“…For example, using high-frequency focal vibration, we reached the normalization of the basal tone in two heads of the quadriceps femoris muscle (rectus femoris and vastus medialis) in ten sporting subjects (38). In another study, sarcopenic thigh muscles submitted to local vibrational training at 300 Hz for a period of 12 weeks, starting with a session of 15 min stimulation once a week and increasing to three sessions of 15 min per week, displayed enhanced maximal isometric strength and increased content of fast MyHC-2X myosin, without any change in cross-sectional area or in specific tension; analysis of transcriptional profiles by microarray revealed changes in gene expression after 12 weeks of local vibrational training, in particular pathways related with energy metabolism, sarcomeric protein balance and oxidative stress response were affected: thus, the mode of action of vibration is based on cellular and molecular changes which do not include increase in fiber or muscle size (39), but affects serum level of growth hormone, creatine phosphokinase (increase) and cortisol (decrease) (40). Moreover, using the focused mechano-acoustic vibration at 300 Hz, it has been also shown that a 12-week training is equivalent to a global sensorimotor and a resistance training (60-80% of maximum theoretical force, 10-12 repetitions for 3 sets, 2 sessions per week) in improving balance, with a reduction of sway area and of ellipse surface, and in increasing the length of half-step and reducing the width of the support at the gait analysis, with reduction of the risk of falls in the sarcopenic elderly subjects enrolled in the study (41).…”