Whole-body Vibration Training Research Articles

Effect of Whole-Body Vibration Exercise on Hamstrings-to-Quadriceps Ratio, Walking Performance, and Postural Control in Children With Hemiparetic Cerebral Palsy: A Randomized Controlled Trial

ObjectiveThe purpose of this study was to investigate the effect of whole-body vibration (WBV) exercises combined with traditional physiotherapy on the hamstrings-to-quadriceps (H:Q) ratio, walking ability, and control of posture in children with hemiparetic cerebral palsy (CP). MethodsA total of 34 children with spastic hemiparetic CP (boys and girls) participated in this 2-arm, parallel, randomized controlled trial. The inclusion criteria were spasticity ranging from 1 to 1+, gross level skills (I and II), at least 1 meter tall, standing alone, and walking forward and backward. They were randomly allocated to the control group (traditional physiotherapy) and study group and were treated by the same physiotherapy program combined with WBV training (3 times per week for 2 successive months). Quadriceps and hamstring muscle strength, walking performance, and postural control were evaluated before and after intervention by a blinded assessor. ResultsThe post-intervention values of the hamstring and quadriceps muscle force, gross motor function, and stability indices of the 2 groups were higher than the pre-values (P < .05). In addition, the post-values of the study group were higher than those of the control group (P < .05). Regarding the H:Q ratio, there was no significant difference between pre-values or the post-values of both groups (P = .948 and P = .397, respectively). There were no significant differences between the pre- and post-values of each group (P = .500 and P = .195, respectively). ConclusionEight weeks of WBV training combined with traditional physiotherapy was more effective than traditional physiotherapy alone in improving walking ability and postural control. Furthermore, the combined intervention strengthened the quadriceps and hamstring muscles, with no change in the H:Q ratio in children with hemiparetic CP.

The effect of whole-body vibration training on electromyographic signals in stroke patients

Objective. Was to verify the influence of vibration training on the electromyographic signal of the rectofemoral (RF) and tibialis anterior (TA) muscles in stroke patients. Method. This is clinical trial, with 43 hemiparetic stroke patients, who were randomized into two groups: control (CG, n=19) and intervention (IG, n=24). The instruments used for evaluation were the Mini Mental State Examination, the Fugl-Meyer Evaluation Scale, and surface electromyography (EMG) in maximum voluntary isometric contraction (MVIC) of the RF and TA muscles bilaterally and simultaneously. Whole-body vibration therapy (WBV) (tri-plane vibration platform, a frequency of 50 Hz and 2 mm of amplitude) was used for treatment. The application of the WBV was performed three times a week for 8 consecutive weeks. The statistical analysis used was the independent t test to compare the baseline characteristics of the CG and IG. The Shapiro–Wilk test was applied to verify the normality of the data and subsequently the Wilcoxon test to compare times and the Mann-Whitney test to compare groups. Results. The results show that EMG RMSn activity did not change intra-group nor inter-group. Conclusion. Vibration training did not influence the EMG signal of the RF and TA muscles in stroke patients.

Whole body vibration for chronic patellar tendinopathy: A randomized equivalence trial.

Purpose: Whole body vibration (WBV) triggers anabolic responses in various tissues, including tendons, without requiring high force production. In this waitlist-controlled equivalence trial, we tested its clinical effectiveness as an alternative treatment for patellar tendinopathy against conventional heavy slow resistance training (HSR). Methods: Thirty-nine patients were randomized to either 3months of WBV training (n = 13), HSR training (n = 11), or a waitlist control (WLC) group (n = 15). In a partly cross-over design, 14 patients of the WLC group were redistributed to one of the two intervention groups (5 in WBV, 9 in HSR). Pre- and post-intervention testing included pain assessments (VAS), functional limitations (VISA-P), knee extension strength and tendon morphological, mechanical and material properties. Follow-up measurements (VAS, VISA-P) were performed in the WBV and HSR groups 6months after the intervention. Results: Comparisons with the WLC group revealed significant improvements in VISA-P and VAS scores after HSR (41%, p = 003; 54%, p = 0.005) and WBV (22%, p = 0.022; 56%, p = 0.031) training. These improvements continued until follow-up (HSR: 43%, 56%; WBV: 24%, 37%). Pre-post improvements in VAS scores were equivalent between WBV and HSR groups but inconclusive for the VISA-P score and all pre-test to follow up comparisons. The mid-tendon cross-sectional area was significantly reduced after WBV (-5.7%, p = 0.004) and HSR (-3.0%, p = 0.004) training compared to WLC although the equivalence test between interventions was inconclusive. Conclusion: Whole body vibration improved symptoms typically associated with patellar tendinopathy. This type of intervention is as effective as HSR against maximum pain, although equivalence could not be confirmed for other variables. The beneficial responses to WBV and HSR treatments persisted for 6 months after the end of the intervention. Clinical Trial Registration: https://www.drks.de/drks_web/setLocale_EN.do, identifier DRKS00011338.

ELABORATION OF WHOLE BODY VIBRATION

In this review, we first discussed the method of action as well as the influence aspects of whole-body vibration training. We also discussed what is whole body vibration, what are its effect and uses in different conditions, how it works, benefits of using whole body vibration. This review work gives us idea about current knowledge of effect and uses of whole body vibration in physiotherapy, sports, and medical aspects, also how WBV is used in different conditions (like- Knee osteoarthritis , Knee Extensor Tendon Stiffness in Hemi paretic Stroke Patients, osteoporosis, muscle spasticity of people with CNS disorders etc).This revive also states that work on a shaking programme are secured, practicable, and agreed by patients with various conditions, except its ultimate effects.

Effects of vibration training vs. conventional resistance training among community-dwelling older people with sarcopenia: three-arm randomized controlled trial protocol.

IntroductionSarcopenia is a chronic and progressive disease, which is accompanied by the decline in muscle mass, muscle strength, and physical performance with aging, and it can lead to falls, fracture, and premature death. The prevention and treatment of sarcopenia mainly include exercise therapy and nutritional supplement. Exercise therapy is one of the most potential interventions to prevent and/or delay the progression of sarcopenia. Resistance training (RT), one of the most commonly used exercise types, is widely used in the treatment of sarcopenia, while vibration training (VT) is a prospective strategy for improving sarcopenia in older people. The aim of our study is to compare the effect of VT and RT in older people with sarcopenia on muscle mass, muscle strength, physical performance, blood biomarkers, and quality of life.Methods and analysisOur study is a 12-week, three-arm randomized controlled trial with assessor-blinded. The diagnosis criteria for subject recruitment adopt the guidelines for the Asian Working Group for Sarcopenia. A total of 54 subjects who met the criteria were randomized into one of the following three groups: VT group, RT group, and control group. The VT group and RT group received a 12-week whole-body vibration training and a resistance training program three times every week, respectively. The primary outcome is lower limb muscle strength, and the secondary outcomes include muscle mass, upper limb muscle strength, physical performance, blood biomarkers, and quality of life. We then performed assessments three times, at baseline (0 week), after intervention (12 weeks), and follow-up (24 weeks). The adverse events were also be reported. All outcome measurements were performed by the same researchers. Data were saved in the unified database, and the collected data of all subjects were analyzed by intention-to-treat analysis.Ethics and disseminationThis study was reviewed and approved by the Ethical Committee of Xinhua Hospital Chongming Branch. The findings of the study were authorized in peer-reviewed journals with online access; meanwhile, it will be presented at domestic or international academic congresses.Clinical trial registrationChinese Clinical Trial Registry (ChiCTR2100051178), registered on 15 September 2021.

Effect of Whole-body Vibration on Depression, Anxiety, Stress, and Quality of Life in College Students: A Randomized Controlled Trial.

ObjectivesTo determine the effects of whole-body vibration (WBV) training on depression, anxiety, stress, and quality of life (QoL) in college students.MethodsThe participants comprised college students who led physically inactive lifestyles as revealed by their Medical Outcomes Study Form 36 (SF-36) scores, and with elevated scores of Depression Anxiety Stress Scale (DASS) test. They were randomly allocated to two groups of 15 each: (a) the WBV group (male = 3, female = 12) and (b) the exercise group (male = 6, female = 9). The participants in the WBV group performed prescribed exercises while they stood on a vibrating platform whereas those in the exercise group performed the same exercises but without the vibrating platform. After four weeks of twice-a-week training, DASS and SF-36 were measured. The pre- and post-scores were compared between the groups.ResultsDepression (p < 0.001), anxiety (p < 0.001), and stress (p < 0.001) were found to reduce significantly for the WBV group compared to the exercise group. There was also significant within-group improvement in all the components of SF-36 (p < 0.040).ConclusionsExercising on the WBV platform may reduce depression, anxiety, and stress in college students and improve their overall QoL.

Comparative Effects of Whole-Body Vibration and Squatting Training on Balance and Mobility in Chronic Stroke Patients. A Randomized Controlled Trial

Background: A stroke occurs when the central nervous system is disrupted by brain injury caused by a cerebrovascular hemorrhage, resulting in hemiparesis, nerve dysfunction, and muscular weakness but the use of innovative modalities for stroke is still unknown. The objective of this study is to investigate the comparative effects of whole-body vibration (WBV) training and squatting performance in chronic stroke patients. Methods: we reviewed 86 chronic stroke patients with the commencement of more than 6 months in physical therapy department of central park medical college, Lahore (2021-2022). An independent examiner randomized the patients individually after doing the baseline assessment. 86 ambulatory patients (51 men and 35 women) who are recruited in hospital. Results: During 2020-2021, 86 chronic stroke patients were investigated in hospital of whom all patients had a pre-existing medical condition like uncontrolled hypertension and diabetes. Total number of participants is N=86. Number of male participants N=25 and females N=18 in group A. Number of male participants in group B is 23 while number of females is 20. The participants in both groups demonstrated a significant increase in balance and mobility scores after 6 weeks of WBV training. Experimental group having 6th week BBS mean, standard deviation, 52.37, 1.92 and Control group having 6th week BBS mean, standard deviation 45.25, 4.18 respectively. The participants in both groups demonstrated a significant increase in balance and mobility scores after 6 weeks of WBV training but more pronounce results in experimental group. Conclusions: The results of this study concluded that whole-body vibration exercise with routine physical therapy treatment is very effective in improving balance, mobility, postural control, muscle strength, tone, power output, coordination reduced muscle spasticity and functional disability in patients with chronic stroke. Keywords: Whole-Body Vibration, Berg Balance Scale, Squats Exercise, Mechanical Vibrations

Effects of Vibration Training on Weight Loss and Heart Rate Variability in the Obese Female College Students.

Objective The present study examined the effects of a 12-week whole-body vibration training (WBVT) regimen on heart rate variability (HRV) and body composition in the obese female college students. Methods Participants were assigned to either the WBVT (n = 17) or obese control group (n = 19). The students in the WBVT group conducted a 12-week (5 times per week and 30 min per time) exercise protocols (30 to 40 Hz of frequency and 4 mm of amplitude), and the obese control group did not perform regular physical training during 12 weeks of study. Then, body composition (body weight, BMI, body fat, body fat percentage; trunk fat mass, muscle mass, MM) and HRV (time domain and frequency domain index) were measured in all subjects before and after WBVT intervention. Results (1) After 12-week WBVT intervention, body fat mass, trunk fat mass, and body fat percentage significantly decreased and muscle mass increased in the WBVT group (P < 0.01, respectively); there was no significant change in body weight and BMI (P > 0.05, respectively). (2) After 12-week WBVT intervention, LFn, LF/HF, and HR significantly decreased (P < 0.05, P < 0.01), R-R interval and RMSSD significantly increased (P < 0.01, respectively), and there was no significant difference in HFn (P > 0.05). Nevertheless, there was no significant change before and after the test in body composition and HRV in the obese control group (P > 0.05, respectively). (3) After 12-week WBVT intervention, compared with the obese control group, body fat mass, body fat percentage, trunk fat mass, and LF/HF significantly decreased (P < 0.05, P < 0.01), muscle mass, and RMSSD increased (P < 0.05) in the WBVT group; but there were no significant difference in other indicators (P > 0.05) between the obese control group and WBVT group. (4) The reduction of body fat percentage before and after the WBVT intervention are positively correlated with the reduction in the LFn and LF/HF (r = 0.542, r = 0.504; P < 0.05, respectively) and negatively correlated with the increase in the RMSSD (r = −0.514, P < 0.05), and the reduction of trunk fat mass are positively correlated with the reduction in the LF/HF (r = 0.540, P < 0.05). Conclusion The results indicate that WBVT improves HRV and body composition in obese female college students, and the reduction in body fat percentage and trunk fat mass are associated with a shift in cardiac autonomic regulation towards vagal dominance and improve sympathetic-vagus balance after WBVT intervention. In conclusion, WBVT may be a feasible treatment to improve cardiac autonomic function and body composition.

Mapping the Hot Spots and Evolution Main Path of Whole-Body Vibration Training Since the 21st Century: A Bibliometric Analysis.

To evaluate the global scientific output of the research on whole-body vibration training (WBVT) and explore the current status and trends in this field over the past decades using bibliometric methods, we retrieved the literature related to WBVT from 2000 to the present in the Web of Science Core Collection (WoSCC). We analyzed annual publications, citations, countries, organizations, productive authors, and source 14 journals by the Web of Science online bibliometric analysis. We visualized the WBVT research trends and explored influential organizations and authors through VOSviewer. Then, we constructed a citation chronology map by HistCite to obtain the knowledge base of this field and made a primary citation path analysis by Pajek. Finally, we mined the hot spots of WBVT by BICOMB and gCLUTO. Overall, there were 1,629 publications included in this study between 2000 and 2022. The United States contributed the most publications in this field, and the country with the most active partnership was Spain. The University of Cologne ranked highest among top productive organizations. Bernardo-Filho, Mario, from Universidade do Estado do Rio de Janeiro, ranked first among the top productive authors. The Journal of Strength and Conditioning Research topped the list of journals with the most publications on WBVT by a wide margin. The WBVT research field started from Rittweger’s study on the acute physiological effects of WBVT in 2000, which was divided into two stages. The first stage focused on improving athletic ability, and the second stage gradually turned to the application in medicine. A keyword analysis showed the exercise rehabilitation of several aging chronic diseases was the research trend and hot spot of WBVT. The current study provided a time-based development and a global network hub for WBVT research, contributing to identifying core target diseases of WBVT and providing various insights for researchers in the future.

Six weeks of whole-body vibration improves fine motor accuracy, functional mobility and quality of life in people with multiple sclerosis.

People with multiple sclerosis (MS) suffer from sensorimotor deficits with the distal extremities being more severely affected than proximal ones. Whole-body vibration (WBV) training is known to enhance voluntary activation and coordination in healthy people. However, evidence about beneficial effects of WBV in MS patients is scarce. The current study aimed to investigate if six weeks of WBV enhances motor function in the ankle joint, coordination and quality of life in patients suffering from severe MS. In a longitudinal design, changes in motor function and quality of life were assessed before and after a 6-week control period without a training (CON) and a 6-week WBV training (2-3x/week) in 15 patients (53 ±10 years) with advanced MS (EDSS 3–6.5). Before CON (t0), after CON (t1) and after WBV(t2), outcome measures included (1) active range of motion (aROM) and (2) motor accuracy at the ankle joint, (3) functional mobility (Timed “Up & Go” test with preferred and non-preferred turns) and (4) physical and psychological impact of MS (MSIS-29 questionnaire). For (1) and (2), the stronger (SL) and the weaker leg (WL) were compared. After WBV, aROM (1) did not change (SL p = 0.26, WL p = 0.10), but was diminished after CON (SL -10% p = 0.06, WL -14% p = 0.03) with significant group differences (Δgroup WL p = 0.02). Motor accuracy in SL (2) was improved during dorsal flexion after WBV (p = 0.01, Δgroup p = 0.04) and deteriorated during plantar flexion after CON (p = 0.01, Δgroup p = 0.04). Additionally, participants (3) improved their functional mobility at the preferred turn (p = 0.04) and (4) ranked their quality of life higher solely after WBV (p = 0.05), without any differences between groups. However, values correlated significantly between angular precision and aROM as well as functional mobility. No further changes occurred. The results point towards an interception of degenerating mono-articular mobility and improvement of accuracy in the ankle joint. The motor effects after WBV are in line with enhanced perception of quality of life after six weeks which is why WBV could be a stimulus to enable greater overall autonomy in MS patients.

Effects of Whole-Body Vibration Training with Different Body Positions and Amplitudes on Lower Limb Muscle Activity in Middle-Aged and Older Women

PurposeThe present study was designed to investigate the electromyographic (EMG) response in leg muscles to whole-body vibration while using different body positions and vibration amplitudes.Methods:An experimental study with repeated measures design involved a group of community-dwelling middle-aged and older women (n = 15; mean age=60.8 ± 4.18 years). Muscle activity of the gluteus maximus (GM), rectus femoris (RF), vastus medialis (VM), vastus lateralis (VL), biceps femoris (BF), and gastrocnemius (GS) was measured by surface electromyography, which participants were performing three different body positions during three WBV amplitudes. The body positions included static semi-squat, static semi-squat with elastic band loading, and dynamic semi-squat. Vibration stimuli tested were 0 mm, 2 mm, and 4 mm amplitude and 30 Hz frequencies. And the maximum accelerations produced by vibration stimuli with amplitudes of 2 mm and 4 mm are approximately 1.83 g and 3.17 g.Results:Significantly greater muscle activity was recorded in VL, BF, and GS. When WBV was applied to training, compared with the same training without WBV (P < .05). There were significant main effects of body positions on EMGrms for the GM, RF, and VM (P < .05). Compared to static semi-squat, static semi-squat with elastic band significantly increased the EMGrms of GM, and dynamic semi-squat significantly increased the EMGrms of GM, RF and VM (P < .05). And there were significant main effects of amplitudes on EMGrms for the GM, RF, and VM (P < .05). The EMGrms of the VL, BF, and GS at 4 mm were significantly higher than 0 mm, and the EMGrms of the VL and BF at 4 mm were significantly higher than 2 mm. There was no significant body interaction between body positions and amplitudes (P > .05).Conclusions:The EMG amplitudes of most leg muscles tested were significantly greater during WBV exposure than in the no-WBV condition. The dynamic semi-squat 4 mm whole-body vibration training is recommended for middle-aged and older women to improve lower limb muscle strength and function.

A Comparison of the Effects of Stochastic Resonance Therapy, Whole-Body Vibration, and Balance Training on Pain Perception and Sensorimotor Function in Patients With Chronic Nonspecific Neck Pain: Protocol for a Randomized Controlled Trial.

BackgroundNeck pain is a prevalent pathological condition, and together with low back pain, it presents as the leading cause of years lived with disability worldwide in 2015 and continues to contribute substantially to the global burden of disease.ObjectiveThis study will investigate and compare the effects of stochastic resonance therapy (SRT), whole-body vibration (WBV), and balance training (BLT) in the management of chronic nonspecific neck pain.MethodsIn total, 45 participants with chronic neck pain will be randomly allocated into SRT, WBV, and BLT groups. Pain intensity, pressure pain threshold, neck disability, and cervical joint position sense will be measured before, immediately after, and 15 minutes after the first intervention session and after 4 weeks of intervention. A follow-up postintervention measurement would be taken after 4 weeks. The SRT group will train on an SRT device (SRT Zeptor Medical plus noise, Zeptoring). The WBV group will train on a Galileo vibration device (Novotec Medical), while the BLT group will perform balance exercises. All participants shall train 3 times a week for a period of 4 weeks. Mixed ANOVA will be used to determine the main and effects of interactions within (before intervention, post intervention 1, post intervention 2, post intervention 3, and follow-up) and between (SRT, WBV, and BLT) factors on the study outcome variables.ResultsRecruitment of participants started in May 2021, and as of May 2022, a total of 20 patients have been enrolled in the study. All participants are expected to have completed the trial by the end of 2022, and data analysis will commence thereafter.ConclusionsThe outcome of this study will shed closer light on the effects of SRT, WBV, and BLT on pain and function in patients with chronic neck pain.Trial RegistrationGerman Clinical Trials Register DRKS00023881; https://tinyurl.com/ycxuhj37International Registered Report Identifier (IRRID)DERR1-10.2196/34430

The Effects of Whole-Body Vibration Exercise Combined With an Isocaloric High-Fructose Diet on Osteoporosis and Immunomodulation in Ovariectomized Mice.

BackgroundOsteoporosis and immune-associated disorders are highly prevalent among menopausal women, and diet control and exercise exert beneficial effects on physiological modulation in this population. A controlled diet with a low fat content and a balanced caloric intake improves menopausal health, but the health effects of excessive fructose consumption on menopausal women are yet to be confirmed. In addition, whole-body vibration (WBV), a safe passive-training method, has been shown to have multiple beneficial effects on metabolism regulation, obesity, and bone health.MethodsThe ovariectomized (OVX) C57BL/6J model was used to verify the effects of WBV combined with a high-fructose diet (HFrD) for 16 weeks on physiological modulation and immune responses. The mice were randomly allocated to sham, OVX, OVX+HFrD, and OVX+HFrD+WBV groups, which were administered with the indicated ovariectomy, dietary and WBV training treatments. We conducted growth, dietary intake, glucose homeostasis, body composition, immunity, inflammation, histopathology, and osteoporotic assessments (primary outcomes).ResultsOur results showed that the isocaloric HFrD in OVX mice negated estrogen-deficiency–associated obesity, but that risk factors such as total cholesterol, glucose intolerance, osteoporosis, and liver steatosis still contributed to the development of metabolic diseases. Immune homeostasis in the OVX mice was also negatively affected by the HFrD diet, via the comprehensive stimulation of T cell activation, causing inflammation. The WBV intervention combined with the HFrD model significantly ameliorated weight gain, glucose intolerance, total cholesterol, and inflammatory cytokines (interferon gamma [IFN-γ], interleukin [IL]-17, and IL-4) in the OVX mice, although osteoporosis and liver steatosis were not affected compared to the negative control group. These findings indicate that an isocaloric high-fructose diet alone may not result in menopausal obesity, but that some deleterious physiological impacts still exist.ConclusionThe WBV method may modulate the physiological impacts of menopause and the HFrD diet, and should be considered as an alternative exercise prescription for people with poor compliance or who are unable or unwilling to use traditional methods to improve their health. In future studies, using the WBV method as a preventive or therapeutic strategy, combined with nutritional interventions, medication, and other exercise prescriptions, may prove beneficial for maintaining health in menopausal women.

Influence of whole-body vibration and gait training with additional load on functioning, balance, and gait in patients with Parkinson’s disease

Parkinson’s disease (PD) is characterized by the selective loss of dopaminergic neurons from the substantia nigra compacta and nigrostriatal pathway, which leads to sensory and motor impairments. The aim of the present study was to compare the effect of whole-body vibration and gait training with additional load on functioning, balance and gait in patients with PD. Twenty-two male and female patients (mean age: 61 ± 5.6 years) were randomly allocated to a Control Group (CG), Vibration Group (VG), or Added Weight Group (AWG). The following evaluations were performed before and after the intervention: Unified Parkinson’s Disease Rating Scale – subscales “Activities of Daily Living” and “Motor Examination”; Tinetti Test, Timed Up and Go test, Berg Balance Scale, and baropodometry. The ordinal variables were evaluated using the Kruskal-Wallis test (p ≤ 0.05) and the numerical variables were analyzed using two-way ANOVA followed by the Student-Newman-Keuls post hoc test (p ≤ 0.05). The results demonstrated a significant increase in functioning, balance, and gait quality in the VG and AWG compared to the CG. Vibration training and gait training with additional weight exert a positive influence on functioning, balance, and gait in patients with PD. Other studies can be carried out comparing the effect of the vibratory training with the partial weight support and the addition of body weight using the same variables of the present research.

Effects of whole-body vibration training on lower limb motor function and neural plasticity in patients with stroke: protocol for a randomised controlled clinical trial

IntroductionLower limb motor dysfunction is common in patients with stroke, and usually caused by brain neural connectivity disorder. Previous studies have shown that the whole-body vibration training (WBVT) significantly improves...

Whole body vibration versus balance training in patients with chronic ankle instability

Background: The ankle is the most often injured joint in athletics. The most frequent kind of ankle injury is a lateral ankle sprain. Whole Body Vibration (WBV) is a unique biophysical technique that generates whole-body vibration impulses for mechanical stimulation. It has been demonstrated in recent years to improve the neurological, muscular, and skeletal systems. Objective: The goal of this study is to assess the effect of systemic vibration and balance training on pain intensity and balance, in CAI patients. Methods: 45 female patients will be enrolled in the research after being recommended by an orthopedic expert for recurrent ankle instability. They will be divided into three equal-sized groups. Group (A) comprises of fifteen patients who will get a six-week exercise program designed specifically for CAI and Whole-Body–Vibration Training (three sessions per week). Group (B) comprises of fifteen patients who will get a six-week, three-session-per-week, conventional exercise program for CAI and balance training. Group (C) consists of fifteen patients who will get a standard exercise plan for CAI. pain; balance and function status of the patients were examined before and after the treatment.

Whole-body vibration training for inpatient children and adolescents receiving chemotherapy for first cancer diagnosis: an exploratory feasibility study

Whole-body vibration (WBV) is a feasible and potentially beneficial exercise strategy for managing neuromuscular impairments like decreased strength or flexibility, mobility limitations and bone health in pediatric cancer survivors. However, as starting rehabilitation as early as possible is recommended to preserve physical function, this study investigated the feasibility of WBV for patients receiving cancer treatment for first cancer diagnosis. Eleven patients (various types of cancer, ages 7–17) participated in the supervised WBV intervention concomitant to acute cancer treatment, which involved chemotherapy. Training was implemented as part of a general exercise program and offered 3 days per week during hospitalization (warm-up, four progressive training exercises comprising 60–120 s, 21–27 Hz, 2 mm peak-to-peak-displacement). Feasibility, which was defined as the absence of WBV-related serious adverse events leading to study dropout, was primarily evaluated. Training documentation was additionally analyzed. As a main result, no serious adverse events leading to study dropout were reported. However, two incidents of bleeding (adverse events) were observed in patients with bleeding tendencies and low platelets (thrombocytes < 30,000/μL). After adjusting the platelet count threshold for WBV participation to 30,000/μL, no further incidents occurred. Moreover, due to WBV-related side effects like physical exhaustion, 11% of all training sessions had to be stopped and another 11% required reductions in the vibration load. Patients participated in 48% of the planned sessions. While main reasons for non-attendance were medical issues (35%), only few WBV sessions were missed, not completed or needed modifications due to motivational issues. Consequently, WBV seems to be feasible for inpatient pediatric patients receiving chemotherapy for first cancer diagnosis, given a sufficiently high platelet count of at least 30,000/μL. Although WBV tolerance and training motivation appear high, patient’s reduced medical condition during hospitalization can negatively impact training progression and attendance. Future research is required to confirm our findings on feasibility and to assess efficiency of WBV training for pediatric cancer patients receiving cancer treatment.

17 EFFECTS OF WHOLE-BODY VIBRATION TRAINING ON BLOOD PRESSURE IN POSTMENOPAUSAL WOMEN WITH HYPERTENSION: A SYSTEMATIC REVIEW

Background: Menopause is considered an important determinant of hypertension in women, with 41% of postmenopausal women are hypertensive. Increased blood pressure (BP) in postmenopausal women can be caused by arterial stiffness, renin-angiotensin system activation, endothelial dysfunction, lack of estrogens, sympathetic activation, anxiety, and depression. Hence, they should be given special treatment, such as exercise therapy, to improve the quality of their hypertensive therapy. Whole-body vibration training (WBVT) is a resistance training known for its ability to improve arterial stiffness. However, its ability to decrease BP is still controversial. Objective: This study aims to identify the effects of WBVT on blood pressure in postmenopausal women with hypertension. Method: A systematic literature search was performed using particular keywords with medical subheading (MeSH) terms on three journal databases, including Pubmed, Proquest, and Cochrane. The search results were screened and assessed using inclusion and exclusion criteria, double article, and full text availability by three independent authors. The quality of the randomized control trial (RCT) was evaluated using the Jadad scale. Result: Four Randomized controlled trials (RCTs) consisting of 114 total patients were eligible to fulfil the criteria. All studies showed that WBVT significantly decreased systolic (10-12 mmHg) and diastolic (5-6 mmHg) BP compared with the control group. One study also showed a reduction of mean arterial pressure (9 mmHg). Conclusion: WBVT might be beneficial as an adjuvant therapy to reduce blood pressure in postmenopausal women with hypertension, but further research that includes more subjects is needed to confirm this result.

Effect of Neuromuscular Training Program on Quality of Life After COVID-19 Lockdown Among Young Healthy Participants: A Randomized Controlled Trial.

Study in the period of coronavirus disease 2019 (COVID-19) lockdown and the effect of different exercise training programs on the quality of life (QoL) dimension are limited. This randomized control study as a part of which the impact of an 8-week neuromuscular training program on the 90 healthy young individuals’ QoL after COVID-19 lockdown was assessed using a short form of the WHOQOL-BREF questionnaire comprising of four domains (physical health, psychological health, social relations, and the environment). The intervention group (NT) (n = 47) took part in a neuromuscular training program consisting of dynamic neuromuscular stabilization and whole-body vibration training. In contrast, the control group (CG) (n = 43) did not participate in any programmed physical activity. From pre- to post-intervention test, the NT group significantly and substantially improved [mean change (95% CI)] all the QoL domains, physical for 12.78 scores (8.89, 16.64), psychological for 13.12 scores (9.51, 16.74), social relationships for 20.57 scores (16.12, 25.02), and environmental for 24.40 scores (21.45, 27.35). These results suggest that the NT program could enhance QoL in young and healthy participants following COVID-19 lockdown.

Effects of plyometric and whole-body vibration on physical performance in collegiate basketball players: a crossover randomized trial

While many studies suggested the isolated effects of plyometric and whole-body vibration exercises on physical performance variables, only few studies have compared the acute effects of plyometric and whole-body vibration on the occurrence of post-activation potentiation and the resultant improvements in performance. Therefore, we aimed to compare the acute effects of plyometric exercises and whole-body vibration training on physical performance in collegiate basketball players. Twenty-four collegiate male basketball players (age 20.8 ± 2.02 years, height 1.79 ± 0.7 m, and weight 71.2 ± 7.6 kg) participated in this randomized crossover study. Subjects were received both plyometric and whole-body vibration exercises after a 48-h washed-out period. Countermovement Jump height, sprint, and agility time were measured at baseline, 4- and 12-min post-plyometric, and whole-body vibration exercises. The result suggests a positive effect of both the plyometric and whole-body vibration exercises on countermovement jump and agility time (p = 0.001). While the countermovement jump height and agility were higher in the plyometric group (mean difference 1.60 cm and 0.16 s, respectively), the sprint performance was higher in the whole-body vibration group. However, these differences were statistically non-significant between the two groups (p > 0.05). This study suggests that both plyometric and whole-body vibration exercises may improve post-activation potentiation, which leads to better physical performance.Trial registration CTRI/2019/05/019059. Registered with the Clinical trials registry, India on 10/05/2019. http://ctri.nic.in/Clinicaltrials/advsearch.php.