Effects of long-term whole-body vibration training on mobility in patients with multiple sclerosis: A meta-analysis of randomized controlled trials

Kantele, Sini; Karinkanta, Saija; Sievänen, Harri

doi:10.1016/j.jns.2015.09.357

Cited by 24 publications

(13 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Consistent with previous findings, 20,30,45 our study reinforces that CWBV may improve body balance among people with stroke. Similar findings were reported with other populations, such as older adults 9,46 and people with Parkinson disease, 47 multiple sclerosis, 48,49 and obesity. 50 Although the underlying mechanisms of CWBV is unclear, several factors could contribute to the observed improvement in body balance.…”

Section: Discussionsupporting

confidence: 90%

Efficacy of Controlled Whole-Body Vibration Training on Improving Fall Risk Factors in Stroke Survivors: A Meta-analysis

Yang

Butler

2020

Neurorehabil Neural Repair

View full text Add to dashboard Cite

Background. Controlled whole-body vibration (CWBV) training has been applied to people with stroke. However, it remains inconclusive if CWBV reduces fall risk in this population. Objective. To (1) assess the immediate and retention effects of CWBV training on fall risk factors in people at postacute and chronic stages of stroke and (2) examine if CWBV dosage is correlated with the effect size (ES) for 3 fall risk factors: body balance, functional mobility, and knee strength. Methods. Twelve randomized controlled trials were included. ES was calculated as the standardized mean difference, and meta-analyses were completed using a random-effects model. Results. CWBV training may lead to improved balance and mobility immediately after training (ES = 0.27, P = .03 for balance; ES = 0.34, P = .02 for mobility) but not at the 3-month follow-up test (ES = 0.02, P = .89 for balance; ES = 0.70, P = .11 for mobility). CWBV affects knee strength capacity with mild ES (ES = 0.08 and 0.11, respectively, for immediate and retention effect; P ≥ .68 for both). Metaregression indicated that the immediate ES is strongly correlated with training dosage for balance ( r = 0.649; P = .029) and mobility ( r = 0.785; P = .036). Conclusions. CWBV training may benefit balance and mobility immediately, but the training effect may not persist among people with stroke. Additionally, the CWBV dosage correlates with the ES for body balance and mobility. More high-quality studies are needed to determine the retention effects of CWBV training.

show abstract

Section: Discussionsupporting

confidence: 90%

Efficacy of Controlled Whole-Body Vibration Training on Improving Fall Risk Factors in Stroke Survivors: A Meta-analysis

Yang

Butler

2020

Neurorehabil Neural Repair

View full text Add to dashboard Cite

show abstract

“…As a non-invasive and safe intervention method, vibration has been applied in the fields of therapy and rehabilitation, and many positive effects were found in improving muscle performance, walking balance and endurance, bone density and so on (Merriman and Jackson, 2009; Rittweger, 2010; Kantele et al, 2015; Fischer et al, 2019). In this study, results showed that the vibration can increase plantar SBF in both diabetic and healthy subjects, indicating that it offers a safe method for improving SBF with few side effects.…”

Section: Discussionmentioning

confidence: 99%

Effects of Local Vibration With Different Intermittent Durations on Skin Blood Flow Responses in Diabetic People

Ren

Luan

et al. 2019

Front. Bioeng. Biotechnol.

View full text Add to dashboard Cite

Objective: Poor blood flow supply is an important pathological factor that leads to the development and deterioration of diabetic foot ulcers. This study aims to investigate the acute effects of local vibration with varying intermittent durations on the plantar skin blood flow (SBF) response in diabetic and healthy subjects.Methods: Eleven diabetic patients (7 males, 4 females) and 15 healthy adults (6 males, 9 females) participated in this experiment and accepted three tests. Local continuous vibration (LCV) and two levels of local intermittent vibration (LIV1 and LIV2) were randomly applied to the middle metatarsal head of each subject's right foot in each test. The SBF was measured prior to intervention (Baseline), during Vibration and during the Recovery Stage for each test. The mean SBF in each stage, the change percentages and change rates of SBF in Vibration and Recovery stage among three tests were compared and analyzed for both diabetic and healthy subjects.Results: For diabetic subjects, the SBF was significantly increased in both Vibration and Recovery Stage with local intermittent vibrations (LIV1 and LIV2), but not with LCV. However, there was no significant difference in change percentage and change rate of SBF in diabetic subjects across the three tests. For healthy subjects, all vibration interventions significantly increased the SBF in the Vibration Stage and in the first 1.5 min of the Recovery Stage. Also, the change rate of SBF during the Vibration stage in LIV1 test was significantly greater than that in LIV2 test for healthy subjects. Moreover, change percentage of SBF in Vibration stage of LIV1 test and in some periods of Recovery stages of LIV1 and LIV2 tests for diabetic subjects were lower than for healthy subjects; the absolute change rate of SBF in LIV1 test for diabetic subjects was also lower than for healthy subjects.Conclusion: These findings suggest that both LIV1 and LIV2 may effectively improve SBF in the feet of diabetic people, but LCV may not achieve the same level of vasodilatation. The diabetic subjects were also found to have a lower SBF response to applied vibration than the healthy subjects.

show abstract

“…30 Furthermore, our results are consistent with the effects of WBV in individuals with other conditions. [15][16][17][18][19][20] Moreover, a recent RCT demonstrated that the complimentary use of WBV improved the rehabilitation results in patients after lung transplantation. 31 From our study, it is not entirely clear how WBV improves exercise capacity in PAH.…”

Section: Discussionmentioning

confidence: 99%

“…15 16 Furthermore, its application improved exercise capacity, lower limb performance, and HRQoL in patients with chronic diseases such as cystic fibrosis, multiple sclerosis, and chronic obstructive pulmonary disease. [17][18][19][20] Here, we assessed the potential role of oscillatory WBV as a feasible and easily accessible method of continuous and potentially home-based physical exercise in patients with PAH. …”

Section: Introductionmentioning

confidence: 99%

Oscillatory whole-body vibration improves exercise capacity and physical performance in pulmonary arterial hypertension: a randomised clinical study

Gerhardt

Dumitrescu

Gärtner

et al. 2017

Heart

View full text Add to dashboard Cite

ObjectiveIn patients with pulmonary arterial hypertension (PAH), supportive therapies may be beneficial in addition to targeted medical treatment. Here, we evaluated the effectiveness and safety of oscillatory whole-body vibration (WBV) in patients on stable PAH therapy.MethodsTwenty-two patients with PAH (mean PAP≥25 mm Hg and pulmonary arterial wedge pressure (PAWP)≤15 mm Hg) who were in world health organization (WHO)-Functional Class II or III and on stable PAH therapy for≥3 months, were randomised to receive WBV (16 sessions of 1-hour duration within 4 weeks) or to a control group, that subsequently received WBV. Follow-up measures included the 6-min walking distance (6MWD), cardiopulmonary exercise testing (CPET), echocardiography, muscle-power, and health-related quality of life (HRQoL; SF-36 and LPH questionnaires).ResultsWhen compared to the control group, patients receiving WBV exhibited a significant improvement in the primary endpoint, the 6MWD (+35.4±10.9 vs −4.4±7.6 m), resulting in a net benefit of 39.7±7.8 m (p=0.004). WBV was also associated with substantial improvements in CPET variables, muscle power, and HRQoL. The combined analysis of all patients (n=22) indicated significant net improvements versus baseline in the 6MWD (+38.6 m), peakVO2 (+65.7 mL/min), anaerobic threshold (+40.9 mL VO2/min), muscle power (+4.4%), and HRQoL (SF-36 +9.7, LPH −11.5 points) (all p<0.05). WBV was well tolerated in all patients, and no procedure-related severe adverse events (SAEs) occurred.ConclusionsWBV substantially improves exercise capacity, physical performance, and HRQoL in patients with PAH who are on stable targeted therapy. This methodology may be utilised in structured training programmes, and may be feasible for continuous long-term physical exercise in these patients.Trial registration numberNCT01763112; Results.

show abstract

Effects of long-term whole-body vibration training on mobility in patients with multiple sclerosis: A meta-analysis of randomized controlled trials

Cited by 24 publications

References 41 publications

Efficacy of Controlled Whole-Body Vibration Training on Improving Fall Risk Factors in Stroke Survivors: A Meta-analysis

Efficacy of Controlled Whole-Body Vibration Training on Improving Fall Risk Factors in Stroke Survivors: A Meta-analysis

Effects of Local Vibration With Different Intermittent Durations on Skin Blood Flow Responses in Diabetic People

Oscillatory whole-body vibration improves exercise capacity and physical performance in pulmonary arterial hypertension: a randomised clinical study

Contact Info

Product

Resources

About