Abstract
We investigated the effects of short-term WBVT program for rehabilitation after ACL reconstruction on postural control, knee position sense, and knee laxity. This review was restricted to randomized controlled trials, which investigated the rehabilitation effects of WBVT on physical function compared with conventional rehabilitation program. Data from a total of 99 participants with ACL reconstruction in 3 studies were included. Articles with high risk of bias were included based on the criteria of Cochrane Review Guideline. Furthermore, based on the International Society of Musculoskeletal and Neuronal Interactions recommendation, the lack of information on the WBV settings was found in them. Meta-analysis showed that, after WBVT intervention, no significant standardized mean difference (SMD) was observed in postural stability (n = 3; -0.58[-1.32-0.16], p = 0.13) with large heterogeneity (I2 = 67%) and knee laxity (n = 2; -0.10[-0.50-0.70], p = 0.74) with no heterogeneity (I 2 = 0%), whereas a significant SMD was observed in position sense (n = 2; SMD = -1.44[-2.22- -0.67],p = 0.0003) with large heterogeneity (I 2 = 85%). We concluded that WBVT might be a promising alternative exercise therapy for rehabilitation after ACL reconstruction. However, to clarify the effects of WBVT on prevention from re-injury after returning to sports activities, future studies with longer term WBVT with better quality are strongly
Highlights
Anterior cruciate ligament (ACL) injuries frequently occur during sports activities [1]
Because quite a few studies have widely investigated the effects of Whole-body vibration training (WBVT) on physical function or morphological characteristics in healthy subjects including older individuals without any serious side effects, the effects of WBVT as an exercise therapy on physical function have more recently been investigated in patients with various diseases such as Parkinson disease, post stroke, cerebral palsy, muscular dystrophy, and myofibrosis [3,4,5]
Electrical databases of MEDLINE (PubMed), EBSCO (CINAHL Plus with Full Text), PEDro, and Web of ScienceSM were accessed online in December 2014 and searched using the following key words: (“whole body vibration” OR “vibration exercise” OR “vibration training” OR “vibration therapy”) AND.References lists of potentially useful articles were scanned for additional articles.If the study title was related to WBVT, the article was selected as the first selection round
Summary
Anterior cruciate ligament (ACL) injuries frequently occur during sports activities [1]. After the ACL reconstruction, rehabilitation programs play a key role in returning to sports. To date, optimal rehabilitation program is not established, the review by van Grinsven et al [2] indicated that the time to returning to sports would depend on the rehabilitation program. Whole-body vibration training (WBVT) has recently been introduced in fitness clubs, clinics and professional sports teams as an alternative or supplementary to conventional training. While a vibration source can be directly applied to the muscle belly or tendon of target muscles in locally applied vibration, vibration can be indirectly applied to the target muscles by first transmitting vibration through a body part in WBVT. Because quite a few studies have widely investigated the effects of WBVT on physical function or morphological characteristics in healthy subjects including older individuals without any serious side effects, the effects of WBVT as an exercise therapy on physical function have more recently been investigated in patients with various diseases such as Parkinson disease, post stroke, cerebral palsy, muscular dystrophy, and myofibrosis [3,4,5]
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