Effects of exercise combined with whole body vibration in patients with patellofemoral pain syndrome: a randomised-controlled clinical trial

Abstract Background Patellofemoral pain is a prevalent condition in the general population, especially in women, and produces functional impairment in patients. Therapeutic exercise is considered an essential part of the conservative management. The use of vibration platforms may help improve strength and function and reduce pain in patients with knee disorders. The aim of this investigation was to determine the effects of adding whole body vibration (vertical, vibration frequency of 40 Hz, with an amplitude from 2 to 4 mm) to an exercise protocol for pain and disability in adults with patellofemoral pain. Methods A randomised clinical trial was designed, where 50 subjects were randomly distributed into either an exercise group plus whole body vibration or a control group. Pain, knee function (self-reported questionnaire) and range of motion and lower limb functionality were assessed at baseline and at 4 weeks. The experimental group performed 12 supervised sessions of hip, knee and core strengthening exercises on a vibration platform 3 times per week during 4 weeks. The control group followed the same protocol but without vibration stimuli. Differences in outcome measures were explored using an analysis of the variance of 2 repeated measures. Effect sizes were estimated using Square Eta (η2). Significant level was set al P < 0.05. Results Statistically significant differences were found after intervention in favour of the experimental group in the between-groups comparison and in the interaction of the experimental group before and after treatment in terms of pain perception (P = 0.000; η2 = 0.63) and function outcomes scores (P = 0.000; η2 0.39 and 0.51 for lower limb functional scale and Kujala scores respectively). Conclusion A 4-week whole body vibration exercise programme reduces pain level intensity and improves lower limb functionality in patellofemoral pain patients and is more effective than exercise alone in improving pain and function in the short-term. Trial registration ClinicalTrials.gov (NCT04031248). This study was prospectively registered on the 24th July, 2019.

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Whole-Body Vibration Does Not Seem to Affect Postural Control in Healthy Active Older Women

Rehabilitation Research and Practice ◽

10.1155/2018/5798265 ◽

2018 ◽

Vol 2018 ◽

pp. 1-6

Author(s):

P. S. C. Gomes ◽

M. O. Campos ◽

L. F. Oliveira ◽

R. G. T. Mello ◽

I. A. Fernandes

Keyword(s):

Postural Control ◽

Repeated Measures ◽

Elderly Women ◽

Whole Body Vibration ◽

Whole Body ◽

Body Sway ◽

Control Group ◽

Physically Active ◽

Body Vibration ◽

Eyes Closed

Objective. This study investigated the acute residual effects induced by different frequencies of whole-body vibration (WBV) on postural control of elderly women. Design. Thirty physically active elderly women (67±5 years) were randomly divided into three groups: two experimental groups (high WBV frequency: 45 Hz and 4 mm amplitude, n=10; low WBV frequency: 30 Hz and 4 mm amplitude, n=10) and one control group (n=10), with no treatment. The participants were first subjected to stabilometry tests and were then guided through three sets of isometric partial squats for 60 s while the WBV stimulation was applied. The control group was subjected to the same conditions but without the WBV stimulation. The participants were again subjected to body balance tests immediately following the end of the intervention period and again at 8, 16, and 24 min. To measure body sway control, three 60 s tests were performed at 10 s intervals for each of the following experimental conditions: (1) eyes opened and (2) eyes closed. The following variables were investigated: the average velocity of the displacement of the centre of pressure in the anterior-posterior and medial-lateral planes as well as in the elliptical area. Results. A 3 (condition) × 5 (test) two-way repeated-measures ANOVA did not identify significant differences in the stabilometric variables, regardless of group, time, or experimental condition. Conclusions. The effect of WBV, regardless of the stimulation frequency, did not have a significant effect immediately after or up to 24 minutes after vibration cessation, on the variables involved in the control of postural stability in physically active elderly women.

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Effects of Whole-Body Vibration Training on Lower Limb Blood Flow in Children with Myelomeningocele—A Randomized Trial

Journal of Clinical Medicine ◽

10.3390/jcm10184273 ◽

2021 ◽

Vol 10 (18) ◽

pp. 4273

Author(s):

Małgorzata Domagalska-Szopa ◽

Andrzej Szopa ◽

Andrzej Siwiec ◽

Ilona Kwiecień-Czerwieniec ◽

Lutz Schreiber ◽

...

Keyword(s):

Blood Flow ◽

Lower Limb ◽

Whole Body Vibration ◽

Lower Limbs ◽

Whole Body ◽

Control Group ◽

Body Vibration ◽

Conventional Physiotherapy ◽

Whole Body Vibration Training ◽

The Impact

The objective of the present study was to determine the effectiveness of a three-week Whole-Body Vibration (WBV) training on the vascular blood flow of the lower limbs in children with myelomeningocele. The secondary goal was to evaluate the effect of WBV on the ROM of lower limb joints in this population. A total of 30 children with MMC (7–16 years old) were enrolled in the study. Children were randomly allocated to two groups of equal numbers, using an envelope code. The experimental group underwent a 3-week WBV training, while the control group received a 3-week conventional physiotherapy (PT) program. The examination consisted of two parts: (1) Doppler USG examination of the lower limb vascular blood flow; (2) evaluation of ROM. The results obtained revealed three main findings. First, WBV training effectively improved blood flow by increasing flow velocities in all tested arteries, while the impact of the PT program was limited to a single parameter. Second, WBV training effectively improved vascular resistance in arteries of the lower legs, while the PT program did not achieve any significant differences. Third, both types of treatment intervention significantly improved ROM in all joints of the lower limbs in MMC participants.

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Anatomical Parameters of the Acetabulum in Heavy Vehicle Operators

Serbian Journal of Experimental and Clinical Research ◽

10.1515/sjecr-2016-0043 ◽

2017 ◽

Vol 18 (3) ◽

pp. 221-225

Author(s):

Dejan Jeremic ◽

Maja Vulovic ◽

Ivana Zivanovic Macuzic ◽

Anita Ivosevic ◽

Vesna Grbovic ◽

...

Keyword(s):

Whole Body Vibration ◽

Whole Body ◽

Control Group ◽

Heavy Vehicle ◽

Body Vibration ◽

Neck Shaft Angle ◽

Increased Risk ◽

The Difference ◽

Experimental Group ◽

Anatomical Parameters

Abstract It has been suggested that long-term exposure by heavy vehicle operators to whole-body vibration (WBV) may be related to an increased risk of pathological changes in the anatomical parameters of the hip. The aim of this study was to explore the difference in anatomical parameters of acetabulum in drivers of heavy vehicles (experimental group; n=60) and subjects who have not been exposed to WBV (control group; n=60). The anteroposterior radiographic view of the hips was used to measure the following parameters: the vertical centre edge (VCE), the ‘horizontal toit externe’ angle (HTE), the neck shaft angle (NSA) and the acetabular depth (AD). Compared with the control group, the mean VCE angle values and AD were signifi cantly lower, while the average HTE and NSA values were signifi cantly higher in the experimental group. This study supports the hypothesis that exposure to whole-body vibration during operation of a vehicle causes an increased risk of acetabular dysplasia.

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BONE MINERAL DENSITY OF THE RATS TIBIA AFTER MODELING OF ARTIFICIAL MENOPAUSE AND INFLUENCE OF WHOLE BODY VIBRATION

Art of Medicine ◽

10.21802/artm.2021.2.18.71. ◽

2021 ◽

pp. 71-76

Author(s):

N. М. Kostyshyn

Keyword(s):

Bone Mineral Density ◽

Bone Tissue ◽

Bone Mineral ◽

Whole Body Vibration ◽

Whole Body ◽

Control Group ◽

Mineral Density ◽

Body Vibration ◽

Group I ◽

Experimental Group

Early deficiency of female sex hormones provokes bone loss in various parts of the skeleton, which further requires therapeutic correction. However, it is known that vibrational oscillations are anabolic for the trabecular layer of bone, which have been studied in both animal models and humans under physiological norms. It is likely that this anabolic reaction does not occur evenly throughout the skeleton, on the one hand, due to the cushioning properties of muscle tissue, ligaments, joints, and resonance, on the other. The aim of the study is to assess the condition and mineral density of the tibia under the condition of artificial menopause and the influence of non-physiological whole body vibration (WBV) with acceleration 0,3 g. Material and methods. The experiments were performed on 54 adult female Wistar rats. Rats were divided into three groups: control group (n=18) – SHAM surgery, experimental group I (n=18) - rats with ovariectomy, experimental group II (n=18) - rats after ovariectomy + WBV. Rats of were subjected to total vibration with acceleration of 0,3 g for 30 minutes 5 days a week for 24 weeks. At the 8th, 16th and 24th week of the experiment CT-densitometry of the tibia was performed. Results. The greatest loss of bone tissue was observed in experimental group I at the 24th week of the experiment, which decreased by 23.5% compared with the control group. At the 8th week of the study, the rate did not change statistically, and at the 16th - decreased to 8.1%. In experimental group II, bone density did not decrease statistically at the 8th and 16th week of our study, however, at the 24th week decreased by -16% to the control group, and compared with group I, increased by +11,2 % on the 24th day. The cortical layer of the tibial bone tissue did not change statistically in the experimental groups in relation to the control group. Factors that can affect the anabolic response in the tissues of the musculoskeletal system are the parameters of vibration, in particular the frequency and level of vibration acceleration. In our experimental study, we observed a decrease in bone mineral density in rats with ovariectomy and compared with ovariectomized rats subjected to vibration. We observed a positive correlation between whole body vibration and bone mass increase, which may be due to the effect of increased mechanical stress on the skeleton. We also demonstrated the negative effect of time after ovariectomy on bone density in experimental rats. The use of vibration maintained normal bone mineral density for a long time, and until the 16th week of the experiment, but at the 24th week, rate decreased significantly compared with the control group, but was higher than in group I. Analysis of CT scans showed high values of mineral density in experimental group II (ovariectomy + WBV) compared with experimental group I. Conclusions. The obtained results allow us to conclude that the WBV inhibits the accelerated remodeling after ovariectomy and prevents the rapid loss of bone tissue for a long time. To this end, mechanical vibrations should be used in the early menopause to maintain normal bone mineral mass. This therapy can be used alone and as an adjunct to osteoporosis medication. Therefore, early detection of osteopenia and timely appropriate treatment is important, which, in addition to antiresorptive drug treatment, should include lifestyle changes and exercise.

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Bone mineral density of the rat tibia under modeling of glucocorticoid-induced osteoporosis and the influence of whole body vibration: experimental stud

Bukovinian Medical Herald ◽

10.24061/2413-0737.xxv.2.98.2021.10 ◽

2021 ◽

Vol 25 (2(98)) ◽

pp. 62-67

Author(s):

N. Kostyshyn

Keyword(s):

Bone Mineral Density ◽

High Frequency ◽

Whole Body Vibration ◽

Whole Body ◽

Control Group ◽

Mineral Density ◽

Body Vibration ◽

Group I ◽

Group Ii ◽

Experimental Group

The aim – investigate the effect of whole-body vibration with high-frequency on the mineral density of the tibia of rats treated with glucocorticoids.Material and methods. 54 adult male Wistar rats were randomized to three groups: control, experimental group I - rats treated with methylprednisolone and experimental group II - methylprednisolone with whole-body vibration. Rats of the two experimental groups received methylprednisolone at a dose of 3 mg/kg every other day for 24 weeks. Group II was subjected to a total vertical vibration (50 Hz, with a vibration acceleration of 0.3g) for 30 min per day, 5 days per week throughout the experiment. Mineral density was assessed by CT densitometry at 8-16-24 weeks of the study.Results. The most significant bone loss was observed in experimental group I at the 16th and 24th week of the experiment, which decreased by 18.6% and 20.8%, respectively, compared with the control group. In experimental group II, the bone density index did not statistically decrease at the 8th week of our study, but at the 16th week decreased by -16.3%; and on the 24th week by -23.5% according to the control group. The density of the cortical layer of bone tissue did not change statistically in the experimental groups in relation to the control group.Conclusions. Our study demonstrated that high-frequency mechanical oscillations could partially suppress the harmful effects of methylprednisolone on bone mineral density in rats. Because glucocorticoids are an important cause of secondary osteoporosis in humans, mechanical stimulation in the form of exercise and training can prevent bone loss and stimulate bone formation.

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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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Neutral douche: a hydrotherapeutic tool to manage pain and systemic symptoms in primary dysmenorrhea - a randomised controlled study

Journal of Complementary and Integrative Medicine ◽

10.1515/jcim-2019-0241 ◽

2020 ◽

Vol 0 (0) ◽

Author(s):

Sataz Rahmania ◽

Vanitha Shetty ◽

Balakrishnan Ragavendrasamy

Keyword(s):

Repeated Measures ◽

Whole Body ◽

Pharmacological Intervention ◽

Controlled Study ◽

Control Group ◽

Mcgill Pain Questionnaire ◽

Primary Dysmenorrhea ◽

Primary Dysmenorrhoea ◽

Systemic Symptoms ◽

Experimental Group

AbstractBackground & ObjectivesThe douche, one of the hydrotherapeutic treatment modality is commonly used by Naturopathy physicians as a treatment of choice in the management of several ailments. This study was done to assess the effect of full body neutral douche in the management of pain and systemic symptoms in adult females with primary dysmenorrhoea.Methods68 subjects of age 18-22 years with primary dysmenorrhoea were recruited for the study and were randomly divided into two groups: the experimental group (n = 34) and the control group (n = 34). The experimental group received whole body neutral douche, whereas the control group followed the routine as usual. Assessments for the pain, systemic symptoms and menstrual cramps were done by using McGill Pain Questionnaire, Verbal multidimensional scoring system and analog scale for severity of pain and menstrual cramps respectively at baseline, day 30 and day 60 of intervention. Two- way repeated measures of ANOVA was performed to understand the between group changes, adjusted for the respective baseline values and age.ResultData was analyzed with SPSS (Version 21.0) package. Neutral douche resulted in significant improvement in pain [F(2,66) = 114.564, p < 0.0005, partial ?2 = 0.771], severity of pain [F(2,66) = 70.418, p < 0.0005, partial ?2 = 0.681], cramps [F(2,66) = 75.986, p < 0.0005, partial ?2 = 0.697] and systemic symptoms [F(2,66) = 14.64, p < 0.0005, partial ?2 = 0.307] as compared to the control group.ConclusionFindings suggest that neutral douche can be used as a non-pharmacological intervention in the management of pain and systemic symptoms in primary dysmenorrhea.

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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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