Acute Effects of Whole-Body Vibration on the Pain Level, Flexibility, and Cardiovascular Responses in Individuals With Metabolic Syndrome

The aim of the study was to assess the acute effect of whole-body vibration (WBV) exercise, with low frequency (5 Hz), on the pain level (PL), trunk flexibility, and cardiovascular responses (blood pressure [BP] and heart rate [HR]) in individuals with metabolic syndrome (MetS). Forty-four individuals were included in the study (control: 15) or in (WBV exercise: 29) groups. They were submitted to 3 bouts (1 minute each) of WBV exercise (5 Hz and peak-to-peak displacements of 2.5, 5.0, and 7.5 mm, corresponding to peak accelerations of 0.12, 0.25, and 0.35 g, respectively, sitting in a chair with the feet on the platform with knees flexed, followed by 1 minute of interset rest. The Control Group performed the same protocol, but the platform was turned off. The PL was measured through the visual analog pain scale, and the flexibility was measured through the anterior trunk flexion test. Significant improvements on PL ( P = .031) and flexibility ( P = .004) were found only in the WBV exercise group. The BP and HR remained at physiological levels. In conclusion, the WBV exercise would lead to physiological response decreasing PL and increasing flexibility as well as maintaining the cardiovascular responses in individuals with MetS.

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Composição corporal na síndrome metabólica: Proposta de um protocolo de ensaio clínico randomizado avaliando o efeito do exercício de vibração de corpo inteiro

Brazilian Journal of Health and Biomedical Sciences ◽

10.12957/bjhbs.2019.53058 ◽

2019 ◽

Vol 18 (1) ◽

pp. 33-40

Author(s):

Aline S. Reis ◽

Laisa L. Paineiras-Domingos ◽

Eloá Moreira-Marconi ◽

Márcia C. Moura-Fernandes ◽

Hervé Quinart ◽

...

Keyword(s):

Risk Factors ◽

Metabolic Syndrome ◽

Body Composition ◽

Low Cost ◽

Whole Body Vibration ◽

Strong Relationship ◽

The Body ◽

Whole Body ◽

Control Group ◽

Body Vibration

Introduction: Metabolic syndrome (MetS) is characterized bya group of cardiovascular risk factors, such as hypertension,hyperglycemia, hypercholesterolemia, low high-density cholesteroland increased abdominal fat. Over the years, changesin body composition occur, with accelerated loss of lean massand increased fat mass, favoring cardiometabolic disorders.A strong relationship exists between physical inactivity andthe presence of multiple risk factors for MetS. Thus, physicalexercise has been recommended for the prevention of cardiovascular,chronic and MetS diseases. Whole-body vibration(WBV) exercise can be considered to be an exercise modalitythat benefits the muscular strength and cardiovascular healthof elderly, sick and healthy people. Individuals with MetSare unmotivated to perform physical exercise regularly and,therefore, new approaches to intervention for this populationare desirable. Objectives: The aim of this study is to presenta protocol to verify the effect of WBV exercise on the bodycomposition of MetS individuals. Methods: Randomized controlledtrial with MetS individuals that will be allocated to anintervention group (WBVG) and a control group (CG). Participantswill be placed barefoot on the base of a side alternatingvibrating platform, with 130º knee flexion. Individuals (WBVGand CG) will perform the protocol for 12 weeks, twice a week.The CG subjects will perform the exercises at 5Hz throughoutthe intervention and those from the WBVG will perform the5Hz exercises in the first session, adding 1Hz per session, endingthe protocol at 16Hz. The body composition will be evaluatedbefore and after the protocol using bioelectrical impedanceanalysis. Discussion: Studies involving WBV exercise haveshown improvement in composition in individuals withdifferent conditions (healthy and unhealthy). Conclusion: Theproposed protocol will permit the acquisition of findings thatwill be relevant in the evaluation of the effect of the WBV onthe body composition of MetS individuals due to its ease ofrealization, low cost and safety.Keywords: Whole body vibration exercise; Metabolic syndrome;Physical activity.

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The Effects of Whole Body Vibration Training on Some Biochemical Values in Terms of Osteoporosis Risk in Premenopausal Women

Journal of Education and Training Studies ◽

10.11114/jets.v6i4a.3192 ◽

2018 ◽

Vol 6 (4a) ◽

pp. 9

Author(s):

Nurcan Demirel ◽

Fatih Kaya ◽

Salih Pınar

Keyword(s):

Whole Body Vibration ◽

Premenopausal Women ◽

Acute Effect ◽

Exercise Group ◽

Whole Body ◽

Assay Method ◽

Control Group ◽

Body Vibration ◽

Significant Difference ◽

Group Comparisons

The main purpose of the present study is to comparatively examine the effects of Whole body vibration (WBV) trainings on some biochemical bone-turnover markers (Beta-CTx, Osteocalcin) in terms of osteoporosis. Twenty-four sedentary women (mean age=37.12±1.84 years) participated in the study. The participants were randomly divided to 3 groups: whole body vibration exercise group (WBV, n=8), classical resistance exercise group (CR, n=8), and control group (CO, n=8). Vibration trainings and classical resistance trainings were applied in similar exercise models for major muscle groups three days a week for eight weeks, not on consecutive days but in the same contexts. Of biochemical values, Beta-CTx and Osteocalcin were analysed by using Cobas e 411 ECLIA (Electro Chem. Luminance Immune Assay) method before and after the eight-week exercise period. For intra-group comparisons paired-samples t-test, for inter-group comparisons one way ANOVA, and for multi-comparisons Tukey test were used. While a statistically significant difference was found between pretest posttest of Beta-CTx and Osteocalcin values of CR (p<.05), there was not a significant difference in WBV and CO groups (p>.05). A statistically significant difference was found between the groups in terms of pretest posttest biochemical value changes (Beta-CTx, Osteocalsin) of the participants (p<.05). As a result, eight-week WBV training in premenopausal women can be considered as safe in terms of biochemical values’ (Beta-CTx, Osteocalcin) remaining unchanged. On the other hand, CR training made significant changes on the values in question. Whether this change is an acute effect or not has become a raising question. This case can be studied in premenopausal women in further research.

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Acute and Cumulative Effects With Whole-Body Vibration Exercises Using 2 Biomechanical Conditions on the Flexibility and Rating of Perceived Exertion in Individuals With Metabolic Syndrome: A Randomized Clinical Trial Pilot Study

Dose-Response ◽

10.1177/1559325819886495 ◽

2019 ◽

Vol 17 (4) ◽

pp. 155932581988649 ◽

Cited By ~ 2

Author(s):

P. C. Paiva ◽

C. A. Figueiredo ◽

A. Reis-Silva ◽

A. Francisca-Santos ◽

L. L. Paineiras-Domingos ◽

...

Keyword(s):

Metabolic Syndrome ◽

Perceived Exertion ◽

Whole Body Vibration ◽

Rating Of Perceived Exertion ◽

Cumulative Exposure ◽

Whole Body ◽

Trunk Flexion ◽

Peak Displacement ◽

Body Vibration ◽

Before And After

This study evaluated the effects of 6 weeks of whole-body vibration (WBV) exercise on flexibility and the rating of perceived exertion (RPE) in metabolic syndrome (MetS) individuals using 2 biomechanical conditions (fixed frequency [FF] and variable frequency [VF]). Nineteen MetS individuals were randomly allocated in FF-WBV (n = 9, 7 women and 2 men) and VF-WBV (n = 10, 8 women and 2 men) groups. Anterior trunk flexion (ATF) and RPE were determined before and after each session. The acute cumulative exposure effects were analyzed. The FF-WBV group was exposed to 5 Hz on a side alternating vibrating platform (SAVP), exposed to 10 and 50 seconds with the SAVP turned off. The VF-WBV group individuals were intermittently exposed (1 minute WBV exercise/1 minute rest) to 5 to 16 Hz, increased by 1 Hz per session and the peak-to-peak displacement (PPD) were 2.5, 5.0, and 7.5 mm. Regarding to ATF, significant improvements ( P < .05) were observed in the in the acute (VF group) and cumulative intervention (FF and VF-WBV groups). The RPE significantly ( P < .05) improved only in VF-WBV (cumulative intervention). In conclusion, WBV exercise improved the flexibility and decreased the RPE in MetS individuals. These findings suggest that WBV exercise can be incorporated into physical activities for MetS individuals.

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Effects of the Whole-Body Vibration and Auriculotherapy on the Functionality of Knee Osteoarthritis Individuals

Applied Sciences ◽

10.3390/app9235194 ◽

2019 ◽

Vol 9 (23) ◽

pp. 5194 ◽

Cited By ~ 3

Author(s):

Cristiane Ribeiro Kütter ◽

Eloá Moreira-Marconi ◽

Ygor Teixeira-Silva ◽

Marcia Cristina Moura-Fernandes ◽

Alexandre Gonçalves de Meirelles ◽

...

Keyword(s):

Knee Joint ◽

Knee Osteoarthritis ◽

Whole Body Vibration ◽

Cumulative Effect ◽

International Knee Documentation Committee ◽

Acute Effect ◽

Whole Body ◽

Control Group ◽

Body Vibration ◽

First Session

Knee osteoarthritis (KOA) is a degenerative disease of the knee joint. This study aims to evaluate the effects of whole-body vibration (WBV), auriculotherapy (AT), and the association of these techniques with the functionality of KOA individuals. Individuals (n = 120) were allocated an AT group (GAT), a WBV group (GWBV), an association group (GWBV + AT), and their respective controls (CGAT, CGWBMV, CGWBMV + AT). The WBV intervention was performed with 5–14 Hz in 3 min of working time with 1 min rest. The control group performed the protocol with the vibrating platform (VP) turned off. The AT intervention was performed with adhesive tapes, with seeds placed in the both ears on the Shenmen point, knee joint, and kidney. The control groups had seedless tape placed on both ears. The participants were instructed to press the adhesive tapes with the fingers three times per day (for 6 days) and to remove the adhesive tapes on the seventh day, before returning to the laboratory. The International Knee Documentation Committee (IKDC), the short physical performance battery (SPPB), and the anterior trunk flexibility (ATF) tests were applied. Acute and cumulative effects were determined. In first session (acute effect of the first session), significant improvements were observed in the groups GWBV (p = 0.03) and GWBV + AT (p = 0.04), and in the cumulative effect a significant improvement was observed in the groups GWBV (p = 0.02) and GWBV + AT (p = 0.01). Concerning the overall score of the SPPB, significant improvements were observed in the individuals of the GWBV (p = 0.01) and GWBV + AT (p = 0.03) groups (cumulative effect). No changes were found in the score for the IKDC. The WBV alone or associated with AT, besides being a safe and feasible strategy, likely produces physiological responses that improve the functionality of KOA individuals, considering the findings of the ATF and the score of the SPPB.

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A Randomized Controlled Trial of Whole Body Vibration Exposure on Markers of Bone Turnover in Postmenopausal Women

Journal of Osteoporosis ◽

10.4061/2011/710387 ◽

2011 ◽

Vol 2011 ◽

pp. 1-10 ◽

Cited By ~ 20

Author(s):

Sarah Turner ◽

Margaret Torode ◽

Mike Climstein ◽

Geraldine Naughton ◽

David Greene ◽

...

Keyword(s):

Bone Resorption ◽

Bone Formation ◽

Postmenopausal Women ◽

Whole Body Vibration ◽

Low Frequency ◽

Whole Body ◽

Control Group ◽

Vibration Exposure ◽

Body Vibration ◽

Low Magnitude

Purpose. To examine the effects of two doses of low-frequency (12 Hz), low-magnitude (0.3 g), whole body vibration on markers of bone formation and resorption in postmenopausal women.Methods. Women were recruited and randomized into a sham vibration control group, one time per week vibration group (1×/week), or three times per week vibration group (3×/week). Vibration exposure consisted of 20 minutes of intermittent vibration for the 1×/week and 3×/week groups, and sham vibration (<0.1 g) for the control group for eight weeks. Double-blinded primary outcome measures were urine markers of bone resorption: N-telopeptide X normalised to creatinine (NTx/Cr) and bone formation: bone-specific alkaline phosphatase (ALP).Results. Forty-six women (59.8 ± 6.2 years, median 7.3 years since menopause) were enrolled. NTx/Cr was significantly reduced (34.6%) in the 3×/wk vibration group but not in the 1×/wk vibration group compared with sham control (P<.01) group. No effect of time or group allocation was observed on the bone formation marker ALP (P=.27).Conclusion. We have shown for the first time that low-frequency, low-magnitude vibration 3×/week for eight weeks in postmenopausal women results in a significant reduction in NTx/Cr, a marker of bone resorption, when compared with sham vibration exposure.

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Acute Effects of Whole-Body Vibration Exercise on Pain Level, Functionality, and Rating of Exertion of Elderly Obese Knee Osteoarthritis Individuals: A Randomized Study

Applied Sciences ◽

10.3390/app10175870 ◽

2020 ◽

Vol 10 (17) ◽

pp. 5870

Author(s):

Marcia Cristina Moura-Fernandes ◽

Eloá Moreira-Marconi ◽

Alexandre Gonçalves de Meirelles ◽

Aline Reis-Silva ◽

Luiz Felipe Ferreira de Souza ◽

...

Keyword(s):

Knee Osteoarthritis ◽

Perceived Exertion ◽

Whole Body Vibration ◽

Joint Disease ◽

Whole Body ◽

Control Group ◽

Pain Level ◽

Acute Effects ◽

Borg Scale ◽

Body Vibration

Introduction: Among chronic diseases, knee osteoarthritis (KOA) is a joint disease that causes important progressive alterations in the articular and periarticular structures, including synovial inflammation. Exercise has been suggested as an intervention to KOA individuals, and studies suggest that whole-body vibration (WBV) exercise decreases pain levels and favours the functionality of KOA individuals. Objective: The aim of the present study is to analyze the acute effects of WBV exercise on pain levels, functionality (Timed Up and Go (TUG test), anterior trunk flexion (ATF)), and rating of exertion of elderly obese KOA individuals. Methods: Thirty-seven individuals with KOA were allocated to a WBV exercise group (WBVEG), n = 19 (15 females/4 males), and a control group (CG), n = 18 (15 females/3 males). WBVEG performed one session of WBV exercise (11 min, using 5 Hz, 2.5, 5.0, and 7.5 mm, 0.12, 0.25, and 0.37 g). Three bouts were performed (working time of 3 min and rest time of 1 min) using a side-alternating vibrating platform (VP). The same position was used in CG; however, the VP was turned off and there was equipment coupled to the VP that emitted a sound like the vibrations. The pain level was evaluated using a visual analog scale (VAS). Functionality was evaluated with a TUG test and ATF. The rating of subjectively perceived exertion was measured with the category ratio CR-10 (BORG Scale CR-10), Results: A reduction of pain levels in WBVEG after the intervention (p = 0.001) and intergroups (p = 0.041) was found. A decrease of TUG test time in both groups (p = 0.001) and intergroups (p = 0.045) was found, while no statistical changes were observed in the Borg Scale score. Significant improvements of flexibility in both groups (p = 0.001) and intergroups (p = 0.043) were found. Conclusion: One session of WBV exercise can lead to important improvements in individuals with KOA, possibly triggered by physiological responses. However, more studies are needed, in this clinical context, to confirm these results.

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Can whole body vibration exercises promote improvement on quality of life and on chronic pain level of metabolic syndrome patients? A pseudorandomized crossover study

Journal of Applied Physiology ◽

10.1152/japplphysiol.00068.2019 ◽

2020 ◽

Vol 128 (4) ◽

pp. 934-940 ◽

Cited By ~ 2

Author(s):

Laisa Liane Paineiras-Domingos ◽

Danúbia da Cunha Sá-Caputo ◽

Arlete Francisca-Santos ◽

Aline Reis-Silva ◽

Rafaelle Pacheco Carvalho-Lima ◽

...

Keyword(s):

Quality Of Life ◽

Metabolic Syndrome ◽

Chronic Pain ◽

Psychological Health ◽

Whole Body Vibration ◽

Whole Body ◽

Pain Level ◽

Body Vibration ◽

Vibration Exercise

Quality of life (QoL) is one of the most important health outcome concepts expressed subjectively. Chronic pain (CP) is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. Taking into account the poor QoL and the CP already described in metabolic syndrome (MSy) individuals, this study aimed to evaluate the effects of whole body vibration exercises (WBVE) on these parameters in this population. Thirty-three MSy patients were divided in subgroups A [whole body vibration exercise group (WBVeG), n = 17, 15 females/2 males, 61.1 ± 8.4 yr] and B (control group, n = 16, 14 females/2 males, 58.2 ± 9.1 yr). Subgroup A performed 10 sessions (2 times/wk) of WBVE (18 min/session, with a frequency from 5 up to 14 Hz and a peak-to-peak displacement of 2.5, 5.0, and 7.5 mm) on a side-alternating vibrating platform (VP). Subgroup B did the same protocol, but the VP was turned off. The individuals answered the World Health Organization Quality of Life bref (WHOQoL-bref) questionnaire before the first and after the 10th session. The chronic pain level (CPL) was measured by a numeric rating scale (0–10) before and at the end of each session. Significant improvements were found in physical health ( P = 0.05) and psychological health ( P = 0.04) domains of WHOQoL-bref in WBVeG. A significant acute reduction of the CPL was found in the WBVeG after the protocol, considering the first session and at the last session. WBVE marginally improved physical health and psychological health and decrease the CPL in acute interventions. NEW & NOTEWORTHY Metabolic syndrome patients experience poor quality of life, frequently associated with lack of exercise and bad dietary habits. Additionally, factors such as obesity, neuromusculoskeletal impairment, and peripheral endothelial dysfunction result in a chronic pain level. Whole body vibration exercise might represent a suitable physical therapy, since it is easy to perform, low cost, safe, and capable of promoting an improvement of quality of life and reducing chronic pain level during acute interventions in metabolic syndrome individuals.

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A Comparison of the Effect of Two Types of Whole Body Vibration Platforms on Fibromyalgia. A Randomized Controlled Trial

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18063007 ◽

2021 ◽

Vol 18 (6) ◽

pp. 3007

Author(s):

José Antonio Mingorance ◽

Pedro Montoya ◽

José García Vivas Miranda ◽

Inmaculada Riquelme

Keyword(s):

Quality Of Life ◽

Motor Function ◽

Whole Body Vibration ◽

Whole Body ◽

Control Group ◽

Body Vibration ◽

Positive Effects ◽

Therapy Program

Whole body vibration has been proven to improve the health status of patients with fibromyalgia, providing an activation of the neuromuscular spindles, which are responsible for muscle contraction. The present study aimed to compare the effectiveness of two types of whole body vibrating platforms (vertical and rotational) during a 12-week training program. Sixty fibromyalgia patients (90% were women) were randomly assigned to one of the following groups: group A (n = 20), who performed the vibration training with a vertical platform; group B (n = 20), who did rotational platform training; or a control group C (n = 20), who did not do any training. Sensitivity measures (pressure pain and vibration thresholds), quality of life (Quality of Life Index), motor function tasks (Berg Scale, six-minute walking test, isometric back muscle strength), and static and dynamic balance (Romberg test and gait analysis) were assessed before, immediately after, and three months after the therapy program. Although both types of vibration appeared to have beneficial effects with respect to the control group, the training was more effective with the rotational than with vertical platform in some parameters, such as vibration thresholds (p < 0.001), motor function tasks (p < 0.001), mediolateral sway (p < 0.001), and gait speed (p < 0.05). Nevertheless, improvements disappeared in the follow-up in both types of vibration. Our study points out greater benefits with the use of rotational rather than vertical whole body vibration. The use of the rotational modality is recommended in the standard therapy program for patients with fibromyalgia. Due to the fact that the positive effects of both types of vibration disappeared during the follow-up, continuous or intermittent use is recommended.

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Effects of whole-body vibration on quadriceps and hamstring muscle strength, endurance, and power in children with hemiparetic cerebral palsy: a randomized controlled study

Bulletin of Faculty of Physical Therapy ◽

10.1186/s43161-021-00023-1 ◽

2021 ◽

Vol 26 (1) ◽

Author(s):

Rania G. Hegazy ◽

Amr Almaz Abdel-aziem ◽

Eman I. El Hadidy ◽

Yosra M. Ali

Keyword(s):

Cerebral Palsy ◽

Physical Therapy ◽

Muscle Strength ◽

Whole Body Vibration ◽

Whole Body ◽

Controlled Study ◽

Control Group ◽

Hamstring Muscle ◽

Post Intervention ◽

Body Vibration

Abstract Background Hemiplegic cerebral palsy (CP) enormously affects the quadriceps and hamstring muscles. It causes weakness in the affected lower-extremity muscles in addition to muscle imbalance and inadequate power production, especially in the ankle plantar-flexor and knee extensor muscles. It also causes anomalous delayed myoelectrical action of the medial hamstring. A whole-body vibration (WBV) exercise can diminish muscle spasticity and improve walking speed, muscle strength, and gross motor function without causing unfavorable impacts in adults suffering from CP. Thus, the aim of this study is to investigate the impacts of WBV training associated with conventional physical therapy on the quadriceps and hamstring muscle strength, endurance, and power in children with hemiparetic CP. Results The post-intervention values of the quadriceps and hamstring muscle force, endurance, and power were significantly higher than the pre-intervention values for both groups (p = 0.001). The post-intervention values of the study group were significantly higher than the control group (quadriceps force, p = 0.015; hamstring force, p = 0.030; endurance, p = 0.025; power, p = 0.014). Conclusion The 8 weeks of WBV training that was added to traditional physical therapy was more successful in improving the quadriceps and hamstring muscle strength, endurance, and power in children with hemiparetic CP when compared to traditional physical therapy alone.

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Whole Body Vibration Exercises and the Improvement of the Flexibility in Patient with Metabolic Syndrome

Rehabilitation Research and Practice ◽

10.1155/2014/628518 ◽

2014 ◽

Vol 2014 ◽

pp. 1-10 ◽

Cited By ~ 7

Author(s):

Danúbia da Cunha Sá-Caputo ◽

Pedro Ronikeili-Costa ◽

Rafaelle Pacheco Carvalho-Lima ◽

Luciana Camargo Bernardo ◽

Milena Oliveira Bravo-Monteiro ◽

...

Keyword(s):

Metabolic Syndrome ◽

Muscle Power ◽

Whole Body Vibration ◽

Whole Body ◽

Mineral Density ◽

Level Of Evidence ◽

Body Vibration ◽

Pubmed Database ◽

Number Of Publications

Vibrations produced in oscillating/vibratory platform generate whole body vibration (WBV) exercises, which are important in sports, as well as in treating diseases, promoting rehabilitation, and improving the quality of life. WBV exercises relevantly increase the muscle strength, muscle power, and the bone mineral density, as well as improving the postural control, the balance, and the gait. An important number of publications are found in the PubMed database with the keyword “flexibility” and eight of the analyzed papers involving WBV and flexibility reached a level of evidence II. The biggest distance between the third finger of the hand to the floor (DBTFF) of a patient with metabolic syndrome (MS) was found before the first session and was considered to be 100%. The percentages to the other measurements in the different sessions were determined to be related to the 100%. It is possible to see an immediate improvement after each session with a decrease of the %DBTFF. As the presence of MS is associated with poorer physical performance, a simple and safe protocol using WBV exercises promoted an improvement of the flexibility in a patient with MS.

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