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Paolucci T, Pezzi L, La Verde R, Latessa PM, Bellomo RG, Saggini R. The Focal Mechanical Vibration for Balance Improvement in Elderly - A Systematic Review. Clin Interv Aging 2021; 16:2009-2021. [PMID: 34880607 PMCID: PMC8648022 DOI: 10.2147/cia.s328638] [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: 07/13/2021] [Accepted: 10/09/2021] [Indexed: 11/23/2022] Open
Abstract
Background Aging has been associated with the progressive depletion of lean mass, reductions in muscle strength and the coordination of the lower extremities, accompanied by decreased gait assurance and balance control. Also, less balance control favors falling which is the leading cause of injury among the elderly. The aim of this systematic review is to identify and evaluate existing evidence regarding the use of focused vibration (FV) to improve balance and reduce the risk of falling during the rehabilitation of elderly populations. Methods The PICO question is what are the effects of focal/segmental/local vibration training on the assessment of balance and the risk of falls among the elderly population? A thorough literature review was conducted between May 1, 2009, and June 30, 2019, for studies in English, randomized clinical trials, including crossover and prospective design studies with assessing balance and the risk of falls in elderly populations (age > 60 years). Results Eight articles (N = 8) satisfied the inclusion criteria and were considered, of which 6 are RTC, one cross-sectional study and one clinical study, for a total of 635 participants. A total of 6 different vibration devices were used, each of which was associated with different FV frequency and amplitude characteristics and different treatment protocols. Conclusion In conclusion, FV can be effective in decreasing the risk of falls and improving the assessment of balance, but more evidence is necessary considering the limits of the studies; however, it does look an important promise during rehabilitative treatment.
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Affiliation(s)
- Teresa Paolucci
- University G. d'Annunzio Chieti, Department of Medical and Oral Sciences and Biotechnologies, Chieti-Pescara, Italy
| | - Letizia Pezzi
- University G. d'Annunzio Chieti, Department of Medical and Oral Sciences and Biotechnologies, Chieti-Pescara, Italy
| | - Roberta La Verde
- S. Filippo Neri Hospital, Physical Medicine and Rehabilitation, "Sapienza" University, Rome, Italy
| | | | - Rosa Grazia Bellomo
- University of Study of Urbino Carlo Bo, Department of Biomolecular Sciences, Urbino, Italy
| | - Raoul Saggini
- University G. d'Annunzio Chieti, Department of Medical and Oral Sciences and Biotechnologies, Chieti-Pescara, Italy
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García-López S, Villanueva RE, Massó-Rojas F, Páez-Arenas A, Meikle MC. Micro-vibrations at 30 Hz on bone cells cultivated in vitro produce soluble factors for osteoclast inhibition and osteoblast activity. Arch Oral Biol 2019; 110:104594. [PMID: 31733582 DOI: 10.1016/j.archoralbio.2019.104594] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2019] [Revised: 07/13/2019] [Accepted: 10/24/2019] [Indexed: 12/28/2022]
Abstract
OBJETIVE It has been claimed that micro-pulse vibration can accelerate the rate of tooth movement during orthodontic treatment; however, the underlying cellular mechanism has yet to be elucidated. The purpose of this study was to understand the mechanisms underlying tooth movement acceleration by measuring alterations in a panel of intercellular signalling molecules and markers of osteoblast/osteoclast function following micro-pulse vibration for 20 min at 30 Hz. DESIGN Primary BALB/c mouse calvarial osteoblasts were cultivatedin vitro and subjected to micro-pulse vibration (0.25 N; 30 Hz) with the AcceleDent® Aura appliance for 20 min and assayed for IL-4, IL-13, IL-17, OPG, soluble RANKL and TGF-β protein by ELISA; for PCNA in osteoblasts and caspase 3/7 in osteoclasts by immunohistochemistry; for IL-4, IL-13, and Il-17 in osteoclasts by ELISA; and for cathepsin K by flow cytometry. RESULTS After micro-pulse vibration, the murine osteoblast culture supernatant showed increased IL-4, IL-13, IL-17, OPG and TGF-β levels and decreased RANKL levels; PCNA in osteoblasts and caspase 3/7 in osteoclasts were also upregulated. The osteoclast culture supernatant had increased levels of IL-4, IL-13 and IL-17, and cathepsin K was upregulated in the treatment group compared with the control group. CONCLUSIONS Micro-pulse vibration promotes the production of soluble factors that inhibit osteoclasts, promote apoptosis and activate osteoblasts in vitro, which could increase bone mineral density. Further studies should be conducted in order to understand the biological mechanism of how micro-vibration might influence tooth movement during orthodontic treatment.
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Affiliation(s)
- Salvador García-López
- Health Science Department/Cell Biology and Immunology Laboratory, Universidad Autónoma Metropolitana-Xochimilco, 04960, Mexico City, Mexico; Orthodontic Department, General Hospital "Dr. Manuel Gea González", UNAM, 14080, Mexico City, Mexico; Universidad Intercontinental, Mexico City, Mexico.
| | - Rosina E Villanueva
- School of Dentistry, Universidad Autónoma Metropolitana, 04960, Mexico City, Mexico.
| | - Felipe Massó-Rojas
- Translational Medicine Unit, Instituto Nacional de Cardiología "Ignacio Chávez", 14080, Mexico City, Mexico.
| | - Araceli Páez-Arenas
- Translational Medicine Unit, Instituto Nacional de Cardiología "Ignacio Chávez", 14080, Mexico City, Mexico
| | - Murray C Meikle
- Emeritus Professor King's College, Dental Institute, at Guy's, King's and St. Thomas's Hospital, University of London, SE1 9RT, United Kingdom.
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Alikhani M, Alikhani M, Alansari S, Almansour A, Hamidaddin MA, Khoo E, Lopez JA, Nervina JM, Nho JY, Oliveira SM, Sangsuwon C, Teixeira CC. Therapeutic effect of localized vibration on alveolar bone of osteoporotic rats. PLoS One 2019; 14:e0211004. [PMID: 30695073 PMCID: PMC6350965 DOI: 10.1371/journal.pone.0211004] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2018] [Accepted: 01/04/2019] [Indexed: 12/12/2022] Open
Abstract
OBJECTIVES Vibration, in the form of high frequency acceleration (HFA), stimulates alveolar bone formation under physiologic conditions and during healing after dental extractions. It is not known if HFA has an anabolic effect on osteoporotic alveolar bone. Our objective is to determine if HFA has a regenerative effect on osteoporotic alveolar bone. METHODS AND MATERIALS Adult female Sprague-Dawley rats were divided into five groups: 1) Ovariectomized Group (OVX), 2) Sham-OVX Group that received surgery without ovariectomy, 3) OVX-HFA Group that was ovariectomized and treated daily with HFA, 4) OVX+Static Force Group that was ovariectomized and received the same force as HFA, but without vibration, and 5) Control Group that did not receive any treatment. All animals were fed a low mineral diet for 3 months. Osteoporosis was confirmed by micro-CT of the fifth lumbar vertebra and femoral head. HFA was applied to the maxillary first molar for 5 minutes/day for 28 and 56 days. Maxillae were collected for micro-CT, histology, fluorescent microscopy, protein and RNA analysis, and three-point bending mechanical testing. RESULTS Micro-CT analysis revealed significant alveolar bone osteoporosis in the OVX group. Vibration restored the quality and quantity of alveolar bone to levels similar to the Sham-OVX group. Animals exposed to HFA demonstrated higher osteoblast activity and lower osteoclast activity. Osteogenic transcription factors (RUNX2, Foxo1, Osterix and Wnt signaling factors) were upregulated following vibration, while RANKL/RANK and Sclerostin were downregulated. HFA did not affect serum TRAcP-5b or CTx-1 levels. The osteogenic effect was highest at the point of HFA application and extended along the hemimaxillae this effect did not cross to the contra-lateral side. CONCLUSIONS Local application of vibration generated gradients of increased anabolic metabolism and decreased catabolic metabolism in alveolar bone of osteoporotic rats. Our findings suggest that HFA could be a predictable treatment for diminished alveolar bone levels in osteoporosis patients.
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Affiliation(s)
- Mani Alikhani
- Advanced Graduate Education Program in Orthodontics, Department of Developmental Biology, Harvard School of Dental Medicine, Boston, Massachusetts, United States of America
- The Forsyth Institute, Cambridge, Massachusetts, United States of America
- CTOR Academy, Hoboken, New Jersey, United States of America
| | - Mona Alikhani
- CTOR Academy, Hoboken, New Jersey, United States of America
| | - Sarah Alansari
- The Forsyth Institute, Cambridge, Massachusetts, United States of America
- CTOR Academy, Hoboken, New Jersey, United States of America
| | | | | | - Edmund Khoo
- Department of Orthodontics, New York University College of Dentistry, New York, New York, United States of America
| | - Jose A Lopez
- CTOR Academy, Hoboken, New Jersey, United States of America
| | | | - Joo Y Nho
- CTOR Academy, Hoboken, New Jersey, United States of America
| | - Serafim M Oliveira
- CTOR Academy, Hoboken, New Jersey, United States of America
- Department of Mechanical Engineering, Polytechnic Institute of Viseu, Viseu, Portugal
| | - Chinapa Sangsuwon
- CTOR Academy, Hoboken, New Jersey, United States of America
- Department of Orthodontics, New York University College of Dentistry, New York, New York, United States of America
| | - Cristina C Teixeira
- CTOR Academy, Hoboken, New Jersey, United States of America
- Department of Orthodontics, New York University College of Dentistry, New York, New York, United States of America
- Department of Basic Science & Craniofacial Biology, New York University College of Dentistry, New York, New York, United States of America
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Birocale AM, Medeiros ARS, Ruffoni LDG, Takayama L, de Oliveira JM, Nonaka KO, Pereira RMR, Bissoli NS. Bone mineral density is reduced by telmisartan in male spontaneously hypertensive rats. Pharmacol Rep 2016; 68:1149-1153. [PMID: 27607362 DOI: 10.1016/j.pharep.2016.06.014] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2016] [Revised: 06/02/2016] [Accepted: 06/20/2016] [Indexed: 11/30/2022]
Abstract
BACKGROUND Telmisartan, an angiotensin AT1 receptor blocker, and treadmill running were compared for their effects on bone mineral density (BMD) and biomechanical properties of male spontaneously hypertensive rats (SHR). It was hypothesized that running (18m/min/60min/d) and telmisartan (5mg/kg/d) would have a positive effect on bone parameters. METHODS Three-month-old male SHRs were divided into three groups: sedentary (S), telmisartan (T), and exercise (E). At the end of an 8-week protocol, femur and lumbar vertebrae were analyzed by dual-energy X-ray absorptiometry (DXA) for bone mineral density and by the three-point bending test for biomechanical properties. Blood pressure in all groups was measured by a tail-cuff manometer. RESULTS Telmisartan and treadmill running reduced blood pressure when compared to the sedentary group; however, telmisartan did not improve bone characteristics. Instead, it reduced BMD of femur total and lumbar vertebrae and worsened bone biomechanic properties. Treadmill running maintained bone characteristics and hence was effective in maintaining bone health. CONCLUSION Results showed that telmisartan negatively affected bones suggesting that caution should be taken in possible therapeutic applications for protecting bone health in hypertensive conditions. More studies are necessary to clarify the mechanisms through which telmisartan favors bone loss in this model.
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Affiliation(s)
- Antonio Marcos Birocale
- Department of Health Integrated Education, Federal University of Espirito Santo,Vitória, Brazil.
| | | | | | - Liliam Takayama
- Department of Medical Clinic, Medicine College, University of São Paulo, São Paulo, Brazil
| | | | - Keico Okino Nonaka
- Department of Physiological Sciences, Federal University of São Carlos, São Carlos, Brazil
| | | | - Nazaré Souza Bissoli
- Department of Physiological Sciences, Federal University of Espirito Santo, Vitória, Brazil
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Lee SH, Chen IJ, Li YH, Fan Chiang CY, Chang CH, Hsieh PH. Incidence of second hip fractures and associated mortality in Taiwan: A nationwide population-based study of 95,484 patients during 2006-2010. ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA 2016; 50:437-42. [PMID: 27473531 PMCID: PMC6197401 DOI: 10.1016/j.aott.2016.06.008] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/11/2015] [Revised: 11/15/2015] [Accepted: 01/09/2016] [Indexed: 11/17/2022]
Abstract
OBJECTIVES The aim of the study is was to determine the incidence and mortality of second hip fracture using a nationwide database. PATIENTS AND METHODS A nationwide epidemiological study was conducted using the Taiwan National Health Insurance Research Database from 2001 to 2011. Patients older than 50 years with hip fractures from 2006 to 2011 were included in the study. A total of 95,484 hip fractures were identified, with subsequent second hip fracture occurred in 4102 of them. RESULTS The incidence rate ratio of second hip fracture showed a 7.13 fold of risk of further hip fracture in 3 months, 5.21 fold in one year, and remained more than 2 fold in the end of 6th year when compared with the general population. The 6-year cumulative incidence of a second hip fracture was higher in female (8.0%) than in male (6.2%). A significantly higher 1-year mortality rate was seen after a second hip fracture (18.8%) compared to the first hip fracture (14.1%) (p < 0.05). Men had higher 1- and 5-year mortality rates after second hip fractures (12.1% and 41.2%, respectively) than women (17.4% and 47.3%, respectively). CONCLUSIONS Patients with hip fractures would have a 2-7 fold of risk of a second fracture within 6 years. Women were more prone to a second hip fracture than men but men had a higher mortality rate.
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Affiliation(s)
- Sheng-Hsun Lee
- Department of Orthopaedic Surgery, Chang Gung Memorial Hospital, No. 5, Fu-Shin St., Taoyuan, Taiwan; Bone and Joint Research Center, Chang Gung Memorial Hospital, Taiwan.
| | - I-Jung Chen
- Department of Orthopaedic Surgery, Chang Gung Memorial Hospital, No. 5, Fu-Shin St., Taoyuan, Taiwan; Bone and Joint Research Center, Chang Gung Memorial Hospital, Taiwan.
| | - Ya-Hsin Li
- Department of Health Policy and Management, Chung Shan Medical University, No. 110, Section 1, Chien-Kuo N. Road, Taichung, Taiwan.
| | - Chih-Yun Fan Chiang
- Department of Orthopaedic Surgery, Da Chien General Hospital, No. 36, Gongjing Road, Miaoli, Taiwan.
| | - Chih-Hsiang Chang
- Department of Orthopaedic Surgery, Chang Gung Memorial Hospital, No. 5, Fu-Shin St., Taoyuan, Taiwan; Bone and Joint Research Center, Chang Gung Memorial Hospital, Taiwan.
| | - Pang-Hsin Hsieh
- Department of Orthopaedic Surgery, Chang Gung Memorial Hospital, No. 5, Fu-Shin St., Taoyuan, Taiwan; College of Medicine, Chang Gung University, No. 259, Wenhua 1st Road, Kuei-Shan, Taoyuan, Taiwan; Bone and Joint Research Center, Chang Gung Memorial Hospital, Taiwan.
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Li M, Wu W, Tan L, Mu D, Zhu D, Wang J, Zhao B. Low-magnitude mechanical vibration regulates expression of osteogenic proteins in ovariectomized rats. Biochem Biophys Res Commun 2015; 465:344-8. [DOI: 10.1016/j.bbrc.2015.07.154] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2015] [Accepted: 07/30/2015] [Indexed: 10/23/2022]
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Edwards JH, Reilly GC. Vibration stimuli and the differentiation of musculoskeletal progenitor cells: Review of results in vitro and in vivo. World J Stem Cells 2015; 7:568-582. [PMID: 25914764 PMCID: PMC4404392 DOI: 10.4252/wjsc.v7.i3.568] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2014] [Accepted: 12/17/2014] [Indexed: 02/06/2023] Open
Abstract
Due to the increasing burden on healthcare budgets of musculoskeletal system disease and injury, there is a growing need for safe, effective and simple therapies. Conditions such as osteoporosis severely impact on quality of life and result in hundreds of hours of hospital time and resources. There is growing interest in the use of low magnitude, high frequency vibration (LMHFV) to improve bone structure and muscle performance in a variety of different patient groups. The technique has shown promise in a number of different diseases, but is poorly understood in terms of the mechanism of action. Scientific papers concerning both the in vivo and in vitro use of LMHFV are growing fast, but they cover a wide range of study types, outcomes measured and regimens tested. This paper aims to provide an overview of some effects of LMHFV found during in vivo studies. Furthermore we will review research concerning the effects of vibration on the cellular responses, in particular for cells within the musculoskeletal system. This includes both osteogenesis and adipogenesis, as well as the interaction between MSCs and other cell types within bone tissue.
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Qi BB, Resnick B, Nahm ES. Reliability and validity of the revised Osteoporosis Knowledge Test. J Nurs Meas 2014; 22:342-56. [PMID: 25255683 DOI: 10.1891/1061-3749.22.2.342] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND AND PURPOSE The purpose of this study was to test the psychometric properties of the Osteoporosis Knowledge Test (OKT) revised to incorporate recent evidence-based recommendations for bone health. METHODS The revised OKT was tested with 866 participants (mean age = 62.8 years +/- 8.5 years) in an online bone health study. RESULTS Based on Rasch analysis, there was evidence of internal consistency with an item separation index of 12.68 and a reliability score of .98. The person separation index was 2.06 with a reliability score of .81. The INFIT and OUTFIT mean-square statistics for items on both subscales all demonstrated good fit ranging from 0.71 to 1.40, except for 2 items that had low OUTFIT statistics. CONCLUSIONS The revised OKT provides sufficient reliability and construct validity.
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Omsland TK, Emaus N, Tell GS, Ahmed LA, Center JR, Nguyen ND, Gjesdal CG, Forsmo S, Schei B, Søgaard AJ, Meyer HE. Ten-year risk of second hip fracture. A NOREPOS study. Bone 2013; 52:493-7. [PMID: 23000506 DOI: 10.1016/j.bone.2012.09.009] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/25/2012] [Revised: 09/07/2012] [Accepted: 09/09/2012] [Indexed: 11/15/2022]
Abstract
BACKGROUND Second hip fracture risk is elevated after the first, however whether risk differs with age, by sex or over time is not well known. OBJECTIVE To examine the risk of second hip fracture by sex, age and time after first hip fracture. DESIGN Data on all hip fractures in subjects 50 years and older and treated in Norwegian hospitals during 1999-2008 were retrieved. Surgical procedure codes and additional diagnosis codes were used to define incident fractures. Survival analyses with and without adjustment for competing risk of death were used to estimate the risk of second hip fracture. RESULTS Among the 81,867 persons who sustained a first hip fracture, 6161 women and 1782 men suffered a second hip fracture during follow-up. The overall age-adjusted hazard ratio (HR) of a second hip fracture did not differ between the sexes (women versus men, HR=1.03; 95% confidence interval (CI): 0.98-1.09). Taking competing risk of death into account, the corresponding age-adjusted HR of a second hip fracture was 1.40 (95% CI: 1.33-1.47) in women compared to men. The greater risk in women was due to a higher mortality in men. Based on competing risk analyses, we estimate that 15% of women and 11% of men will have suffered a second hip fracture within 10 years after the first hip fracture. The ten-year cumulative incidence was above 10% in all age-groups, except in men 90 years and older. CONCLUSION Fracture preventive strategies have a large potential in both women and men who suffer their first hip fracture due to the high risk of another hip fracture.
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Affiliation(s)
- Tone K Omsland
- Division of Epidemiology, Norwegian Institute of Public Health, Oslo, Norway.
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Abstract
Osteoporosis has finally been recognized as an important disorder in men. Men have osteoporotic fractures about 10 years later in life than women. Owing to increasing life expectancy, more fractures are predicted. Important risk factors for men include advancing age, smoking or chronic obstructive pulmonary disease, glucocorticoid therapy, and androgen deprivation therapy for prostate cancer. Other groups at risk for osteoporosis include those with alcohol abuse, men on enzyme-inducing antiseizure drugs, and those with malabsorption or history of surgery for peptic ulcer disease. History and physical examination will likely reveal secondary causes of osteoporosis. Some, but not all organizations, recommend screening for osteoporosis in men older than age 70. In the USA, The Department of Veterans Affairs recommends case finding rather than screening. Evaluation starts with bone mineral density testing by dual energy X-ray absorptiometry of the spine, hip, and in some cases forearm. A few laboratory tests can be helpful, including measurement of 25-hydroxyvitamin D. Most studies of osteoporosis therapy in men are small; but alendronate, risedronate, zoledronic acid, and teriparatide are FDA-approved to increase bone density in men with osteoporosis. A new potent antiresorptive agent, denosumab, increased bone density dramatically in men on androgen deprivation therapy and is approved for this indication in Europe. Recognition, diagnosis, and treatment of osteoporosis in men should lead to fewer fractures and probably fewer deaths.
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