• Interdisziplinäre Überblicke über spezielle und allgemeine Therapie- & Trainingsreize bieten Ihnen die Abstracts der wellwave.foren und die wisschenschafltichen Zusammenstellungen.

  • Ausgewählte und thematisch geordnete wissenschaftliche Publikationen zu den Vibrationsanwendungen (teilw. von uns zusammengefasst) finden Sie unter Studien und Reviews.
     

  • Was die ETH Zürich im Bereich der Vibrationsanwendungen forscht finden Sie unter ETH Studien.
     

  • Unter Grundlagen und Literatur sind die für die Leistungssteigerung und den Gesundheitserhalt relevanten Erkenntnisse aus der Sportphysiologie, Rehabilitationsmedizin, Biomechanik und Bewegungslehre aussortiert und nachlesbar.

Aktuelle Publikationen

Von wellwave.net publizierte Arbeiten:

Abstracts der wellwave.foren

Wissenschaftliche Zusammenstellungen

Zusammenfassungen ausgewählter Kolloquien

Normen

Aktuelle und relevante Studien und Reviews zu ausgewählten Themen der Vibrationsanwendungen:

Kraft & Leistung

 

Osteoporose

Mechanismus &

allg. Effekte

 

Therapie

Schmerzen

Arthrose

(engl. osteoarthritis)

Die ETH forscht aktiv im Departement für Gesundheitswissen-schaften und Technologie auf dem Gebiet der fremd-erzeugten, zyklischen Impulse.

Zusammenhänge über Deformationsgeschwindig-keit und Adaptations-prozesse von Zellen, anatomischen Strukturen sowie Funktionssystemen. Interdisziplinärere Forschungsarbeiten zum Thema mechanischer Reize (Impulse):

Knorpel

Knochen

Biomechanik

Manipulation

Neuroplastizität

Muskelgewebe    

Das detaillierte Verständnis der Zusammenhänge dieser Standardwerke ist die Voraussetzung, um mechanische Reize (Impulse) gesundheits-wirksam und leistungs-orientiert setzen zu können. Fehlt dieses Verständnis oder die Erfahrung, fehlt das Verständnis für die Vibrationsanwendung.

 

Kraft & Leistung:

Review 2013

Y Osawa, Y Oguma, N Ishii

The effects of whole-body vibration (WBV) on muscle strength and power: a meta-analysis
J Musculoskelet Neuronal Interact (2013) 13(3), 342-352

Data from a total of 563 participants in 17 studies on knee extension muscle strength, and on countermovement jump height were pooled using random-effect models. Based on these findings, we concluded that the use of WBV would lead to greater improvements in both knee extension muscle strength and countermovement jump than under identical conditions without WBV.

Review 2012

K Herren, S Rogan, L Radlinger

Ganzkörpervibrationen als Krafttrainingsmethode
phyisoactive, 4/2012

Bei entsprechender Wahl des Settings (Frequenz, Amplitude, Last, Bewegungsgeschwindigkeit, -technik und -methodik, Stärke der Vibrationsein- & weiterleitung, Zeitdauer) eignet sich das Ganzkörpervibrationstraining besonders gut als effiziente, sichere und gering beanspruchende Krafttrainingsmethode für ältere und untrainierte Menschen. Bei entsprechendem Trainingsreiz (Setting) können auch sportlich Aktive von einem Ganzkörpervibrationstraining provitieren. Entsprechend dem konventionellen Training sind auch die otimalen Trainingsparameter für ein Ganzkörpervibrationstraining noch nicht bis ins kleinste Detail wissenschafltich nachgewiesen.

 

Osteoporose

Review 2016: Knochendichte

Ma C1, Liu A1, Sun M2, Zhu H1, Wu H3:

Effect of whole-body vibration on reduction of bone loss and fall prevention in postmenopausal women: a meta-analysis and systematic review.

J Orthop Surg Res. 2016 Feb 17;11:24. doi: 10.1186/s13018-016-0357-2.

aim: effect of WBV on bone mineral density (BMD) and fall prevention in postmenopausal women

method: meta-analysis and systematic review of prospective randomized controlled trials (RCTs) comparing change in BMD of the femoral neck and lumbar spine and related factors of falls between WBV group and control group. search: EMBASE, PubMed, Cochrane Central Register of Controlled Trials, ISI Web of Science, and China National Knowledge Infrastructure (CNKI) up to April 2015; search strategy/key words: vibration AND (osteoporo* OR muscle* OR bone mineral density OR BMD. All prospective randomized controlled trials comparing related factors of falls and BMD change in the femoral neck and lumbar spine between WBV group and control group were retrieved.

results: 8 of 3599 studies with 1014 patients were included (477 WBV group, 537 control group).

- no significant differences in all magnitude groups of the femoral neck (N = 936, WMD: 0.00 (-0.00, 0.01); p = 0.18).

- no significant difference in high-magnitude group of the lumbar spine (N = 176, WMD: 0.00 (-0.01, 0.02); p = 0.47), low-magnitude group (N = 838, WMD: 0.00 (-0.00, 0.00); p = 0.92) and high-magnitude group (N = 98, WMD: 0.02 (-0.00, 0.05); p = 0.06) of the femoral neck.

- statistical significance in the all magnitude groups (N = 1014, WMD: 0.01 (0.00, 0.01); p = 0.01) and low-magnitude group (N = 838, WMD: 0.01 (0.00, 0.01); p = 0.007) of the lumbar spine.

- All the studies provided data of related factors of falls such as strength of the lower limb, balance, and fall rate reported effectiveness of therapy.

- In addition, no complication was reported.

authors summary: Low-magnitude whole-body vibration therapy can provide a significant improvement in reducing bone loss in the lumbar spine in postmenopausal women.

WBV can be used as an intervention for fall prevention.

Review 2016: Knochendichte

Oliveira LC1,2, Oliveira RG3,4, Pires-Oliveira DA3:

Effects of whole body vibration on bone mineral density in postmenopausal women: a systematic review and meta-analysis.

Osteoporos Int. 2016 Oct;27(10):2913-33. doi: 10.1007/s00198-016-3618-3. Epub 2016 May 4.

aim: effects of WBV on bone mineral density (BMD) of the lumbar spine (in the sensitivity analysis and seven subgroup analyses), femoral neck (in one subgroup analysis), and trochanter (four subgroup analyses) in postmenopausal women

method: systematic review and meta-analysis of randomized controlled trials (RCTs), RCTs with follow-up ≥6 months, verified the effects of WBV on the BMD of postmenopausal women.

The calculations of the meta-analysis were performed through the weighted mean difference between the WBV and control groups, or the WBV and combined training, through the absolute change between pre- and post-intervention in the areal bone mineral density (aBMD) or trabecular volumetric bone mineral density (vBMDt).

results: 15 RCTs were included in the meta-analysis.

no differences were observed in the primary analysis.

WBV improved aBMD compared with the control group, after exclusion of studies with low quality methodological (lumbar spine), when excluding the studies which combined WBV with medication or combined training (lumbar spine), with the use of low frequency and high magnitude (lumbar spine and trochanter), high frequency and low magnitude (lumbar spine), high cumulative dose and low magnitude (lumbar spine), low cumulative dose and high magnitude (lumbar spine and trochanter), with semi-flexed knee (lumbar spine, femoral neck, and trochanter), and side-alternating type of vibration (lumbar spine and trochanter).

autors summary: Despite WBV presenting potential to act as a coadjuvant in the prevention or treatment of osteoporosis, especially for aBMD of the lumbar spine, the ideal intervention is not yet clear. Our subgroup analyses helped to demonstrate the various factors which appear to influence the effects of WBV on BMD, contributing to clinical practice and the definition of protocols for future interventions.

Studie 2016: Knochendichte

Prioreschi A1,2, Makda MA3, Tikly M3, McVeigh JA1:

In Patients with Established RA, Positive Effects of a Randomised Three Month WBV Therapy Intervention on Functional Ability, Bone Mineral Density and Fatigue Are Sustained for up to Six Months.

PLoS One. 2016 Apr 13;11(4):e0153470. doi: 10.1371/journal.pone.0153470. eCollection 2016.

Functional ability is often impaired for people with rheumatoid arthritis (RA), rendering these patients highly sedentary. Additionally, patients with RA often take medication known to negatively affect bone mass. Thus improving functional ability and bone health in this group of patients is important.

aim: to investigate the effects of WBV-therapy in patients with stable, established RA.

method: 31 females with RA, randomly assigned to 1. control group (CON, n = 15) who continued with their normal activities or 2. WBV group (n = 16) who underwent a three-month WBV therapy intervention, 15 minutes of intermittent vibration twice per week. Patients in both groups were matched for all variables at baseline.

Assessments at baseline, three months, and three months post intervention for functional ability using the modified Health Assessment Questionnaire; for RA disease activity using the Clinical Disease Activity Index, for quality of life using self-report fatigue and pain scores; for physical activity profiles using accelerometry, and for BMD and body composition using DXA.

results: After the intervention period: functional ability was significantly improved in the WBV group (1.22(0.19) to 0.92(0.19), p = 0.02). Hip BMD was significantly reduced in the CON group (0.97(0.05) to 0.84(0.05) g.cm(-2), p = 0.01), while no decreases were seen in the WBV group (1.01(0.05) to 0.94(0.05) g.cm(-2), p = 0.50).

no change in RA disease activity in either group at either follow up, but fatigue levels were improved in the WBV group (4.4(0.63) to 1.1(0.65), yet remained unchanged in the CON group at both follow ups (p = 0.01).

autors summary: WBV: sustained improvements in functional ability, attenuating loss of bone mass at the hip, decreasing fatigue in patients with established RA.

Studie 2015: Knochendichte

Erceg DN1, Anderson LJ1, Nickles CM1, Lane CJ2, Weigensberg MJ3, Schroeder ET1:

Changes in Bone Biomarkers, BMC, and Insulin Resistance Following a 10-Week Whole Body Vibration Exercise Program in Overweight Latino Boys.

Int J Med Sci. 2015 Jun 8;12(6):494-501. doi: 10.7150/ijms.11364. eCollection 2015.

aim: tested whether whole body vibration (WBV) exercise can positively affect bone metabolism and improve insulin/glucose dynamics in sedentary overweight Latino boys.

methods: 20 Latino boys 8-10 years of age were randomly assigned to 1. a control (CON) or 2. WBV 3 days/wk (VIB) for 10-wk.

results: 1. Significant increases in bone mineral content (BMC; 4.5 ± 3.2%; p=0.01) and bone mineral density (BMD; 1.3 ± 1.3%; p<0.01) for the VIB group compared to baseline values.

2. CON group BMC significantly increased (2.0 ± 2.2%; p=0.02), but no change in BMD (0.8 ± 1.3%; p=0.11). 3. no significant between group changes in BMC or BMD. 4. no significant change for osteocalcin and (collagen type I C-telopeptide) CTx for the VIB group. 5. osteocalcin showed a decreasing trend (p=0.09) and CTx significantly increased (p<0.03) for the CON group. This increase in CTx was significantly different between groups (p<0.02) and the effect size of between-group difference in change was large (-1.09). 6. no significant correlations between osteocalcin and measures of fat mass or insulin resistance for collapsed data.

autors summary: bone metabolism was altered by WBV training, but no associations were apparent between osteocalcin and insulin resistance. WBV exercise may positively increase BMC and BMD by decreasing bone resorption in overweight Latino boys.

Studie 2015: Knochendichte bei älteren Menschen

Kiel DP1,2,3, Hannan MT1,2,3, Barton BA4, Bouxsein ML3,5, Sisson E6, Lang T7, Allaire B5, Dewkett D1, Carroll D1, Magaziner J8, Shane E9, Leary ET10,11, Zimmerman S12, Rubin CT13:

Low-Magnitude Mechanical Stimulation to Improve Bone Density in Persons of Advanced Age: A Randomized, Placebo-Controlled Trial.

J Bone Miner Res. 2015 Jul;30(7):1319-28. doi: 10.1002/jbmr.2448.

aim: improvement of bone in elderly subjects (VIBES) by vibration,

method: a randomized, placebo-controlled trial of 10 minutes of daily WBV (0.3g at 37 Hz) in seniors recruited from 16 independent living communities. primary outcomes: volumetric BMD of the hip and spine measured by quantitative computed tomography (QCT) and biochemical markers of bone turnover. randomized 174 men and women (89 active, 85 placebo) with T-scores -1 to -2.5, not taking bone active drugs, no diseases affecting the skeleton (mean age 82 ± 7 years, range 65 to 102), daily calcium (1000 mg) and vitamin D (800 IU). platforms were activated using radio frequency ID cards providing electronic adherence monitoring; placebo platforms resembled the active platforms.

results: 61% of participants in the active arm and 73% in the placebo arm completed 24 months.

primary outcomes: median percent changes in total volumetric femoral trabecular BMD (active group (2.2% [-0.8%, 5.2%]) versus placebo (0.4% [-4.8%, 5.0%]) and in mid-vertebral trabecular BMD of L1 and L2 (active group (5.3% [-6.9%, 13.3%]) versus placebo (2.4% [-4.4%, 11.1%]), did not differ between groups (all p values > 0.1).

Changes in biochemical markers of bone turnover (P1NP and sCTX) also were not different between groups (p = 0.19 and p = 0.97, respectively).

autors summary: placebo-controlled randomized trial of daily WBV in older adults did not demonstrate evidence of significant beneficial effects on volumetric BMD or bone biomarkers;

but: high variability in vBMD changes limited our power to detect small treatment effects.

The beneficial effects of WBV observed in previous studies of younger women may not occur to the same extent in elderly individuals.

Review 2015: Prävention vor osteoporotischen Frakturen

Beck BR1:

Vibration Therapy to Prevent Bone Loss and Falls: Mechanisms and Efficacy.

Curr Osteoporos Rep. 2015 Dec;13(6):381-9. doi: 10.1007/s11914-015-0294-8.

Das Review belegt mit guter Evidenz, dass die Ganzkörpervibration einen therapeutischen Beitrag zur Prävention osteoporotischer Frakturen spielen kann. Dies gilt insbesondere für Menschen, die intensive aktive Therapiebelastungen nicht vertragen bzw. ausführen können.

Es zeigen sich mäßig gute bis intensive Beweise, dass WBV über eine verbesserte sensomotorische Funktion das Sturzrisiko reduziert aber auch, dass die WBV-Wirkungen die Effekte eines zielgerichteten Trainings nicht übersteigen.

In Tierexperimenten verbessert WBV die Knochenmasse und schützt vor Knochenverlust infolge Minderung des Hormonstatus, von Inaktivität und Glukokortikoidgabe.

Beim Menschen gibt es wechselhafte Ergebnisse für den Knochen. Positive Veränderungen werden für den Schenkelhals und die Wirbelsäule mitgeteilt, wobei methodische Mängel der Studien die statistischen Aussagen mindern.

Die Effekte der WBV im Knochengewebe entstehen wahrscheinlich durch die mechanische Kopplung zwischen oszillierenden Einflüssen auf die Zellkerne und dem Zytoskelett.

Mehr aussagefähige Untersuchungen zu den Dosis-Wirkungsbeziehungen sind notwendig, um therapeutische Richtlinien anzugeben.

Studie 2015: Kraftzuwachs und Knochdichte bei älteren Menschen

Winkelmann A1, Schilling S2, Neuerburg C2, Mutschler W2, Böcker W2, Felsenberg D3, Stumpf U4: 

New strategies for exercise training in osteoporosis. [Article in German]

Unfallchirurg. 2015 Nov;118(11):933-7. doi: 10.1007/s00113-015-0080-1.

Bei älteren traumatologischen Patienten ist ausreichend intensives Krafttraining oft nicht möglich. Neben den Alternativen regelmäßige Gehbelastungen und Aquatraining, welche auch einen positiven Einfluss auf die Knochendichte haben können, lassen sich durch Ganzkörpervibration über einen Zeitraum von 6 Monaten bei 3 Anwendungen/Woche über jeweils 15 – 20 Minuten einen Kraftzuwachs der Beinmuskulatur zwischen 20 – 40 % und der Knochendichte um 0,5 % - 4 % erreichen.

Studie 2013: Knochendichte

Lai CL1, Tseng SY1, Chen CN2, Liao WC3, Wang CH4, Lee MC5, Hsu PS6:

Effect of 6 months of whole body vibration on lumbar spine bone density in postmenopausal women: a randomized controlled trial.

Clin Interv Aging. 2013;8:1603-9. doi: 10.2147/CIA.S53591. Epub 2013 Dec 4.

aim: effect of high-frequency and high-magnitude WBV on the bone mineral density (BMD) of the lumbar spine in postmenopausal women.

method: randomized 28 postmenopausal women into 1. WBV group or 2. control group for a 6-month trial. WBV group: high-frequency (30 Hz) and high-magnitude (3.2 g) WBV in a natural full-standing posture for 5 minutes, three times per week. Dual-energy X-ray absorptiometry was used to measure the lumbar BMD of both groups before and after the intervention.

results: BMD of the WBV group had significantly increased by 2.032% (P=0.047), BMD of the control group had no significantly decreased by 0.046% (P=0.188).

autors summary: 6 months of high-frequency and high-magnitude WBV: significant benefits to the BMD of the lumbar spine in postmenopausal women, is an alternative exercise.

Review 2010

L Slatkovska, SMH Alibhai, J Beyene, AM Cheung

Effect of whole-body vibration on BMD: a systematic review and meta-analysis
Osteoporos Int (2010) 21:1969–1980

Mechanische Vibrationen wirken anabolisch auf den Knochen und können die Knochenqualität positiv beeinflussen. Klinische Studien zeigen signifikante Verbesserungen der Knochendichte bei postmenopausalen Frauen, Kinder und Jugendlichen, aber nicht bei jungen Erwachsenen. Vibrationstherapie ist eine vielversprechende neue Technologie, aber bevor genaue Anweisungen für den praktischen Gebrauch gemacht werden können, braucht es gross angelegte kontrollierte Langzeitstudien, die es erlauben, die optimale Frequenz, Amplitude und Länge zu bestimmen, wobei die optimale Einleitung des Vibrationssignals in den gewünschten Bereich gemäss klar definierten und evidenzbasierten Anwendungskonzepten erfolgen muss.

Review 2009

H Merriman, K Jackson

The Effects of Whole-Body Vibration Training in Aging Adults: A Systematic Review
J of Geriatric Physical Therapy (2009) 32(3)

Aus 196 potenziellen wissenschaftlichen Publikationen wurden 13 analysiert, die den Selektionskriterien entsprachen. Viele in dieser Review analysierten Studien zeigten ähnliche Verbesserungen des Vibrationstrainings verglichen mit konventionellen Methoden in Muskelleistung, Gleichgewicht und Mobilität. Die Knochenstudien zeigten Verbesserungen der Knochendichte in Hüfte und Beine, aber nicht im Lendenbereich.

 

Review 2011

DJ Cochrane

The potential neural mechanisms of acute indirect vibration
Journal of Sports Science and Medicine (2011) 10, 19-30

Verschiedene Einflussmöglichkeiten von Vibrationen auf das neuronale System werden vorgeschlagen: 1. Der tonische Vibrationsreflex (TVR) löst reflexartige Muskelkontraktionen aus. 2. Das "muscle Tuning" ist ein Vorgang, der Bindegewebsschwingung, wie sie auch beim Laufen entstehen, dämpft. 3. Neuromuskuläre Faktoren wie die Rekrutierung, Frequentierung und Synchronisation von Motorischen Einheiten können sich anpassen. TVR, muscle Tuning und die neuromuskulären Aspekte sind variable Faktoren und tragen individuell unterschiedlich stark zu muskulären Leistungssteigerung bei.

Review 2011

DJ Cochrane

Vibration Exercise: The Potential Benefits
Es werden die physiologischen Effekte des Vibrationstrainings auf folgende Parameter aufgezeigt: Herz-Kreislauf, Muskelkraft und -leistung der oberen und unteren Extremitäten, Reflexe und diverse Muskelkontraktionsarten. Der Einfluss des Vibrationstrainings wird für verschiedene Populationen diskutiert: Alter, Geschlecht, Sportlichkeit, Senioren, Athleten, diverse Krankheitsbilder (Osteoporose, Fibromyalgie, MS, Parkinson, Schlaganfall). Schlussfolgernd wird gesagt, dass das Vibrationstraining eine sichere Möglichkeit für alle Populationen ist, die physiologische Reflexantwort, Muskelaktivität und -funktion zu verbessern. Das Vibrationstraining ist aber kein Herztraining, obwohl gewisse Herzkreislaufparameter sich verbessern lassen.

Review 2010

J Rittweger

Vibration as an exercise modality: how it may work, and what its potential might be
Eur J Appl Physiol (2010) 108: 877–904

Eine Vibrationsplatte bewegt sich kreisförmig. Es wirkt somit eine Kreisbeschleunigung und dadurch eine Kraft, die sich positionsabhängig auf den menschlichen Körper überträgt. Das Vibrationstraining scheint spezifische Warm-up Effekte hervorzurufen, Muskelkraft und Gleichgewicht zu verbessern, chronische Lenden- und andere Schmerzen zu reduzieren.

 

Review 2012

Z.Comeaux

Dynamic Fascial Release - manual and tool assisted vibrational therapy
The Tensional Network of the Human Body, Churchill Livingstone Elsevier, 2012

Diese Review fokussiert sich auf Therapiemethoden, die Vibrationen zwischen 1-100 Hz einsetzen. Sie gibt einen Überblick über verschiedene Therapiekonzepte und die Geschichte der therapeutischen Vibrationsanwendung seit dem späten 19. Jahrhundert. Es werden eine manuell und eine maschinell unterstützte Vibrationstherapie und deren Effekte genauer beschrieben. Weitere Konzepte und deren Wirkungen, wie die Anwendung von Vibrationsplatten, werden kurz besprochen.

Review 2009

F Rauch

Vibration Therapie
Medicine & Child Neurology (2009) 51(4): 166–168

Es werden mögliche Vorteile der Integration von Vibrationstraining in die Therapie postuliert: 1. Bessere Effizienz. Schnellerer Funktionsgewinn der Muskeln. 2. Höhere Sicherheit: Es besteht weniger Gefahr für unkontrollierte Ausweichbewegungen.

Review 2008

CT Haas

Vibrationstraining, Biomechanische Stimulation und Stochastische Resonanz Therapie
pt_Zeitschrift für Physiotherapeuten_60 [2008] 7

Der vorliegende narrative Review gibt einen Überblick über die physiologischen Effekte von Vibrationsapplikationen und das damit verbundene rehabilitative Potenzial. Da Vibrationsreize und verwandte Stimulationsformen Reaktionen auf multiplen biologischen Ebenen mit sich bringen und zudem eine hohe Sensitivität für Veränderungen der Stimulationsparameter besteht, erscheint es wichtig, die Funktion dieser Einflussgrößen aufzuarbeiten, ohne dabei – aufgrund des komplexen Beziehungsgefüges – den Anspruch auf Vollständigkeit erheben zu können. Dieser Beitrag zeigt auf, dass die Effekte von Vibrationsreizen von linearen Input-Output Relationen erheblich abweichen und Schädigungspotenziale wie auch rehabilitative Funktionen beinhalten. Letztere scheinen vor allem bei Defiziten in der muskulären Aktivierungsfähigkeit zu liegen. Im Hinblick auf koordinative Leistungen muss der Variabilität des Grundsignals, Anpassung der Reizstärke oder Erschweren einer Übung entscheidende Bedeutung beigemessen werden.

 

Studie 2017 Fibromyalgie

Alev A1, Mihriban A2, Bilge E2, Ayça E2, Merve K2, Şeyma C2, Uğur E2, Adnan B2, Zeynel K2, Mahmut GS2.

Effects of whole body vibration therapy in pain, function and depression of the patients with fibromyalgia.

Complement Ther Clin Pract. 2017 Aug;28:200-203. doi: 10.1016/j.ctcp.2017.06.008. Epub 2017 Jun 30.

aim: effects of whole body vibration in fibromyalgia patients.

method: Single blind study, 20 fibromyalgia patients, mean age of 57 ± 7 years, diagnosed according to 2010 American College of Rheumatology criteria, randomization into 2 groups, intervention group (n = 10): 6 different types of exercises were combined with 30 hz frequency, 2 mm amplitude WBV for 4 weeks, control group (n = 10): performed the same exercises on the same platform without vibration.

Assessments/Measurements: baseline, at the 3rd and 6th months by Visual Analogue Scale (VAS), Fibromyalgia Impact Questionnaire (FIQ), Beck Depression Inventory (BDI).

results: Only FIQ score was significantly better in the treatment group at the 6th month evaluation (p = 0.043).

autors summary: WBV is found to be effective in reducing symptoms of fibromyalgia.

Review 2017 Fibromyalgie

Moretti E1, Tenório A1, Holanda L1, Campos A1, Lemos A1.

Efficacy of the whole-body vibration for pain, fatigue and quality of life in women with fibromyalgia: a systematic review.

Disabil Rehabil. 2017 Feb 10:1-12. doi: 10.1080/09638288.2017.1282989. [Epub ahead of print]

aim: To determine the quality of evidence on the use of whole-body vibration (WBV) in controlling pain, fatigue and quality of life in women with fibromyalgia.

Method: search in MEDLINE/PubMed, LILACS, CINAHL, CENTRAL and PEDro, without temporal or language restriction. terms: "fibromyalgia" and "whole-body vibration".

Trials: randomized or quasi-randomized. comparison between a group of women with fibromyalgia who received WBV and a control group without intervention.

assessments/measurements: qualitative evidence: by GRADE system.  quantitative evaluation: by meta-analysis.

results: Three studies were included. outcome pain: no possibility to assess the magnitude of effect of treatment. outcome fatigue: no difference between the groups. meta-analysis for outcome quality of life: small difference between groups, favoring the WBV group.

take into account: results, based on very low quality of evidence

autors summary: no clinically important effects for the use of whole-body vibration in fibromyalgia to control fatigue and improvement of quality of life.

Studie 2016 Arthritis

Prioreschi A1,2, Makda MA3, Tikly M3, McVeigh JA1.

In Patients with Established RA, Positive Effects of a Randomised Three Month WBV Therapy Intervention on Functional Ability, Bone Mineral Density and Fatigue Are Sustained for up to Six Months.

PLoS One. 2016 Apr 13;11(4):e0153470. doi: 10.1371/journal.pone.0153470. eCollection 2016.

aim: rheumatoid arthritis (RA): improving functional ability and bone health is important. effects of WBV-therapy in patients with stable RA.

methods: 31 females with RA, control group (CON, n = 15): continued their normal activities, WBV group (n = 16): 3 month WBV, 15 minutes of intermittent vibration, twice per week.

assessments/measurements: at baseline, after WBV-therapy, 3 months post intervention, Health Assessment Questionnaire; RA activity: Clinical Disease Activity Index, quality of life: self-report fatigue and pain scores; physical activity profile: accelerometry, BMD and body composition: DXA.

results: functional ability: significantly improved in the WBV group. hip BMD: significantly reduced in the CON group but no decreases in the WBV group. no change in RA disease activity but fatigue levels were improved in the WBV group.

autors summary: Intermittent WBV is able to sustain improvements in functional ability, can attenuate a loss of bone mass at the hip, can decrease fatigue in patients with established RA.

Studie 2017 Schmerzreduktion

Ray JJ1, Alvarez AD, Ulbrich SL, Lessner-Eisenberg S, Satahoo SS, Meizoso JP, Karcutskie CA 4th, Mundra LS, Namias N, Pizano LR, Schulman CI.

Shake It Off: A Randomized Pilot Study of the Effect of Whole Body Vibration on Pain in Healing Burn Wounds.

J Burn Care Res. 2017 Jul/Aug;38(4):e756-e764. doi: 10.1097/BCR.0000000000000481.

aim: reduces WBV pain in relation to standard therapy

methods: Patients with ≥1% TBSA burn to one or more extremities, randomized to vibration (VIBE) or control. Each burned extremity was tested separately. one to three therapy sessions (S1, S2, S3): five upper and/or lower extremity exercises with or without WBV.

assessments/measurements: Pain scale 1 to 10 pre-, mid-, and postsession, Mean pain scores at S1 to S3 were compared between groups, 48 randomized test extremities (VIBE = 26, control = 22) from 31 subjects.

results: at S1, S2, and S3 a statistically significant decrease in mid- and postsession pain compared to presession pain in VIBE vs controls.

autors summary: WBV decreased pain during and after physical therapy.

Studie 2017 Rückenschmerzen

Kaeding TS1, Karch A2, Schwarz R1, Flor T2, Wittke TC1, Kück M1, Böselt G3, Tegtbur U1, Stein L1.

Whole-body vibration training as a workplace-based sports activity for employees with chronic low-back pain.

Scand J Med Sci Sports. 2017 Feb 10. doi: 10.1111/sms.12852. [Epub ahead of print]

aim: randomized and controlled study to examine WBV-training reduce back pain and physical disability in seated working office employees with chronic low-back pain.

methods: 41 subjects (68.3% female/mean age 45.5±9.1 years/mean BMI 26.6±5.2), randomly allocated to an intervention (INT [n=21]) or a control group (CON [n=20]). INT: WBV training 2.5 times per week for 3 months.

assessments/measurements: primary outcome: change in Roland and Morris disability questionnaire (RMQ) score. secondary outcome: changes in the Oswestry Disability Index (ODI), the Work Ability Index Questionnaire, the quality of life questionnaire SF-36, the Freiburger activity questionnaire, isokinetic test of the trunk.

results: significant positive effects of 3 months of WBV training in the INT compared to the CON regarding the RMQ (P=.027), the ODI (P=.002), the SF-36 (P=.013), the Freiburger activity questionnaire (P=.022), the post-interventional sick-leave in the INT (P=.008), positive trends on the muscles of the trunk in flexion.

autors summary: WBV training seems to be an effective, safe, and suitable intervention for seated working employees with chronic low-back pain.

 

Studie 2017: Kniearthrose

Lai Z1, Wang X1,2, Lee S1, Hou X3, Wang L4,5:

Effects of whole body vibration exercise on neuromuscular function for individuals with knee osteoarthritis: study protocol for a randomized controlled trial.

Trials. 2017 Sep 20;18(1):437. doi: 10.1186/s13063-017-2170-6.

aim: to investigate the effect of a 12-week WBV exercise on the neuromuscular function of individuals with KOA.

method: prospective, single-blind randomized controlled trial on 180 KOA patients. Groups: 1. WBV exercise, 2. lower extremity resistance training of both lower extremities, 3. health education.

After the intervention: follow up for 3 months with no active intervention.

Primary outcome: anthropometric measurements, gait analysis during walking and stair climbing, muscle strength test of the knee and ankle, proprioception test of the knee and ankle, and neuromuscular response of the leg muscles. Secondary outcome: self-reported pain and physical functional capacity, physical performance measures. adverse events will be recorded and analyzed.

results and autors summary: beneficial effects of WBV exercise on the physical performance and neuromuscular control of individuals with KOA, the study fill the research gap on the efficacy of WBV.

Review 2016: Kniearthrose

Anwer S1, Alghadir A2, Zafar H3, Al-Eisa E2:

Effect of whole body vibration training on quadriceps muscle strength in individuals with knee osteoarthritis: a systematic review and meta-analysis.

Physiotherapy. 2016 Jun;102(2):145-51. doi: 10.1016/j.physio.2015.10.004. Epub 2015 Oct 22.

aim: investigation of the current evidence regarding the effects of WBV training on quadriceps muscle strength in individuals with knee osteoarthritis (OA).

method: systematic review, meta-analysis, search in PubMed, CINAHL, Embase, Scopus, PEDro, and Science citation index, articles up to March 2015 using the keywords: whole body vibration, vibration training, strength and vibratory exercise in combination with the Medical Subject Heading 'Osteoarthritis knee'. meta-analysis was limited to randomized controlled trials published in the English. quality of the selected studies was assessed by two independent evaluators using the PEDro scale and criteria given by the International Society of Musculoskeletal and Neuronal Interactions (ISMNI) for reporting WBV intervention studies. The risk of bias was assessed using the Cochrane collaboration's tool for domain-based evaluation. Isokinetic quadriceps muscle strength was calculated for each intervention.

results and autors summary: 18 studies were identified and four studies met the inclusion criteria. three of these four studies reached high methodological quality on the PEDro scale. only one study found significantly greater quadriceps muscle strength gains following WBV compared to the control group.

in three of the four studies comparing a control group performing the same exercise as the WBV groups, no additional effect of WBV on quadriceps muscle strength in individuals with knee OA was indicated.

Review 2015: Kniearthrose

Li X1, Wang XQ2, Chen BL3, Huang LY1, Liu Y1:

Whole-Body Vibration Exercise for Knee Osteoarthritis: A Systematic Review and Meta-Analysis.

Evid Based Complement Alternat Med. 2015;2015:758147. doi: 10.1155/2015/758147. Epub 2015 Aug 5.

aim: to assess the effects of WBV exercise on patients with knee osteoarthritis (KOA).

Methods: review, meta-analysis, search in Pubmed, EMBASE, Cochrane Library, CINAHL, Web of Science, the Physiotherapy Evidence Database, CNKI, and Wanfang, articles up to November 2014. randomized controlled trials (RCTs), outcomes: pain intensity, functional performances, self-reported status, adverse events, and muscle strength.

results: 5 trials with 168 participants provided data for the meta-analysis.

no significant differences in pain intensity and self-reported status between WBV and other forms of exercise. no statistically significant differences of the other parameters of functional performance (including 6MWT and TGUG). no significant differences in muscle strength.

Improvement in functional performance greater in WBV group.

Adverse events in one trial. very low overall quality of evidence.

autors summary: Currently only limited evidence that WBV is effective in the treatment of KOA. Large, well-designed RCTs with better designs are needed.

Rewiew 2015

Rabini A1, De Sire A, Marzetti E, Gimigliano R, Ferriero G, Piazzini DB, Iolascon G, Gimigliano F:

Effects of focal muscle vibration on physical functioning in patients with knee osteoarthritis: a randomized controlled trial.

Eur J Phys Rehabil Med. 2015 Oct;51(5):513-20. Epub 2015 May 20.

aim: to evaluate the effects of focal muscle vibration (FMV) on physical functioning in patients with symptomatic knee OA.

method: randomized controlled trial. Outpatient clinic, University Hospital.

50 men and women aged 60 years or older, radiographic diagnosis of mild to moderate monolateral knee OA (Kellgren-Lawrence grade II or III), chronic knee pain. randomized in 1. treatment group and 2. placebo control group. treatment group: FMV according the "repeated muscle vibration" protocol. control group: sham treatment. primary outcome: Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). secondary outcome: Short Physical Performance Battery (SPPB), Performance-Oriented Mobility Assessment (POMA). Follow up evaluations at 3 and 6 months.

results: statistical significant difference between the two groups both for primary (WOMAC) and secondary (SPPB and POMA) outcomes.

autors summary: FMV therapy has proven to be effective and safe in improving functioning of patients affected by mild to moderate chronic knee OA. The use of FMV therapy might be an additional and safe tool in the conservative management of knee OA.

Review 2015

Zafar H1, Alghadir A2, Anwer S3, Al-Eisa E2:

Therapeutic effects of whole-body vibration training in knee osteoarthritis: a systematic review and meta-analysis.

Arch Phys Med Rehabil. 2015 Aug;96(8):1525-32. doi: 10.1016/j.apmr.2015.03.010. Epub 2015 Mar 28.

aim: effects of whole-body vibration (WBV) training in individuals with knee osteoarthritis (OA).

method: review, meta-analysis, search in PubMed, CINAHL, Embase, Scopus, Physiotherapy Evidence Database (PEDro), and Science Citation Index, articles up to January 2015, keywords: whole body vibration, vibration training, and vibratory exercise in combination with the Medical Subject Heading osteoarthritis knee. meta-analysis restricted to randomized controlled trials published in English. quality of studies: assessed by PEDro Scale and based on the criteria given by the International Society of Musculoskeletal and Neuronal Interactions for reporting WBV intervention studies. risk of bias: assessed by Cochrane collaboration's tool in the domain-based evaluation.

results: 83 studies were found. 5 studies met the inclusion criteria. 4 of these 5 studies reached high methodologic quality on the PEDro Scale. There was a considerable variation in the parameters of the WBV included in this systematic review.

Overall the studies demonstrated mixed results in favor of additive effects of WBV for reducing pain and improving function in knee OA.

autors summary: WBV training reduces pain and improves function in individuals with knee OA.

Review 2014

Blackburn JT1, Pamukoff DN2, Sakr M3, Vaughan AJ4, Berkoff DJ5:

Whole body and local muscle vibration reduce artificially induced quadriceps arthrogenic inhibition.

Arch Phys Med Rehabil. 2014 Nov;95(11):2021-8. doi: 10.1016/j.apmr.2014.07.393. Epub 2014 Jul 30.

aim: effects of whole body vibration (WBV) and local muscle vibration (LMV) on quadriceps function after experimental knee effusion (simulated pathology).

method: randomized controlled trial. research laboratory.

Healthy volunteers (N=43), randomized to 1. WBV (n=14), 2. LMV (n=16), 3. control (n=13).

Saline was injected into the knee to induce quadriceps arthrogenic muscle inhibition (AMI).

all groups: isometric squats while being exposed to WBV, LMV, or no vibration (control).

Quadriceps function: assessed at baseline, immediately after effusion, and immediately and 5 minutes after each intervention (WBV, LMV, control) via voluntary peak torque (VPT) and the central activation ratio (CAR) during maximal isometric knee extension on a multifunction dynamometer.

results: CAR: improved in the WBV (11.4%, P=.021) and LMV (7.3%, P<.001) immediately postintervention, but not in the control. VPT: increased by 16.5% (P=.021) in the WBV group and 23% (P=.078) in the LMV immediately postintervention, but no increase in the control.

magnitudes of improvements in the CAR and VPT did not differ between the WBV and LMV groups.

autors summary: Quadriceps AMI is a common complication following knee pathology, produces quadriceps dysfunction and increases the risk of posttraumatic osteoarthritis.

Quadriceps strengthening after knee pathology is often ineffective because of AMI.

WBV and LMV improve quadriceps function equivocally after simulated knee pathology, effectively minimizing quadriceps AMI. Therefore, these stimuli may be used to enhance quadriceps strengthening, therefore improving the efficacy of rehabilitation and reducing the risk of osteoarthritis.

Review 2016

Bokaeian HR1, Bakhtiary AH2, Mirmohammadkhani M3, Moghimi J4:

The effect of adding whole body vibration training to strengthening training in the treatment of knee osteoarthritis: A randomized clinical trial.

J Bodyw Mov Ther. 2016 Apr;20(2):334-40. doi: 10.1016/j.jbmt.2015.08.005. Epub 2015 Aug 25.

aim: Investigation the effect of adding WBV training to quadriceps and hamstring muscles strengthening training on functional activity, pain, quality of life and muscle strength in patients with knee osteoarthritis.

method: 28 volunteers, randomly allocated to 1. quadriceps and hamstring muscles strengthening training (ST group, 13 patients), 2. quadriceps and hamstring muscles strengthening training along with WBV training (ST + WBV group, 15 patients). treatment protocol: for both groups 3 sessions per week for 8 weeks. All measurements were performed before and after intervention.

measurements: pain: visual analogue scale (VAS), quality of life: WOMAC scale, functional activity:  2 min walking test (2MWT), time up & go test (TUGT), 50-foot walking test (50FWT),

performance of quadriceps and hamstrings: muscle peak torque (MPT), total work (TW), muscle power (MP) by an Isokinetic Biodex machine.

results: comparison of mean changes between two groups: improvement in the WBV + ST group in terms of 2MWT, MPT, TW and MP variables (P < 0.05). but no significant difference in term of pain, quality of life, TUGT and 50FWT.

autors summary: adding whole body vibration training to strengthening training may provide better results of the muscle function for patients with knee osteoarthritis.

Review 2016

Pamukoff DN1, Pietrosimone B2, Lewek MD3, Ryan ED2, Weinhold PS4, Lee DR5, Blackburn JT6:

Whole-Body and Local Muscle Vibration Immediately Improve Quadriceps Function in Individuals With Anterior Cruciate Ligament Reconstruction.

Arch Phys Med Rehabil. 2016 Jul;97(7):1121-9. doi: 10.1016/j.apmr.2016.01.021. Epub 2016 Feb 8.

aim: to determine the immediate effects of a single session of whole-body vibration (WBV) and local muscle vibration (LMV) on quadriceps function in individuals with anterior cruciate ligament reconstruction (ACLR).

method: Singe-blind, randomized crossover trial. Research laboratory.

individuals with ACLR (N=20; mean age ± SD, 21.1±1.2y; mean mass ± SD, 68.3±14.9kg; mean time ± SD since ACLR, 50.7±21.3mo; 14 women; 16 patellar tendon autografts, 3 hamstring autografts, 1 allograft). isometric squats while being exposed to WBV, LMV, or no vibration (control).

Interventions delivered in a randomized order during separate visits separated by 1 week.

measurements: Quadriceps active motor threshold (AMT), motor-evoked potential (MEP) amplitude, Hoffmann reflex (H-reflex) amplitude, peak torque (PT), rate of torque development (RTD), electromyographic amplitude, and central activation ratio (CAR) before and immediately after a WBV, LMV, or control.

results: after WBV: increase CAR (+4.9%, P=.001) and electromyographic amplitude (+16.2%, P=.002) and reduction AMT (-3.1%, P<.001),

after LMV: increase in CAR (+2.7%, P=.001) and a reduction in AMT (-2.9%, P<.001)

after WBV or LMV: no effect in H-reflex, RTD, or MEP amplitude.

AMT (-3.7%, P<.001), CAR (+5.7%, P=.005), PT (+.31Nm/kg, P=.004), and electromyographic amplitude (P=.002) in the WBV condition differed from the control condition postapplication.

AMT (-3.0% P=.002), CAR (+3.6%, P=.005), and PT (+.30Nm/kg, P=.002) in the LMV condition differed from the control condition postapplication.

No differences were observed between WBV and LMV postapplication in any measurement.

autors summary: WBV and LMV acutely improved quadriceps function and could be useful modalities for restoring quadriceps strength in individuals with knee pathologies.

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