1
|
Sievänen H, Piirtola M, Tokola K, Kulmala T, Tiirikainen E, Kannus P, Kiiski J, Uusi-Rasi K, Karinkanta S. Effect of 10-Week Whole-Body Vibration Training on Falls and Physical Performance in Older Adults: A Blinded, Randomized, Controlled Clinical Trial with 1-Year Follow-Up. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:866. [PMID: 39063443 PMCID: PMC11276669 DOI: 10.3390/ijerph21070866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/06/2024] [Revised: 06/27/2024] [Accepted: 06/29/2024] [Indexed: 07/28/2024]
Abstract
Whole-body vibration training (WBV) training has shown positive effects on bone strength, muscle strength, and balance, but the evidence on fall prevention is not yet persuasive. This study aimed to evaluate the effectiveness of WBV training in preventing falls and improving physical performance among older adults at fall risk. The study was an assessor- and participant-blinded, randomized, and controlled 10-week training trial with a 10-month follow-up. One hundred and thirty older adults (mean age 78.5 years, 75% women) were randomly allocated into the WBV group (n = 68) and the low-intensity wellness group (n = 62). Falls were prospectively collected using monthly returned and verified diaries. Physical performance was evaluated at baseline before randomization, after the intervention, and follow-up with established methods. The data were analyzed on an intention-to-treat basis. Negative binomial regression was used to estimate the incidence rate ratios for falls, and Cox regression models were used to calculate the hazard ratios for fallers. Between-group differences in physical performance were estimated by generalized linear mixed models. The retention rate was 93%, and the mean adherence to the WBV training was 88% and 86% to the wellness training. Sixty-eight participants fell at least once, and there were 156 falls in total. In the WBV group, the incidence rate of falls was 1.5 (95% confidence interval 0.9 to 2.5) compared to the wellness group (p = 0.11). The hazard ratio for fallers in the WBV group was 1.29 (0.78 to 2.15) (p = 0.32). There was no between-group difference in physical performance after the training period, but by the end of the follow-up, WBV-related benefits appeared. The chair-rising capacity was maintained in the WBV group, while the benefit disappeared in the wellness group (p = 0.004). Also, the 0.5-point difference in short physical performance battery (SPPB) score favored WBV training (p = 0.009). In conclusion, progressive side-alternating WBV training was feasible and well-tolerated among fall-prone older adults. During the one-year follow-up, WBV training was associated with improved physical performance but did not prevent falls compared to chair-based group exercises.
Collapse
Affiliation(s)
- Harri Sievänen
- The UKK Institute for Health Promotion Research, FI-33500 Tampere, Finland; (M.P.); (S.K.)
| | - Maarit Piirtola
- The UKK Institute for Health Promotion Research, FI-33500 Tampere, Finland; (M.P.); (S.K.)
| | - Kari Tokola
- The UKK Institute for Health Promotion Research, FI-33500 Tampere, Finland; (M.P.); (S.K.)
| | - Tanja Kulmala
- The UKK Institute for Health Promotion Research, FI-33500 Tampere, Finland; (M.P.); (S.K.)
| | - Eerika Tiirikainen
- The UKK Institute for Health Promotion Research, FI-33500 Tampere, Finland; (M.P.); (S.K.)
| | - Pekka Kannus
- The UKK Institute for Health Promotion Research, FI-33500 Tampere, Finland; (M.P.); (S.K.)
| | - Juha Kiiski
- Department of Musculoskeletal Surgery and Diseases, Tampere University Hospital, FI-33520 Tampere, Finland
| | - Kirsti Uusi-Rasi
- The UKK Institute for Health Promotion Research, FI-33500 Tampere, Finland; (M.P.); (S.K.)
| | - Saija Karinkanta
- The UKK Institute for Health Promotion Research, FI-33500 Tampere, Finland; (M.P.); (S.K.)
| |
Collapse
|
2
|
Petrigna L, Amato A, Sortino M, Trovato B, Zanghì M, Roggio F, Musumeci G. Intervention Hypothesis for Training with Whole-Body Vibration to Improve Physical Fitness Levels: An Umbrella Review. J Funct Morphol Kinesiol 2024; 9:100. [PMID: 38921636 PMCID: PMC11204594 DOI: 10.3390/jfmk9020100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2024] [Revised: 06/03/2024] [Accepted: 06/03/2024] [Indexed: 06/27/2024] Open
Abstract
Whole-body vibration (WBV) is a training modality, and it seems to be a safe and efficient exercise especially to improve different aspects of physical fitness in different populations. The protocols for WBV are still not standardized. The difficulty in comparing the data confuses the real efficacy of this instrument. Consequently, the objective of this umbrella review is to analyze the protocols previously adopted and eventually to propose a standard operating procedure for WBV training. Systematic review and meta-analysis of randomized controlled trials on WBV were searched on the electronic databases PubMed, Web of Science, and Scopus until 18 March 2024. A quality assessment of the studies included has been performed. A total of 20 studies were included in this umbrella review and frequency, magnitude, and amplitude intensity data were recorded. Detailed information about the protocols (static or dynamic exercises, barefoot or with shoes, intensity duration, weekly frequency, and vibration characteristics) was also collected. WBV presents widely different protocols. Consequently, a standard operating procedure has not been proposed for WBV training. A hypothesis of intervention was instead written in which parameters for frequency, amplitude, acceleration, and training mode were proposed.
Collapse
Affiliation(s)
| | | | | | | | | | | | - Giuseppe Musumeci
- Department of Biomedical and Biotechnological Sciences, Section of Anatomy, Histology and Movement Science, School of Medicine, University of Catania, Via S. Sofia 97, 95123 Catania, Italy; (L.P.); (A.A.); (M.S.); (B.T.); (M.Z.); (F.R.)
| |
Collapse
|
3
|
Sañudo B, Reverte-Pagola G, Seixas A, Masud T. Whole-Body Vibration to Improve Physical Function Parameters in Nursing Home Residents Older Than 80 Years: A Systematic Review With Meta-Analysis. Phys Ther 2024; 104:pzae025. [PMID: 38423527 PMCID: PMC11116829 DOI: 10.1093/ptj/pzae025] [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: 07/10/2023] [Revised: 10/05/2023] [Accepted: 12/20/2023] [Indexed: 03/02/2024]
Abstract
OBJECTIVE Loss of functional independence is more likely in older adults who reside in an institution as a consequence of a decline in muscle mass and a loss of force production capacity. The aim of this review was to assess the effect of whole-body vibration (WBV) interventions on the strength, balance, and mobility of nursing home residents older than 80 years. METHODS An electronic search in MEDLINE, Scopus, and CINAHL databases was conducted. Randomized controlled trials that involved nursing home residents older than 80 years, that investigated WBV interventions compared with nonintervention, usual care, or placebo, and that measured physical function outcomes including strength, balance, gait, and mobility were included. Risk of bias was assessed by 2 reviewers using the Physiotherapy Evidence Database scale. The standardized mean differences (SMD) between the experimental and control groups were calculated with a random-effects model for each outcome, and subgroup analysis was conducted for different outcomes. RESULTS In total, 2864 articles were identified; of these, 14 randomized controlled trials met the inclusion criteria. The meta-analysis revealed that WBV significantly increased the lower limb muscle strength (SMD = 0.59; 95% CI = 0.16 to 1.03), mobility (SMD = 0.45; 95% CI = 0.10 to 0.81), gait score (SMD = 0.26; 95% CI = 0.01 to 0.51), balance (SMD = 0.41; 95% CI = 0.01 to 0.81), and physical performance (SMD = 1.33; 95% CI = 0.33 to 2.33). CONCLUSION WBV may be an effective intervention to improve the strength, balance, mobility, walking ability, and physical performance of older nursing home residents. IMPACT WBV presents a safe, accessible alternative for improving health in this vulnerable population, warranting further research and integration into health care practices.
Collapse
Affiliation(s)
- Borja Sañudo
- Departamento de Educación Física y Deporte, Universidad de Sevilla, Seville, Spain
| | | | - Adérito Seixas
- Escola Superior de Saúde Fernando Pessoa, Fisioterapia, Porto, Portugal
| | - Tahir Masud
- Nottingham University Hospitals NHS Trust, Department of Geriatric Medicine, Nottingham, United Kingdom
| |
Collapse
|
4
|
Bertrand-Charette M, Perron MP, da Silva RA, Beaulieu LD. Vibration-induced postural reactions: a scoping review on parameters and populations studied. Front Hum Neurosci 2024; 17:1307639. [PMID: 38234593 PMCID: PMC10791994 DOI: 10.3389/fnhum.2023.1307639] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Accepted: 12/04/2023] [Indexed: 01/19/2024] Open
Abstract
Objective Mechanical vibration is an effective way for externally activating Ia primary endings of the muscle spindles and skin mechanoreceptors. Despite its popularity in proprioception and postural control studies, there is still no review covering the wide variety of vibration parameters or locations used in studies. The main purpose of this scoping review was thus to give an overview of general vibration parameters and to identify, if available, the rationale for justifying methodological choices concerning vibration parameters. Methods Three databases (Pubmed, CINHAL, and SPORTDiscus) were searched from inception to July 2022. Included articles were to focus on the study of muscle spindles and skin mechanoreceptors vibration in humans and assess postural control. Following inclusion, data regarding demographic information, populations, vibration parameters and rationale were extracted and summarized. Results One hundred forty-seven articles were included, mostly targeting lower extremities (n = 137) and adults (n = 126). The parameters used varied widely but were most often around 80 Hz, at an amplitude of 1 mm for 10-20 s. Regarding rationales, nearly 50% of the studies did not include any, whereas those including one mainly cited the same two studies, without elaborating specifically on the parameter's choice. Conclusion This scoping review provided a comprehensive description of the population recruited and parameters used for vibration protocols in current studies with humans. Despite many studies, there remain important gaps of knowledge that needs to be filled, especially for vibration amplitude and duration parameters in various populations.
Collapse
Affiliation(s)
- Michaël Bertrand-Charette
- BioNR Research Lab, Université du Québec à Chicoutimi, Saguenay, QC, Canada
- Département des Sciences de la Santé, Centre intersectoriel en santé durable, Université du Québec à Chicoutimi (UQAC), Saguenay, QC, Canada
| | - Marie-Pier Perron
- BioNR Research Lab, Université du Québec à Chicoutimi, Saguenay, QC, Canada
- Département des Sciences de la Santé, Centre intersectoriel en santé durable, Université du Québec à Chicoutimi (UQAC), Saguenay, QC, Canada
| | - Rubens A. da Silva
- BioNR Research Lab, Université du Québec à Chicoutimi, Saguenay, QC, Canada
- Département des Sciences de la Santé, Centre intersectoriel en santé durable, Université du Québec à Chicoutimi (UQAC), Saguenay, QC, Canada
- Centre Intégré de Santé et Services Sociaux du Saguenay—Lac-Saint-Jean (CIUSSS SLSJ), Specialized Geriatrics Services–La Baie Hospital, Saguenay, QC, Canada
| | - Louis-David Beaulieu
- BioNR Research Lab, Université du Québec à Chicoutimi, Saguenay, QC, Canada
- Département des Sciences de la Santé, Centre intersectoriel en santé durable, Université du Québec à Chicoutimi (UQAC), Saguenay, QC, Canada
| |
Collapse
|
5
|
Han YG, Kim MK. Effectiveness of whole-body vibration in patients with cerebral palsy: A systematic review and meta-analysis. Medicine (Baltimore) 2023; 102:e36441. [PMID: 38050249 PMCID: PMC10695530 DOI: 10.1097/md.0000000000036441] [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: 09/07/2023] [Accepted: 11/10/2023] [Indexed: 12/06/2023] Open
Abstract
BACKGROUND This study examined the effects of systemic vibration exercises on cerebral palsy patients. METHODS Literature published in Cumulated Index to Nursing and Allied Health Literature (CINAHL), Cochrane library, Embase, Physiotherapy Evidence Database (PEDro), and PubMed was reviewed. A total of 2978 studies were initially retrieved. After further reading of the full texts 17 articles were finally included. A quality assessment of the included studies was conducted using the risk of bias (RoB) 2.0, and the Funnel plot and the Egger test were conducted to confirm the publication bias. Subgroup analysis was carried out according to the dependent variables, the international classification of functioning, disability, and health (ICF), frequency, treatment period and age. RESULTS The overall effect size of homogeneity was 0.474 (CI = 0.148-0.801). The analysis of the dependent variables showed the following order of the effect size: balance, muscle strength, spasticity, bone density, range of motion of the joint, gait function, and motor function. In the ICF classification, the effect size was observed to follow the order of body structure and function, activity, and participation. The effect size in the intervention according to the treatment period showed the following order: 7 to 12 weeks, 1 to 6 weeks, and 14 to 24 weeks. The age-dependent classification showed the following order in the effect size: school age, adolescent and adult, and infant and school age. CONCLUSIONS Systemic vibration is the most effective intervention to improve the balance and gait in patients with cerebral palsy and improve the body structure and function according to the ICF.
Collapse
Affiliation(s)
- Yong-Gu Han
- Department of Physical Therapy, Daegu University Medical Clinic, Republic of Korea, Republic of Korea
| | - Myoung-Kwon Kim
- Department of Physical Therapy, College of Rehabilitation Sciences, Daegu University, Jillyang, Gyeongsan, Gyeongbuk, Republic of Korea
| |
Collapse
|
6
|
Walsh GS, Delextrat A, Bibbey A. The comparative effect of exercise interventions on balance in perimenopausal and early postmenopausal women: A systematic review and network meta-analysis of randomised, controlled trials. Maturitas 2023; 175:107790. [PMID: 37343343 DOI: 10.1016/j.maturitas.2023.107790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2023] [Revised: 04/17/2023] [Accepted: 06/10/2023] [Indexed: 06/23/2023]
Abstract
In addition to a range of physiological and psychological symptoms, menopause causes a decrement to balance performance and risk of falls. This review aimed to determine the effects of exercise interventions on balance in perimenopausal and early postmenopausal women. Web of Science, PubMed, CINAHL, SPORTDiscus and Cochrane Central Register of Controlled Trials databases were searched. Randomised, controlled trials of exercise interventions in perimenopausal or early postmenopausal populations with an average age of 65 years or younger reporting balance measures were included. Risk of bias was assessed using Cochrane RoB 2. A random effects model network meta-analysis was performed to assess the effect of exercise on balance. Standardised mean differences with 95 % confidence intervals were used as the measure of effect. Twenty-six studies were included after screening. Network meta-analyses were conducted for 5 balance variables. Whole-body vibration (standardised mean difference: 2.25, confidence interval: 0.08; 4.43), balance (standardised mean difference: 1.84, confidence interval: 0.15; 3.53), balance + nutrition (standardised mean difference: 3.81, confidence interval: 1.57; 6.05) and resistance (standardised mean difference: 1.43, confidence interval: 0.41; 2.46) exercise improved Berg balance scale performance. Resistance + aerobic + balance exercise improved one-leg stance (standardised mean difference: 0.80, confidence interval: 0.39; 1.22) and whole-body vibration improved anterior-posterior (standardised mean difference: -0.89, confidence interval: -1.48; -0.31), medio-lateral (standardised mean difference: -0.58, confidence interval: -1.15; -0.01) postural sway and falls indices (standardised mean difference: -0.75, confidence interval: -1.45; -0.04). Exercise improved all balance measures and should be considered as an adjunct therapy in perimenopausal and postmenopausal women. Whole-body vibration was most frequently the highest ranked intervention; resistance and balance training also improved balance.
Collapse
Affiliation(s)
- Gregory S Walsh
- Department of Sport, Health Sciences and Social Work, Oxford Brookes University, Oxford OX3 0BP, UK.
| | - Anne Delextrat
- Department of Sport, Health Sciences and Social Work, Oxford Brookes University, Oxford OX3 0BP, UK.
| | - Adam Bibbey
- Department of Sport, Health Sciences and Social Work, Oxford Brookes University, Oxford OX3 0BP, UK.
| |
Collapse
|
7
|
Rogan S, Taeymans J. Effects of stochastic resonance whole-body vibration on sensorimotor function in elderly individuals-A systematic review. Front Sports Act Living 2023; 5:1083617. [PMID: 37139302 PMCID: PMC10149870 DOI: 10.3389/fspor.2023.1083617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2022] [Accepted: 03/27/2023] [Indexed: 05/05/2023] Open
Abstract
Introduction Due to demographic changes, falls are increasingly becoming a focus of health care. It is known that within six months after a fall, two thirds of fallers will fall again. Therefore, therapeutic procedures to improve balance that are simple and can be performed in a short time are needed. Stochastic resonance whole-body vibration (SR-WBV) may be such a procedure. Method An electronic search to assess the effectiveness of SR-WBV on balance in the elderly was conducted using databases that included CINAHL Cochrane, PEDro, and PubMed. Included studies were assessed using the Collaboration Risk of Bias Tool by two independent reviewers. Results Nine studies showing moderate methodological quality were included. Treatment parameters were heterogeneous. Vibration frequency ranged from 1 to 12 Hz. Six studies found statistically significant improvements of balance from baseline to post measurement after SR-WBV interventions. One article found clinical relevance of the improvement in total time of the "Expanded Time to Get Up and Go Test". Discussion Physiological adaptations after balance training are specific and may explain some of the observed heterogeneity. Two out of nine studies assessed reactive balance and both indicated statistically significant improvements after SR-WBV. Therefore, SR-WBV represents a reactive balance training.
Collapse
Affiliation(s)
- Slavko Rogan
- Department of Health, Discipline of Physiotherapy, Bern University of Applied Sciences, Bern, Switzerland
- Correspondence: Slavko Rogan
| | - Jan Taeymans
- Department of Health, Discipline of Physiotherapy, Bern University of Applied Sciences, Bern, Switzerland
- Faculty of Physical Education and Physiotherapy, Free University of Brussels, Brussels, Belgium
| |
Collapse
|
8
|
Asahina Y, Sakaguchi Y, Kajimoto S, Hattori K, Oka T, Kaimori JY, Kashihara N, Isaka Y. A Randomized Controlled Trial of Whole-Body Vibration on Gait Ability and Balance among Older Hemodialysis Patients. Clin J Am Soc Nephrol 2023; 18:84-90. [PMID: 36719160 PMCID: PMC10101606 DOI: 10.2215/cjn.0000000000000018] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2022] [Accepted: 11/01/2022] [Indexed: 01/22/2023]
Abstract
BACKGROUND Gait abnormality is a serious problem among hemodialysis patients. Whole-body vibration is a simple exercise that induces sustained muscular contractions through mechanical vibrations. This training improved gait ability in older adults. We aimed to investigate the effect of whole-body vibration on balance and gait ability in older hemodialysis patients. METHODS We conducted a 12-week, open-label, multicenter, randomized controlled trial of 98 hemodialysis patients, who were aged ≥65 years, from three dialysis centers in Japan. Those who had difficulty walking alone or dementia were excluded. Patients were randomly allocated to the whole-body vibration group or control group. The training was performed for 3 minutes thrice a week on dialysis days. The primary outcome was the Timed Up and Go test. The secondary outcomes were the single-leg stand test and 30-second chair stand test. RESULTS The mean (SD) age of the participants was 76 (7) years. The mean (SD) Timed Up and Go test was 12.0 (6.6) and 11.8 (7.0) seconds in the whole-body vibration and control groups, respectively. During the 12-week study period, 6 (12%) of 49 patients in the whole-body vibration group and 3 (6%) of 49 patients in the control group dropped out. In the whole-body vibration group, 42 (86% of the randomly allocated patients) completed the training according to the protocol. The mean (SD) changes in the Timed Up and Go test were -1.1 (4.0) and -1.4 (4.4) seconds in the whole-body vibration and control groups, respectively (change, 0.3 seconds in the whole-body vibration group; 95% confidence interval, -1.4 to 2.0; P=0.71). The changes in the single-leg stand test and 30-second chair stand test did not differ significantly between groups. There were no musculoskeletal adverse events directly related to this training. CONCLUSIONS Whole-body vibration did not improve balance and gait ability. CLINICAL TRIAL REGISTRY NAME AND REGISTRATION NUMBER Effect of Whole Body Vibration on Walking Performance in Elderly Hemodialysis Patients NCT04774731.
Collapse
Affiliation(s)
- Yuta Asahina
- Department of Nephrology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
| | - Yusuke Sakaguchi
- Department of Inter-Organ Communication Research in Kidney Diseases, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
| | - Sachio Kajimoto
- Department of Nephrology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
| | - Koki Hattori
- Department of Nephrology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
| | - Tatsufumi Oka
- Department of Nephrology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
| | - Jun-Ya Kaimori
- Department of Inter-Organ Communication Research in Kidney Diseases, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
| | - Naoki Kashihara
- Department of Nephrology and Hypertension, Kawasaki Medical School, Kurashiki, Okayama, Japan
| | - Yoshitaka Isaka
- Department of Nephrology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
| |
Collapse
|
9
|
Liu P, Li Y, Xiao Y, Li D, Liu L, Ma Y, Zheng W. Effects of whole-body vibration training with different frequencies on the balance ability of the older adults: a network meta-analysis. Front Physiol 2023; 14:1153163. [PMID: 37123276 PMCID: PMC10140584 DOI: 10.3389/fphys.2023.1153163] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2023] [Accepted: 04/03/2023] [Indexed: 05/02/2023] Open
Abstract
Purpose: To compare the effects of whole-body vibration training (WBVT) with different frequencies on the balance ability of older adults. Methods: Randomized controlled trials (RCTs) on the WBVT interventions on balance ability in older adults were searched through PubMed, Web of Science, The Cochrane Library, ProQuest, Embase, Opengrey, China National Knowledge Infrastructure (CNKI), Wanfang, and China Science and Technology Journal Database (CSTJ) databases from the establishment of the database to August 2022, and all literature that met the PICOS (Participants, Intervention, Comparison, Outcomes, Study design) criteria were enrolled. Two reviewers screened and assessed the methodological quality of the included literature according to the physiotherapy evidence database (PEDro) scale criteria. Statistical analysis was performed using Stata 14.0 software after data extraction. Results: Twenty-five RCTs with a total of 1267 subjects were finally included. The results of the pairwise comparison of the Network Meta-analysis showed that the Timed Up and Go Test (TUGT) values of Low-frequency whole-body vibration training (LF-WBVT) was lower than the placebo and traditional rehabilitation groups, and the difference was statistically significant [WMD = -1.37, 95% CI (-2.53, -0.20)] [WMD = -1.84, 95% CI(-3.17,-0.51)]. The Five-repetition Sit-to-Stand Test (5STS) values of LF-WBVT, Medium-frequency whole-body vibration training (MF-WBVT), and High-frequency whole-body vibration training (HF-WBVT) were lower than the placebo and traditional rehabilitation groups, but none of them were statistically significant. In addition, the TUGT and 5STS values of HF-WBVT had a tendency to be lower than those of LF-WBVT and MF-WBVT, but neither of them was statistically different. The cumulative probability ranking results of both TUGT and 5STS showed that HF-WBVT was the best protocol. Conclusion: Current evidence shows that HF-WBVT may be the best protocol for improving balance in older adults. Due to the study's limitations, the conclusion obtained in this study still needs to be further confirmed by more high-quality studies. Systematic Review Registration: [https://www.crd.york.ac.uk/PROSPERO/], identifier [CRD42021250405].
Collapse
Affiliation(s)
- Peirong Liu
- Key Laboratory of Sports Engineering of General Administration of Sports of China, Research Center of Sports Equipment Engineering Technology of Hubei Province, Wuhan Sports University, Wuhan, China
| | - Yongjie Li
- Department of Rehabilitation Medicine, Beijing Jishuitan Hospital Guizhou Hospital, Guiyang, China
| | - Yajun Xiao
- Key Laboratory of Sports Engineering of General Administration of Sports of China, Research Center of Sports Equipment Engineering Technology of Hubei Province, Wuhan Sports University, Wuhan, China
| | - Duo Li
- Key Laboratory of Sports Engineering of General Administration of Sports of China, Research Center of Sports Equipment Engineering Technology of Hubei Province, Wuhan Sports University, Wuhan, China
| | - Lin Liu
- Key Laboratory of Sports Engineering of General Administration of Sports of China, Research Center of Sports Equipment Engineering Technology of Hubei Province, Wuhan Sports University, Wuhan, China
| | - Yong Ma
- Key Laboratory of Sports Engineering of General Administration of Sports of China, Research Center of Sports Equipment Engineering Technology of Hubei Province, Wuhan Sports University, Wuhan, China
| | - Weitao Zheng
- Key Laboratory of Sports Engineering of General Administration of Sports of China, Research Center of Sports Equipment Engineering Technology of Hubei Province, Wuhan Sports University, Wuhan, China
- *Correspondence: Weitao Zheng,
| |
Collapse
|
10
|
Srisaphonphusitti L, Manimmanakorn N, Manimmanakorn A, Hamlin MJ. Effects of whole body vibration exercise combined with weighted vest in older adults: a randomized controlled trial. BMC Geriatr 2022; 22:911. [PMID: 36443661 PMCID: PMC9703755 DOI: 10.1186/s12877-022-03593-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Accepted: 11/07/2022] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND To evaluate the training effects of whole body vibration (WBV) combined with weighted vest (WV) in older adults. METHODS This randomized controlled trial study was conducted in healthy older adults living in the community. Fifty-one participants were randomly allocated into 3 groups: group 1 (n = 17), WBV alone, training on WBV at a frequency 30 Hz, amplitude 2 mm, 10 sets of 1 min squats, with 60 s rest, group 2 (n = 15), WV alone, squat exercise, 10 sets of 1 min, with 60 s rest, while WV loaded with 10% body weight and group 3 (n = 19), WBV + WV, combining WBV exercise with the addition of a WV. All groups completed training 3 times per week for 8 weeks. The outcomes were total muscle mass, muscle thickness, maximal isometric strength, single-leg-stance and timed-up-and-go evaluated at baseline and after training. RESULTS As a result of training all groups improved their isometric muscle strength with little difference between groups. The single-leg-stance significantly improved only in WBV + WV group 25.1 ± 10.8 s (mean ± 95% CI, p < 0.01). The timed-up-and-go improved in all groups, but the improvement was significantly greater in the WBV + WV group (17.5 ± 6.9%) compared to the WV (8.5 ± 3.2%) and WBV groups (9.2 ± 5.4%, p = 0.043, 0.023 respectively). Rectus femoris muscle thickness and total muscle mass were significantly increased in all groups equally with little difference between groups. CONCLUSION The combined WBV + WV had a greater effect on the single-leg-stance and the timed-up-and-go compared to WV or WBV alone. TRIAL REGISTRATION TCTR20190306001. Thai Clinical Trials Registry ( www.thaiclinicaltrials.org ). Date of registration: 6 March 2019.
Collapse
Affiliation(s)
- Lertwanlop Srisaphonphusitti
- grid.9786.00000 0004 0470 0856Exercise and Sports Science Program, Graduate School, Khon Kaen University, Khon Kaen, Thailand ,grid.9786.00000 0004 0470 0856Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kaen University, Khon Kaen, Thailand
| | - Nuttaset Manimmanakorn
- grid.9786.00000 0004 0470 0856Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kaen University, Khon Kaen, Thailand ,grid.9786.00000 0004 0470 0856Department of Rehabilitation Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
| | - Apiwan Manimmanakorn
- grid.9786.00000 0004 0470 0856Department of Physiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
| | - Michael John Hamlin
- grid.16488.330000 0004 0385 8571Department of Tourism, Sport and Society, Lincoln University, Christchurch, New Zealand
| |
Collapse
|
11
|
Potential of Whole-Body Vibration in Parkinson’s Disease: A Systematic Review and Meta-Analysis of Human and Animal Studies. BIOLOGY 2022; 11:biology11081238. [PMID: 36009865 PMCID: PMC9405106 DOI: 10.3390/biology11081238] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/24/2022] [Revised: 08/13/2022] [Accepted: 08/17/2022] [Indexed: 11/25/2022]
Abstract
Simple Summary Exercise has shown to have a positive impact on both motor and non-motor functions in Parkinson’s Disease patients. However, particularly in later stages of the disease, reduced cognitive function and motor capacity may lead to an inability to stay physically active. Therefore, alternative strategies for patients with Parkinson’s Disease are necessary to minimize burden for patients, their families and public health care. Whole-Body Vibration could be such an alternative. Whole-Body Vibration is an exercise or treatment method in which subjects are exposed to a mechanical vibration while sitting, standing or exercising on a vibrating platform. Whole-Body Vibration is currently used for physiotherapy, sports and rehabilitation purposes. Whole-Body Vibration treatment is interesting because it affects both the body and brain. The potential of Whole-Body Vibration for, specifically, Parkinson’s Disease patients should be clarified for further application. For this purpose, we conducted an extensive systematic review of the articles investigating the effects of Whole-Body Vibrations (1) on animals and humans with Parkinson’s Disease and (2) on neuropathological Parkinson’s Disease mechanisms. The results show some potential of Whole-Body Vibration for Parkinson’s Disease patients. The recommendations provided by this review can be used by researchers and rehabilitative practitioners implementing Whole-Body Vibration as a treatment for Parkinson’s Disease patients. Abstract (1) Background: When the severity of Parkinson’s Disease (PD) increases, patients often have difficulties in performing exercises. Whole-Body Vibration (WBV) may be a suitable alternative. This systematic review aims to clarify if WBV shows potential as rehabilitative therapy for PD patients. (2) Methods: We searched several databases for controlled trials investigating the effects of WBV (1) on PD populations and (2) PD neuropathological mechanisms. We included both human and animal studies and performed meta-analyses. (3) Results: The studies on PD populations (14 studies) show an overall significant, but small, effect in favor of WBV (Hedges’ g = 0.28), for which the effects on stability (Hedges’ g = 0.39) and balance (Hedges’ g = 0.30) are the most prominent. The studies on the neuropathological mechanisms (18 studies) show WBV effects on neuroinflammation (Hedges’ g = –1.12) and several specific WBV effects on neurotransmitter systems, growth factors, neurogenesis, synaptic plasticity and oxidative stress. (4) Conclusions: The effects of WBV on human PD patients remains inconclusive. Nevertheless, WBV protocols with sufficient duration (≥3 weeks), session frequency (≥3 sessions/week) and vibration frequency (≥20 Hz) show potential as a treatment method, especially for motor function. The potential of WBV for PD patients is confirmed by the effects on the neuropathological mechanisms in mostly non-PD populations. We recommend high-quality future studies on both PD patients and PD mouse models to optimize WBV protocols and to examine the neuropathological mechanisms in PD populations.
Collapse
|
12
|
Bulhões LCC, Vieira ER, Borges DT, Melo SA, Cavalcanti RL, da Costa KSA, Gomes SRA, Macedo LDB, Brasileiro JS. Whole Body Vibration on the Neuromuscular Performance of Elderls: Randomized Controlled Trial. PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS 2022. [DOI: 10.1080/02703181.2022.2089800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
| | - Edgar Ramos Vieira
- Department of Physical Therapy, Florida International University, Miami, FL, USA
| | - Daniel Tezoni Borges
- Department of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Brazil
| | - Samara Alencar Melo
- Department of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Brazil
| | | | | | | | - Liane de Brito Macedo
- Faculty of Health Sciences of Trairí, Federal University of Rio Grande do Norte, Santa Cruz, Brazil
| | | |
Collapse
|
13
|
Taani MH, Binkley N, Gangnon R, Krueger D, Buehring B. Effect of semi-recumbent vibration exercise on muscle outcomes in older adults: a pilot randomized controlled clinical trial. BMC Geriatr 2022; 22:335. [PMID: 35436920 PMCID: PMC9017010 DOI: 10.1186/s12877-022-03052-0] [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: 12/05/2021] [Accepted: 04/05/2022] [Indexed: 11/28/2022] Open
Abstract
Background Many older adults with physical limitations living in residential care apartments are unable to exercise in a standing position and are at risk for declining in muscle function leading to falls and injury. Novel approaches to achieve exercise benefits are needed. The purpose of this study was to test the effect of semi-recumbent vibration exercise on muscle outcomes in older adults living in residential care apartment complexes (RCACs). Methods A randomized, crossover design was used to examine the effect of semi-recumbent vibration exercise on muscle function and mass among 32 RCAC residents (mean age 87.5 years) with physical limitations. Participants received a randomized sequence of two study conditions: sham or vibration for 8 weeks each separated by a 4-week washout. Before and after the 8 weeks of vibration treatment and sham treatment, muscle mechanography was used to assess muscle function including jump power, weight-corrected jump power, and jump height. Short physical performance battery (SPPB) and handgrip strength were also used to measure muscle function. Bioelectrical impedance spectroscopy was used to estimate skeletal muscle mass. The effect of the vibration treatment on muscle outcomes was analyzed through mixed effects linear regression models. Results Vibration exercise leads to better jump height (p < .05) compared to sham exercise but also poorer chair rise performance (p = 0.012). Other muscle functions tests and muscle mass parameters showed non-significant changes. Conclusion This small pilot study showed no conclusive results on the effect of semi-recumbent vibration exercise on muscle function and mass in older adults living in RCAC. However, the promising signals of improved jump performance could be used to power larger studies of longer duration with various vibration doses to determine the benefit of vibration exercise in this physically impaired, high-risk population with few exercise capabilities. Trial registration The study is registered at clinicaltrials.gov (NCT02533063; date of first registration 26/08/2015).
Collapse
Affiliation(s)
- Murad H Taani
- University of Wisocnsin Milwaukee, Wiscosin State, Milwaukee, USA.
| | - Neil Binkley
- University of Wisocnsin Madison, Wiscosin State, Madison, USA
| | - Ronald Gangnon
- University of Wisocnsin Madison, Wiscosin State, Madison, USA
| | - Diane Krueger
- University of Wisocnsin Madison, Wiscosin State, Madison, USA
| | - Bjoern Buehring
- University of Wisocnsin Madison, Wiscosin State, Madison, USA
| |
Collapse
|
14
|
Varangot-Reille C, Salvador-Coloma P, Biviá-Roig G, Múzquiz-Barberá P, Lisón JF. The effect of combining vibratory platform and unstable footwear on static balance in active young people. Sci Rep 2022; 12:3931. [PMID: 35273272 PMCID: PMC8913682 DOI: 10.1038/s41598-022-07926-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Accepted: 02/28/2022] [Indexed: 11/09/2022] Open
Abstract
Vibratory platforms (VPs) and unstable footwear (UF) have both shown benefits on balance in some populations. However, there is no evidence about the combined effects of using UF while training on an VP in healthy and physically active young people. We aimed to evaluate the effects of wearing unstable footwear (UF) while training on a whole-body VP on balance in healthy, physically active young people. 23 participants were randomized into groups assigned UF (n = 11) or stable footwear (SF; n = 12). Both groups followed the same training program on an VP with the assigned footwear type twice a week for 12 weeks. The training consisted of performing 8 isometric exercises for progressively longer periods and higher oscillation amplitudes (15-60 s, 1-3 mm), at a fixed vibration frequency (20 Hz). The main outcomes were the antero-posterior and medio-lateral velocities of the center of pressure (COP) recorded using a plantar pressure corridor at baseline, post-treatment and 1-month follow-up. We found a statistically significant difference in the antero-posterior velocity during the monopodal test in the UF group between the different time-points (χ2(2) = 13.282, p = 0.001). Mediolateral COP velocity ranking during the bipodal test was lower for UF than for SF group (U = 19.50, z = - 2.86, p = 0.003) at follow-up. The traditional vibratory platform training does not seem to be effective to improve static balance in physically active young people, however, adding UF provided slightly greater effect.
Collapse
Affiliation(s)
- C Varangot-Reille
- Department of Nursing and Physiotherapy, Faculty of Health Sciences, University CEU-Cardenal Herrera, CEU Universities, C/Ramón Y Cajal S/N, 46115, Alfara del Patriarca, Valencia, Spain.
| | - P Salvador-Coloma
- Department of Nursing and Physiotherapy, Faculty of Health Sciences, University CEU-Cardenal Herrera, CEU Universities, C/Ramón Y Cajal S/N, 46115, Alfara del Patriarca, Valencia, Spain
| | - G Biviá-Roig
- Department of Nursing and Physiotherapy, Faculty of Health Sciences, University CEU-Cardenal Herrera, CEU Universities, C/Ramón Y Cajal S/N, 46115, Alfara del Patriarca, Valencia, Spain
| | - P Múzquiz-Barberá
- Department of Nursing and Physiotherapy, Faculty of Health Sciences, University CEU-Cardenal Herrera, CEU Universities, C/Ramón Y Cajal S/N, 46115, Alfara del Patriarca, Valencia, Spain
| | - J F Lisón
- Department of Biomedical Sciences, Faculty of Health Sciences, University CEU-Cardenal Herrera, CEU Universities, Valencia, Spain.,Centre of Physiopathology of Obesity and Nutrition (CIBERobn), CB06/03 Carlos III Health Institute, Valencia, Spain
| |
Collapse
|
15
|
Souto Braz RR, Campos SL, Villela DW, Antonino GB, Araújo Batista PK, Guerino MR, Rodrigues FTM, Pereira Alves KF, Duarte JVT, de Andrade Silva D, Lima DF, da Silva AFF, de Oliveira KCV, dos Santos EKD, Leite WS, de Lucena LC, de Lima Ferreira AP, Monte-Silva K, das Graças Rodrigues de Araújo M, Taiar R. Effectiveness of Whole-Body Vibration Combined with Multicomponent Training on the Risk of Falls and Quality of Life in Elderly Women with Osteoporosis: Study Protocol for a Randomized Controlled Clinical Trial. BIOLOGY 2022; 11:biology11020266. [PMID: 35205132 PMCID: PMC8869511 DOI: 10.3390/biology11020266] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/01/2022] [Revised: 01/31/2022] [Accepted: 02/02/2022] [Indexed: 11/16/2022]
Abstract
Osteoporosis and the risk of falls increase the risk of fractures and events of falls. Prescriptions and programs for different forms of exercise have different impacts on the risk of falls, and exercises from multiple categories of whole-body vibration can be effective. This study aims to evaluate the effectiveness of whole-body vibration (WBV) protocol combined with multicomponent training (MCT) in elderly women with osteoporosis and their history of falls. Our proposal is a protocol for a randomized clinical trial, divided into two stages: First, development of a protocol for WVB combined with MCT for elderly women with osteoporosis and a history of falls, under the Guidelines of the American College of Sports Medicine, and following the recommendations of the Standard Protocol Items Recommendations for Interventional Trials (SPIRIT), and second, a randomized controlled clinical trial following the Consolidated Standards of Reporting Trials (CONSORT). This trial will have implications for the effectiveness of a vibration protocol combined with multicomponent exercise on the risk of falls and quality of life for older women with osteoporosis. We expect that adding full-body vibration to an exercise protocol will decrease the risk of falls and improve participants’ quality of life, as well as their strength, balance, and functional capacity.
Collapse
Affiliation(s)
- Rúbia Rayanne Souto Braz
- Programa de Pós-Graduação em Fisioterapia, Departamento de Fisioterapia, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil; (R.R.S.B.); (S.L.C.); (D.W.V.); (G.B.A.); (K.F.P.A.); (K.C.V.d.O.); (E.K.D.d.S.); (A.P.d.L.F.); (K.M.-S.)
| | - Shirley Lima Campos
- Programa de Pós-Graduação em Fisioterapia, Departamento de Fisioterapia, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil; (R.R.S.B.); (S.L.C.); (D.W.V.); (G.B.A.); (K.F.P.A.); (K.C.V.d.O.); (E.K.D.d.S.); (A.P.d.L.F.); (K.M.-S.)
- Departamento de Fisioterapia, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil; (J.V.T.D.); (D.d.A.S.); (D.F.L.); (A.F.F.d.S.)
- Programa de Pós Graduação de Biologia Aplicada à Saúde, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil;
| | - Débora Wanderley Villela
- Programa de Pós-Graduação em Fisioterapia, Departamento de Fisioterapia, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil; (R.R.S.B.); (S.L.C.); (D.W.V.); (G.B.A.); (K.F.P.A.); (K.C.V.d.O.); (E.K.D.d.S.); (A.P.d.L.F.); (K.M.-S.)
- Departamento de Fisioterapia, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil; (J.V.T.D.); (D.d.A.S.); (D.F.L.); (A.F.F.d.S.)
| | - Gabriel Barreto Antonino
- Programa de Pós-Graduação em Fisioterapia, Departamento de Fisioterapia, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil; (R.R.S.B.); (S.L.C.); (D.W.V.); (G.B.A.); (K.F.P.A.); (K.C.V.d.O.); (E.K.D.d.S.); (A.P.d.L.F.); (K.M.-S.)
- Departamento de Fisioterapia, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil; (J.V.T.D.); (D.d.A.S.); (D.F.L.); (A.F.F.d.S.)
- Programa de Pós-Graduação em Neuropsiquiatria e Ciências do Comportamento, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil
| | | | - Marcelo Renato Guerino
- Programa de Pós-Graduação em Saúde Translacional, Centro de Ciências Médicas, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil;
- Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil
| | - François Talles Medeiros Rodrigues
- Programa de Pós-Graduação em Ciências da Saúde, Instituto de Ciências Biológicas, Universidade de Pernambuco (UPE), Recife 50100-010, PE, Brazil;
| | - Kennedy Freitas Pereira Alves
- Programa de Pós-Graduação em Fisioterapia, Departamento de Fisioterapia, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil; (R.R.S.B.); (S.L.C.); (D.W.V.); (G.B.A.); (K.F.P.A.); (K.C.V.d.O.); (E.K.D.d.S.); (A.P.d.L.F.); (K.M.-S.)
| | - João Victor Torres Duarte
- Departamento de Fisioterapia, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil; (J.V.T.D.); (D.d.A.S.); (D.F.L.); (A.F.F.d.S.)
| | - Diana de Andrade Silva
- Departamento de Fisioterapia, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil; (J.V.T.D.); (D.d.A.S.); (D.F.L.); (A.F.F.d.S.)
| | - Daniel Florentino Lima
- Departamento de Fisioterapia, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil; (J.V.T.D.); (D.d.A.S.); (D.F.L.); (A.F.F.d.S.)
| | - Arthur Felipe Freire da Silva
- Departamento de Fisioterapia, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil; (J.V.T.D.); (D.d.A.S.); (D.F.L.); (A.F.F.d.S.)
| | - Karla Cybele Vieira de Oliveira
- Programa de Pós-Graduação em Fisioterapia, Departamento de Fisioterapia, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil; (R.R.S.B.); (S.L.C.); (D.W.V.); (G.B.A.); (K.F.P.A.); (K.C.V.d.O.); (E.K.D.d.S.); (A.P.d.L.F.); (K.M.-S.)
| | - Edy Kattarine Dias dos Santos
- Programa de Pós-Graduação em Fisioterapia, Departamento de Fisioterapia, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil; (R.R.S.B.); (S.L.C.); (D.W.V.); (G.B.A.); (K.F.P.A.); (K.C.V.d.O.); (E.K.D.d.S.); (A.P.d.L.F.); (K.M.-S.)
| | - Wagner Souza Leite
- Programa de Pós Graduação de Biologia Aplicada à Saúde, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil;
| | | | - Ana Paula de Lima Ferreira
- Programa de Pós-Graduação em Fisioterapia, Departamento de Fisioterapia, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil; (R.R.S.B.); (S.L.C.); (D.W.V.); (G.B.A.); (K.F.P.A.); (K.C.V.d.O.); (E.K.D.d.S.); (A.P.d.L.F.); (K.M.-S.)
- Departamento de Fisioterapia, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil; (J.V.T.D.); (D.d.A.S.); (D.F.L.); (A.F.F.d.S.)
| | - Kátia Monte-Silva
- Programa de Pós-Graduação em Fisioterapia, Departamento de Fisioterapia, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil; (R.R.S.B.); (S.L.C.); (D.W.V.); (G.B.A.); (K.F.P.A.); (K.C.V.d.O.); (E.K.D.d.S.); (A.P.d.L.F.); (K.M.-S.)
- Departamento de Fisioterapia, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil; (J.V.T.D.); (D.d.A.S.); (D.F.L.); (A.F.F.d.S.)
- Programa de Pós-Graduação em Neuropsiquiatria e Ciências do Comportamento, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil
| | - Maria das Graças Rodrigues de Araújo
- Programa de Pós-Graduação em Fisioterapia, Departamento de Fisioterapia, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil; (R.R.S.B.); (S.L.C.); (D.W.V.); (G.B.A.); (K.F.P.A.); (K.C.V.d.O.); (E.K.D.d.S.); (A.P.d.L.F.); (K.M.-S.)
- Departamento de Fisioterapia, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, Brazil; (J.V.T.D.); (D.d.A.S.); (D.F.L.); (A.F.F.d.S.)
- Correspondence:
| | - Redha Taiar
- MATIM, Université de Reims Champagne-Ardenne, 51100 Reims, France;
| |
Collapse
|
16
|
Di Lorito C, Long A, Byrne A, Harwood RH, Gladman JRF, Schneider S, Logan P, Bosco A, van der Wardt V. Exercise interventions for older adults: A systematic review of meta-analyses. JOURNAL OF SPORT AND HEALTH SCIENCE 2021; 10:29-47. [PMID: 32525097 PMCID: PMC7858023 DOI: 10.1016/j.jshs.2020.06.003] [Citation(s) in RCA: 83] [Impact Index Per Article: 27.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/19/2020] [Revised: 03/24/2020] [Accepted: 04/26/2020] [Indexed: 05/26/2023]
Abstract
BACKGROUND The evidence concerning which physical exercise characteristics are most effective for older adults is fragmented. We aimed to characterize the extent of this diversity and inconsistency and identify future directions for research by undertaking a systematic review of meta-analyses of exercise interventions in older adults. METHODS We searched the Cochrane Database of Systematic Reviews, PsycInfo, MEDLINE, Embase, CINAHL, AMED, SPORTDiscus, and Web of Science for articles that met the following criteria: (1) meta-analyses that synthesized measures of improvement (e.g., effect sizes) on any outcome identified in studies of exercise interventions; (2) participants in the studies meta-analyzed were adults aged 65+ or had a mean age of 70+; (3) meta-analyses that included studies of any type of exercise, including its duration, frequency, intensity, and mode of delivery; (4) interventions that included multiple components (e.g., exercise and cognitive stimulation), with effect sizes that were computed separately for the exercise component; and (5) meta-analyses that were published in any year or language. The characteristics of the reviews, of the interventions, and of the parameters improved through exercise were reported through narrative synthesis. Identification of the interventions linked to the largest improvements was carried out by identifying the highest values for improvement recorded across the reviews. The study included 56 meta-analyses that were heterogeneous in relation to population, sample size, settings, outcomes, and intervention characteristics. RESULTS The largest effect sizes for improvement were found for resistance training, meditative movement interventions, and exercise-based active videogames. CONCLUSION The review identified important gaps in research, including a lack of studies investigating the benefits of group interventions, the characteristics of professionals delivering the interventions associated with better outcomes, and the impact of motivational strategies and of significant others (e.g., carers) on intervention delivery and outcomes.
Collapse
Affiliation(s)
- Claudio Di Lorito
- Division of Rehabilitation, Ageing, and Wellbeing, School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK.
| | - Annabelle Long
- Division of Rehabilitation, Ageing, and Wellbeing, School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK
| | - Adrian Byrne
- Division of Rehabilitation, Ageing, and Wellbeing, School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK
| | - Rowan H Harwood
- Division of Health Sciences, School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK
| | - John R F Gladman
- Division of Rehabilitation, Ageing, and Wellbeing, School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK
| | - Stefan Schneider
- Institute of Movement and Neurosciences, German Sport University, Cologne 50933, Germany
| | - Pip Logan
- Division of Rehabilitation, Ageing, and Wellbeing, School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK
| | - Alessandro Bosco
- Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK
| | - Veronika van der Wardt
- Center for Methodology and Health Research, Department of General Medicine, Preventive and Rehabilitative Medicine, Philipps-Universität Marburg, Marburg 35032, Germany
| |
Collapse
|
17
|
Wu S, Ning HT, Xiao SM, Hu MY, Wu XY, Deng HW, Feng H. Effects of vibration therapy on muscle mass, muscle strength and physical function in older adults with sarcopenia: a systematic review and meta-analysis. Eur Rev Aging Phys Act 2020; 17:14. [PMID: 32963629 PMCID: PMC7499918 DOI: 10.1186/s11556-020-00247-5] [Citation(s) in RCA: 28] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Accepted: 09/09/2020] [Indexed: 01/01/2023] Open
Abstract
Background Sarcopenia, a progressive loss of muscle mass and function with advancing age, is a prevalent condition among older adults. As most older people are too frail to do intensive exercise and vibration therapy has low risk and ease of participation, it may be more readily accepted by elderly individuals. However, it remains unclear whether vibration therapy would be effective among older adults with sarcopenia. This systematic review and meta-analysis examined the effect of vibration therapy including local vibration therapy and whole-body vibration therapy, for enhancing muscle mass, muscle strength and physical function in older people with sarcopenia. Methods A systematic literature search was conducted in March 2019 in the following 5 electronic databases: PubMed, CINAHL, Embase, PEDro, and the Cochrane Central Register of Controlled Trials, with no restriction of language or the year of publication. Randomized controlled trials and quasi-experimental studies examining effects of vibration therapy on muscle mass, muscle strength or physical function in older adults with sarcopenia were included in this systematic review. Two reviewers independently assessed the methodological quality of the selected studies. Results Of the 1972 identified studies, seven publications from six studies involving 223 participants were included in this systematic review. Five of them conducted whole-body vibration therapy, while two conducted local vibration therapy. A meta-analysis of randomized controlled studies indicated that muscle strength significantly increased after whole-body vibration therapy (SMD 0.69, 95% CI 0.28 to 1.11, I2 = 0%, P = 0.001) and local vibration therapy (SMD 3.78, 95% CI 2.29 to 5.28, P < 0.001). Physical performance measured by the sit-to-stand test and the timed-up-and-go test were significantly improved after the intervention (SMD -0.79, 95% CI − 1.21 to − 0.37, I2 = 0%, P < 0.001) and SMD -0.83, 95% CI − 1.56 to − 0.11, I2 = 64%, P = 0.02, respectively). Conclusion Vibration therapy could be a prospective strategy for improving muscle strength and physical performance in older adults with sarcopenia. However, due to the limited number of the included studies, caution is needed when interpreting these results. More well-designed, large sample size studies should be conducted to further explore and validate the benefits of vibration therapy for this population.
Collapse
Affiliation(s)
- Shuang Wu
- Xiangya school of nursing, Central South University, Changsha, Hunan province China
| | - Hong-Ting Ning
- Xiangya school of nursing, Central South University, Changsha, Hunan province China
| | - Su-Mei Xiao
- Department of Public health, Sun Yat-Sen University, Guangzhou, Guangdong province China
| | - Ming-Yue Hu
- Xiangya school of nursing, Central South University, Changsha, Hunan province China
| | - Xin-Yin Wu
- Department of Epidemiology and Biostatistics, Xiangya school of Public health, Central South University, Changsha, Hunan province China
| | - Hong-Wen Deng
- School of basic medical science, Central South University, Changsha, Hunan province China
| | - Hui Feng
- Xiangya school of nursing, Central South University, Changsha, Hunan province China.,Xiangya-Oceanwide Health Management Research Institute, Central South University, Changsha, China
| |
Collapse
|
18
|
Resistance Exercise, Electrical Muscle Stimulation, and Whole-Body Vibration in Older Adults: Systematic Review and Meta-Analysis of Randomized Controlled Trials. J Clin Med 2020; 9:jcm9092902. [PMID: 32911822 PMCID: PMC7563530 DOI: 10.3390/jcm9092902] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Revised: 09/01/2020] [Accepted: 09/07/2020] [Indexed: 12/12/2022] Open
Abstract
It has been shown that resistance exercise (RT) is one of the most effective approaches to counteract the physical and functional changes associated with aging. This systematic review with meta-analysis compared the effects of RT, whole-body vibration (WBV), and electrical muscle stimulation (EMS) on muscle strength, body composition, and functional performance in older adults. A thorough literature review was conducted, and the analyses were limited to randomized controlled trials. In total, 63 studies were included in the meta-analysis (48 RT, 11 WBV, and 4 EMS). The results showed that RT and WBV are comparably effective for improving muscle strength, while the effects of EMS remains debated. RT interventions also improved some outcome measures related to functional performance, as well as the cross-sectional area of the quadriceps. Muscle mass was not significantly affected by RT. A limitation of the review is the smaller number of WBV and particularly EMS studies. For this reason, the effects of WBV and EMS could not be comprehensively compared to the effect of RT for all outcome measures. For the moment, RT or combinations of RT and WBV or EMS, is probably the most reliable way to improve muscle strength and functional performance, while the best approach to increase muscle mass in older adults remains open to further studies.
Collapse
|
19
|
Pérez-Gómez J, Adsuar JC, García-Gordillo MÁ, Muñoz P, Romo L, Maynar M, Gusi N, P. C. R. Twelve Weeks of Whole Body Vibration Training Improve Regucalcin, Body Composition and Physical Fitness in Postmenopausal Women: A Pilot Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E3940. [PMID: 32498351 PMCID: PMC7312189 DOI: 10.3390/ijerph17113940] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Revised: 05/28/2020] [Accepted: 05/30/2020] [Indexed: 12/23/2022]
Abstract
(1) Background: Regucalcin or senescence marker protein 30 (SMP30) is a Ca2+ binding protein discovered in 1978 with multiple functions reported in the literature. However, the impact of exercise training on SMP30 in humans has not been analyzed. Aging is associated with many detrimental physiological changes that affect body composition, functional capacity, and balance. The present study aims to investigate the effects of whole body vibration (WBV) in postmenopausal women. (2) Methods: A total of 13 women (aged 54.3 ± 3.4 years) participated in the study. SMP30, body composition (fat mass, lean mass, and bone mass) and physical fitness (balance, time up and go (TUG) and 6-min walk test (6MWT)) were measured before and after the 12 weeks of WBV training. (3) Results: The WBV training program elicited a significant increase in SPM30 measured in plasma (27.7%, p = 0.004) and also in 6MWT (12.5%, p < 0.001). The WBV training also significantly reduced SPM30 measured in platelets (38.7%, p = 0.014), TUG (23.1%, p < 0.001) and total body fat mass (4.4%, p = 0.02). (4) Conclusions: There were no significant differences in balance, lean mass or bone mass. The present study suggests that 12 weeks of WBV has the potential to improve SPM30, fat mass, TUG and 6MWT in postmenopausal women.
Collapse
Affiliation(s)
- Jorge Pérez-Gómez
- HEME Research Group, University of Extremadura, 10003 Cáceres, Spain; (J.C.A.); (P.M.); (L.R.)
| | - José Carmelo Adsuar
- HEME Research Group, University of Extremadura, 10003 Cáceres, Spain; (J.C.A.); (P.M.); (L.R.)
| | | | - Pilar Muñoz
- HEME Research Group, University of Extremadura, 10003 Cáceres, Spain; (J.C.A.); (P.M.); (L.R.)
| | - Lidio Romo
- HEME Research Group, University of Extremadura, 10003 Cáceres, Spain; (J.C.A.); (P.M.); (L.R.)
| | - Marcos Maynar
- Faculty of Sport Science, University of Extremadura, 10003 Cáceres, Spain; (M.M.); (N.G.)
| | - Narcis Gusi
- Faculty of Sport Science, University of Extremadura, 10003 Cáceres, Spain; (M.M.); (N.G.)
| | - Redondo P. C.
- Department of Physiology, University of Extremadura, 10003 Cáceres, Spain;
| |
Collapse
|
20
|
Oliveira LCD, Oliveira RGD, Ribeiro ADS, Pires-Oliveira DADA. Comparação entre duas modalidades terapêuticas sobre o equilíbrio postural e medo de quedas em mulheres na pós-menopausa: um ensaio clínico randomizado e controlado. REVISTA BRASILEIRA DE GERIATRIA E GERONTOLOGIA 2020. [DOI: 10.1590/1981-22562020023.200233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Resumo Objetivo: Comparar os efeitos do Pilates vs. vibração de corpo inteiro (VCI) e nenhuma intervenção sobre o equilíbrio postural e medo de quedas em mulheres na pós-menopausa. Métodos: Ensaio clínico Mono-cego, com 51 participantes randomizadas em três grupos (Pilates, VCI, ou Controle). Avaliações foram realizadas para o equilíbrio postural estático por intermédio da plataforma de força, equilíbrio postural dinâmico pelo teste Timed Up & Go e medo de quedas pela Falls Efficacy Scale-International (FES-I). Pilates e VCI foram administrados três vezes na semana, por seis meses. Resultados: Após a intervenção, nenhuma diferença (p> 0.05) foi observada para o equilíbrio postural estático, contudo, para a maior parte das variáveis, Pilates e VCI demonstraram um grande tamanho de efeito (d> 0.80) quando comparados ao grupo controle. Para o equilíbrio postural dinâmico, Pilates e VCI promoveram uma melhora significativa (p= 0.032) comparados ao grupo controle. Para o medo de quedas não houve diferença entre os grupos (p= 0.055) pós-intervenção. Conclusão: Tendo em vista a representatividade clínica evidenciada pelas medidas de tamanho de efeito, Pilates e VCI podem ser recomendados para melhora do equilíbrio postural estático e dinâmico em mulheres na pós-menopausa. Contudo, em relação ao medo de quedas, essas modalidades terapêuticas necessitam de melhor investigação.
Collapse
|
21
|
Mohamed AA, Jan YK. Effect of Adding Proprioceptive Exercise to Balance Training in Older Adults with Diabetes: A Systematic Review. Curr Diabetes Rev 2020; 16:327-339. [PMID: 31526352 DOI: 10.2174/1573399815666190712200147] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/22/2019] [Revised: 06/12/2019] [Accepted: 06/25/2019] [Indexed: 12/15/2022]
Abstract
INTRODUCTION Accidental fall is a serious problem in older adults. The incidence of accidental fall increases by any dysfunction in the proprioceptive system. The function of the proprioceptive system usually is much affected in people with Diabetes Mellitus (DM), particularly in older ages. However, proprioceptive exercise significantly improves the balance control in older adults, no systematic review demonstrated its effectiveness in improving the balance control in older adults with DM. Thus, this systematic review was conducted to examine the effectiveness of adding proprioceptive exercise to any balance training in older adults with DM. METHODS A systematic search was performed in five major databases. The inclusion criteria of this search included older adults with DM, peripheral neuropathy, randomized control trial, and proprioceptive dysfunction. The exclusion criterion of this search included any study where participants had a history of a disease that might affect the balance control such as ataxia, stroke, and Parkinsonism. The outcome of interest was the importance of including proprioceptive exercise in increasing the effectiveness of balance training in older adults with DM. RESULTS Nine RCTs met the inclusion criteria for this systematic review. Seven studies of these nine studies included randomization details. Only two studies included the blindness, and only one of them included double blindness. The description of the withdrawal of participants was shown in eight studies. All the included studies used a control group and accomplished the homogeny between subjects in the both groups. CONCLUSION This systematic review showed that proprioceptive exercise is a vital component that should be included in any balance training to gain short-term improvement in the balance control in older adults with DM.
Collapse
Affiliation(s)
- Ayman A Mohamed
- Department of Physiotherapy and Rehabilitation, School of Health Sciences, Istanbul Gelisim University, Istanbul, Turkey
| | - Yih-Kuen Jan
- Department Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, Champaign, IL, United States
| |
Collapse
|
22
|
Mikami Y, Amano J, Kawamura M, Nobiro M, Kamijyo Y, Kawae T, Maeda N, Hirata K, Kimura H, Adachi N. Whole-body vibration enhances effectiveness of "locomotion training" evaluated in healthy young adult women. J Phys Ther Sci 2019; 31:895-900. [PMID: 31871373 PMCID: PMC6879400 DOI: 10.1589/jpts.31.895] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2019] [Accepted: 08/07/2019] [Indexed: 11/24/2022] Open
Abstract
[Purpose] Locomotion training is recommended as a countermeasure against locomotive syndrome. Recently, whole-body vibration has been clinically applied in rehabilitation medicine. Therefore, we aimed to investigate the preliminary effectiveness of whole-body vibration on locomotion training. [Participants and Methods] Overall, 28 healthy adult females were randomly assigned to either a locomotion training group using a whole-body vibration device (whole-body vibration group, n=14) or training on the flat floor (non-whole-body vibration group: n=14). Participants conducted two sets of locomotion training twice a day and three times a week for 12 weeks. [Results] A significant difference was observed in the group factor for all outcome measures and in the before and after the training factor for Timed Up and Go test. After the training, knee muscle strength, dynamic balance, and mobility function in the whole-body vibration group were significantly improved compared with the non-whole-body vibration group. In the whole-body vibration group, the Timed Up and Go time after the training was significantly shorter compared with that before training. [Conclusion] The results suggest that locomotion training with whole-body vibration can improve the physical functions in healthy adult females and locomotion training using whole-body vibration might enhance the effectiveness of locomotion training.
Collapse
Affiliation(s)
- Yukio Mikami
- Department of Rehabilitation Medicine, Wakayama Medical University: 811-1 Kimiidera, Wakayama 641-8509, Japan.,Department of Rehabilitation Medicine, Hiroshima University Hospital, Japan
| | - Junko Amano
- Department of Rehabilitation Medicine, Amano Rehabilitation Hospital, Japan
| | - Mikiko Kawamura
- Department of Rehabilitation Medicine, Amano Rehabilitation Hospital, Japan
| | - Miki Nobiro
- Department of Rehabilitation Medicine, Amano Rehabilitation Hospital, Japan
| | - Yoshiichiro Kamijyo
- Department of Rehabilitation Medicine, Wakayama Medical University: 811-1 Kimiidera, Wakayama 641-8509, Japan
| | - Toshihiro Kawae
- Department of Physical Therapy, Faculty of Makuhari Human Care, Tohto University, Japan
| | - Noriaki Maeda
- Hiroshima University Hospital, Sports Medical Center, Japan.,Division of Sport Rehabilitation, Graduate School of Biomedical and Health Sciences, Hiroshima University, Japan
| | | | - Hiroaki Kimura
- Hiroshima University Hospital, Sports Medical Center, Japan.,Department of Rehabilitation Medicine, Hiroshima University Hospital, Japan
| | - Nobuo Adachi
- Hiroshima University Hospital, Sports Medical Center, Japan.,Department of Orthopaedic Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Japan
| |
Collapse
|
23
|
Taani MH, Siglinsky E, Libber J, Krueger D, Binkley N, Kovach CR, Buehring B. Semi-Recumbent Vibration Exercise in Older Adults: A Pilot Study of Methodology, Feasibility, and Safety. Gerontol Geriatr Med 2019; 5:2333721419881552. [PMID: 31663010 PMCID: PMC6796212 DOI: 10.1177/2333721419881552] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2019] [Revised: 10/01/2019] [Accepted: 09/18/2019] [Indexed: 11/24/2022] Open
Abstract
Objectives: Older adults with impaired physical function are at risk for further functional decline
in part due to limited ability to engage in regular exercise. Effective approaches to
exercise in this vulnerable population are needed to improve functional capacity and
optimize independence. Methods: Thirty-two residential care apartment complex (RCAC) residents, age ≥70, with low short
physical performance battery (SPPB) scores were recruited and randomly assigned to a
crossover-design study exploring feasibility and safety of semi-recumbent vibration
exercise in older adults living in one RCAC. The primary outcomes were retention and
adherence rates and adverse events. Results: The retention rate was 78%. Adherence rate was 79.7% and 78.6% during the vibration and
control training sessions, respectively. Thirty-eight adverse events (AEs) occurred.
Mild muscle soreness and knee pain were the only AEs related to vibration exercise. No
serious adverse events (SAEs) were study-related. Participants were able to increase
training intensity and load and rated the training enjoyable. Conclusion: Semi-recumbent vibration exercise was feasible, well tolerated, and safe in RCAC
residents with reduced physical function. Future studies need to examine the effect of
this type of exercise on physical function, mobility, falls, and quality of life.
Collapse
Affiliation(s)
| | - Ellen Siglinsky
- Osteoporosis Clinical Research Program, University of Wisconsin-Madison, USA
| | - Jessie Libber
- Osteoporosis Clinical Research Program, University of Wisconsin-Madison, USA
| | - Diane Krueger
- Osteoporosis Clinical Research Program, University of Wisconsin-Madison, USA
| | - Neil Binkley
- Osteoporosis Clinical Research Program, University of Wisconsin-Madison, USA
| | | | - Bjoern Buehring
- Osteoporosis Clinical Research Program, University of Wisconsin-Madison, USA
| |
Collapse
|
24
|
Delafontaine A, Vialleron T, Fischer M, Laffaye G, Chèze L, Artico R, Genêt F, Fourcade PC, Yiou E. Acute Effects of Whole-Body Vibration on the Postural Organization of Gait Initiation in Young Adults and Elderly: A Randomized Sham Intervention Study. Front Neurol 2019; 10:1023. [PMID: 31616369 PMCID: PMC6768974 DOI: 10.3389/fneur.2019.01023] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2019] [Accepted: 09/09/2019] [Indexed: 11/13/2022] Open
Abstract
Whole-body vibration (WBV) is a training method that exposes the entire body to mechanical oscillations while standing erect or seated on a vibrating platform. This method is nowadays commonly used by clinicians to improve specific motor outcomes in various sub-populations such as elderly and young healthy adults, either sedentary or well-trained. The present study investigated the effects of acute WBV application on the balance control mechanisms during gait initiation (GI) in young healthy adults and elderly. It was hypothesized that the balance control mechanisms at play during gait initiation may compensate each other in case one or several components are perturbed following acute WBV application, so that postural stability and/or motor performance can be maintained or even improved. It is further hypothesized that this capacity of adaptation is altered with aging. Main results showed that the effects of acute WBV application on the GI postural organization depended on the age of participants. Specifically, a positive effect was observed on dynamic stability in the young adults, while no effect was observed in the elderly. An increased stance leg stiffness was also observed in the young adults only. The positive effect of WBV on dynamic stability was ascribed to an increase in the mediolateral amplitude of "anticipatory postural adjustments" following WBV application, which did overcompensate the potentially destabilizing effect of the increased stance leg stiffness. In elderly, no such anticipatory (nor corrective) postural adaptation was required since acute WBV application did not elicit any change in the stance leg stiffness. These results suggest that WBV application may be effective in improving dynamic stability but at the condition that participants are able to develop adaptive changes in balance control mechanisms, as did the young adults. Globally, these findings are thus in agreement with the hypothesis that balance control mechanisms are interdependent within the postural system, i.e., they may compensate each other in case one component (here the leg stiffness) is perturbed.
Collapse
Affiliation(s)
- Arnaud Delafontaine
- CIAMS, Univ. Paris-Sud., Université Paris-Saclay, Orsay, France.,CIAMS, Université d'Orléans, Orléans, France.,ENKRE, Saint-Maurice, France
| | - Thomas Vialleron
- CIAMS, Univ. Paris-Sud., Université Paris-Saclay, Orsay, France.,CIAMS, Université d'Orléans, Orléans, France
| | - Matthieu Fischer
- CIAMS, Univ. Paris-Sud., Université Paris-Saclay, Orsay, France.,CIAMS, Université d'Orléans, Orléans, France
| | - Guillaume Laffaye
- CIAMS, Univ. Paris-Sud., Université Paris-Saclay, Orsay, France.,CIAMS, Université d'Orléans, Orléans, France
| | | | - Romain Artico
- CIAMS, Univ. Paris-Sud., Université Paris-Saclay, Orsay, France.,CIAMS, Université d'Orléans, Orléans, France.,ENKRE, Saint-Maurice, France
| | - François Genêt
- UMR End:icap équipe 3, UFR des Sciences de la Santé Simone Veil, UVSQ, Montigny le Bretonneux, France
| | - Paul Christian Fourcade
- CIAMS, Univ. Paris-Sud., Université Paris-Saclay, Orsay, France.,CIAMS, Université d'Orléans, Orléans, France
| | - Eric Yiou
- CIAMS, Univ. Paris-Sud., Université Paris-Saclay, Orsay, France.,CIAMS, Université d'Orléans, Orléans, France
| |
Collapse
|
25
|
Valenzuela PL, Castillo-García A, Morales JS, Izquierdo M, Serra-Rexach JA, Santos-Lozano A, Lucia A. Physical Exercise in the Oldest Old. Compr Physiol 2019; 9:1281-1304. [PMID: 31688965 DOI: 10.1002/cphy.c190002] [Citation(s) in RCA: 64] [Impact Index Per Article: 12.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Societies are progressively aging, with the oldest old (i.e., those aged >80-85 years) being the most rapidly expanding population segment. However, advanced aging comes at a price, as it is associated with an increased incidence of the so-called age-related conditions, including a greater risk for loss of functional independence. How to combat sarcopenia, frailty, and overall intrinsic capacity decline in the elderly is a major challenge for modern medicine, and exercise appears to be a potential solution. In this article, we first summarize the physiological mechanisms underlying the age-related deterioration in intrinsic capacity, particularly regarding those phenotypes related to functional decline. The main methods available for the physical assessment of the oldest old are then described, and finally the multisystem benefits that exercise (or "exercise mimetics" in those situations in which volitional exercise is not feasible) can provide to this population segment are reviewed. In summary, lifetime physical exercise can help to attenuate the loss of many of the properties affected by aging, especially when the latter is accompanied by an inactive lifestyle and benefits can also be obtained in frail individuals who start exercising at an advanced age. Multicomponent programs combining mainly aerobic and resistance training should be included in the oldest old, particularly during disuse situations such as hospitalization. However, evidence is still needed to support the effectiveness of passive physical strategies including neuromuscular electrical stimulation or vibration for the prevention of disuse-induced negative adaptations in those oldest old people who are unable to do physical exercise. © 2019 American Physiological Society. Compr Physiol 9:1281-1304, 2019.
Collapse
Affiliation(s)
- Pedro L Valenzuela
- Department of Systems Biology, University of Alcalá, Madrid, Spain
- Department of Sport and Health, Spanish Agency for Health Protection in Sport (AEPSAD), Madrid, Spain
| | | | - Javier S Morales
- Faculty of Sport Sciences, Universidad Europea de Madrid, Madrid, Spain
| | - Mikel Izquierdo
- Biomedical Research Networking Center on Frailty and Healthy Aging (CIBERFES), Madrid, Spain
- Department of Health Sciences, Public University of Navarra, Navarrabiomed, Idisna, Pamplona, Spain
| | - José A Serra-Rexach
- Biomedical Research Networking Center on Frailty and Healthy Aging (CIBERFES), Madrid, Spain
- Department of Geriatric, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - Alejandro Santos-Lozano
- i+HeALTH, European University Miguel de Cervantes, Valladolid, Spain and Research Institute Hospital 12 de Octubre (ì+12'), Madrid, Spain
| | - Alejandro Lucia
- Faculty of Sport Sciences, Universidad Europea de Madrid, Madrid, Spain
- Biomedical Research Networking Center on Frailty and Healthy Aging (CIBERFES), Madrid, Spain
| |
Collapse
|
26
|
The effect of whole body vibration on health-related quality of life in patients with chronic conditions: a systematic review. Qual Life Res 2019; 28:2859-2870. [DOI: 10.1007/s11136-019-02274-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/12/2019] [Indexed: 12/19/2022]
|
27
|
Mahbub MH, Hiroshige K, Yamaguchi N, Hase R, Harada N, Tanabe T. A systematic review of studies investigating the effects of controlled whole‐body vibration intervention on peripheral circulation. Clin Physiol Funct Imaging 2019; 39:363-377. [DOI: 10.1111/cpf.12589] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2019] [Accepted: 07/01/2019] [Indexed: 11/30/2022]
Affiliation(s)
- MH Mahbub
- Department of Public Health and Preventive Medicine Yamaguchi University Graduate School of Medicine UbeJapan
| | - Keiichi Hiroshige
- Department of Physical Therapy Faculty of Rehabilitation Kyushu Nutrition Welfare University KitakyushuJapan
| | - Natsu Yamaguchi
- Department of Public Health and Preventive Medicine Yamaguchi University Graduate School of Medicine UbeJapan
| | - Ryosuke Hase
- Department of Public Health and Preventive Medicine Yamaguchi University Graduate School of Medicine UbeJapan
| | - Noriaki Harada
- Department of Nursing Faculty of Health Sciences Junshin Gakuen University Fukuoka Japan
| | - Tsuyoshi Tanabe
- Department of Public Health and Preventive Medicine Yamaguchi University Graduate School of Medicine UbeJapan
| |
Collapse
|
28
|
Fischer M, Vialleron T, Laffaye G, Fourcade P, Hussein T, Chèze L, Deleu PA, Honeine JL, Yiou E, Delafontaine A. Long-Term Effects of Whole-Body Vibration on Human Gait: A Systematic Review and Meta-Analysis. Front Neurol 2019; 10:627. [PMID: 31316447 PMCID: PMC6611385 DOI: 10.3389/fneur.2019.00627] [Citation(s) in RCA: 33] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2019] [Accepted: 05/28/2019] [Indexed: 12/17/2022] Open
Abstract
Background: Whole-body vibration is commonly used in physical medicine and neuro-rehabilitation as a clinical prevention and rehabilitation tool. The goal of this systematic review is to assess the long-term effects of whole-body vibration training on gait in different populations of patients. Methods: We conducted a literature search in PubMed, Science Direct, Springer, Sage and in study references for articles published prior to 7 December 2018. We used the keywords “vibration,” “gait” and “walk” in combination with their Medical Subject Headings (MeSH) terms. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology was used. Only randomized controlled trials (RCT) published in English peer-reviewed journals were included. All patient categories were selected. The duration of Whole-Body Vibration (WBV) training had to be at least 4 weeks. The outcomes accepted could be clinical or biomechanical analysis. The selection procedure was conducted by two rehabilitation experts and disagreements were resolved by a third expert. Descriptive data regarding subjects, interventions, types of vibration, training parameters and main results on gait variables were collected and summarized in a descriptive table. The quality of selected studies was assessed using the PEDro scale. Statistical analysis was conducted to evaluate intergroup differences and changes after the WBV intervention compared to the pre-intervention status. The level of evidence was determined based on the results of meta-analysis (effect size), statistical heterogeneity (I2) and methodological quality (PEDro scale). Results: A total of 859 studies were initially identified through databases with 46 articles meeting all of the inclusion criteria and thus selected for qualitative assessment. Twenty-five studies were included in meta-analysis for quantitative synthesis. In elderly subjects, small but significant improvements in the TUG test (SMD = −0.18; 95% CI: −0.32, −0.04) and the 10MWT (SMD = −0.28; 95% CI: −0.56, −0.01) were found in the WBV groups with a strong level of evidence (I2 = 7%, p = 0.38 and I2 = 22%, p = 0.28, respectively; PEDro scores ≥5/10). However, WBV failed to improve the 6MWT (SMD = 0.37; 95% CI: −0.03, 0.78) and the Tinetti gait scores (SMD = 0.04; 95% CI: −0.23, 0.31) in older adults. In stroke patients, significant improvement in the 6MWT (SMD = 0.33; 95% CI: 0.06, 0.59) was found after WBV interventions, with a strong level of evidence (I2 = 0%, p = 0.58; PEDro score ≥5/10). On the other hand, there was no significant change in the TUG test despite a tendency toward improvement (SMD = −0.29; 95% CI: −0.60, 0.01). Results were inconsistent in COPD patients (I2 = 66%, p = 0.03), leading to a conflicting level of evidence despite a significant improvement with a large effect size (SMD = 0.92; 95% CI: 0.32, 1.51) after WBV treatment. Similarly, the heterogeneous results in the TUG test (I2 = 97%, p < 0.00001) in patients with knee osteoarthrosis make it impossible to draw a conclusion. Still, adding WBV treatment was effective in significantly improving the 6 MWT (SMD = 1.28; 95% CI: 0.57, 1.99), with a strong level of evidence (I2 = 64%, p = 0.06; PEDro score ≥5/10). As in stroke, WBV failed to improve the results of the TUG test in multiple sclerosis patients (SMD = −0.11; 95% CI: −0.64, 0.43). Other outcomes presented moderate or even limited levels of evidence due to the lack of data in some studies or because only one RCT was identified in the review. Conclusions: WBV training can be effective for improving balance and gait speed in the elderly. The intervention is also effective in improving walking performance following stroke and in patients with knee osteoarthrosis. However, no effect was found on gait quality in the elderly or on balance in stroke and multiple sclerosis patients. The results are too heterogenous in COPD to conclude on the effect of the treatment. The results must be taken with caution due to the lack of data in some studies and the methodological heterogeneity in the interventions. Further research is needed to explore the possibility of establishing a standardized protocol targeting gait ability in a wide range of populations.
Collapse
Affiliation(s)
- Matthieu Fischer
- CIAMS, Université Paris-Sud, Université Paris-Saclay, Orsay, France.,CIAMS, Université d'Orléans, Orléans, France
| | - Thomas Vialleron
- CIAMS, Université Paris-Sud, Université Paris-Saclay, Orsay, France.,CIAMS, Université d'Orléans, Orléans, France
| | - Guillaume Laffaye
- CIAMS, Université Paris-Sud, Université Paris-Saclay, Orsay, France.,CIAMS, Université d'Orléans, Orléans, France
| | - Paul Fourcade
- CIAMS, Université Paris-Sud, Université Paris-Saclay, Orsay, France.,CIAMS, Université d'Orléans, Orléans, France
| | | | | | | | | | - Eric Yiou
- CIAMS, Université Paris-Sud, Université Paris-Saclay, Orsay, France.,CIAMS, Université d'Orléans, Orléans, France
| | - Arnaud Delafontaine
- CIAMS, Université Paris-Sud, Université Paris-Saclay, Orsay, France.,CIAMS, Université d'Orléans, Orléans, France
| |
Collapse
|
29
|
Physical strategies to prevent disuse-induced functional decline in the elderly. Ageing Res Rev 2018; 47:80-88. [PMID: 30031068 DOI: 10.1016/j.arr.2018.07.003] [Citation(s) in RCA: 36] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2018] [Revised: 05/08/2018] [Accepted: 07/09/2018] [Indexed: 01/07/2023]
Abstract
Disuse situations can have serious adverse health consequences in the elderly, including mainly functional impairment with subsequent increase in the risk of falls or morbimortality. The present review provides clinicians and care givers with detailed and practical information on the feasibility and effectiveness of physical strategies that are currently available to prevent or attenuate the functional decline that occurs secondarily to disuse situations in the elderly, notably in the hospital setting. In this context, active approaches such as resistance exercises and maximal voluntary contractions, which can be performed both isometrically and dynamically, are feasible during most immobilization situations including in hospitalized old people and represent powerful tools for the prevention of muscle atrophy. Aerobic exercise should also be prescribed whenever possible to reduce the loss of cardiovascular capacity associated with disuse periods. Other feasible strategies for patients who are unwilling or unable to perform volitional exercise comprise neuromuscular electrical stimulation, vibration, and blood flow restriction. However, they should ideally be applied synchronously with voluntary exercise to obtain synergistic benefits.
Collapse
|
30
|
Effects of Stochastic Resonance Whole-Body Vibration in Individuals with Unilateral Brain Lesion: A Single-Blind Randomized Controlled Trial: Whole-Body Vibration and Neuromuscular Function. Rehabil Res Pract 2018; 2018:9319258. [PMID: 30155308 PMCID: PMC6093017 DOI: 10.1155/2018/9319258] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2018] [Accepted: 07/18/2018] [Indexed: 11/18/2022] Open
Abstract
Introduction Stochastic resonance whole-body vibration (SR-WBV) devices are promising sensorimotor interventions to address muscle weakness and to improve balance and mobility particularly in the elderly. However, it remains inconclusive whether individuals with stroke or traumatic brain injury (TBI) can profit from this method. The aim of this prospective single-blind randomized controlled trial was to investigate the effects of SR-WBV on muscle strength as well as gait and balance performance in this population. Methods Forty-eight individuals with stroke or TBI were randomly allocated to an experimental and a sham group. Participants were exposed daily to 5 consecutives 1-minute SR-WBV sessions, whereas the experimental group trained in a standing position with 5 Hz and the sham group in a seated position with 1 Hz. Isometric muscle strength properties of the paretic knee extensor muscles as well as balance and gait performance were measured at baseline, after the first session and after two weeks of SR-WBV. Results Both groups showed short- and long-term effects in gait performance. However, no between-group effects could be found at the three measurement points. Discussion Complementary SR-WBV showed no beneficial effects immediately after the intervention and after two weeks of conventional rehabilitation therapy. Future research is needed to identify the potential efficacy of SR-WBV in individuals with stroke and TBI using shorter and less exhausting test procedures and a generally prolonged intervention time.
Collapse
|