Comparison of 2 Multimodal Interventions With and Without Whole Body Vibration Therapy Plus Traction on Pain and Disability in Patients With Nonspecific Chronic Low Back Pain

Maddalozzo, Gianni F.; Kuo, Brian C.; Maddalozzo, Walker A.; Maddalozzo, Conner D.; Galver, Johnny W.

doi:10.1016/j.jcm.2016.07.001

Cited by 15 publications

(20 citation statements)

References 72 publications

(80 reference statements)

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“…We understand that tissue healing is an intricate process that is regulated by circulation. Recent research supports that passive vibration can increase circulation and has plausible effect on chronic back pain [8][9][10]. Looking at the athletes and not only athletes many subjects develop excessive connective tissue fibrosis or poorly organized scar tissue in and around joints, muscles, tendons, ligaments, myofascial planes as a result of acute trauma, recurrent microtrauma, immobilization, or as a complication of surgical intervention.…”

Section: Physiological Benefits Of Vibrotherapymentioning

confidence: 99%

Vibration Therapy and Its Influence on Health

Uher

Pasterczyk²,

Bigosińska

et al. 2018

BJSTR

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The history of the development of vibrotherapy (VT) dates back to the half of the nineteenth century, when French neurologist Jean-Martin Charcot designed vibration chair for treatment of Parkinson disease. Since then VT got as far as the world's first medical device "Vitberg+" that was introduce by Vitberg company in 2016. Vibrotherapy has recently gain popularity, many studies have provided insight into the benefits of using vibration for enhancement of overall health. The aim of our paper is to review current literature on VT, help readers to better understand the effects of vibration on human body. We can add that valid evidence suggests that vibration is effective in enhancing various medical conditions, although the exact mechanisms mediating these effects are still not well understood. In that context, further research is needed for verification and clarification of the impact of vibration, vibrotherapy on the human health.

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Section: Physiological Benefits Of Vibrotherapymentioning

confidence: 99%

Vibration Therapy and Its Influence on Health

Uher

Pasterczyk²,

Bigosińska

et al. 2018

BJSTR

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“…If one PSIS moves further forward, the test is positive for SIJ-dysfunction [ 37 ]. Manual therapeutic techniques 1.Vibrating traction of both legs : the patient is either lying on the back or face down, the GP takes hold of the legs above the ankle with both hands and pulls the legs vibrating simultaneously [ 37 , 38 ]. Vibrating traction was presented with a low frequency (20–40/min) at an angle between 20 and 40°.…”

Section: Methodsmentioning

confidence: 99%

Manual therapy applied by general practitioners for nonspecific low back pain: results of the ManRück pilot-study

et al. 2018

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BackgroundNonspecific acute low back pain (LBP) is a common reason for accessing primary care. German guidelines recommend non-steroidal anti-inflammatory drugs and physical activity as evidence-based treatments. Manual Therapy (MT) remains controversial. To increase evidence-based treatment options for general practitioners (GPs), a Pilot-Study was set up to gather information about the required conditions and setting for an RCT.MethodsThe open pilot-study assesses recruitment methods for GPs and patients, timelines, data collection and outcomes of treatment immediately (T0) and 1, 6 and 12 weeks after consultation (T1, T2, T3). Inclusion criteria for GPs were: no experience of MT; for patients: adults between 18 and 50 suffering from LBP for less than 14 days.Study process: Patients’ control-group (CG) was consecutively recruited first and received standard care. After GPs received a single training session in MT lasting two and a half hours, they consecutively recruited patients with LBP to the intervention group (IG). These patients received add-on MT.Primary outcomes: (A): timelines and recruitment success, (B): assessment tools and sample size evaluation, (C) clinical findings: pain intensity change from baseline to day 3 and time till (a) analgesic use stopped and (b) 2-point pain reduction on an 11-point scale occurred.Secondary outcomes: functional capacity, referral rate, use of other therapies, sick leave, patient satisfaction.Results14 GPs participated, recruiting 42 patients for the CG and 45 for the IG; 49% (56%) of patients were women. Average baseline pain was 5.98 points, SD: ±2.3 (5.98, SD ±1.8).For an RCT an extended timeline and enhanced recruitment procedures are required. The assessment tools seem appropriate and provided relevant findings: additional MT led to faster pain reduction. IG showed reduced analgesic use and reduced pain at T1 and improved functional capacity by T2.ConclusionsBefore verifying the encouraging findings that additional MT may lead to faster pain reduction and reduced analgesic use via an RCT, the setting, patients’ structure, and inclusion criteria should be considered more closely.Trial registrationNumber: DRKS00003240 Registry: German Clinical Trials Registry (DRKS) URL: https://www.drks.de/drks_web/. Registration date: 14.11.2011. First patient: March 2012. Funding: the Rut and Klaus Bahlsen Stiftung, Hannover.

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“…Therefore, lumbar-abdominal muscle activation is also closely related to chronic low back pain (CLBP). Several clinical intervention studies reported that WBV training as an intervention method can reduce CLBP effectively and improve quality of life [16][17][18] . To our knowledge, no study researched the in uence of WBV training on patients with CLBP by lumbar-abdominal muscle activity.…”

Section: Introductionmentioning

confidence: 99%

Effects of Whole Body Vibration exercise on Lumbar-Abdominal Muscles Activation for patients with chronic low back pain

Dong

wang

Zhu

et al. 2020

Preprint

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Background: Whole body vibration (WBV) training as an intervention method can cure chronic low back pain (CLBP). Different WBV parameters exert different effects on lumbar-abdominal muscle performance. Currently, there is a lack of study researched the influence of WBV training on patients with CLBP by lumbar–abdominal muscle activity. Therefore, this study aimed to investigate how WBV and exercise and their interactions influence lumbar-abdominal muscle activity in patients with CLBP.Methods: a group of ambulatory patients with chronic low back pain. Muscle activities of the multifidus (MF), erector spinae (ES), abdominal oblique externus muscle (AOE) and the rectus abdominis muscle (RA) were measured by surface electromyography, whereas participants performed 4 different exercises (single bridge, plank, side stay and V crunch) during three whole body vibration conditions and a no-vibration condition in a single experimental session. Results: Compared with the same exercises without whole body vibration, muscle activity increased when whole body vibration was added to the exercises. MF；the WBV frequency (P=0.002,) and exercise (P<0.001) presented significant effects on the root mean square of MF, whereas exercise * frequency (P=0.044) also resulted in significant interaction effects. ES: the significant differences were detected at WBV frequency (P<0.001), exercise (P<0.001), the interaction effect of exercise and frequency (P=0.225) was no significant. RA: the significant difference was detected at WBV frequency (P=0.018), the effect of exercise (P=0.590) and the exercise * frequency interaction (P=0.572) were no significant. AOE: the significant difference was detected at WBV frequency (P<0.001), the effect of exercise (P=0.152) and the exercise * frequency interaction (P=0.380) were no significant.Conclusion: Adding whole body vibration to exercise could increase muscle activation of lumbar–abdominal muscle in patients with CLBP. The optimum frequency for lumbar–abdominal muscles is 15 Hz. The best exercises include plank for multifidus and erector spinae, V crunch for rectus abdominis and single bridge for abdominal oblique externus.

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Comparison of 2 Multimodal Interventions With and Without Whole Body Vibration Therapy Plus Traction on Pain and Disability in Patients With Nonspecific Chronic Low Back Pain

Cited by 15 publications

References 72 publications

Vibration Therapy and Its Influence on Health

Vibration Therapy and Its Influence on Health

Manual therapy applied by general practitioners for nonspecific low back pain: results of the ManRück pilot-study

Effects of Whole Body Vibration exercise on Lumbar-Abdominal Muscles Activation for patients with chronic low back pain

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