Effects of 3 weeks’ whole body vibration training on muscle strength and functional mobility in hospitalized persons with multiple sclerosis

2011 ◽  
Vol 18 (4) ◽  
pp. 498-505 ◽  
Author(s):  
Marieke Claerbout ◽  
Benoit Gebara ◽  
Stefan Ilsbroukx ◽  
Sabine Verschueren ◽  
Koen Peers ◽  
...  

Background: Exercise therapy in persons with multiple sclerosis (MS) is effective for improving muscle strength and functional mobility. Objective: To investigate, in MS patients attending an in-patient rehabilitation program, the additional effects of a 3-week exercise program, performed on a whole body vibration platform, on muscle strength and functionality. Methods: Median Expanded Disability Status Scale (EDSS) of participating patients was 5.5. This randomized controlled trial differentiated a MS control group (n = 17) and two exercise groups performing exercises on a vibration platform (WBV-full group, n = 20) and on the platform additionally covered by a damping mat (WBV-light group, n = 18). Exercise groups performed, during 10 training sessions, six static and dynamic exercises standing on a platform vibrating at high frequency and low amplitude. Isometric muscle strength of quadriceps, hamstrings, tibialis anterior and gluteus medius was measured with a hand-held dynamometer. Functional mobility was measured with Berg Balance Scale (BBS), 3-minute walk test and Timed Get up and Go test. Results: Eight drop-outs occurred in the exercise groups (WBV-full = 4, WBV-light = 4), but were unrelated to WBV as type of intervention. Across groups, significant time effects were found for all muscle groups. For maximal quadriceps and hamstrings muscle strength, interaction effects were found with post-hoc tests indicating exercise group-significant improvements in the WBV-full group only. Significant time effects were found for all functional tests. Improvements on the BBS and 3-minute walk test were larger in training than in control groups, but no significant interactions were found. Conclusions: A 3-week exercise program on a vibration plate significantly improved muscle strength, but not functionality, in persons with MS.

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Sebastião David Santos-Filho ◽  
Michelle H. Cameron ◽  
Mario Bernardo-Filho

The objective of this work was to investigate the effects of whole-body vibration on people with multiple sclerosis (MS). PubMed, CINAHL and Scopus databases were systematically searched for studies on the use of whole-body vibration (WBV) exercise in people with MS. These searches were supplemented with material identified in the references and in the authors’ personal files. A qualitative analysis was performed to summarize the findings. Five studies with a total of seventy-one subjects were identified. All of these studies had small numbers of subjects (3–25), and two of the studies had no control groups. Some investigations have shown significant improvements of the muscle strength, of the functional mobility, and of the timed get up and go test in patients with MS. The number of publications found in the databanks searched is small, and in general, they have limitations in the design of protocols with a weakness to the interpretation of the findings. However, the analysis of the findings in these studies permits to conclude that some papers indicate that WBV exercises could benefit patients with MS. In addition, we suggest further larger scale investigations with controlled parameters and well-designed protocols into the effects of WBV exercises in people with MS.


2020 ◽  
pp. 2050019
Author(s):  
Mohd Mukhtar Alam ◽  
Abid Ali Khan ◽  
Mohd Farooq

Multiple sclerosis (MS) is a type of degenerative syndrome that causes impaired physical function, decreased walking, imbalance, spasticity, sensory impairment, muscle weakness, fatigue, and demyelination of the central nervous system. The purpose of this review was to critically examine available studies on the efficacy of whole-body vibration (WBV) in patients with MS during rehabilitation training to increase strength, balance, and functional mobility. An organized literature search was performed on databases from various sources, including PubMed, MEDLINE, CINAHL, and EMBASE, to identify relevant randomized clinical trials (RCTs). Eight studies were finally selected based on exclusion and inclusion criteria. Attempts were made to identify factors affecting the improvement in muscle strength, balance, and functional mobility in MS patients as a result of WBV. A meta-analysis was performed if two or more studies measured the same outcome of interest. The meta-analysis found that the WBV intervention showed significant improvement over control groups in Body Balance Score (BBS) (MD = [Formula: see text]2.86, 95%CI = [Formula: see text]5.29 [Formula: see text] 0.43; [Formula: see text], [Formula: see text], heterogeneity ([Formula: see text]%). In addition, walking endurance (6MWT) favored control groups over WBV intervention (MD [Formula: see text], 95%CI [Formula: see text][Formula: see text] 99.41; [Formula: see text] = 2.97, [Formula: see text]). Timed-Up-and-Go Test (TUG) and Expanded Disability Status Scale (EDSS) ([Formula: see text]) had no significant effect on WBV. Restoration of balance and functional mobility appeared to respond better to WBV with additional exercise protocols compared to WBV alone. Although there is evidence of an overall effect of WBV on strength and some measures of balance and mobility, its impact remains inconclusive. Therefore, more robust RCTs examining exposure to WBV on balance and functional mobility in patients with MS are warranted.


2019 ◽  
Vol 18 (1) ◽  
pp. 73-80
Author(s):  
Luanda Alves Xavier Ramos ◽  
François Talles Medeiros Rodrigues ◽  
Lívia Shirahige ◽  
Maria de Fátima Alcântara Barros ◽  
Antônio Geraldo Cidrão de Carvalho ◽  
...  

2019 ◽  
Vol 32 ◽  
pp. 88-93 ◽  
Author(s):  
Maryam Abbasi ◽  
Amin Kordi Yoosefinejad ◽  
Maryam Poursadeghfard ◽  
Farnaz Parsaei Jahromi ◽  
Alireza Motealleh ◽  
...  

Author(s):  
Kwang-Yong Choi ◽  
Jung-Hee Kim ◽  
ByoungHee Lee

AbstractThe current study aimed to evaluate the effects of whole-body vibration combined with task-oriented training on muscle strength, balance, and gait in stroke patients with hemiplegia. In total, 24 stroke patients were included in this study. All participants were randomly assigned to either the whole-body vibration combined with task-oriented training group (n=12) or the whole-body vibration group (n=12). The WBVMT group underwent training (8 sets) for 30 min a day, 5 times per week for 4 weeks. Meanwhile, the WBV group underwent training (8 sets) for 30 min a day, 5 times per week for 4 weeks. Both groups received standard rehabilitation physical therapy for 60 min a day, 5 times a week for 4 weeks. In all participants, the scores for the hip extensor (HE) and knee extensor (KE) muscle strength, Five Times Sit-to-Stand (FTSTS) Test, limit of stability (LOS), Timed Up and Go (TUG) Test, Berg Balance Scale (BBS), 10-Meter Walk Test (10MWT), and 6-Min Walk Test (6MWT) were evaluated before and after the intervention. The WBVMT and WBV groups had a significant increase in the scores for HE and KE strength, FTSTS test, LOS, TUG test, BBS, 10MWT, and 6MWT (p<0.05). In particular, the WBVMT group had a significantly greater improvement than the WBV group in terms of KE muscle strength and TUG test, BBS, 10MWT, and 6MWT scores (p<0.05). WBVMT improved muscle strength, balance, and gait in stroke patients with hemiplegia.


Author(s):  
Saurabh Sharma ◽  
Sana Saifi ◽  
Nitin Krarora ◽  
Shalini Sharma

Whole Body Vibration (WBV) is a well-known modality which is increasingly being used by athletes to improve their conditioning levels. Muscle strength and power are major health related fitness components that contribute to marked success in athletic events. Recently, this exercise modality has been utilised by number of researches to investigate its role and efficacy in muscular conditioning. Muscle strength and power have been found to significantly increase when WBV is added to the conventional exercise program but the mechanism by which this strength and power increases has not been well documented. The present review aimed to highlight the impact of WBV on muscle strength, power, muscle activity, and the mechanism by which these gains occur in athletic populations.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Tsung-Hsien Wang ◽  
Chin-Pyng Wu ◽  
Li-Ying Wang

AbstractThe influence of peripheral muscle strength on prognosis after extubation and subsequent functional outcomes is not evident. The objectives of this study were to determine (1) whether peripheral muscle strength can be used as a predictor for patients’ prognoses after extubation, and (2) whether the peripheral muscle strength before extubation is correlated with patients’ subsequent ambulation ability and in-hospital mortality. This study was a prospective observational cohort study. A hand-held dynamometer was used for evaluated the muscle strength of the biceps and quadriceps right before extubation. Besides, after the patients had been transferred from the ICU to the general ward, a 2-minute walk test was performed. A total of 52 patients were enrolled in this study, and the rate of extubation failure was 15%. The muscle strength of the quadriceps was significantly correlated with the prognosis after extubation, 48% of the patients were able to ambulate after being transferred to the general ward. The overall mortality rate was 11%, and there was a significant correlation between the biceps muscle strength and in-hospital mortality. Peripheral muscle strength may serve as an important predictor of a patients’ prognoses after extubation. Poor peripheral muscle strength is indicative of not only a higher risk of re-intubation but also higher in-hospital mortality and poorer functional outcomes.Trial registration: ISRCTN16370134. Registered 30 May 2019, prospectively registered. https://www.isrctn.com/ISRCTN16370134.


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