scholarly journals Effects of Whole-Body Vibration Therapy on Body Functions and Structures, Activity, and Participation Poststroke: A Systematic Review

2014 ◽  
Vol 94 (9) ◽  
pp. 1232-1251 ◽  
Author(s):  
Lin-Rong Liao ◽  
Meizhen Huang ◽  
Freddy M.H. Lam ◽  
Marco Y.C. Pang

BackgroundWhole-body vibration (WBV) has gained increasing popularity in rehabilitation. Recent studies have investigated the application of WBV in individuals with chronic illnesses, including stroke.PurposeThe purpose of this study was to compare WBV exercise with the same exercise condition without WBV and with other types of physical exercise in enhancing body functions and structures, activity, and participation in individuals with stroke and examine its safety.Data SourceElectronic searches were conducted on MEDLINE, CINAHL, PEDro, PubMed, PsycINFO, and Science Citation Index.Study SelectionRandomized controlled trials (RCTs) that investigated the effects of WBV among individuals with stroke were identified by 2 independent researchers. Ten articles (9 studies, totaling 333 study participants) satisfied the selection criteria and were included in this review.Data ExtractionThe methodological quality was rated using the PEDro scale. The results were extracted by 2 independent researchers and confirmed with the principal investigator.Data SynthesisOnly 2 RCTs were considered as demonstrating level 1 evidence (PEDro score ≥6 and sample size >50). Two RCTs examined the effects of a single WBV session, and 7 RCTs examined the effects of WBV programs spanning 3 to 12 weeks. No consistent benefits on bone turnover, leg motor function, balance, mobility, sensation, fall rate, activities of daily living, or societal participation were found, regardless of the nature of the comparison group. Adverse events were minor.LimitationsA broad approach was used, with stroke as an inclusion criterion for review. No solid evidence was found concerning the effects of WBV on subgroups of people with specific stroke-related deficits due to the heterogeneity of patient groups.ConclusionsBased on the review, there is insufficient evidence to support clinical use of WBV in enhancing body functions and structures, activity, and participation after stroke.

2019 ◽  
Vol 126 (5) ◽  
pp. 973-985
Author(s):  
Chi-Yao Chang ◽  
Min-Hao Hung ◽  
Chin-Shan Ho ◽  
Kuo-Chuan Lin

The purpose of this research was to study the effects of a whole-body vibration (WBV) warm-up for improving fencers' performance on variables derived from a lunge reaction test, the 10-meter sprint, and the countermovement jump. We compared fencer performances at four time intervals: (a) preintervention, (b) immediately postintervention, (c) 1-minute postintervention, and (d) 2-minute postintervention. Study participants were 16 male fencers. The vibration frequency was 30 Hz, and its amplitude was two mm. After each WBV session, participants significantly improved their performance on all measures at both one and two minutes after the intervention. Specifically, lunge reaction tests scores improved by 5.50% and 7.34%, respectively, relative to preintevention testing ( p < .01), peak power output improved by 4.94% and 11.52%, respectively ( p < .05), and maximum rate of force development improved by 13.41% and 18.38%, respectively ( p < .01). Acute WBV (frequency = 30 Hz, peak-to-peak amplitude of two mm) induced neuromuscular activation and improved lunge reaction scores, agility, and power.


Author(s):  
Helen Senderovich ◽  
Nadiya Bayeva ◽  
Basile Montagnese ◽  
Akash Yendamuri

<b><i>Introduction:</i></b> A growing trend in medicine is older adults and increased need for geriatric services. Falls contribute heavily to hospitalizations and worsening of overall health in this frail demographic. There are numerous biological and physical culprits which, if targeted, can prevent falls. The objective was to review benefits of different types of exercises for fall prevention for older persons who are community-dwelling or living in long-term care facilities. <b><i>Methods:</i></b> A systematic review was conducted to determine the different types of exercises for fall prevention. Data extraction via a standardized protocol was performed to assess study design, outcomes, limitations, and author’s conclusions. Corroborative themes were identified and the authors responsible for the contributing research were cited as they came up. Nineteen randomized controlled trials were identified, between 1990 and 2018, using MEDLINE, PubMed, Cochrane, CINAHL, and Web of Science databases. Studies involving adults greater than age 60 in high-risk community or nursing home populations in the English language with a duration longer than or equal to 6 weeks with focuses on either low-risk balance, strength, or combination of both and whole-body vibration. <b><i>Results:</i></b> Balance exercise training increased balance at 6 and 12-month intervals involving balance, strength, and cognitive training. <b><i>Discussion:</i></b> Insignificant results were seen in whole-body vibration and differing results existed for Tai Chi. It is important to recognize that although exercises help reduce the risk of falling and play a significant role in improving mobility safely, there will always be a risk of falls.


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