scholarly journals Comparison of whole-body vibration training, strength training and health education on physical function and neuromuscular function of individuals with knee osteoarthritis: a randomized clinical trial

2020 ◽  
Author(s):  
Zhangqi Lai ◽  
Seullee Lee ◽  
Yiyang Chen ◽  
Lin Wang

Abstract Background Knee osteoarthritis (KOA) is among the most common osteoarthritis diseases that affect adults older than 65 years old. Impaired neuromuscular function contributes to the development and/or progression of KOA. As a new modality in strength training, whole-body vibration (WBV) training is considered in the management of KOA. However, the inconsistent results of previous studies dampened the enthusiasm for the clinical application of WBV.Methods Eligible participants with KOA were randomly allocated to WBV, strength training (ST) and health education (HE) groups. Finally, 57 participants completed the intervention and measurements. The participants in each group were encouraged to perform the WBV training, similar strength training or health education program. These supervised interventions were performed three times per week for 8 weeks. Physical function was assessed with Timed Up and Go (TUG) and 6-min Walk Distance tests. Neuromuscular function was measured with isokinetic muscle strength and proprioception. Results All variables of physical function and neuromuscular function failed to change significantly among three groups. However, compared with the baseline, the time of TUG and isokinetic muscle strength improved significantly only in WBV group. Conclusion WBV training has been recommended for strength training in elderly people and patients with musculoskeletal diseases. The 8-week WBV training under the protocol of our study was not superior to ST and HE. Hence, more clinical studies are required in the future to develop an optimal training protocol.

2020 ◽  
Author(s):  
Zhangqi Lai ◽  
Seullee Lee ◽  
Yiyang Chen ◽  
Lin Wang

Abstract Background Knee osteoarthritis (KOA) is among the most common osteoarthritis diseases that affect adults older than 65 years old. Impaired neuromuscular function contributes to the development and/or progression of KOA. As a new modality in strength training, whole-body vibration (WBV) training is considered in the management of KOA. However, the inconsistent results of previous studies dampened the enthusiasm for the clinical application of WBV. Methods Eligible participants with KOA were randomly allocated to WBV, strength training (ST) and health education (HE) groups. Finally, 57 participants completed the intervention and measurements. The participants in each group were encouraged to perform the WBV training, similar strength training or health education program. These supervised interventions were performed three times per week for 8 weeks. Physical function was assessed with Timed Up and Go (TUG) and 6-min Walk Distance tests. Neuromuscular function was measured with isokinetic muscle strength and proprioception. Results All variables of physical function and neuromuscular function failed to change significantly among three groups (p > 0.05). However, compared with the baseline, the time of TUG (mean difference = 0.88 ± 0.78, 95% CI = 0.50 – 1.26, p < 0.001) and most of the variables related to isokinetic knee muscle strength (peak work of flexor at 90°/s, peak torque of extensor at 180°/s, peak work of extensor at 180°/s, peak torque of flexors at 180°/s, and peak work of flexors at 180°/s, all p < 0.05) improved significantly in WBV group. Conclusion WBV training has been recommended for strength training in elderly people and patients with musculoskeletal diseases. The 8-week WBV training under the protocol of our study was not superior to ST and HE. Hence, more clinical studies are required in the future to develop an optimal training protocol. Trial registration It was registered at Chinese Clinical Trial Registry a priori as a clinical trial (ID: ChiCTR-IOR-16009234). Registered 21 September 2016.


2020 ◽  
Author(s):  
Zhangqi Lai ◽  
Seullee Lee ◽  
Yiyang Chen ◽  
Lin Wang

Abstract Background Knee osteoarthritis (KOA) is one of the leading causes of global disability which causes knee pain, stiffness, and swelling. Impaired neuromuscular function contributes to the development and/or progression of KOA. As a new modality to treat KOA, whole-body vibration (WBV) training is considered to improve pain and physical function effectively. However, limited numbers of studies were designed to investigate the effect of WBV on neuromuscular function in KOA.Methods 81 eligible participants with KOA were randomly allocated to WBV, strength training (ST) and health education (HE) groups. Each group of participants was encouraged to perform the WBV training, similar strength training and health education program, respectively. These supervised interventions were performed three times per week for 8 consecutive weeks. Neuromuscular function was measured with isokinetic muscle strength and proprioception. Physical function was assessed with Timed Up and Go (TUG) and 6-min Walk Distance tests. Results Physical function and neuromuscular function did not show significant difference between three groups (p > 0.05). However, post-hoc test showed that isokinetic knee muscle strength of WBV group (peak torque of extensor at 180°/s, peak torque of flexors at 180°/s, peak work of extensor at 180°/s, and peak work of flexor at 90°/s, all p < 0.05) increased significantly compared with HE group. Similarly, compared with ST group, muscle strength of WBV group (peak torque of extensor at 180°/s and peak work of extensor at 180°/s, p < 0.05) improved significantly. Conclusion The current study showed that the advantage of WBV training on muscle strength gain in patients with KOA compared with similar strength training without vibration and health education.Trial registration It was registered at Chinese Clinical Trial Registry a priori as a clinical trial (ID: ChiCTR-IOR-16009234). Registered 21 September 2016.


The Knee ◽  
2009 ◽  
Vol 16 (4) ◽  
pp. 256-261 ◽  
Author(s):  
T. Trans ◽  
J. Aaboe ◽  
M. Henriksen ◽  
R. Christensen ◽  
H. Bliddal ◽  
...  

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Rania G. Hegazy ◽  
Amr Almaz Abdel-aziem ◽  
Eman I. El Hadidy ◽  
Yosra M. Ali

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.


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 ◽  
...  

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