Effects of whole body vibration on postural steadiness in an older population.
ABSTRACT The aim of this study was to investigate the effects of vibration exercise on postural steadiness performance in a healthy, older population. Forty-three healthy, older participants (23 men and 20 women, aged 73.5+/-4.5 yr) were randomly assigned to either a vibration group (VIB), an exercise without vibration group (EX) or a control group (CONT). The VIB and EX groups undertook static and dynamic bodyweight exercises three times per week for eight weeks. Static balance was assessed using a one-legged postural steadiness (OLPS) test. This test was performed prior to and immediately after the training period. OLPS improved significantly for the VIB intervention after eight weeks training (p<0.05) compared to the EX and CONT groups. The improvements in OLPS were significantly affected by the baseline values, with the largest changes evident for VIB participants with a poorer initial score (p<0.01). Vibration exercise can contribute to improved static one-legged balance in a healthy, older population. As improvements in OLPS were related to baseline values, vibration exercise as an intervention would appear to serve the most benefit for those that exhibit diminished postural control.
SourceAvailable from: Sebastião David Santos-Filho
[Show abstract] [Hide abstract]
ABSTRACT: Objectives To assess the efficacy of an exercise program on a whole-body vibration platform (WBV) in improving body balance and muscle performance and preventing falls in institutionalized elderly people. Design/Setting/Participants A multicentre randomized parallel assessor-blinded clinical trial was conducted in elderly persons living in nursing homes. Interventions Participants were randomized to an exercise program performed either on a whole body vibratory platform (WBV plus exercise group) or on a stationary surface (exercise group). The exercise program for both groups consisted of static and dynamic exercises (balance and strength training over a 6-week training period of 3 sessions per week). The frequency applied on the vibratory platform was 30 to 35 Hz and amplitude was 2 to 4 mm. Measurements The primary outcome measurement was static/dynamic body balance. Secondary outcomes were muscle strength and number of falls. Efficacy was analyzed on an intention-to-treat basis and per protocol. The effects of the intervention were evaluated using the t test, Mann-Whitney test, or chi-square test, depending on the type of outcome. Follow-up measurements were collected 6 weeks and 6 months after randomization. Results A total of 159 participants from 10 centers were included: 81 in the WBV plus exercise group and 78 in the control group. Mean age was 82 years, and 67.29% were women. The Tinetti test score showed a significant overall improvement in both groups (P < .001). No significant differences were found between groups at week 6 (P = .890) or month 6 (P = .718). The Timed Up and Go test did not improve (P = .599) in either group over time, and no significant differences were found between groups at week 6 (P = .757) or month 6 (P = .959). Muscle performance results from the 5 Sit-To-Stand tests improved significantly across time (P = .001), but no statistically significant differences were found between groups at week 6 (P = .709) or month 6 (P = .841). A total of 57 falls (35.8%) were recorded during the follow-up period, with no differences between groups (P = .406). Conclusion Exercise program on a vibratory platform provides benefits similar to those with exercise program on a stationary surface in relation to body balance, gait, functional mobility, and muscle strength in institutionalized elderly people. Longer studies in larger samples are needed to assess falls.Journal of the American Medical Directors Association 10/2014; In press. DOI:10.1016/j.jamda.2014.07.018 · 4.78 Impact Factor
[Show abstract] [Hide abstract]
ABSTRACT: [Purpose] The purpose of this study was to determine the effects of task-oriented training with whole body vibration (WBV) on the sitting balance of stroke patients. [Subjects] The subjects were 30 stroke patients who were randomly divided into experimental (n1=15) and control (n2=15) groups. [Methods] Subjects in both groups received general training five times per week. Subjects in the experimental group practiced an additional task-oriented training program with WBV, which was performed for 15 minutes, five times per week, for four weeks. The center of pressure (COP) path length and average velocity were used to assess subjects static sitting balance, and the Modified Functional Reach Test (MFRT) was used to assess their dynamic sitting balance. The paired t-test was performed to test the significance of differences between before and after the intervention. The independent t-test was conducted to test the significance of differences between the groups. [Results] Following the intervention, the experimental group showed a significant change in MFRT. [Conclusion] The results of this study suggest that task-oriented training with WBV is feasible and efficacious for stroke patients.Journal of Physical Therapy Science 09/2014; 26(9):1411-1414. DOI:10.1589/jpts.26.1411 · 0.20 Impact Factor