The aim of the present study was to study the effect of combined therapy of teriparatide (PTH) or strontium ranelate (SR) with whole-body vibration (WBV) on bone healing and muscle properties in an osteopenic rat model. Seventy-two rats (3months old) were bilaterally ovariectomized (Ovx), and 12 rats were left intact (Non-Ovx). After 8weeks, bilateral transverse osteotomy was performed at the tibia metaphysis in all rats. Thereafter, Ovx rats were divided into six groups (n=12): (1) Ovx-no treatment, (2) Ovx+vibration (Vib), (3) SR, (4) SR+Vib, (5) PTH, and (6) PTH+Vib. PTH (40μg/kg BW sc. 5×/week) and SR (613mg/kg BW in food daily) were applied on the day of ovariectomy, vibration treatments 5days later (vertical, 70Hz, 0.5mm, 2×/day for 15min) for up to 6weeks. In the WBV+SR group, the callus density, trabecular number, and Alp and Oc gene expression were decreased compared to SR alone. In the WBV+PTH group, the cortical and callus widths, biomechanical properties, Opg gene expression, and Opg/Rankl ratio were increased; the cortical and callus densities were decreased compared to PTH alone. A case of non-bridging was found in both vibrated groups. Vibration alone did not change the bone parameters; PTH possessed a stronger effect than SR therapy. In muscles, combined therapies improved the fiber size of Ovx rats. WBV could be applied alone or in combination with anti-osteoporosis drug therapy to improve muscle tissue. However, in patients with fractures, anti-osteoporosis treatments and the application of vibration could have an adverse effect on bone healing.