Whole-body vibration exercise for low back pain

Zhang, Zhijie; Peng, Meng‐Si; Hu, Hongpu; Zhang, Ju; Wang, Xueqiang

doi:10.1097/md.0000000000012534

Cited by 7 publications

(4 citation statements)

References 35 publications

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“…Increasing studies suggests that vibration is beneficial to reducing chronic pain. [ 10 , 11 , 20 ] In addition, WBV training is now being used as an effective treatment for low back pain and fibromyalgia pain. [ 21 ] To explain the pain reduction effect of WBV training, the gate-control theory was the dominating mechanism, while Gay et al revealed that the supraspinal mechanism may potentially be involved too.…”

Section: Discussionmentioning

confidence: 99%

“…[7][8][9] A positive effect on pain reduction in patients with chronic low back pain was also discovered recently. [10,11] Various theories may explain how WBV provide benefit to patients with chronic pain. With a newly developed concept of translational medicine, [12] we want to fill the gap between the basic theory and the clinical practice in this field.…”

Section: Introductionmentioning

confidence: 99%

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Whole-body vibration provides additional benefits to patients with patellofemoral pain: A protocol for systematic review and meta analysis of randomized controlled trials

Yang

Zuo

2022

Medicine

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Background: The efficacy of the whole-body vibration (WBV) training for patients with patellofemoral pain (PFP) remains controversial. For this reason, we applied a meta-analysis of randomized controlled trials (RCTs) to evaluate the efficacy of WBV training in patients with PFP.Methods: Relevant studies found within PubMed, EMBASE, the Cochrane Library and Web of Science were examined from January 1, 1990 to December 30, 2021. Two evaluators independently screened the literatures, extracted relevant data and assessed the methodological quality of respective studies. Meta-analysis was conducted using RevMan 5.4 software.Results: A total of 5 RCTs with 174 patients were included. When comparing with exercise alone, WBV training in combination with exercise provided better reduction of pain assessed by visual analogue scale score (P = .04). There were no differences regarding changes of Kujala patellofemoral score, the physical component summary score for physical health, and the mental component summary score for mental health (P = .08, 0.76, 0.65 respectively) between patients with WBV training and those without WBV training.Conclusions: Compared to the sole performance of exercise, WBV training in combination with exercise showed better pain reduction, but no superior improvement in function and on quality of life.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Whole-body vibration provides additional benefits to patients with patellofemoral pain: A protocol for systematic review and meta analysis of randomized controlled trials

Yang

Zuo

2022

Medicine

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“…These results are contrary to previous literature showing that WBV or core muscle exercises increase core muscle activation in patients with chronic LBP. Patients with chronic LBP often have reduced core muscle activation which negatively effects their back pain levels [ 49 ]. The current study was completed by healthy participants free of chronic LBP to represent soldiers new to military training; therefore, they may not have had low core muscle activation prior to the intervention.…”

Section: Discussionmentioning

confidence: 99%

Core and Whole Body Vibration Exercise Influences Muscle Sensitivity and Posture during a Military Foot March

Lyons

Parks

Dadematthews

et al. 2021

IJERPH

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Military foot marches account for 17–22% of Army musculoskeletal injuries (MSI), with low back pain (LBP) being a common complaint. Core-exercise and whole-body vibration (WBV) have been shown to decrease LBP in patients with chronic low back MSI. This study investigated if WBV and/or core-exercise influenced LBP or posture associated with a military ruck march. A randomized control trial with three groups: (1) WBV and core-exercise (WBVEx); (2) core-exercise alone (Ex); and (3) control evaluated the effects of core-exercise and WBV on LBP during/after a two 8 K foot marches with a 35 lb rucksack. The intervention groups completed three weeks of core-exercise training with/without WBV. Outcome measurements included visual analog scale (VAS), algometer, posture and electromyography (EMG). LBP, pressure threshold, and posture were elevated throughout the foot march regardless of group. LBP remained elevated for 48 h post foot march (p = 0.044). WBVEx and Ex did not have a significant effect on LBP. WBVEx and Ex both decreased muscle sensitivity and increased trunk flexion (p < 0.001) during the second foot march (FM2). The 8 K foot marches significantly increased LBP. Core-exercise training with/without WBV decreases low back muscle sensitivity. WBV and core-exercise increases trunk flexion which may help improve performance and may influence LBP.

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“…Vibration therapy includes whole-body vibration therapy and local vibration therapy. The previous systematic reviews and meta-analyses of vibration therapy for CLBP [ 6 , 7 ] are few and only focused on whole-body vibration therapy on CLBP. As the clinical use of vibration therapy for low back pain continues to increase, there is a need to include local vibration therapy in evidence syntheses including meta-analysis.…”

Section: Introductionmentioning

confidence: 99%

Vibration therapy to improve pain and function in patients with chronic low back pain: a systematic review and meta-analysis

Li,

Liu,

Wang

et al. 2023

J Orthop Surg Res

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Background Vibration therapy (VT), a treatment of musculoskeletal disorders, has been developed for clinical applications in the past decade. However, its effect on relieving chronic low back pain (CLBP) and improving lumbar function is still illusive, lacking sufficient evidence-based medical data. Objective This systematic review aimed to evaluate the efficacy of vibration therapy on pain and function in people with CLBP. Methods PubMed, Cochrane Library, Web of Science, Embase, CNKI, Wanfang Date, VIP, and CBM were applied to search for clinical randomized controlled trials (RCTs) on vibration therapy for people with CLBP. The electronic databases were searched from the establishment of the database until July 1, 2023. Two researchers assessed the quality of the included studies and extracted data. The outcome indicators included the pain intensity index, Oswestry dysfunction index (ODI) score, and Roland–Morris dysfunction questionnaire (RMDQ) score. GRADE was used to evaluate the certainty of evidence of each outcome indicator. The meta-analysis was conducted using RevMan 5.3 software. Results Fourteen papers met the inclusion criteria with 860 subjects (VT group n = 432 and control group n = 428). VT for patients with CLBP reduced the pain intensity index [SMD = − 0.71, 95% CI (− 1.02, − 0.39), I2 = 76%, P < 0.0001], the ODI score value [MD = − 4.24, 95% CI (− 8.10, − 0.38), I2 = 88%, P = 0.03], and the RMDQ score value [MD = − 2.21, 95% CI (− 3.41, − 1.01), I2 = 0%, P = 0.0003]. Subgroup analysis displayed that the pain intensity index was lower in the whole-body vibration (WBV) group than in the control group [SMD = − 0.49, 95% CI (− 0.79, − 0.19), I2 = 58%, P = 0.001] and the local vibration (LV) group [SMD = − 1.07, 95% CI (− 1.60, − 0.53), I2 = 76%, P < 0.0001]. The ODI scores in the WBV group were lower than those in the control group [MD = − 3.30, 95% CI (− 5.76, − 0.83), I2 = 36%, P = 0.009]. There was no statistically significant difference in ODI scores between the LV group and the control group [MD = − 5.78, 95% CI (− 16.23, 4.66), I2 = 97%, P = 0.28]. Conclusion The data from this study suggest that VT can reduce pain and improve lumbar function in patients with CLBP. However, we still need to carefully interpret the results of this study, as the certainty of evidence was low, and the clinical relevance of the results is questionable. Further RCTs are needed in the future to ascertain this.

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Whole-body vibration exercise for low back pain

Abstract: Supplemental Digital Content is available in the text

Cited by 7 publications

References 35 publications

Whole-body vibration provides additional benefits to patients with patellofemoral pain: A protocol for systematic review and meta analysis of randomized controlled trials

Whole-body vibration provides additional benefits to patients with patellofemoral pain: A protocol for systematic review and meta analysis of randomized controlled trials

Core and Whole Body Vibration Exercise Influences Muscle Sensitivity and Posture during a Military Foot March

Vibration therapy to improve pain and function in patients with chronic low back pain: a systematic review and meta-analysis

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