“…The reflexive muscle contractions in turn cause an increase in local metabolic rate , necessitating an increase in blood flow via local vasodilatation. Of the remaining 13 studies Zhang et al, 2003;Stewart et al, 2005;Button et al, 2007;Cochrane et al, 2008bCochrane et al, , 2010Hazell et al, 2008;Lythgo et al, 2009;van Duijnhoven et al, 2010a,b;Herrero et al, 2011a,b), which did not use NIRS to assess perfusion, nine reported a positive effect of vibration on muscle perfusion Zhang et al, 2003;Stewart et al, 2005;Lythgo et al, 2009;van Duijnhoven et al, 2010a,b;Herrero et al, 2011a,b). This was not evident from the results of this review, and therefore, there may be other potential mechanisms involved in vibration-induced changes in muscle perfusion.…”