The Acute Effects of Local Vibration Therapy on Ankle Sprain and Hamstring Strain Injuries

Peer, Kimberly S.; Barkley, Jacob E.; Knapp, Danielle M.

doi:10.3810/psm.2009.12.1739

Cited by 35 publications

(44 citation statements)

References 26 publications

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“…As noted by previous studies, SVT can be applied more frequently than traditional sound wave and ESWT treatments 3,5,7 . Cacchio et al reported on their results of a Level I study on "shockwave" for proximal hamstring tendinopathy.…”

Section: Discussionmentioning

confidence: 95%

“…This device is applied to the affected area for 2500 pulses at 4.0 Bar and 35 Hz ( These two types of treatments are able to be combined in one device. This pressure wave treatment typically takes four minutes, which corresponds with current research recommendations 3,4,7 . Activities as tolerated are permitted after the treatments though generally running and jumping are not allowed for 3-6 weeks.…”

Section: Proposed Treatment Protocol For Calf Strainsmentioning

confidence: 99%

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Vibration and pressure wave therapy for calf strains: a proposed treatment

Saxena¹

2013

MLTJ

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SummaryCalf (lower leg) strains have a variety of treatment regimens with variable outcomes and return to activity (RTA) time frames. These injuries involve disruption of portions or the entire gastrocnemius-soleus myo-tendinous complex. Conservative treatment initially consists of rest, ice, compression, elevation (RICE). Immediately following calf injury, patients can utilize cryotherapy, massage, passive range of motion, and progressive exercise. In general, Grade I through Grade III calf strains can take up to 6 weeks before the athlete can return to training. It can also involve the loss of more than 50% of muscle integrity. Recently, vibration therapy and radial pressure waves have been utilized to treat muscular strains and other myo-tendinous injuries that involve trigger points. Studies have suggested vibration therapy with rehabilitation can increase muscle strength and flexibility in patients. Segmental vibration therapy (SVT) is treatment to a more focal area. Vibration therapy (VT) is applied directly to the area of injury. VT is a mechanical stimulus that is thought to stimulate the sensory receptors, as well as decrease inflammatory cells and receptors. Therefore, VT could be a valuable tool in treating athlete effectively and decreasing their recovery time. The purpose of this paper is to give the reader baseline knowledge of VT and propose a treatment protocol for calf strains using this technology along with radial pressure waves.

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Section: Discussionmentioning

confidence: 95%

Section: Proposed Treatment Protocol For Calf Strainsmentioning

confidence: 99%

Vibration and pressure wave therapy for calf strains: a proposed treatment

Saxena¹

2013

MLTJ

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“…Peer et al 73 reported that 10 minutes of intermittent direct VT (20 Hz) was more effective in treating hamstring and ankle sprains than 20 minutes of controlled therapy using ice, compression and elevation. The authors reported that flexibility of the hamstring and tricep surae muscle groups increased and perceived stiffness decreased.…”

Section: Injury Rehabilitationmentioning

confidence: 98%

Good vibrations? – The use of vibration therapy for exercise recovery, injury prevention and rehabilitation

Cochrane

2011

Physical Therapy Reviews

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Background: There has been a resurgence of vibration technology and the application of direct and indirect vibration therapy (VT) has found its way into medical, clinical, and rehabilitation fields. Direct (applied to the area) and indirect (transferred to the whole body or body part) VT have been reported to enhance muscle force, power, and flexibility, and raise intra-muscular temperature, which is fundamental to injury prevention and exercise-associated rehabilitation and may reduce pain. Objectives: To provide a discussion on the scientific merit of the limited evidence for direct and indirect VT. Major findings: Direct VT is supported for reducing pain. However, it is equivocal whether indirect VT has the same effect to reduce delayed onset of muscle soreness. Indirect VT has potential to alleviate muscle soreness symptoms and can improve static balance in the elderly and compromised health groups. It is unclear whether indirect VT increases reflex activity to increase joint stability and reduce possible muscle strains. Nevertheless, indirect VT increases intramuscular muscle temperature at a faster rate compared to conventional warm-up intervention, which would prove useful in exercise-associated rehabilitation. Indirect VT may have other additional benefits: it increases torque and range of motion in chronic lower back pain; maintains cartilage integrity when weight-bearing activities are difficult to achieve; increases knee extensor force and decreases sensory deficits in reconstructed ACL injury. Conclusions: There is merit in using indirect VT as a rehabilitation device because no adverse effects have been associated with its use in research, clinical, or physical therapy. Vibration therapy has the potential to complement existing rehabilitation practices because of its ease and time efficient application. However, current research is limited and the comparison of VT protocols and study designs leaves the magnitude of adaptations and the mechanism of improvements in some VT studies uncertain. Therefore, additional studies are required to ascertain the optimal range for vibration frequency and duration, which will provide a better understanding of its mechanism and its contribution as a legitimate modality in the physical therapy field.

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“…Each muscle group was stimulated for 2 minutes at 20 hertz, as recommended by the manufacturer and previous publications [18,20]. Lower body muscle groups were stimulated either seated or standing and included: gluteals -standing with buttocks resting on drum; hamstrings -standing with hamstring draped over drum; gastrocnemius-seated with belly of the calf draped over the drum; hip adductors-standing with side of thigh resting on the drum; hip flexorsstanding with front of the hip touching the drum.…”

Section: Segmental Vibration Therapymentioning

confidence: 99%