BackgroundWhole body vibration exercise (WBVE) has been shown to improve muscular strength and power, and increase peripheral blood flow. The aim of this study was to evaluate the behavior of the skin temperature (Tsk) on regions of the lower limbs from an acute bout of WBVE.Methods and findingsCross-sectional study approved by local ethics committee (Certificado de Apresentação para Apreciação Ética—CAAE—19826413.8.0000.5259) and Trial registration (Registro Brasileiro de Ensaios Clínicos—REBEC—RBR-738wng). Using Infrared thermography (IRT), Tsk and thermal symmetry of the posterior lower extremities (thigh, knee, calf and heel) were examined in 19 healthy participants. IRT was assessed during 60-second WBVE exposures of 0, 30 and 50 Hz. From the adjusted linear mixed effects model, vibration frequency, time and regions of the lower extremity were significant (p<0.001). However, the variable laterality was not significant (p = 0.067) and was excluded from the adjusted statistical model. The adjusted model was significant (p<0.00001) and all variables in the model were significant (p<0.01) indicating that Tsk decreases with time, independently of the vibration frequency. The value of the Pseudo-R-Squared for the model was 0.8376. The presented mathematical model of the current study may be useful to justify the patterns observed for all vibration frequencies between and 0 and 50 Hz. The main limitations of the study were the reduced time of the intervention and not having evaluated other regions of the body.ConclusionsThe acute exposure of 60-second mechanical vibration has effect on the behavior of Tsk of the posterior region of the lower limbs, which is likely to be associated with a decrease on the blood flow due to WBVE. It is speculated that during WBVE a greater supply of blood is required where the body responds by shunting blood flow from the skin to working muscle in the first seconds of exercise. Further investigative work is required to verify this hypothesis.

Metabolic syndrome (MetS) is an undesirable clinical condition with physiological, biochemical, clinical, and metabolic factors that contribute to increased cardiovascular risks (CR). A poor sleep quality might be found in obese and MetS individuals. Whole-body vibration (WBV) exercise has been used on the management of MetS individuals. This clinical trial investigated the effect of WBV exercise on parameters related to the sleep quality in MetS individuals. After randomization, nine individuals (seven women and two men) were exposed to a fixed frequency (FF) and ten individuals (eight women and two men) were exposed to a variable frequency (VF). Both groups performed the protocol twice a week, for 6 weeks. All of the evaluations were performed before the first and after the last sessions. Anthropometric and cardiovascular parameters were measured before and after the 6-week intervention. Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and Berlin Questionnaire were also used to evaluate the quality of the sleep. A significant (p ≤ 0.05) reduction of the waist circumference in the VFG and an increase of the heart rate were found in the FFG and VFG group. The score of the PSQI of the both groups decreased significantly (p = 0.01). The score of the ESS decreased (p = 0.04) only in the VF group. The scores of the Berlin Questionnaire were not altered in both groups. In conclusion, WBV intervention was capable in interfering with physiological mechanisms with effects on the WC and HR, leading to the improvement of the quality of sleep in MetS individuals. WBV exercise might be an important clinical intervention to the management of some factors associated with poor quality of sleep (FFG and VFG) and in the daytime sleepiness in MetS individuals with variable frequencies (5–16 Hz) (VFG).

Metabolic syndrome (MetS) is related to overweight and obesity, and contributes to clinical limitations. Exercise is used for the management of MetS individuals, who are often not motivated to perform this practice. Whole body vibration exercise (WBVE) produces several biological effects, besides being safe, effective, and feasible for MetS individuals. This pseudo-randomized and cross-over controlled trial study aimed to analyze the effects of WBVE on MetS individuals’ neuromuscular activation using the surface electromyography (sEMG) pattern (root mean square (RMS)) of the vastus lateralis (VL) muscle and on the range of motion (ROM) of the knees. Participants (n = 39) were allocated to two groups: the treatment group (TG), which was exposed to WBVE, and the control group (CG). WBVE interventions were performed twice a week, for a period of 5 weeks. ROM and sEMG were analyzed at baseline, after the first session, and before and after the last session. sEMG (%RMS) significantly increased in the acute effect of the last session of WBVE (108.00 ± 5.07, p < 0.008, right leg; 106.20 ± 3.53, p < 0.02, left leg) compared to the CG. ROM did not significantly change in TG or CG. In conclusion, 5 weeks of WBVE exerted neuromuscular effects capable of increasing VL muscle RMS in individuals with MetS, this effect being potentially useful in the physical rehabilitation of these individuals.

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Knee osteoarthritis (KOA) is a degenerative disease of the knee joint. This study aims to evaluate the effects of whole-body vibration (WBV), auriculotherapy (AT), and the association of these techniques with the functionality of KOA individuals. Individuals (n = 120) were allocated an AT group (GAT), a WBV group (GWBV), an association group (GWBV + AT), and their respective controls (CGAT, CGWBMV, CGWBMV + AT). The WBV intervention was performed with 5–14 Hz in 3 min of working time with 1 min rest. The control group performed the protocol with the vibrating platform (VP) turned off. The AT intervention was performed with adhesive tapes, with seeds placed in the both ears on the Shenmen point, knee joint, and kidney. The control groups had seedless tape placed on both ears. The participants were instructed to press the adhesive tapes with the fingers three times per day (for 6 days) and to remove the adhesive tapes on the seventh day, before returning to the laboratory. The International Knee Documentation Committee (IKDC), the short physical performance battery (SPPB), and the anterior trunk flexibility (ATF) tests were applied. Acute and cumulative effects were determined. In first session (acute effect of the first session), significant improvements were observed in the groups GWBV (p = 0.03) and GWBV + AT (p = 0.04), and in the cumulative effect a significant improvement was observed in the groups GWBV (p = 0.02) and GWBV + AT (p = 0.01). Concerning the overall score of the SPPB, significant improvements were observed in the individuals of the GWBV (p = 0.01) and GWBV + AT (p = 0.03) groups (cumulative effect). No changes were found in the score for the IKDC. The WBV alone or associated with AT, besides being a safe and feasible strategy, likely produces physiological responses that improve the functionality of KOA individuals, considering the findings of the ATF and the score of the SPPB.