Vibration Therapy Accelerates Healing of Stage I Pressure Ulcers in Older Adult Patients

Arashi, Midori; Sugama, Junko; Sanada, Hiromi; Konya, Chizuko; Okuwa, Mayumi; Nakagami, Gojiro; Inoue, Ayumi; Tabata, Keiko

doi:10.1097/01.asw.0000383752.39220.fb

Cited by 43 publications

(59 citation statements)

References 16 publications

(13 reference statements)

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“…Furthermore, such interventions may help in accelerated healing of chronic wounds like pressure injuries or diabetic ulcers, etc (Arashi et al. ; Weinheimer‐Haus et al. ).…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, as a noninvasive therapeutic modality with the potential to improve or restore blood flow, intervention with WBV would be of utmost importance for the subjects with impaired peripheral circulation. Furthermore, such interventions may help in accelerated healing of chronic wounds like pressure injuries or diabetic ulcers, etc (Arashi et al 2010;Weinheimer-Haus et al 2014).…”

Section: Introductionmentioning

confidence: 99%

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A systematic review of studies investigating the effects of controlled whole‐body vibration intervention on peripheral circulation

Mahbub

Hiroshige

Yamaguchi³

et al. 2019

Clin Physio Funct Imaging

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Summary The findings of the published studies investigating the changes in peripheral circulation induced by exposure to whole‐body vibration (WBV) are not consensual or conclusive. Also, those studies did not consider the role of vibration magnitude on the peripheral circulatory responses making the interpretation of the observed findings difficult. We aimed to review the published literature investigating the effects of controlled WBV intervention on peripheral circulation by characterizing the relevant exposure conditions including vibration magnitudes, and ascertain the specific patterns of responses in peripheral circulation of the lower extremity from such exposure. A computerized search was performed in PubMed and Scopus using selected key search terms, and the relevant data were extracted. The vibration magnitude in the included studies frequently exceeded the limit specified in the International Standard ISO 2631‐1 (1997) for such exposure. As observed, exposure to WBV with frequencies ≤30 Hz caused an improvement in peripheral blood flow (BF) and/or skin temperature (ST) of the lower extremity. In contrast, the responses in BF and ST from exposure to WBV of higher frequencies (31 Hz–50 Hz) produced conflicting results. The findings of this review indicate that WBV exposure with relatively lower frequency and magnitude can be safely and effectively used to induce improvements in peripheral circulation. For this purpose, the limits recommended by the ISO 2631‐1 (1997) should be considered till safe and effective vibration‐related parameters are established.

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“…Furthermore, such interventions may help in accelerated healing of chronic wounds like pressure injuries or diabetic ulcers, etc (Arashi et al. ; Weinheimer‐Haus et al. ).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A systematic review of studies investigating the effects of controlled whole‐body vibration intervention on peripheral circulation

Mahbub

Hiroshige

Yamaguchi³

et al. 2019

Clin Physio Funct Imaging

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“…Hyperbaric oxygen therapy and vibration therapy have been found to promote PU healing. [30][31][32] These methods, which are contactless and comfortable for patients, may also help prevent PU by improving tissue hypoxia and HIF-1 activation.…”

Section: Discussionmentioning

confidence: 99%

Compression‐induced HIF‐1 enhances thrombosis and PAI‐1 expression in mouse skin

Kaneko

Minematsu

Yoshida

et al. 2015

Wound Repair Regeneration

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Pressure ulcers result from tissue hypoxia caused by external forces. Thrombosis due to external forces is considered important, and hypoxia inducible factor-1 (HIF-1) is a master regulator of pressure ulcer development. To date, however, their causal relationship has not been determined. This study therefore investigated the mutual relationship between thrombosis and HIF-1 activation in compressed mouse skin, based on a hypothesis that HIF-1 regulation by plasminogen activator inhibitor-1 (PAI-1) enhances thrombosis. Compression of mouse skin significantly increased the numbers of thrombi and HIF-1α-positive cells compared with control skin. A thrombosis inhibitor significantly reduced the numbers of HIF-1α-positive cells and an HIF-1 inhibitor significantly inhibited thrombosis in compressed skin tissue, suggesting a mutual relationship between thrombosis and HIF-1 activation. Compression of mouse skin also enhanced the level of Pai-1 messenger RNA expression, but this increase was significantly reduced by treatment with an HIF-1 inhibitor, whereas a thrombosis inhibitor had no effect. These results suggested the involvement of PAI-1 in HIF-1-enhanced thrombosis and that an additional factor participates in regulating Pai-1 expression in compressed skin. These findings may suggest new strategies in pressure ulcer management.

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“…21 Previous studies reported that this device can be safely used for elderly individuals. 22 The vibrator was placed under the legs with cushions between them ( Figure 1). Vibrations were performed three times: morning (06:00-09:30), day (12:30-14:30), night (18:00-21:00), and each vibration was performed for 15 min.…”

Section: Interventionmentioning

confidence: 99%

Effects of vibration on chronic leg edema in chair-bound older adults: A randomized pilot trial

Tsuchiya

Sato²,

Ueda

et al. 2020

Preprint

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BackgroundElderly individuals can easily develop leg edema that can become chronic, which may result in various problems. Therefore, appropriate care for the edema should be provided. In some cases, chronic leg edema among elderly individuals cannot be controlled by the standard care such as leg elevation or compression. A previous study reported that vibration benefited upper limb lymphedema; however, its effects on chronic leg edema are not yet clarified. Therefore, this study aimed to clarify the effects of vibration for reducing chronic leg edema among chair-bound elderly individuals.MethodsFor participant allocation, a computer-generated list of random numbers was used. Nursing home residents aged ≥65 years with chronic leg edema who spent more time sitting than standing or lying during the day were randomly assigned to the intervention (n = 7) or control group (n = 7). The intervention group underwent vibration therapy three times a day for 2 weeks at 47 Hz and 1.78 m/s2 frequency and horizontal vibration acceleration, respectively. The pitting test was performed at 22 sites, and participants’ pitting scores were calculated based on the pitting depth. Pitting score changes at pre- and post-intervention were compared between the intervention and control groups. Both participants and investigators were not blinded to group assignment.ResultsThe median age of the intervention and control groups was 86 and 84 years, respectively. Participants’ characteristics and edema severity at baseline were not significantly different. The median total pitting score change in the intervention group was −0.4 (interquartile range: −5.3–1.8), which was significantly lower than that of the control group (2.0 [interquartile range: 1.0－5.3], P = 0.01). The intervention group was more likely to have controlled edema (64.3%) than the control group (21.4%) (χ2 (1) = 5.25, P = 0.02).ConclusionsThe intervention group was more likely to have controlled edema than the control group, suggesting that vibration could prevent the worsening of chronic leg edema in chair-bound elderly individuals.Trial registration: UMIN Clinical Trials Registry, UMIN000017716. Registered 1 July 2015, https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000020522

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Vibration Therapy Accelerates Healing of Stage I Pressure Ulcers in Older Adult Patients

Abstract: Based on these results, the use of the vibrator may facilitate the healing of Stage I PrUs.

Cited by 43 publications

References 16 publications

A systematic review of studies investigating the effects of controlled whole‐body vibration intervention on peripheral circulation

A systematic review of studies investigating the effects of controlled whole‐body vibration intervention on peripheral circulation

Compression‐induced HIF‐1 enhances thrombosis and PAI‐1 expression in mouse skin

Effects of vibration on chronic leg edema in chair-bound older adults: A randomized pilot trial

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