Abstract

Whole-body vibration training (WBVT) offers a potential auxiliary treatment method for the rehabilitation of motor disabilities to address a reduction in bone minerals and lean mass caused by motor-disability rehabilitation. The aim of this review was to analyze the efficacy of WBVT in muscle–bone rehabilitation. In order to investigate the potential effect of WBVT on children and adolescents with motor disabilities, a meta-analysis was carried out. From January 2006 to June 2021, studies that met certain criteria were searched for in the Scopus, PubMed, Web of Science, and EBSCO databases. An analysis of standardized mean differences was performed using the STATA 15.1 software with a 95% confidence interval (PROSPERO registration number: CRD42021258538). Eight studies were selected that included 179 male and 139 female children and adolescents suffering from motor disabilities. The results of the meta-analysis showed that WBVT significantly improved femur bone-mineral density ((p < 0.01, z = 2.66), standardized mean difference (SMD) (95% CI) = 0.41 (0.11, 0.72)), total body–bone mineral content ((p < 0.01, z = 3.08), SMD (95% CI) = 0.26 (0.10, 0.43)), and lean mass ((p < 0.01, z = 2.63), SMD (95% CI) = 0.22 (0.06, 0.39)). In addition, there was no significant effect of WBVT on lumbar spine bone mineral density in the disabled children and adolescents ((p = 0.21, z = 1.25), SMD (95% CI) = 0.17 (−0.10, 0.43)). WBVT can improve femur bone density, total body bone mineral content, and lean mass in children and adolescents suffering from motor disabilities, while there is no effect on lumbar-spine bone density. WBVT can be used as a potential program to improve bone minerals in children and adolescents with motor disabilities.

Highlights

  • Cerebral palsy and osteogenesis imperfecta are among the diseases that can cause varying degrees of motor disabilities in children and adolescents

  • Eight studies evaluated the impact of whole-body vibration training (WBVT) on bone minerals and lean mass in children and adolescents suffering from motor impairments; three were RCT studies and five were non-RCT studies (Table 1)

  • This meta-analysis aimed to examine the impact of WBVT on bone minerals and lean lean mass in children and adolescents suffering from motor impairments

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Summary

Introduction

Cerebral palsy and osteogenesis imperfecta are among the diseases that can cause varying degrees of motor disabilities in children and adolescents. Common features of these diseases include muscle dysfunction as well as decreased muscle and bone mass [1,2]. Muscles and bones are important body components that serve distinct and complementary roles. For children and adolescents suffering from compromised biomechanical functions, whole-body vibration training (WBVT) has received increasing interest as a promising therapeutic method for improving the functions of lower-limb muscles and bone mass [4,5,6]

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