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Zuccarelli L, Baldassarre G, Winnard A, Harris KM, Weber T, Green DA, Petersen LG, Kamine TH, Roberts L, Kim DS, Greaves DK, Arya R, Laws JM, Elias A, Rittweger J, Grassi B, Goswami N. Effects of whole-body vibration or resistive-vibration exercise on blood clotting and related biomarkers: a systematic review. NPJ Microgravity 2023; 9:87. [PMID: 38057333 DOI: 10.1038/s41526-023-00338-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2023] [Accepted: 11/21/2023] [Indexed: 12/08/2023] Open
Abstract
Whole-body vibration (WBV) and resistive vibration exercise (RVE) are utilized as countermeasures against bone loss, muscle wasting, and physical deconditioning. The safety of the interventions, in terms of the risk of inducing undesired blood clotting and venous thrombosis, is not clear. We therefore performed the present systematic review of the available scientific literature on the issue. The review was conducted following the guidelines by the Space Biomedicine Systematic Review Group, based on Cochrane review guidelines. The relevant context or environment of the studies was "ground-based environment"; space analogs or diseased conditions were not included. The search retrieved 801 studies; 77 articles were selected for further consideration after an initial screening. Thirty-three studies met the inclusion criteria. The main variables related to blood markers involved angiogenic and endothelial factors, fibrinolysis and coagulation markers, cytokine levels, inflammatory and plasma oxidative stress markers. Functional and hemodynamic markers involved blood pressure measurements, systemic vascular resistance, blood flow and microvascular and endothelial functions. The available evidence suggests neutral or potentially positive effects of short- and long-term interventions with WBV and RVE on variables related to blood coagulation, fibrinolysis, inflammatory status, oxidative stress, cardiovascular, microvascular and endothelial functions. No significant warning signs towards an increased risk of undesired clotting and venous thrombosis were identified. If confirmed by further studies, WBV and RVE could be part of the countermeasures aimed at preventing or attenuating the muscular and cardiovascular deconditioning associated with spaceflights, permanence on planetary habitats and ground-based simulations of microgravity.
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Affiliation(s)
| | | | | | - Katie M Harris
- Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada
| | - Tobias Weber
- Space Medicine Team, European Astronaut Centre, European Space Agency (ESA), Cologne, Germany
- KBR GmbH, Cologne, Germany
| | - David A Green
- Space Medicine Team, European Astronaut Centre, European Space Agency (ESA), Cologne, Germany
- KBR GmbH, Cologne, Germany
- Centre for Human and Applied Physiological Sciences, King's College London, London, UK
| | - Lonnie G Petersen
- Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark
- Department of Aeronautics and Astronautics, Massachusetts Institute of Technology, Cambridge, MA, USA
| | - Tovy Haber Kamine
- Division of Trauma, Acute Care Surgery, and Surgical Critical Care, Baystate Medical Center, Springfield, MA, USA
| | - Lara Roberts
- Kings College Hospital, NHS Foundation Trust, London, UK
| | - David S Kim
- Space Medicine Team, European Astronaut Centre, European Space Agency (ESA), Cologne, Germany
- Department of Emergency Medicine, Faculty of Medicine, University of British Columbia, Kelowna, Canada
| | - Danielle K Greaves
- Department of Kinesiology and Health Sciences, Faculty of Health, University of Waterloo, Waterloo, Ontario, Canada
| | - Roopen Arya
- Kings College Hospital, NHS Foundation Trust, London, UK
| | | | - Antoine Elias
- Department of Vascular Medicine, Sainte Musse Hospital, Toulon La Seyne Hospital Centre, Toulon, France
| | - Jörn Rittweger
- Institute of Aerospace Medicine, German Aerospace Center (DLR), Cologne, Germany
| | - Bruno Grassi
- Department of Medicine, University of Udine, Udine, Italy.
| | - Nandu Goswami
- Division of Physiology, Otto Löwi Research Center for Vascular Biology, Immunity and Inflammation, Medical University of Graz, Graz, Austria
- Mohammed Bin Rashid University of Medicine and Applied Health Sciences, Dubai, UAE
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Patterson F, Miralami R, Tansey KE, Prabhu RK, Priddy LB. Deleterious effects of whole-body vibration on the spine: A review of in vivo, ex vivo, and in vitro models. Animal Model Exp Med 2021; 4:77-86. [PMID: 34179716 PMCID: PMC8212824 DOI: 10.1002/ame2.12163] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2020] [Accepted: 02/19/2021] [Indexed: 12/19/2022] Open
Abstract
Occupational exposure to whole-body vibration is associated with the development of musculoskeletal, neurological, and other ailments. Low back pain and other spine disorders are prevalent among those exposed to whole-body vibration in occupational and military settings. Although standards for limiting exposure to whole-body vibration have been in place for decades, there is a lack of understanding of whole-body vibration-associated risks among safety and healthcare professionals. Consequently, disorders associated with whole-body vibration exposure remain prevalent in the workforce and military. The relationship between whole-body vibration and low back pain in humans has been established largely through cohort studies, for which vibration inputs that lead to symptoms are rarely, if ever, quantified. This gap in knowledge highlights the need for the development of relevant in vivo, ex vivo, and in vitro models to study such pathologies. The parameters of vibrational stimuli (eg, frequency and direction) play critical roles in such pathologies, but the specific cause-and-effect relationships between whole-body vibration and spinal pathologies remain mostly unknown. This paper provides a summary of whole-body vibration parameters; reviews in vivo, ex vivo, and in vitro models for spinal pathologies resulting from whole-body vibration; and offers suggestions to address the gaps in translating injury biomechanics data to inform clinical practice.
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Affiliation(s)
- Folly Patterson
- Department of Agricultural and Biological EngineeringMississippi State UniversityMississippi StateMSUSA
- Center for Advanced Vehicular SystemsMississippi State UniversityStarkvilleMSUSA
| | - Raheleh Miralami
- Center for Advanced Vehicular SystemsMississippi State UniversityStarkvilleMSUSA
| | - Keith E. Tansey
- Department of Neurosurgery and NeurobiologyUniversity of Mississippi Medical CenterJacksonMSUSA
- Center for Neuroscience and Neurological RecoveryMethodist Rehabilitation CenterJacksonMSUSA
- Spinal Cord Injury Medicine and Research ServicesG.V. (Sonny) Montgomery VA Medical CenterJacksonMSUSA
| | - Raj K. Prabhu
- Department of Agricultural and Biological EngineeringMississippi State UniversityMississippi StateMSUSA
- Center for Advanced Vehicular SystemsMississippi State UniversityStarkvilleMSUSA
| | - Lauren B. Priddy
- Department of Agricultural and Biological EngineeringMississippi State UniversityMississippi StateMSUSA
- Center for Advanced Vehicular SystemsMississippi State UniversityStarkvilleMSUSA
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Spectral Analysis of Muscle Hemodynamic Responses in Post-Exercise Recovery Based on Near-Infrared Spectroscopy. SENSORS 2021; 21:s21093072. [PMID: 33924973 PMCID: PMC8125689 DOI: 10.3390/s21093072] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Revised: 04/14/2021] [Accepted: 04/20/2021] [Indexed: 12/02/2022]
Abstract
Spectral analysis of blood flow or blood volume oscillations can help to understand the regulatory mechanisms of microcirculation. This study aimed to explore the relationship between muscle hemodynamic response in the recovery period and exercise quantity. Fifteen healthy subjects were required to perform two sessions of submaximal plantarflexion exercise. The blood volume fluctuations in the gastrocnemius lateralis were recorded in three rest phases (before and after two exercise sessions) using near-infrared spectroscopy. Wavelet transform was used to analyze the total wavelet energy of the concerned frequency range (0.005–2 Hz), which were further divided into six frequency intervals corresponding to six vascular regulators. Wavelet amplitude and energy of each frequency interval were analyzed. Results showed that the total energy raised after each exercise session with a significant difference between rest phases 1 and 3. The wavelet amplitudes showed significant increases in frequency intervals I, III, IV, and V from phase 1 to 3 and in intervals III and IV from phase 2 to 3. The wavelet energy showed similar changes with the wavelet amplitude. The results demonstrate that local microvascular regulators contribute greatly to the blood volume oscillations, the activity levels of which are related to the exercise quantity.
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Debenedictis TA, Billing D, Milanese S, Furnell A, Tomkinson G, Thewlis D. The impact of the mechanical whole-body vibration experienced during military land transit on the physical attributes underpinning dismounted combatant physical performance: A randomised controlled trial. J Sci Med Sport 2020; 24:380-385. [PMID: 33071199 DOI: 10.1016/j.jsams.2020.09.020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2020] [Revised: 09/10/2020] [Accepted: 09/28/2020] [Indexed: 10/23/2022]
Abstract
OBJECTIVES The aim of this randomised controlled trial was to explore the impact of the mechanical WBV experienced during simulated military land transit on the physical attributes that underpin tasks performed by dismounted combatants. DESIGN This study used a parallel group randomised control trial design. METHODS Sixty participants were randomly assigned to one of four, 2-h laboratory-based simulations (restricted posture, sealed road, cross country or a control condition). A smaller sample of 16 Australian Defence Force infantry personnel served as a validation group and were exposed to the same conditions. Neither the restricted posture nor the control conditions were exposed to any WBV, but the former were secured in place using the built-in seat harness. Prior to, and following the assigned condition, participants performed a series of battlefield relevant physical performance tests including; drop jump, 20-m sprint, reactive agility, arm-hand steadiness, isometric mid-thigh pull, and sit-and-reach. RESULTS Medium decreases in the drop jump were observed for both the sealed road (effect size [ES]=0.53) and cross-country (ES=0.97) simulation conditions indicating a decrease in performance of the jump phase. A large decrease in 20-m sprint performance was observed in both the sealed road (ES=1.37) and cross-country (ES=0.88) exposure conditions. Additionally, a large decrease in 20-m sprint performance was observed for the restricted posture (ES=1.02) exposure condition. CONCLUSIONS These findings indicate that exposure to WBV experienced during motorised land transit has a negative influence on aspects of lower body explosive strength.
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Affiliation(s)
- Thomas A Debenedictis
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Australia.
| | - Daniel Billing
- Defence Science and Technology Group, Department of Defence, Australia
| | - Steven Milanese
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Australia
| | | | - Grant Tomkinson
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Australia; Department of Kinesology and Public Health Education, University of North Dakota, Grand Forks, USA
| | - Dominic Thewlis
- Centre for Orthopaedic and Trauma Research, University of Adelaide, Australia
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Exercise-Induced Hemodynamic Changes in Muscle Tissue: Implication of Muscle Fatigue. APPLIED SCIENCES-BASEL 2020. [DOI: 10.3390/app10103512] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
This research aims to investigate the development of muscle fatigue and the recovery process revealed by tissue oxygenation. The tissue hemodynamics were measured by near-infrared spectroscopy (NIRS) during a 30-min pre-exercise rest, a 40-cycle heel-lift exercise and a 30-min post-exercise recovery. Wavelet transform was used to obtain the normalized wavelet energy in six frequency intervals (I–VI) and inverse wavelet transform was applied to extract exercise-induced oscillations from the hemodynamic signals. During the exercise phase, the contraction-related oscillations in the total hemoglobin signal (ΔtHb) showed a decreasing trend while the fluctuations in the tissue oxygenation index (TOI) displayed an increasing tendency. The mean TOI value was significantly higher (p < 0.001) under recovery (65.04% ± 2.90%) than that under rest (62.35% ± 3.05%). The normalized wavelet energy of the ΔtHb signal in frequency intervals I (p < 0.001), II (p < 0.05), III (p < 0.05) and IV (p < 0.01) significantly increased by 43.4%, 23.6%, 18.4% and 21.6% during the recovery than that during the pre-exercise rest, while the value in interval VI (p < 0.05) significantly decreased by 16.6%. It could be concluded that NIRS-derived hemodynamic signals can provide valuable information related to muscle fatigue and recovery.
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Near-Infrared Spectroscopy for Monitoring Sternocleidomastoid Muscular Oxygenation during Isometric Flexion for Patients with Mild Nonspecific Neck Pain: A Pilot Study. SENSORS 2020; 20:s20082197. [PMID: 32294993 PMCID: PMC7218888 DOI: 10.3390/s20082197] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/28/2020] [Revised: 04/07/2020] [Accepted: 04/08/2020] [Indexed: 12/03/2022]
Abstract
Since there is merit in noninvasive monitoring of muscular oxidative metabolism for near-infrared spectroscopy in a wide range of clinical scenarios, the present study attempted to evaluate the clinical usability for featuring the modulatory strategies of sternocleidomastoid muscular oxygenation using near-infrared spectroscopy in mild nonspecific neck pain patients. The muscular oxygenation variables of the dominant or affected sternocleidomastoid muscles of interest were extracted at 25% of the maximum voluntary isometric contraction from ten patients (5 males and 5 females, 23.6 ± 4.2 years) and asymptomatic individuals (6 males and 4 females, 24.0 ± 5.1 years) using near-infrared spectroscopy. Only a shorter half-deoxygenation time of oxygen saturation during a sternocleidomastoid isometric contraction was noted in patients compared to asymptomatic individuals (10.43 ± 1.79 s vs. 13.82 ± 1.42 s, p < 0.001). Even though the lack of statically significant differences in most of the muscular oxygenation variables failed to refine the definite pathogenic mechanisms underlying nonspecific neck pain, the findings of modulatory strategies of faster deoxygenation implied that near-infrared spectroscopy appears to have practical potential to provide relevant physiological information regarding muscular oxidative metabolism and constituted convincing preliminary evidences of the adaptive manipulations rather than pathological responses of oxidative metabolism capacity of sternocleidomastoid muscles in nonspecific neck patients with mild disability.
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Fiogbé E, de Vassimon-Barroso V, de Medeiros Takahashi AC. Exercise training in older adults, what effects on muscle oxygenation? A systematic review. Arch Gerontol Geriatr 2017; 71:89-98. [PMID: 28410504 DOI: 10.1016/j.archger.2017.03.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2016] [Revised: 02/20/2017] [Accepted: 03/01/2017] [Indexed: 12/15/2022]
Abstract
AIM To determine the effects of different modality of exercise training programs on muscle oxygenation in older adults. METHODS Relevant articles were searched in PubMed, Web of Science, Science Direct and Scopus, using the keywords: "Aged" AND "Muscle oxygenation" AND (Exercise OR "Exercise therapy" OR "Exercise Movement Techniques" OR Hydrotherapy), without limitation concerning the publication date. To be included in the full analysis, the study had to be a randomized controlled trial in which older adults participants (mean age: 65 years at least) were submitted to an exercise-training program and muscle oxygenation assessment. RESULTS The searches resulted in 1238 articles from which 7 met all the inclusion criteria. The trials involved 370 older adults (68.7±1.7years), healthy and with peripheral arterial disease. Studies included resistance and endurance exercises as well as walking sessions. Training sessions were 2-6 time per week, lasted 3-24 months and with different training intensity throughout studies. After a long-term resistance training, healthy older adults showed enhanced muscle oxygen extraction capacity, regulation of vessels and vascular endothelium function; endurance training is reported to improve microvascular blood flow and matching of oxygen delivery to oxygen utilization, muscle oxidative capacity and muscle saturation, and walking sessions results in better muscle oxygen availability and muscle oxygen extraction capacity in older adults with peripheral arterial disease. CONCLUSIONS This review supports the fact that depending on the clinical status of the participants and the modality, exercise training improves different aspects of the muscle oxygenation in older adults.
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Affiliation(s)
- Elie Fiogbé
- Department of Physiotherapy, Federal University of Sao Carlos, São Carlos, SP, Brazil.
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McKeehen JN, Novotny SA, Baltgalvis KA, Call JA, Nuckley DJ, Lowe DA. Adaptations of mouse skeletal muscle to low-intensity vibration training. Med Sci Sports Exerc 2014; 45:1051-9. [PMID: 23274599 DOI: 10.1249/mss.0b013e3182811947] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
PURPOSE We tested the hypothesis that low-intensity vibration training in mice improves contractile function of hindlimb skeletal muscles and promotes exercise-related cellular adaptations. METHODS We subjected C57BL/6J mice to 6 wk, 5 d·wk, 15 min·d of sham or low-intensity vibration (45 Hz, 1.0g) while housed in traditional cages (Sham-Active, n = 8; Vibrated-Active, n = 10) or in small cages to restrict physical activity (Sham-Restricted, n = 8; Vibrated-Restricted, n = 8). Contractile function and resistance to fatigue were tested in vivo (anterior and posterior crural muscles) and ex vivo on the soleus muscle. Tibialis anterior and soleus muscles were evaluated histologically for alterations in oxidative metabolism, capillarity, and fiber types. Epididymal fat pad and hindlimb muscle masses were measured. Two-way ANOVAs were used to determine the effects of vibration and physical inactivity. RESULTS Vibration training resulted in a 10% increase in maximal isometric torque (P = 0.038) and 16% faster maximal rate of relaxation (P = 0.030) of the anterior crural muscles. Posterior crural muscles were unaffected by vibration, except greater rates of contraction in Vibrated-Restricted mice compared with Vibrated-Active and Sham-Restricted mice (P = 0.022). Soleus muscle maximal isometric tetanic force tended to be greater (P = 0.057), and maximal relaxation was 20% faster (P = 0.005) in vibrated compared with sham mice. The restriction of physical activity induced muscle weakness but was not required for vibration to be effective in improving strength or relaxation. Vibration training did not affect muscle fatigability or any indicator of cellular adaptation investigated (P ≥ 0.431). Fat pad but not hindlimb muscle masses were affected by vibration training. CONCLUSION Vibration training in mice improved muscle contractility, specifically strength and relaxation rates, with no indication of adverse effects to muscle function or cellular adaptations.
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Affiliation(s)
- James N McKeehen
- Rehabilitation Science and Program in Physical Therapy, University of Minnesota, Minneapolis, MN 55455, USA
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Lin TY, Lin LL, Ho TC, Chen JJJ. Investigating the adaptation of muscle oxygenation to resistance training for elders and young men using near-infrared spectroscopy. Eur J Appl Physiol 2013; 114:187-96. [PMID: 24189687 DOI: 10.1007/s00421-013-2763-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2013] [Accepted: 10/24/2013] [Indexed: 11/28/2022]
Abstract
PURPOSE The purpose of this study was to investigate the differences in resistance training adaptation on muscle oxygenation between young and elderly subjects. Groups of eleven trained young, untrained young, trained elderly, and untrained elderly (UTE) were recruited. METHODS Muscle oxygenation of the vastus lateralis muscle during 20 % maximal voluntary isometric contraction was observed using near-infrared spectroscopy. The oxygen saturation (SpO2) kinetics in the contraction and recovery phases was modeled with a tangential model to extract ΔSpO2 and inflection time (IF). The median frequencies of SpO2 data representing the change of tissue oxygenation oscillation were compared. RESULTS The ΔSpO2 values for the trained groups (12.00 ± 7.86%) were significantly higher than those for the untrained groups (5.91 ± 4.36%, P < 0.05), and those for the young groups (11.63 ± 7.52%) were significantly higher than those for the older groups (6.29 ± 4.70%, P < 0.05). In the recovery phase, the IF was significantly longer for the elderly groups (10.32 ± 4.39 s, P < 0.05) than that for the young groups (6.31 ± 3.69 s). The median frequency of tissue oxygenation oscillation was significantly lower for the TE group (0.41 ± 0.12 Hz, P < 0.05) than that for the UTE group (0.57 ± 0.13 Hz). CONCLUSIONS The increased ΔSpO2 in trained groups during muscle contraction may be due to lower microvascular O2 pressure. The lower median frequency for the TE group indicates that tissue oxygenation oscillation significantly trended toward low-frequency oscillation, possibly resulting from the enhancement of vascular function.
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Affiliation(s)
- Tai-You Lin
- Department of Biomedical Engineering, National Cheng Kung University, No 1. Ta-Hsueh Rd, Tainan, 701, Taiwan
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