Effects of a Whole Body Vibration (WBV) Exercise Intervention for Institutionalized Older People: A Randomized, Multicentre, Parallel, Clinical Trial

Sitjà-Rabert, Mercè; Martínez-Zapata, Ma José; Fort-Vanmeerhaeghe, Azahara; Abella, Ferran Rey; Romero-Rodríguez, Daniel; Bonfill, Xavier

doi:10.1016/j.jamda.2014.07.018

Cited by 50 publications

(76 citation statements)

References 46 publications

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“…(12) A recent randomized controlled trial comparing 6 weeks of WBV therapy plus exercise to exercise alone, reported no effect on the number of falls. (38) Our finding of no significant effect on TUG scores is in contrast with two previous meta-analyses, (12,14) but in agreement with another meta-analysis. (13) In our study, TUG was at most 0.4 s less in 90-Hz WBV compared with control at follow-up, with TUG decreasing in all groups at 12 months compared with baseline.…”

Section: Discussionsupporting

confidence: 89%

“…A meta‐analysis of WBV in older adults has found that the effect on falls reduction remains uncertain . A recent randomized controlled trial comparing 6 weeks of WBV therapy plus exercise to exercise alone, reported no effect on the number of falls . Our finding of no significant effect on TUG scores is in contrast with two previous meta‐analyses, but in agreement with another meta‐analysis .…”

Section: Discussionsupporting

confidence: 84%

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Effects of Whole‐Body Vibration Therapy on Distal Tibial Myotendinous Density and Volume: A Randomized Controlled Trial in Postmenopausal Women

et al. 2018

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Whole‐body vibration (WBV) therapy has been proposed as a therapy to reduce sarcopenia and improve muscle strength. The purpose of this study was to explore whether 12 months of WBV therapy increases myotendinous density and volume of the distal tibia as measured by HR‐pQCT in postmenopausal women in a parallel group, randomized controlled trial with 1:1:1 allocation to three arms. Postmenopausal women ( N = 202) with low hip BMD were randomized to 20 min daily of 0.3 g 30‐Hz WBV therapy, 0.3 g 90‐Hz WBV therapy using the Juvent platform (Juvent, Somerset, NJ, USA), or no WBV. The main outcome measure was myotendinous density (HU) and volume (mm 3 ) at the distal tibia measured at baseline and 12 months with HR‐pQCT. There were no significant effects on myotendinous density or volume at the distal tibia after 12 months of daily 30‐ or 90‐Hz WBV therapy compared with no WBV therapy. Mean change (SD) in myotendinous density from baseline was 4.6 (5.7) HU in the 30‐Hz WBV group, 3.9 (6.1) HU in the 90‐Hz WBV group, and 3.9 (5.4) HU in the control group ( p = 0.70). Mean change (SD) in myotendinous volume from baseline was −7 (503) mm 3 in the 30‐Hz WBV group, 111 (615) mm 3 in the 90‐Hz WBV group, and 35 (615) mm 3 in the control group ( p = 0.50). In conclusion, WBV therapy at 30‐ or 90‐Hz for 12 months had no significant effects on myotendinous density or volume at the distal tibia as measured by HR‐pQCT in postmenopausal women. © 2018 The Authors. JBMR Plus Published by Wiley Periodicals, Inc. on behalf of the American Society for Bone and Mineral Research.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 84%

Effects of Whole‐Body Vibration Therapy on Distal Tibial Myotendinous Density and Volume: A Randomized Controlled Trial in Postmenopausal Women

et al. 2018

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“…One of these is a study of whole body vibration in care facilities (Tallon 2013), another is likely to be an additional conference abstract of an already included study (Frohnhofen 2013), and the third is a thesis for which no study publication has been identified (MacRitchie 2001). Five newly published studies were identified in the top-up search and await full assessment (Dever 2016; Hewitt 2014; Raymond 2017; Van der Linden 2017; Wylie 2017).…”

Section: Resultsmentioning

confidence: 99%

Interventions for preventing falls in older people in care facilities and hospitals

Cameron

Dyer²,

Panagoda

et al. 2018

Cochrane Database of Systematic Reviews

346

370

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Background Falls in care facilities and hospitals are common events that cause considerable morbidity and mortality for older people. This is an update of a review first published in 2010 and updated in 2012. Objectives To assess the effects of interventions designed to reduce the incidence of falls in older people in care facilities and hospitals. Search methods We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (August 2017); Cochrane Central Register of Controlled Trials (2017, Issue 8); and MEDLINE, Embase, CINAHL and trial registers to August 2017. Selection criteria Randomised controlled trials of interventions for preventing falls in older people in residential or nursing care facilities, or hospitals. Data collection and analysis One review author screened abstracts; two review authors screened full‐text articles for inclusion. Two review authors independently performed study selection, 'Risk of bias' assessment and data extraction. We calculated rate ratios (RaR) with 95% confidence intervals (CIs) for rate of falls and risk ratios (RRs) and 95% CIs for outcomes such as risk of falling (number of people falling). We pooled results where appropriate. We used GRADE to assess the quality of evidence. Main results Thirty‐five new trials (77,869 participants) were included in this update. Overall, we included 95 trials (138,164 participants), 71 (40,374 participants; mean age 84 years; 75% women) in care facilities and 24 (97,790 participants; mean age 78 years; 52% women) in hospitals. The majority of trials were at high risk of bias in one or more domains, mostly relating to lack of blinding. With few exceptions, the quality of evidence for individual interventions in either setting was generally rated as low or very low. Risk of fracture and adverse events were generally poorly reported and, where reported, the evidence was very low‐quality, which means that we are uncertain of the estimates. Only the falls outcomes for the main comparisons are reported here. Care facilities Seventeen trials compared exercise with control (typically usual care alone). We are uncertain of the effect of exercise on rate of falls (RaR 0.93, 95% CI 0.72 to 1.20; 2002 participants, 10 studies; I² = 76%; very low‐quality evidence). Exercise may make little or no difference to the risk of falling (RR 1.02, 95% CI 0.88 to 1.18; 2090 participants, 10 studies; I² = 23%; low‐quality evidence). There is low‐quality evidence that general medication review (tested in 12 trials) may make little or no difference to the rate of falls (RaR 0.93, 95% CI 0.64 to 1.35; 2409 participants, 6 studies; I² = 93%) or the risk of falling (RR 0.93, 95% CI 0.80 to 1.09; 5139 participants, 6 studies; I² = 48%). There is moderate‐quality evidence that vitamin D supplementation (4512 particip...

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“…median TUG: 28.0 s (Corrie et al, ) and 20.0 s (Sitjà‐Rabert et al, )). Further examination of their study designs indicated that they included a supervised fall prevention program (6 weekly visits, each with 1‐h exercise class) (Corrie et al, ) or a balance and strength training program (30 min per session, 3 times per week) (Sitjà‐Rabert et al, ) for both the WBV and control groups. This is similar to our study design, with our participants receiving other forms of training at their daycare center.…”

Section: Discussionmentioning

confidence: 99%

“…Although three previously published studies provided evidence of a significant therapeutic effect of vertical WBV on the TUG performance in elderly individuals (Bautmans et al, 2005;Bogaerts et al, 2011;Machado et al, 2010), recent studies did not report a significant effect on the same outcome, when WBV was compared to a no-training control group (Santin-Medeiros et al, 2015), an identical training program without WBV (Avelar et al, 2011;Corrie et al, 2015;Sitjà-Rabert et al, 2015), or a home balance exercise program (Sucuoglu et al, 2015). Four studies specifically evaluated the effect of vertical WBV on the BBS and Tinetti Balance Assessment and only Sucuoglu et al (2015) reported positive effects (Bautmans et al, 2005;Santin-Medeiros et al, 2015;Avelar et al, 2011;Sucuoglu et al, 2015).…”

Section: Lack Of Significant Effect Of Wbvmentioning

confidence: 99%

Effects of adding whole‐body vibration to routine day activity program on physical functioning in elderly with mild or moderate dementia: a randomized controlled trial

Lam

Liao

Kwok

et al. 2017

Int J Geriat Psychiatry

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Objective: To evaluate the effects of whole-body vibration (WBV) added to a routine activity program on lower limb strength, balance, and mobility among community-dwelling individuals with mild or moderate dementia, compared with the routine program alone. Methods: Fifty-four older adults (40 women; mean (SD) age: 79.8 (6.1) years) with mild or moderate dementia were recruited from two daycare centers. The participants were randomly allocated to undergo a routine day activity program combined with WBV training (WBV at 30 Hz, 2-mm peakto-peak amplitude) or the routine program only without WBV for 9 weeks (18 sessions). The primary outcome was functional mobility, measured using the timed up-and-go test. The following secondary outcomes were evaluated: Berg Balance Scale, Tinetti balance assessment, time to complete 5 repetitions of sit-to-stand, Quality of Life in Alzheimer's disease questionnaire, and Activities-specific Balance Confidence scale. The attendance rate and incidence of adverse events were also recorded. Results: The attendance rate for the training was high (86.0%). The incidence of adverse events was low, with only two of the 27 participants in the WBV group reporting mild knee pain. While significant improvement in timed up-and-go, Berg Balance Scale, and Tinetti balance score was found in both groups, none of the outcomes demonstrated a significant group by time interaction. Conclusions: WBV training is feasible and safe to use with people with mild or moderate dementia. However, it did not lead to further improvement in physical function and quality of life than the usual activity program provided at the daycare centers.

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Effects of a Whole Body Vibration (WBV) Exercise Intervention for Institutionalized Older People: A Randomized, Multicentre, Parallel, Clinical Trial

Cited by 50 publications

References 46 publications

Effects of Whole‐Body Vibration Therapy on Distal Tibial Myotendinous Density and Volume: A Randomized Controlled Trial in Postmenopausal Women

Effects of Whole‐Body Vibration Therapy on Distal Tibial Myotendinous Density and Volume: A Randomized Controlled Trial in Postmenopausal Women

Interventions for preventing falls in older people in care facilities and hospitals

Effects of adding whole‐body vibration to routine day activity program on physical functioning in elderly with mild or moderate dementia: a randomized controlled trial

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