Effects of Whole-Body Vibration on Functional Mobility, Balance, Gait Strength, and Quality of Life in Institutionalized Older People: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Álvarez-Barbosa, Francisco; Pozo-Cruz, Jesús del; Pozo-Cruz, Borja del; García-Hermoso, António; Alfonso-Rosa, Rosa M.

doi:10.1123/japa.2019-0070

Cited by 14 publications

(12 citation statements)

References 42 publications

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“…WBV Improve the Physical Function of Dialysis Patients Am J Nephrol 2023;54:35-41 DOI: 10.1159/000530219 is an alternative to traditional exercise; it is a safe, autonomous, and efficient way to increase or maintain muscle strength, functional mobility, and peripheral blood flow [28][29][30][31]. However, no significant improvement was found in terms of muscle mass, gait, and balance [32]. BFR training was demonstrated to mediate muscle hypertrophy to facilitate strength rehabilitation via the mechanisms of mechanical tension and metabolic stress [33].…”

Section: Discussionmentioning

confidence: 99%

Non-Pharmacological Interventions to Improve Physical Function in Patients with End-Stage Renal Disease: A Network Meta-Analysis

Zhao¹,

He²,

Wu³

et al. 2023

Am J Nephrol

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Introduction: Chronic kidney disease is estimated to become the fifth leading cause of death globally by 2040. Due to the high incidence of fatigue in patients with end-stage renal disease without reliable pharmacological treatments, more and more studies on non-pharmacological interventions to improve physical function appear, which might be the best approach, unknown. This study aims to compare and rank the efficacy of all known non-pharmacological interventions on improving physical function from multiple outcomes for adults with end-stage renal disease. Methods: This systematic review and network meta-analysis included searches of PubMed, Embase, CINAHL, and Cochrane Library from inception to September 1, 2022, for randomized controlled trials of non-pharmacological interventions to improve physical function in adults with end-stage renal disease. Literature screening, data extraction, and quality appraisal were performed systematically by two independent reviewers. The frequentist random-effect network meta-analysis was adopted to pool the evidence from five outcomes, namely 6-minute walk test, handgrip strength, knee extension strength, physical component summary, and mental component summary, respectively. Results: A total of 1921 citations were identified by this search, of which 44 eligible trials enrolled 2250 participants, and 16 interventions were identified. All subsequent figures refer to comparisons with usual care. For increasing walking distance, the combined resistance and aerobic exercise with virtual reality or music were the most effective interventions, with a mean difference plus 95% confidence interval of 90.69 (8.92 to 172.46) and 92.59 (23.13 to 162.06), respectively. Resistance exercise with blood flow restriction (8.13, 0.09 to 16.17) was the best treatment to improve handgrip strength. Combined resistance and aerobic exercise (11.93, 3.63 to 20.29) and whole-body vibration (6.46, 1.71 to 11.20) were associated with improving knee extension strength. For life quality, all treatment effects did not show statistically significant differences. Conclusions: It was found via network meta-analysis that combined resistance and aerobic exercise is the most effective intervention. Besides, if virtual reality or music is added to the training, there will be better results. Resistance exercise with blood flow restriction and whole-body vibration might be good alternative treatments for improving muscle strength. None of the interventions improved quality of life, suggesting a need for alternative interventions in this regard. The results of this study contribute evidence-based data to decision-making.

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Section: Discussionmentioning

confidence: 99%

Non-Pharmacological Interventions to Improve Physical Function in Patients with End-Stage Renal Disease: A Network Meta-Analysis

Zhao¹,

He²,

Wu³

et al. 2023

Am J Nephrol

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“…They were conducted by researchers affiliated with institutions in countries such as Austria, Australia, Canada, China, South Korea, Spain, the United States, and the United Kingdom. These meta-analyses analyzed a total of 235 studies conducted in various CS [ 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 ]. The total number of participants was 56,241 with an average age range between 69 and 90 years.…”

Section: Resultsmentioning

confidence: 99%

“…Alvarez-Barbosa et al [35] Whole-body vibration improved functional mobility as assessed with the Time Up and Go test (MD = −2.49 s, 95% CI [−4.37, −0.61], p = 0.009).…”

Section: Schoberer Et Al [33]mentioning

confidence: 99%

Effects of Physical Activity on Physical and Mental Health of Older Adults Living in Care Settings: A Systematic Review of Meta-Analyses

Agbangla

Séba

Bunlon³

et al. 2023

IJERPH

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Previous studies included in meta-analyses have highlighted the effects of physical activity on the physical and psychological health of older adults living in care settings. We conducted a systematic review of meta-analyses, of institutionalized older adults, to evaluate and conduct a narrative synthesis of the results of these meta-analyses. A literature search was conducted in three databases (PubMed, Web of Science, and Cochrane Library) until 22 March 2023. After screening the identified articles with the PRISMA criteria filters, we included 11 meta-analyses in this systematic review. Higgins’ (2013) assessment tool of the meta-analyses demonstrates that the studies were of good quality although future meta-analyses need to provide more information on the treatment of missing data. A summary of the results of these meta-analyses shows that physical activity reduces the rate of falls, mobility issues, functional dependence, and depression, and improves health status. Future studies need to focus on new ways to promote and adapt physical activities to increase the participation of older adults in care settings.

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“…It was concluded that combining strength training with WBV improved neuromuscular performance significantly more than strength training plus conventional balance training. Also, a recent systematic review and meta-analysis (10 studies including 557 subjects) summarized that WBV significantly improved functional mobility in elderly subjects [ 37 ]. It was hypothesized that these improvements could be useful for the tasks of daily living [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Whole-body vibration training versus conventional balance training in patients with severe COPD—a randomized, controlled trial

et al. 2021

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Background Whole-body vibration training (WBV) performed on a vibration platform can significantly improve physical performance in patients with chronic obstructive pulmonary disease. It has been suggested that an important mechanism of this improvement is based on an improvement in balance. Therefore, the aim of this study was to investigate the effects of WBV compared to conventional balance training. Methods 48 patients with severe COPD (FEV1: 37 ± 7%predicted) and low exercise performance (6 min walk distance (6MWD): 55 ± 10%predicted) were included in this randomized controlled trial during a 3 week inpatient pulmonary rehabilitation. All patients completed a standardized endurance and strength training program. Additionally, patients performed 4 different balance exercises 3x/week for 2 sets of 1 min each, either on a vibration platform (Galileo) at varying frequencies (5–26 Hz) (WBV) or on a conventional balance board (BAL). The primary outcome parameter was the change in balance performance during a semi tandem stance with closed eyes assessed on a force measurement platform. Muscular power during a countermovement jump, the 6MWD, and 4 m gait speed test (4MGST) were secondary outcomes. Non-parametric tests were used for statistical analyses. Results Static balance performance improved significantly more (p = 0.032) in favor of WBV (path length during semi-tandem stand: − 168 ± 231 mm vs. + 1 ± 234 mm). Muscular power also increased significantly more (p = 0.001) in the WBV group (+ 2.3 ± 2.5 W/kg vs. − 0.1 ± 2.0 W/kg). 6MWD improved to a similar extent in both groups (WBV: 48 ± 46 m, p < 0.001 vs. BAL: 38 ± 32 m; p < 0.001) whereas the 4MGST increased significantly only in the WBV-group (0.08 ± 0.14 m/s2, p = 0.018 vs. 0.01 ± 0.11 m/s2, p = 0.71). Conclusions WBV can improve balance performance and muscular power significantly more compared to conventional balance training. Trial registration: Clinical-Trials registration number: NCT03157986; date of registration: May 17, 2017. https://clinicaltrials.gov/ct2/results?cond=&term=NCT03157986&cntry=&state=&city=&dist =

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Effects of Whole-Body Vibration on Functional Mobility, Balance, Gait Strength, and Quality of Life in Institutionalized Older People: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Cited by 14 publications

References 42 publications

Non-Pharmacological Interventions to Improve Physical Function in Patients with End-Stage Renal Disease: A Network Meta-Analysis

Non-Pharmacological Interventions to Improve Physical Function in Patients with End-Stage Renal Disease: A Network Meta-Analysis

Effects of Physical Activity on Physical and Mental Health of Older Adults Living in Care Settings: A Systematic Review of Meta-Analyses

Whole-body vibration training versus conventional balance training in patients with severe COPD—a randomized, controlled trial

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