The effect of whole body vibration on sensorimotor deficits in people with chronic ankle instability: A systematic review and meta-analysis

Abstract

Objective To investigate the effects of whole body vibration on chronic ankle instability-associated sensorimotor deficits in balance, strength, joint position sense and muscle activity. Data sources Electronic databases including Cochrane Library, PubMed, Embase, Web of Science, EBSCO, China National Knowledge Infrastructure and WanFang were searched from database inception up to 31 March 2022. Methods The risk of bias and methodological quality of included studies were assessed using the Cochrane tool and Physiotherapy Evidence Database (PEDro) scale respectively. Standardized mean difference (SMD) and mean differences (MD) with 95% confidence interval (CI) were calculated using the RevMan 5.3 software. Meta-regression was conducted with Stata 16. Results Eight studies, with 315 subjects were eventually included in this review with an average PEDro score of 6.1/10. Significant effects of whole body vibration on balance (SMD = 0.61, 95% CI: 0.12 to 1.09, P = 0.01), and on the posterolateral direction (MD = 5.52, 95% CI: 1.02 to 10.01, P = 0.02) and medial direction (MD = 3.90, 95% CI: 0.87 to 6.94, P = 0.01) of the star excursion balance test were found. Whole body vibration significantly improved the peak torque (SMD = 0.36, 95% CI: 0.04 to 0.69, P = 0.03), joint position sense (SMD = 0.60, 95% CI: 0.10 to 1.11, P = 0.02), and muscle activity in tibialis anterior (SMD = 0.46, 95% CI: 0.04 to 0.88, P = 0.03) and gastrocnemius (SMD = 0.68, 95% CI: 0.14 to 1.23, P = 0.01). Conclusions The current evidence supports the use of whole body vibration to improve sensorimotor deficits involving balance, strength, joint position sense, and muscle activity in people with chronic ankle instability.

Effects of stochastic resonance whole-body vibration on sensorimotor function in elderly individuals—A systematic review

“…SR-WBV could play an important role toward addressing postural control, by involving an interaction of different types of neurophysiological sensors and the adaptation of afferent and efferent signals, the SR-WBV likely serves as an exercise for the sensorimotor system. Tan et al ( 53 ) demonstrated in their systematic review a significant positive benefit on postural control (SMD = 0.61, 95% CI: 0.12 to 1.09, P = 0.01) and muscle activity in tibialis anterior (SMD = 0.46, 95% CI: 0.04 to 0.88, P = 0.03) and gastrocnemius (SMD = 0.68, 95% CI: 0.14 to 1.23, P = 0.01) using sinusoidal whole-body vibration in individuals with a sensorimotor deficit after ankle injury. They concluded that whole body vibration has the potential to improve sensorimotor deficits involving balance, strength, joint position sense, and muscle activity in people with chronic ankle instability.…”

“…SR-WBV could play an important role toward addressing postural control, by involving an interaction of different types of neurophysiological sensors and the adaptation of afferent and efferent signals, the SR-WBV likely serves as an exercise for the sensorimotor system. Tan et al(53) demonstrated in their systematic review a significant positive benefit on postural control (SMD = 0.61, 95% CI: 0.12 to 1.09, P = 0.01) and muscle activity in tibialis anterior (SMD = 0.46, 95% CI: 0.04 to 0.88, P = 0.03) and gastrocnemius (SMD =…”

Effects of whole-body vibration exercise on physical function in patients with chronic kidney disease: a systematic review and meta-analysis

“…Compared with other exercise modalities, WBV is not affected by subjects' motor ability and health status. Previous reports have shown that WBV induces reflexive muscle contractions in subjects, which improves perceptual-motor deficits in balance, strength, joint position sense, and muscle activity in patients with chronic ankle instability [ 15 ]; Chen et al showed that low-frequency and high-frequency WBV had a significant effect on knee osteoarthritis patients' pain, knee extensor strength, and physical function with additional positive results [ 16 ].…”

Effects of biofeedback on biomechanical factors associated with chronic ankle instability: a systematic review with meta-analysis

“…A variety of interventions has been reported for treating LAS and CAI including taping [ 7 ] by limiting excessive ankle motion, neuromuscular training [ 8 ] by improving coordination and muscle activation patterns, balance training [ 9 ] by addressing proprioception and postural control, vibration [ 10 ] by increasing muscle activity and biofeedback [ 11 ] by prompting proper muscle activation and joint alignment. Studies demonstrated that these interventions may not correct all deficits related to CAI [ 2 ].…”