accepted: 10/09/2017] [Indexed: 06/07/2023]
Abstract
The purpose of this study was to determine if vibration, a potential method of pain management, applied to the low back could alleviate pain developed during prolonged standing. Eighteen healthy individuals participated in a 2.5-h standing task during which vibration (3-min duration) was applied at the 2-h and 2.25-h marks. During the full 2.5 h, participants recorded their perceived pain scores every 15 min using a 10 cm visual analogue scale (VAS). Following each vibration bout, those who developed low back pain (LPB) reported statistically lower VAS scores compared to prior to the vibration; however, when the vibration ceased, LBP returned to pre-vibration levels. It appears that vibration may be an effective method of alleviating LBP caused by prolonged standing; however, the effects seem to be temporary. Further research is needed to investigate the optimal vibration frequency and time period to maximize pain management effectiveness.
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Affiliation(s)
- Renée C Lurie
- Department of Human Health & Nutritional Sciences, University of Guelph, Guelph, Canada
| | - Stephanie R Cimino
- Department of Human Health & Nutritional Sciences, University of Guelph, Guelph, Canada
| | - Diane E Gregory
- Department of Kinesiology & Physical Education/Health Sciences, Wilfrid Laurier University, Waterloo, Canada.
| | - Stephen H M Brown
- Department of Human Health & Nutritional Sciences, University of Guelph, Guelph, Canada
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22
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Ebing J, Gast U, Hauptmann C, Felsenberg D, Belavý DL. Hypertrophy and Explosive-Reactive Functioning in Sedentary Men After 10 Weeks of Whole-Body Vibration. J Strength Cond Res 2018; 32:27-36. [DOI: 10.1519/jsc.0000000000001728] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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23
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Lam FMH, Liao LR, Kwok TCY, Pang MYC. Effects of adding whole-body vibration to routine day activity program on physical functioning in elderly with mild or moderate dementia: a randomized controlled trial. Int J Geriatr Psychiatry 2018; 33:21-30. [PMID: 28094873 DOI: 10.1002/gps.4662] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/19/2016] [Revised: 12/06/2016] [Accepted: 12/15/2016] [Indexed: 11/10/2022]
Abstract
OBJECTIVE To evaluate the effects of whole-body vibration (WBV) added to a routine activity program on lower limb strength, balance, and mobility among community-dwelling individuals with mild or moderate dementia, compared with the routine program alone. METHODS Fifty-four older adults (40 women; mean (SD) age: 79.8 (6.1) years) with mild or moderate dementia were recruited from two daycare centers. The participants were randomly allocated to undergo a routine day activity program combined with WBV training (WBV at 30 Hz, 2-mm peak-to-peak amplitude) or the routine program only without WBV for 9 weeks (18 sessions). The primary outcome was functional mobility, measured using the timed up-and-go test. The following secondary outcomes were evaluated: Berg Balance Scale, Tinetti balance assessment, time to complete 5 repetitions of sit-to-stand, Quality of Life in Alzheimer's disease questionnaire, and Activities-specific Balance Confidence scale. The attendance rate and incidence of adverse events were also recorded. RESULTS The attendance rate for the training was high (86.0%). The incidence of adverse events was low, with only two of the 27 participants in the WBV group reporting mild knee pain. While significant improvement in timed up-and-go, Berg Balance Scale, and Tinetti balance score was found in both groups, none of the outcomes demonstrated a significant group by time interaction. CONCLUSIONS WBV training is feasible and safe to use with people with mild or moderate dementia. However, it did not lead to further improvement in physical function and quality of life than the usual activity program provided at the daycare centers. Copyright © 2017 John Wiley & Sons, Ltd.
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Affiliation(s)
- Freddy M H Lam
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong
| | - L R Liao
- Department of Rehabilitation, Jiangsu Provincial Yixing Jiuru Rehabilitation Hospital, Yixing, China
| | - Timothy C Y Kwok
- Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong
| | - Marco Y C Pang
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong
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Lam FMH, Tang CY, Kwok TCY, Pang MYC. Transmissibility and waveform purity of whole-body vibrations in older adults. Clin Biomech (Bristol, Avon) 2018; 51:82-90. [PMID: 29274598 DOI: 10.1016/j.clinbiomech.2017.12.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2017] [Revised: 12/10/2017] [Accepted: 12/13/2017] [Indexed: 02/07/2023]
Abstract
BACKGROUND This study examined the transmission power and waveform purity of vertical (synchronous) whole-body vibrations upon its propagation in the human body among older adults. METHODS Forty community-dwelling older adults participated in the study (33 women; mean age: 60.3 (SD 5.7) years). Four vibration frequencies (25, 30, 35, 40Hz), two amplitudes (0.6 and 0.9mm), and six different postures were tested. Skin-mounted tri-axial accelerometers were placed at the medial malleolus, tibial tuberosity, greater trochanter, third lumbar vertebra, and forehead. The transmissibility of vibration was computed as the ratio of the root-mean-square-acceleration at different body sites to that of the platform. Signal purity was expressed by the percentage of total transmitted power within 1Hz of the nominal frequency delivered by the platform. FINDINGS Vibration frequency and amplitude were inversely associated with transmissibility in all anatomical landmarks except the medial malleolus. Amplification of signals was noted at the medial malleolus in most testing conditions. The effect of posture on whole-body vibration transmission depends on its frequency and amplitude. In general, toe-standing led to the lowest transmissibility. Single-leg standing had the highest vibration transmission to the hip, while erect standing had the highest transmissibility to the head. The purity of waveform of the vibration signals was well conserved as the vibrations were transmitted from the feet to the upper body. INTERPRETATION Whole-body vibration transmissibility was highly influenced by signal frequency, amplitude and posture. These parameters should be carefully considered when prescribing whole-body vibration to older adults.
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Affiliation(s)
- Freddy Man Hin Lam
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong.
| | - Chak-Yin Tang
- Department of Industrial and Systems Engineering, The Hong Kong Polytechnic University, Hong Kong
| | - Timothy Chi Yui Kwok
- Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong
| | - Marco Yiu Chung Pang
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong
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Saggini R, Ancona E, Carmignano SM, Supplizi M, Barassi G, Bellomo RG. Effect of combined treatment with focused mechano-acoustic vibration and pharmacological therapy on bone mineral density and muscle strength in post-menopausal women. ACTA ACUST UNITED AC 2017; 14:305-311. [PMID: 29354158 DOI: 10.11138/ccmbm/2017.14.3.305] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Introduction Osteoporosis is a systemic disease of the skeleton characterized by a reduction in bone mass and alterations in microarchitecture accompanied by increase in fracture risk, with a relevant decline in quality of life and important social, economic, and health implications, representing one of the most common causes of disability and a major financial item of health cost in many Countries. The best therapy for osteoporosis is prevention, consisting in measures to avoid or slow the onset of the disease. Treatment includes measures aimed at osteoporotic individuals, with or without previous fractures and a high risk of a first or additional fracture. Method We enrolled thirty post-menopausal osteoporotic women, allocated in the first group underwent a 6-month personalized drug therapy and focused mechanoacoustic vibration (2 sessions per week, each lasting 15 minutes); women allocated in the second group underwent only 6-month personalized drug therapy. Patients were evaluated performing dual-energy X-ray absorptiometry (DXA) and isokinetic machine evaluation, and administration of Tinetti scale and ECOS-16 questionnaire. Result Show improvement of bone mineral density (BMD) and T-score at the lumbar spine and femoral neck, handgrip strength and isokinetic strength of the knee estensors, balance and gait, and quality of life. Conclusion Hence, the combined treatment with focused mechano-acoustic vibration and pharmacological therapy has a beneficial effect on BMD and T-score as well as on the muscle strength and quality of life of osteoporotic subjects.
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Affiliation(s)
- Raoul Saggini
- Full Professor, Physical and Rehabilitation Medicine, Department of Medical Oral and Biotechnological Sciences, Director of the School of Specialty in Physical and Rehabilitation Medicine, "Gabriele d'Annunzio" University, Chieti-Pescara, Italy; National Coordinator of Schools of Specialty in Physical and Rehabilitation Medicine
| | - Emilio Ancona
- School of Specialty in Physical and Rehabilitation Medicine, "Gabriele d'Annunzio" University of Chieti-Pescara, Italy
| | - Simona Maria Carmignano
- School of Specialty in Physical and Rehabilitation Medicine, "Gabriele d'Annunzio" University of Chieti-Pescara, Italy
| | - Marco Supplizi
- Section of Physical and Rehabilitation Medicine, "Gabriele d'Annunzio" University of Chieti-Pescara, Italy
| | - Giovanni Barassi
- Chair of Physical and Rehabilitation Medicine, "Gabriele d'Annunzio" University of Chieti-Pescara, Italy
| | - Rosa Grazia Bellomo
- Associated Professor, Physical and Rehabilitation Medicine, Department of Medicine and Sciences of Aging, "Gabriele d'Annunzio" University of Chieti-Pescara, Italy
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Short-Term Effects of Whole-Body Vibration Combined with Task-Related Training on Upper Extremity Function, Spasticity, and Grip Strength in Subjects with Poststroke Hemiplegia: A Pilot Randomized Controlled Trial. Am J Phys Med Rehabil 2017; 95:608-17. [PMID: 26829094 DOI: 10.1097/phm.0000000000000454] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE The aim of this study was to determine the effect of whole-body vibration training combined with task-related training on arm function, spasticity, and grip strength in subjects with poststroke hemiplegia. DESIGN Forty-five subjects with poststroke were randomly allocated to 3 groups, each with 15 subjects as follows: control group, whole-body vibration group, and whole-body vibration plus task-related training group. Outcome was evaluated by clinical evaluation and measurements of the grip strength before and 4 weeks after intervention. RESULTS Our results show that there was a significantly greater increase in the Fugl-Meyer scale, maximal grip strength of the affected hand, and grip strength normalized to the less affected hand in subjects undergoing the whole-body vibration training compared with the control group after the test. Furthermore, there was a significantly greater increase in the Wolf motor function test and a decrease in the modified Ashworth spasticity total scores in subjects who underwent whole-body vibration plus task-related training compared with those in the other 2 groups after the test. CONCLUSIONS The findings indicate that the use of whole-body vibration training combined with task-related training has more benefits on the improvement of arm function, spasticity, and maximal grip strength than conventional upper limb training alone or with whole-body vibration in people with poststroke hemiplegia.
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Cornwall AR, Gregory DE. Low back cutaneous vibration and its effect on trunk postural control. Hum Mov Sci 2017; 54:331-338. [PMID: 28672126 DOI: 10.1016/j.humov.2017.06.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2017] [Revised: 06/22/2017] [Accepted: 06/24/2017] [Indexed: 11/17/2022]
Abstract
The current study investigated the effects of a low back pain (LBP) vibration modality on trunk motor control. Trunk repositioning error and responses to a sudden loading trunk perturbation were evaluated pre- and post-vibration (15min vibration exposure while sitting on a standard chair) as well as when concurrent cutaneous low back vibration was applied. Only minor effects were observed post-vibration when compared to pre-vibration. However, when vibration was applied at the same time as the sudden trunk perturbations, lumbar erector spinae and external oblique muscles were significantly more delayed in activating following the perturbation. In addition, the resting muscle activation prior to the trunk perturbation was higher in both the back extensor and abdominal muscles when concurrent vibration was applied. These findings suggest that cutaneous low back vibration significantly alters motor control responses and this should be considered before implementing cutaneous vibration as a low back pain management strategy.
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Affiliation(s)
- Adam R Cornwall
- Department of Kinesiology & Physical Education, Wilfrid Laurier University, 75 University Ave West, Waterloo, ON N2L 3C5, Canada.
| | - Diane E Gregory
- Department of Kinesiology & Physical Education, Wilfrid Laurier University, 75 University Ave West, Waterloo, ON N2L 3C5, Canada; Department of Health Sciences, Wilfrid Laurier University, 75 University Ave West, Waterloo, ON N2L 3C5, Canada.
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Lee JH, Kim SB, Lee KW, Lee SJ, Park H, Kim DW. The effect of a whole-body vibration therapy on the sitting balance of subacute stroke patients: a randomized controlled trial. Top Stroke Rehabil 2017; 24:457-462. [DOI: 10.1080/10749357.2017.1305655] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Jong Hwa Lee
- Department of Physical Medicine and Rehabilitation, Regional Cardiocerebrovascular Center, Dong-A University College of Medicine, Busan, Republic of Korea
| | - Sang Beom Kim
- Department of Physical Medicine and Rehabilitation, Regional Cardiocerebrovascular Center, Dong-A University College of Medicine, Busan, Republic of Korea
| | - Kyeong Woo Lee
- Department of Physical Medicine and Rehabilitation, Regional Cardiocerebrovascular Center, Dong-A University College of Medicine, Busan, Republic of Korea
| | - Sook Joung Lee
- Department of Physical Medicine and Rehabilitation, Regional Cardiocerebrovascular Center, Dong-A University College of Medicine, Busan, Republic of Korea
| | - Hyuntae Park
- Department of Medicinal Biotechnology, Dong-A University, Busan, Republic of Korea
| | - Dong Won Kim
- Department of Physical Medicine and Rehabilitation, Regional Cardiocerebrovascular Center, Dong-A University College of Medicine, Busan, Republic of Korea
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Tsigkanos C, Gaskell L, Smirniotou A, Tsigkanos G. Static and dynamic balance deficiencies in chronic low back pain. J Back Musculoskelet Rehabil 2016; 29:887-893. [PMID: 27341640 DOI: 10.3233/bmr-160721] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND According to previously conducted studies, people with Low Back Pain (LBP) present with static balance deficiencies. OBJECTIVE The aim of the present study was to compare static, as well as dynamic balance ability between Chronic Low Back Pain (CLBP) and healthy subjects. METHODS The CLBP group comprised 17 subjects and the control group of 16 subjects, matched for age, BMI and gender. The protocol applied compared the balance ability when performing the Star Excursion Balance Test (SEBT) and the static 1-leg stance position. The innovation introduced in the protocol was that the participants performed not only the static 1-leg stance, but also the dynamic SEBT on a force plate which recorded the target sway (TS), i.e. the Center of Pressure (CoP) excursion. RESULTS The CLBP group had significantly reduced performance in SEBT, coupled with greater static and dynamic TS values. Age and especially BMI also bear a significant effect on SEBT execution. The inclusion of SEBT and TS derived scores in a stepwise logistic regression equation lead to the correct classification of 85% of the subjects. CONCLUSIONS Dynamic and static balance ability provide supplementary information for the identification of the presence of CLBP, with dynamic balance being more instrumental.
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Affiliation(s)
- Christos Tsigkanos
- Physiotherapy Department, School of Health Sciences, University of Salford, Manchester, UK
| | - Lynne Gaskell
- Physiotherapy Department, School of Health Sciences, University of Salford, Manchester, UK
| | | | - Georgios Tsigkanos
- Faculty of Physical Education and Sport Sciences, University of Athens, Greece
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Effects of Whole-Body Vibration Therapy in Patients with Fibromyalgia: A Systematic Literature Review. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2015; 2015:719082. [PMID: 26351517 PMCID: PMC4553315 DOI: 10.1155/2015/719082] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/11/2015] [Revised: 03/31/2015] [Accepted: 04/02/2015] [Indexed: 01/01/2023]
Abstract
Objective. To review the literature on the effects of whole-body vibration therapy in patients with fibromyalgia. Design. Systematic literature review. Patients. Patients with fibromyalgia. Methods. An electronic search of the literature in four medical databases was performed to identify studies on whole-body vibration therapy that were published up to the 15th of January 2015. Results. Eight articles satisfied the inclusion and exclusion criteria and were analysed. According to the Dutch CBO guidelines, all selected trials had a B level of evidence. The main outcomes that were measured were balance, fatigue, disability index, health-related quality of life, and pain. Whole-body vibration appeared to improve the outcomes, especially balance and disability index. Conclusion. Whole-body vibration could be an adequate treatment for fibromyalgia as a main therapy or added to a physical exercise programme as it could improve balance, disability index, health-related quality of life, fatigue, and pain. However, this conclusion must be treated with caution because the paucity of trials and the marked differences between existing trials in terms of protocol, intervention, and measurement tools hampered the comparison of the trials.
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31
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Proprioception in musculoskeletal rehabilitation. Part 2: Clinical assessment and intervention. ACTA ACUST UNITED AC 2015; 20:378-87. [DOI: 10.1016/j.math.2015.01.009] [Citation(s) in RCA: 79] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2014] [Revised: 01/04/2015] [Accepted: 01/15/2015] [Indexed: 01/14/2023]
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Yun S, Kim YL, Lee SM. The effect of neurac training in patients with chronic neck pain. J Phys Ther Sci 2015; 27:1303-7. [PMID: 26157206 PMCID: PMC4483384 DOI: 10.1589/jpts.27.1303] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2014] [Accepted: 01/11/2015] [Indexed: 12/03/2022] Open
Abstract
[Purpose] This study aimed to investigate the effects of neurac training on pain,
function, balance, fatigability, and quality of life. [Subjects and Methods] Subjects with
chronic neck pain who were treated in S hospital were included in this study; they were
randomly allocated into two groups, i.e., the experimental group (n = 10) and the control
group (n = 10). Both groups received traditional physical therapy for 3 sessions for
30 min per week for 4 weeks. The experimental group practiced additional neurac training
for 30 min/day, for 3 days per week for 4 weeks. All subjects were evaluated using the
visual analogue scale (VAS), the neck disability index (NDI), the biorescue (balance), the
questionnaire for fatigue symptoms (fatigue), and the medical outcome 36-item short form
health survey (SF-36) pre- and post-intervention. [Results] The experimental group
effectively improved their pain, function, balance, fatigability, and quality of life.
[Conclusion] Neurac training is thus considered an effective training program that
enhances body functionality by improving pain, function, balance ability, fatigability,
and quality of life in patients with chronic neck pain.
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Affiliation(s)
- Soo Yun
- Department of Physical Therapy, Sahmyook University: 26-21 Gongneung2-dong, Nowon-gu, Seoul 139-742, Republic of Korea
| | - You Lim Kim
- Department of Physical Therapy, Sahmyook University: 26-21 Gongneung2-dong, Nowon-gu, Seoul 139-742, Republic of Korea
| | - Suk Min Lee
- Department of Physical Therapy, Sahmyook University: 26-21 Gongneung2-dong, Nowon-gu, Seoul 139-742, Republic of Korea
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Yang J, Seo D. The effects of whole body vibration on static balance, spinal curvature, pain, and disability of patients with low back pain. J Phys Ther Sci 2015; 27:805-8. [PMID: 25931735 PMCID: PMC4395719 DOI: 10.1589/jpts.27.805] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2014] [Accepted: 10/24/2014] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The purpose of this study was to investigate the impact of whole body vibration (WBV) on static balance, spinal curvature, pain, and the disability of patients with chronic lower back pain. [Subjects and Methods] The subjects were of 40 patients, who were randomly assigned to WBV and control groups. Twenty-five minutes of lumbar stability training and 5 minutes of WBV were conducted for the WBV group, and 30 minutes of lumbar stability training was conducted for the control group. The training was conducted three times per week for a total of 6 weeks. Static balance, spinal curvature, pain, and disability were measured before and after the intervention. [Results] After the intervention, the WBV group showed a significant differences in static balance, spinal curvature, pain, and disability. The control group presented significant differences in pain, and disability. In the comparison of the two groups, the WBV group showed more significant improvements in the fall index and pain. [Conclusion] WBV can be recommended for the improvement of the balance ability and pain of chronic lower back pain patients.
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Affiliation(s)
- Jinmo Yang
- Department of Physical Therapy, The Graduate School, Daejon University, Republic of Korea
| | - Dongkwon Seo
- Department of Physical Therapy, Konyang University, Republic of Korea
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Yun K, Lee S, Park J. Effects of closed chain exercises for the lumbar region performed with local vibration applied to an unstable support surface on the thickness and length of the transverse abdominis. J Phys Ther Sci 2015; 27:101-3. [PMID: 25642048 PMCID: PMC4305534 DOI: 10.1589/jpts.27.101] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2014] [Accepted: 07/18/2014] [Indexed: 11/24/2022] Open
Abstract
[Purpose] This study examined the effects of closed chain exercises performed with local
vibration applied to an unstable support surface on the thickness and length of the
transverse abdominis. [Subjects] The subjects were 64 healthy university students who were
randomly assigned to a bridge exercise with sling and vibration group (BESVG, n=30) and a
bridge exercise with sling group (BESG, n=34). [Methods] The bridge exercise was repeated
four times per set and a total of 18 sets were performed: 9 sets in a supine position and
9 sets in a prone position. In both the BESVG and the BESG groups, the thickness and
length of the transverse abdominis (TrA) were measured using ultrasonography with the
abdomen “drawn-in” and the pressure of a biofeedback unit maintained at 40 mmHg, both
before and after the intervention. [Results] In intra-group comparisons, the BESVG showed
significant increases in the thickness of the TrA and significant decreases in the length
of the TrA. The BESG showed significant increases in the thickness of the TrA. The BESVG
showed significant increases in the thickness of the TrA and significant decreases in the
length of the TrA compared to BESG. [Conclusion] Closed chain exercises for the lumbar
region performed with local vibration applied to slings, which are unstable support
surfaces, are an effective intervention for altering the thickness and length of the
TrA.
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Affiliation(s)
- Kihyun Yun
- Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Republic of Korea
| | - Sangyong Lee
- Department of Physical Therapy, Youngdong University, Republic of Korea
| | - Jinsik Park
- Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Republic of Korea
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Kasahara S, Saito H. Effect of loading parameters on motor performance during a dynamic weight-shift task. Gait Posture 2015; 41:100-5. [PMID: 25280961 DOI: 10.1016/j.gaitpost.2014.09.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/23/2014] [Revised: 09/01/2014] [Accepted: 09/13/2014] [Indexed: 02/02/2023]
Abstract
Controlling weight shift (WS) is essential to performing motions safely and smoothly during daily and athletic activities. This study investigated the impact of loading parameters on the motor performance and difficulty level of a dynamic WS task performed while standing. Twelve healthy young adults (21.2 ± 0.9 years, 53.5 ± 7.4 kg) were asked to match the target and their weight loads using visual feedback displayed on a computer monitor. Motor performance was estimated by assessment of loading accuracy and pace of motor skill acquisition, measured as a proxy of difficulty level, was estimated by assessment of learning rate. As predicted, both loading accuracy values decreased with increasing target frequency. Notably, the interaction of loading size and frequency had a significant effect on loading accuracy, which was increasingly impaired as the weight load increased at frequencies greater than 0.5 Hz. Moreover, the pace of motor skill acquisition in a dynamic WS task while standing was affected by the weight-load speed independently of the weight-load size. These results indicate that loading accuracy is affected by both the weight-load size and frequency and that 0.5 Hz is a critical frequency at which the difficulty level increases during dynamic WS tasks while standing in healthy youths. These findings suggest that the adequacy of the initial settings used regarding loading size and frequency is an important consideration in rehabilitative and athletic training aimed at evaluating and improving WS while standing.
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Affiliation(s)
- Satoshi Kasahara
- Department of Rehabilitation Sciences, Faculty of Health Sciences, Hokkaido University, Sapporo 060-0812, Japan.
| | - Hiroshi Saito
- Department of Rehabilitation Sciences, Faculty of Health Sciences, Hokkaido University, Sapporo 060-0812, Japan
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36
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Yang X, Wang P, Liu C, He C, Reinhardt JD. The effect of whole body vibration on balance, gait performance and mobility in people with stroke: a systematic review and meta-analysis. Clin Rehabil 2014; 29:627-38. [PMID: 25311142 DOI: 10.1177/0269215514552829] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2014] [Accepted: 08/27/2014] [Indexed: 02/05/2023]
Abstract
Objective: To examine the effect of whole body vibration on balance, gait performance and mobility among people with stroke. Method: A systematic review was conducted by two independent reviewers who completed the article search and selection. We included randomized controlled trials published in English examining effects of whole body vibration on balance, gait, mobility, muscle strength and muscle tone in adults with a clinical diagnosis of stroke. Articles were excluded if they were research studies on people with other primary diagnosis, abstracts published in the conferences or books. The Cochrane risk of bias tool was used to assess the methodological quality of the selected studies. Data source: Sources included Cochrane Central Register of Controlled Trials, Pubmed, MEDLINE, CINAHL, EMBASE, PEDro, PsycINFO, Science Citation Index, ClinicalTrials.gov, Current Controlled Trials, Stroke Trials Registry, and reference lists of all relevant articles. Result: Eight randomized controlled trials (nine articles) involving 271 participants were included in this meta-analysis. No significant improvement was found regarding Berg balance scale (SMD=-0.08, 95%CI=-1.35 to 1.19, P=0.91), mobility (SMD=0.45, 95%CI=-0.46 to 1.37, P=0.33), maximal isometric contracion of knee extension strength (SMD=0.23, 95%CI=-0.27 to 0.74, P=0.36), and maximal isometric contracion of knee extension strength (SMD=0.09, 95%CI=-0.38 to 0.56, P=0.71). Conclusion: There was no evidence for effects of whole body vibration on balance in people with stroke. Effects of whole body vibration on mobility and gait performance remain inconclusive. More large and high-quality trials are required.
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Affiliation(s)
- Xiaotian Yang
- Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan Province, People’s Republic of China
- Key Laboratory of Rehabilitation Medicine in Sichuan, Chengdu, Sichuan Province, People’s Republic of China
| | - Pu Wang
- Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan Province, People’s Republic of China
- Key Laboratory of Rehabilitation Medicine in Sichuan, Chengdu, Sichuan Province, People’s Republic of China
| | - Chuan Liu
- Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan Province, People’s Republic of China
- Key Laboratory of Rehabilitation Medicine in Sichuan, Chengdu, Sichuan Province, People’s Republic of China
| | - Chengqi He
- Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan Province, People’s Republic of China
- Key Laboratory of Rehabilitation Medicine in Sichuan, Chengdu, Sichuan Province, People’s Republic of China
| | - Jan D Reinhardt
- Institute for Disaster Management and Reconstruction of Sichuan University and Hong Kong Polytechnic University, Chengdu, Sichuan Province, People’s Republic of China
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Wang XQ, Pi YL, Chen PJ, Chen BL, Liang LC, Li X, Wang X, Zhang J. Whole body vibration exercise for chronic low back pain: study protocol for a single-blind randomized controlled trial. Trials 2014; 15:104. [PMID: 24693945 PMCID: PMC4230279 DOI: 10.1186/1745-6215-15-104] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2013] [Accepted: 03/06/2014] [Indexed: 12/19/2022] Open
Abstract
Background Low back pain affects approximately 80% of people at some stage in their lives. Exercise therapy is the most widely used nonsurgical intervention for low back pain in practice guidelines. Whole body vibration exercise is becoming increasingly popular for relieving musculoskeletal pain and improving health-related quality of life. However, the efficacy of whole body vibration exercise for low back pain is not without dispute. This study aims to estimate the effect of whole body vibration exercise for chronic low back pain. Methods/Design We will conduct a prospective, single-blind, randomized controlled trial of 120 patients with chronic low back pain. Patients will be randomly assigned into an intervention group and a control group. The intervention group will participate in whole body vibration exercise twice a week for 3 months. The control group will receive general exercise twice a week for 3 months. Primary outcome measures will be the visual analog scale for pain, the Oswestry Disability Index and adverse events. The secondary outcome measures will include muscle strength and endurance of spine, trunk proprioception, transversus abdominis activation capacity, and quality of life. We will conduct intention-to-treat analysis if any participants withdraw from the trial. Discussion Important features of this study include the randomization procedures, single-blind, large sample size, and a standardized protocol for whole body vibration in chronic low back pain. This study aims to determine whether whole body vibration exercise produces more beneficial effects than general exercise for chronic low back pain. Therefore, our results will be useful for patients with chronic low back pain as well as for medical staff and health-care decision makers. Trial registration Chinese Clinical Trial Registry: ChiCTR-TRC-13003708.
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Affiliation(s)
| | | | - Pei-Jie Chen
- Sport Medicine & Rehabilitation Center, Shanghai University of Sport, Shanghai 200438, China.
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Boucher JA, Abboud J, Dubois JD, Legault E, Descarreaux M, Henchoz Y. Trunk Neuromuscular Responses to a Single Whole-Body Vibration Session in Patients With Chronic Low Back Pain: A Cross-Sectional Study. J Manipulative Physiol Ther 2013; 36:564-71. [DOI: 10.1016/j.jmpt.2013.09.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2013] [Revised: 09/02/2013] [Accepted: 09/03/2013] [Indexed: 10/26/2022]
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Lee TY, Chow DHK. Effects of whole body vibration on spinal proprioception in normal individuals. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2013; 2013:4989-92. [PMID: 24110855 DOI: 10.1109/embc.2013.6610668] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Low back pain (LBP) is a common health problem with high reoccurrence rate. While most LBP cases are classified as non-specific, patients in general often present impaired proprioception. Whole body vibration (WBV) has been proven to improve muscle function and proprioception in the lumbo-pelvic region. The aim of this study was to determine whether WBV would affect spinal proprioception. Eleven young normal individuals were recruited. Their body alignment, lumbar repositioning error and lumbo-pelvic coordination during dynamic motion were assessed before and after 5 minutes WBV (18 Hz, 6 mm amplitude). Assessments were conducted before, immediately after, 30 minutes after and 1 hour after WBV. Subjects were found to have improved lumbo-pelvic coordination and flexibility without any adverse effect on the neuromuscular system after WBV. However, WBV had no significant immediate effect on lumbar repositioning ability and body alignment. Future studies of the effects of different WBV protocols on LBP patients are recommended.
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Kim JH, Kim YE, Bae SH, Kim KY. The effect of the neurac sling exercise on postural balance adjustment and muscular response patterns in chronic low back pain patients. J Phys Ther Sci 2013; 25:1015-9. [PMID: 24259906 PMCID: PMC3820226 DOI: 10.1589/jpts.25.1015] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2013] [Accepted: 04/08/2013] [Indexed: 12/23/2022] Open
Abstract
[Purpose] This study aimed to examine the effects of the Neurac sling exercise on postural balance adjustment and muscular response patterns in chronic low back pain (CLBP) patients. [Subjects and Methods] Sixteen CLBP patients participated in this study. They were randomly and equally assigned to group I, whose members received ordinary physical therapy (40 minutes per time, four times per week), and group II, whose members performed a lumbar stabilization exercise using the Neurac sling after ordinary physical therapy (40 minutes per time, four times per week). The visual analogue scale (VAS) and Oswestry Disability Index (ODI) were used to evaluate exercise effects. BioRescue and electromyography were utilized for the measurement of changes in postural balance adjustment and muscular response patterns, respectively. [Results] Both groups saw their VAS and ODI decrease significantly. There were significant decreases in both groups in posturography as well, but group II recorded a greater decrease. There were significant increases in the flexion-relaxation ratio in both groups, and there were significant increases in the extension-flexion ratio in the left L1-2 of group I and in all elements of group II. [Conclusion] Lumbar stabilization exercise using the Neurac sling is effective in decreasing pain, improving damaged postural balance adjustment, and normalizing muscle response patterns of CLBP patients.
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Affiliation(s)
- Ji Hae Kim
- Department of Physical Therapy, Dongshin University Oriental Hospital
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McCann MR, Patel P, Beaucage KL, Xiao Y, Bacher C, Siqueira WL, Holdsworth DW, Dixon SJ, Séguin CA. Acute vibration induces transient expression of anabolic genes in the murine intervertebral disc. ACTA ACUST UNITED AC 2013; 65:1853-64. [PMID: 23661269 DOI: 10.1002/art.37979] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2012] [Accepted: 04/11/2013] [Indexed: 01/07/2023]
Abstract
OBJECTIVE Low-amplitude whole-body vibration has been adopted for the treatment of back pain and spinal disorders. However, there is limited knowledge of the impact of vibration on the intervertebral disc (IVD). This study was undertaken to examine the effects of acute vibration on anabolic and catabolic pathways in the IVD and to characterize the dependence of these changes on time and frequency. METHODS Custom-designed platforms were developed to apply acute vibration to ex vivo and in vivo mouse models. Spinal segments (ex vivo) or mice (in vivo) were subjected to vibration (for 30 minutes at 15-90 Hz with peak acceleration at 0.3g), and IVDs were examined at specific time points after vibration. Gene expression was quantified using real-time polymerase chain reaction, and protein levels were examined by quantitative mass spectrometry and immunofluorescence. RESULTS In the ex vivo model, acute vibration at 15 Hz induced expression of anabolic genes (aggrecan, biglycan, decorin, type I collagen, and Sox9) and suppressed expression of Mmp13, with the most pronounced changes detected 6 hours following vibration. These beneficial effects were frequency dependent and were no longer evident between 45 and 90 Hz. In vivo, the effects on anabolic gene expression were even more robust and were accompanied by decreased expression of Adamts4, Adamts5, and Mmp3. Moreover, significant increases in the protein levels of aggrecan, biglycan, decorin, and type I collagen were detected in vivo. CONCLUSION These findings demonstrate dramatic anabolic effects of acute vibration on IVD tissue, responses that are dependent on frequency. The similarity of the in vivo and ex vivo responses indicates that at least some effects of vibration are tissue autonomous.
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Affiliation(s)
- Matthew R McCann
- Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ontario, Canada
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Liu H, Yao K, Zhang J, Li L, Wu T, Brox JI, He C. Sling exercise therapy for chronic low-back pain. Hippokratia 2013. [DOI: 10.1002/14651858.cd010689] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Affiliation(s)
- Huifang Liu
- West China Hospital, Sichuan University; Department of Rehabilitation Medicine; No. 37 Guo Xue Xiang Chengdu Sichuan China 610041
| | - Ke Yao
- West China School of Public Health, Sichuan University; Department of Biostatistics; No.17 Section 3, Renmin South Road Chengdu Sichuan China 610044
| | - Jingjing Zhang
- West China Hospital, Sichuan University; Department of Neurology; Wai Nan Guo Xue Xiang 37# Chengdu Sichuan China 610041
| | - Li Li
- Pain Relief Physical Therapy; 100 Beach Street 1st Floor Boston MA USA 02111
| | - Taixiang Wu
- West China Hospital, Sichuan University; Chinese Clinical Trial Registry, Chinese Ethics Committee of Registering Clinical Trials; No. 37, Guo Xue Xiang Chengdu Sichuan China 610041
| | - Jens Ivar Brox
- Rikshospitalet University Hospital and Medical Faculty University; Department of Orthopedics and Physiotherapy; Oslo Norway
| | - Chengqi He
- West China Hospital, Sichuan University; Department of Rehabilitation Medicine; No. 37 Guo Xue Xiang Chengdu Sichuan China 610041
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Boucher JA, Normand MC, Descarreaux M. Trunk isometric force production parameters during erector spinae muscle vibration at different frequencies. J Neuroeng Rehabil 2013; 10:89. [PMID: 23919578 PMCID: PMC3750832 DOI: 10.1186/1743-0003-10-89] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2012] [Accepted: 06/14/2013] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Vibration is known to alter proprioceptive afferents and create a tonic vibration reflex. The control of force and its variability are often considered determinants of motor performance and neuromuscular control. However, the effect of vibration on paraspinal muscle control and force production remains to be determined. METHODS Twenty-one healthy adults were asked to perform isometric trunk flexion and extension torque at 60% of their maximal voluntary isometric contraction, under three different vibration conditions: no vibration, vibration frequencies of 30 Hz and 80 Hz. Eighteen isometric contractions were performed under each condition without any feedback. Mechanical vibrations were applied bilaterally over the lumbar erector spinae muscles while participants were in neutral standing position. Time to peak torque (TPT), variable error (VE) as well as constant error (CE) and absolute error (AE) in peak torque were calculated and compared between conditions. RESULTS The main finding suggests that erector spinae muscle vibration significantly decreases the accuracy in a trunk extension isometric force reproduction task. There was no difference between both vibration frequencies with regard to force production parameters. Antagonist muscles do not seem to be directly affected by vibration stimulation when performing a trunk isometric task. CONCLUSIONS The results suggest that acute erector spinae muscle vibration interferes with torque generation sequence of the trunk by distorting proprioceptive information in healthy participants.
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Stolzenberg N, Belavý DL, Rawer R, Felsenberg D. Whole-body vibration versus proprioceptive training on postural control in post-menopausal osteopenic women. Gait Posture 2013; 38:416-20. [PMID: 23375357 DOI: 10.1016/j.gaitpost.2013.01.002] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2012] [Revised: 11/11/2012] [Accepted: 01/03/2013] [Indexed: 02/02/2023]
Abstract
BACKGROUND To prevent falls in the elderly, especially those with low bone density, is it necessary to maintain muscle coordination and balance. The aim of this study was to examine the effect of classical balance training (BAL) and whole-body vibration training (VIB) on postural control in post-menopausal women with low bone density. METHODS Sixty-eight subjects began the study and 57 completed the nine-month intervention program. All subjects performed resistive exercise and were randomized to either the BAL- (N=31) or VIB-group (N=26). The BAL-group performed progressive balance and coordination training and the VIB-group underwent, in total, four minutes of vibration (depending on exercise; 24-26Hz and 4-8mm range) on the Galileo Fitness. Every month, the performance of a single leg stance task on a standard unstable surface (Posturomed) was tested. At baseline and end of the study only, single leg stance, Romberg-stance, semi-tandem-stance and tandem-stance were tested on a ground reaction force platform (Leonardo). RESULTS The velocity of movement on the Posturomed improved by 28.3 (36.1%) (p<0.001) in the VIB-group and 18.5 (31.5%) (p<0.001) in the BAL-group by the end of the nine-month intervention period, but no differences were seen between the two groups (p=0.45). Balance tests performed on the Leonardo device did not show any significantly different responses between the two groups after nine months (p≥0.09). CONCLUSIONS Strength training combined with either proprioceptive training or whole-body vibration was associated with improvements in some, but not all, measures of postural control in post-menopausal women with low bone density. The current study could not provide evidence for a significantly different impact of whole-body vibration or balance training on postural control.
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Affiliation(s)
- Nils Stolzenberg
- Centre for Muscle and Bone Research, Charité Universitätsmedizin Berlin, Hindenburgdamm 30, 12203 Berlin, Germany.
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Lau RWK, Yip SP, Pang MYC. Whole-body vibration has no effect on neuromotor function and falls in chronic stroke. Med Sci Sports Exerc 2013; 44:1409-18. [PMID: 22330025 DOI: 10.1249/mss.0b013e31824e4f8c] [Citation(s) in RCA: 54] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
PURPOSE Whole-body vibration therapy has gained increasing popularity in enhancing neuromotor function in various patient populations. It remains uncertain, however, whether whole-body vibration is beneficial when used in stroke patients. The aim of this randomized controlled trial was to examine the efficacy of whole-body vibration in optimizing neuromotor performance and reducing falls in chronic stroke patients. METHODS Eighty-two chronic stroke patients were randomly assigned to either the experimental group or control group. The experimental group received 9-15 min of whole-body vibration (vertical vibration; frequency = 20-30 Hz. amplitude = 0.44-0.60 mm, peak acceleration = 9.5-15.8 m·s or 0.97-1.61 U of Earth gravitational acceleration (g) while performing a variety of dynamic leg exercises on the vibration platform. The control group performed the same exercises without vibration. The subjects underwent their respective training three times a week for 8 wk. Balance (Berg balance scale), mobility (10-m walk test and 6-min walk test), knee muscle strength (isokinetic dynamometry), and fall-related self-efficacy (activities-specific balance confidence scale) were assessed at baseline, immediately after the 8-wk training and at a 1-month follow-up. The incidence of falls was recorded until 6 months after the termination of training. RESULTS Intention-to-treat analysis revealed similar significant improvement in all balance, mobility, muscle strength, and fall-related self-efficacy measures in both groups after the 8-wk treatment period (P < 0.001), and these were maintained at the 1-month follow-up. The incidence of falls did not differ significantly between the two groups (P > 0.05). CONCLUSIONS The addition of the presently used whole-body vibration paradigm to a leg exercise protocol was no more effective in improving neuromotor performance and reducing the incidence of falls than leg exercises alone in chronic stroke patients who have mild to moderate motor impairments.
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Affiliation(s)
- Ricky W K Lau
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong
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The effect of whole body vibration on balance, mobility and falls in older adults: A systematic review and meta-analysis. Maturitas 2012; 72:206-13. [DOI: 10.1016/j.maturitas.2012.04.009] [Citation(s) in RCA: 100] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2012] [Revised: 04/20/2012] [Accepted: 04/23/2012] [Indexed: 11/18/2022]
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Belavý DL, Wilson SJ, Armbrecht G, Rittweger J, Felsenberg D, Richardson CA. Resistive vibration exercise during bed-rest reduces motor control changes in the lumbo-pelvic musculature. J Electromyogr Kinesiol 2012; 22:21-30. [DOI: 10.1016/j.jelekin.2011.09.009] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2011] [Revised: 08/25/2011] [Accepted: 09/18/2011] [Indexed: 11/25/2022] Open
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Hobbs AJ, Adams RD, Waddington GS, Hillier TM. Discrimination of Amount of Spinal Flexion for Movements Made with and without Vision after Lumbar Disc Replacement. Percept Mot Skills 2011; 112:619-28. [DOI: 10.2466/15.23.pms.112.2.619-628] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Discrimination of differences between small lumbar flexion movements made when standing may differ depending on whether vision is available. Dependence on general vision during trunk movements may be increased following surgery, in which an intervertebral disc is replaced with a prosthetic disc. This study investigated whether the availability of vision changed discrimination of small differences in lumbar forward flexion movement when standing for patients with lumbar disc replacement and healthy peers. 20 volunteers without a history of back pain and 20 with disc replacement undertook a 100-trial sequence of forward flexion movements to a set of physical stops, making an absolute judgement as to the position after each movement. General (nontarget) vision during the movement was available or removed randomly trial by trial. Availability of vision did not affect discrimination of flexion movements of the lumbar spine either in normal healthy individuals or those with disc replacement.
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The effects of whole body vibration on balance, joint position sense and cutaneous sensation. Eur J Appl Physiol 2011; 111:3069-77. [DOI: 10.1007/s00421-011-1943-y] [Citation(s) in RCA: 44] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2010] [Accepted: 03/21/2011] [Indexed: 10/18/2022]
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Perraton L, Machotka Z, Kumar S. Whole-body vibration to treat low back pain: fact or fad? Physiother Can 2011; 63:88-93. [PMID: 22210985 DOI: 10.3138/ptc.2009.44] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
PURPOSE The purpose of this systematic review was to evaluate the current evidence base for whole-body vibration as a treatment for low back pain (LBP). SUMMARY OF KEY POINTS Whole-body vibration through occupational exposure has previously been recognized as an aetiological factor in LBP. Previous studies have identified whole-body vibration (WBV) as a cause of LBP in various sitting-based occupations that involve machinery and repetitive vibration. In the last decade, however, WBV has been advocated as a safe and effective treatment for LBP. Despite the growing popularity of WBV in clinical practice, this systematic review of the literature identified only two studies that investigated the effectiveness of WBV as a treatment option for LBP, and an assessment of the quality of these studies demonstrated several methodological problems that may have biased their findings. While there is emerging evidence for the effectiveness of WBV in treating some medical conditions, the evidence for WBV as a treatment for LBP remains equivocal. RECOMMENDATIONS Based on the current body of evidence, routine use of WBV to treat LBP should be undertaken with caution. Further rigorous research designed to investigate the effectiveness of WBV as a safe and high-quality treatment for LBP is required.
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Affiliation(s)
- Luke Perraton
- Luke Perraton, M.Physio (Musc), B.App.Sc (Physio): International Centre for Allied Health Evidence, School of Health Sciences, University of South Australia, Adelaide, South Australia
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