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

2021 ◽  
Vol 10 (18) ◽  
pp. 4273
Author(s):  
Małgorzata Domagalska-Szopa ◽  
Andrzej Szopa ◽  
Andrzej Siwiec ◽  
Ilona Kwiecień-Czerwieniec ◽  
Lutz Schreiber ◽  
...  

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.

Author(s):  
Andrzej Szopa ◽  
Małgorzata Domagalska-Szopa ◽  
Andrzej Siwiec ◽  
Ilona Kwiecień-Czerwieniec

This study investigated the effectiveness of whole-body vibration (WBV) training incorporated into a conventional physiotherapy (PT) program (WBV-assisted training) in improving blood flow in the lower limbs and range of motion in the lower limb joints of children with myelomeningocele (MMC). A total of 31 children with MMC (7–15 years old) underwent a 6 weeks treatment program consisting of 2 weeks of conventional PT followed by 4 weeks of WBV-assisted training. The assessment comprised two parts: evaluation of lower limb joint range of motion and Doppler ultrasonography of the superficial femoral, popliteal, and anterior tibial arteries and was performed three times for each of the participants (at baseline, after 10 sessions of PT but before WBV-assisted training, and after 20 sessions of WBV-assisted training). Our results showed that WBV-assisted training significantly improved lower limb circulation in patients with MMC, increasing velocity and reducing resistivity in all tested arteries. Moreover, WBV-assisted training alleviated lower-extremity contractures, especially of the knee. Thus, WBV-assisted training is effective as an adjunctive rehabilitation program for improving functional mobility in children with MMC.


2018 ◽  
Vol 4 (1) ◽  
pp. 56-66
Author(s):  
M. Cvetkovic ◽  
J. Santos Baptista ◽  
M. A. Pires Vaz

The whole-body vibration occurs in many occupational activities, promoting discomfort in the working environment and inducing a variety of psycho – physical changes where consequences as a permanent dysfunction of certain parts of the organism may occur. The main goal of this short systematic review is finding the articles with the most reliable results relating whole-body vibrations to buses and, to compare them with the results of drivers’ lower limbs musculoskeletal disease which occurs as a consequence of many year exposure. PRISMA Statement Methodology was used and thereby 27 Scientific Journals and 25 Index - Database were searched through where 3996 works were found, of which 24 were included in this paper. As a leading standard for analysis of the whole-body vibration the ISO 2631 – 1 is used, while in some papers as an additional standard the ISO 2631-5 is also used for the sake of better understanding the vibrations. Furthermore, the European Directive 2002/44 / EC is included where a daily action exposure to the whole-body vibrations is exactly deter-mined. All the results presented in the paper were compared with the aforesaid standards. After having searched the databases, papers that deal with research of the impact of the vibration on the driver’s lower limbs did not contain any information’s on the described problem.


2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Angel Yañez-Álvarez ◽  
Beatriz Bermúdez-Pulgarín ◽  
Sergio Hernández-Sánchez ◽  
Manuel Albornoz-Cabello

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.


2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Alev Alp ◽  
Bilge Efe ◽  
Mihriban Adalı ◽  
Adnan Bilgiç ◽  
Sevda Demir Türe ◽  
...  

Objective. To determine if whole body vibration therapy (WBV) effectively improves functional outcome in patients with poststroke hemiplegia. Materials and Methods. In this single-blind RCT, WBV group (n=10) had 40 hz frequency/4 mm amplitude vibration during 5 minutes/session, 3 days a week, for a duration of 4 weeks. The control group (n=11) had no vibration therapy for the same duration while standing on the same platform. Patients in both of the groups did 15 minutes of stretching and active range of motion exercises before the intervention. Outcome measures were Modified Ashworth Scale (MAS), Functional Independence Measurement (FIM), and Timed 10-Meter Walk Test (10 mWT). Results. Only 10 mWT improved at the 1st week (p=0.002), 1st month (p<0.001), and 3rd month (p<0.001) in favor of the intervention group. There was positive correlation also between 10 mWT and ankle spasticity (p<0.001, r=0.931). Conclusion. This study suggests that WBV therapy may be a complementary therapy in gait rehabilitation and functional outcome of the patients with calf muscle spasticity.


2013 ◽  
Vol 20 (5) ◽  
pp. 260-266 ◽  
Author(s):  
Adriana Silva ◽  
Andreia Silva ◽  
Miqueline Dias ◽  
Ruanito Calixto ◽  
Beatriz Martinez ◽  
...  

2021 ◽  
pp. 026921552110208
Author(s):  
Nabil Mahmoud Abdel-Aal ◽  
Nesma M Allam ◽  
Hadaya Mosaad Eladl

Objective: To investigate the additive effects of whole-body vibration (WBV) training to the traditional physical therapy program (TPTP) on balance control, postural stability, and mobility after thermal burn injuries. Design: A single-blinded, randomized controlled study. Setting: Outpatient physical therapy setting. Participants: Forty participants, 20–45 years old, with deep second-degree thermal burn involving the lower limbs and trunk, with 35%–40% total body service area, were randomly allocated either into the study group or the control group. Intervention: The study group received WBV plus TPTP while the control group received the TPTP only. Interventions were applied three sessions a week for eight weeks. Outcome measures: Anteroposterior stability index (APSI), mediolateral stability index (MLSI), overall stability index (OSI), timed-up and go (TUG), and Berg balance scale (BBS) were measured at baseline and after eight weeks of interventions. Results: There were statistically significant differences in APSI, MLSI, OSI, BBS, and TUG in favor of the WBV group after eight weeks of intervention ( P < 0.001). After eight weeks of intervention, the mean (SD) for APSI, MLSI, OSI, BBS, and TUG scores were 1.87 ± 0.51, 41.36 ± 0.18, 1.95 ± 0.56, 47.2 ± 6.12, and 8.15 ± 1.05 seconds in the WBV group, and 2.41 ± 0.71, 2.21 ± 0.54, 2.68 ± 0.73, 40.65 ± 4.7, and 10.95 ± 2.44 seconds in the control group, respectively. Conclusions: The whole-body vibration training combined with the TPTP was more beneficial in improving APS, MLS, OSI, TUG, and BBS than TPTP alone. It might be considered a useful adjunctive therapy in treating patients with healed wounds with a deep second-degree burn of the trunk and lower limbs.


2021 ◽  
Vol 11 (8) ◽  
pp. 3557
Author(s):  
Wen Chu ◽  
Hui-Chun Yang ◽  
Shu-Fang Chang

Frailty poses a considerable risk to the performance of daily living activities, affecting the quality of life of older adults and increasing their risks of falling, disability, hospitalization, and mortality. Frailty is related to pathology with a state of negative energy balance, sarcopenia, diminished muscle strength, and low tolerance for exertion. Few intervention studies have been conducted on prefrail community-dwelling older adults. This study investigated the effects of whole-body vibration training on the biomarkers and health beliefs of prefrail community-dwelling older adults. We conducted a quasi-experimental research. Ninety participants were allocated to either an experimental or control group. This study followed the Transparent Reporting of Evaluations with Nonrandomized Designs (TREND) guidelines for quasi-experimental research design. The experimental group participated in a 12-week whole-body vibration training conducted three times per week, with 5-min continuous vibration at 12-Hz frequency and 3-mm amplitude each time. DVDs on resistance training and manuals were provided to the control group. The data were analysed through descriptive analysis, a chi-square test, an independent t test, a paired t test, and analysis of covariance. There were 42 people in the experimental group and 48 people in the control group. After the 12-week training and intervention, ANCOVA is used to analyze the experimental and control group’s results. Experimental results in 30s chair stand test (F = 98.85, p < 0.05), open-eye stand on dominant foot test (F = 26.15, p < 0.05), two–minute-step test (F = 25.89, p < 0.05), left-leg bone mineral density (F = 14.71, p < 0.05), barriers of perceived frailty (F = 39.81, p < 0.05) and cues to action (F = 92.96, p < 0.05) in health beliefs are statistically significant compared to the control group’s results. The 12-week whole-body vibration program employed in this study partly improved the biomarkers and health beliefs of prefrail community-dwelling older adults. We recommend whole-body vibration training as an exercise strategy, thereby improving community-dwelling older adults’ biomarkers and health beliefs.


2019 ◽  
Vol 7 (3) ◽  
pp. 65
Author(s):  
Duygu Aksoy

Recently, the Whole Body Vibration (WBV) training has been introduced as an alternative method of exercise or as a type of physical exercise in health and fitness centers. The purpose of the present study was to examine the effect of Whole Body Vibration (WBV) training applied for 12 weeks on depression level. A total of 53 healthy young male individuals participated in this study. Volunteers were randomly divided into two groups as the Whole Body Vibration Training Group (n=27) and the Control Group (n=26). WBV group did training 3 times a week for 12 weeks. The Control Group did not do any trainings. The Beck Depression Inventory (BDI) was applied to both groups before and after the 12-week WBV training. When the Beck Depression Inventory (BDI) scores of the WBV training group and Control groups were compared, it was determined that there were no significant differences in the pre-test Beck Depression Inventory (BDI) scores of the WBVT and Control Group according to the Mann-Whitney U-Test.However, the post-test scores of the WBV training and Control groups was significant at a statistical level (p=.013). According to the Wilcoxon Signed Ranks test, the difference between the pre- and post-test scores of the WBV training group was significant at a statistical level (p=.014); and the difference between the pre-test and post-test scores of the Control Group was not statistically significant (p=.596). The effect of the Whole Body Vibration training on depression is positive and decreases the depression level.


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