Whole-body vibration therapy in intensive care patients: A feasibility and safety study

Boeselt, Tobias; Nell, Christoph; Kehr, Katharina; Holland, Angélique; Dresel, M; Greulich, Timm; Tackenberg, B.; Kenn, Klaus; Boeder, Johannes; Klapdor, Benjamin; Kirschbaum, Andreas; Vogelmeier, Claus; Alter, Peter; Koczulla, Andreas Rembert

doi:10.2340/16501977-2052

Cited by 24 publications

(32 citation statements)

References 40 publications

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“…Hemodynamic characteristics were monitored during WBV application. The study underscores previous findings showing that no significant changes in heart rate, blood pressure, or oxygen saturation occurred during WBV in critically ill patients, nor when compared with healthy controls [2]. …”

supporting

confidence: 85%

“…The method raises the question whether enough load was applied to the vibrating plate to lead to a sufficient neuromuscular response. To increase this load and involve neuromuscular recruiting, it might be helpful to modify the patient’s position by inclination of the bed to approximately 20° to 25° degrees of tilt [2]. It is suggested that this would involve a greater muscular proportion of the whole body.…”

mentioning

confidence: 99%

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Feasibility and safety of whole-body vibration therapy in intensive care patients

Alter¹,

Boeselt²,

Nell³

et al. 2017

Crit Care

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supporting

confidence: 85%

mentioning

confidence: 99%

Feasibility and safety of whole-body vibration therapy in intensive care patients

Alter¹,

Boeselt²,

Nell³

et al. 2017

Crit Care

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“…This resulted in a significant but only moderate increase in cardiopulmonary parameters. Recent studies have shown that standing on a WBVT platform can be an effective exercise modality to increase exercise capacity in COPD patients during an acute exacerbation [10], in intensive care patients [23] and in patients directly following lung transplantation [24]. In this context, WBVT may be appropriate even for more seriously disabled patients who are physically unable to perform dynamic squat exercises.…”

Section: Discussionmentioning

confidence: 99%

Cardiopulmonary response during whole-body vibration training in patients with severe COPD

et al. 2017

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Several studies in patients with chronic obstructive pulmonary disease (COPD) have shown that whole-body vibration training (WBVT) has beneficial effects on exercise capacity. However, the acute cardiopulmonary demand during WBVT remains unknown and was therefore investigated in this study.Ten patients with severe COPD (forced expiratory volume in 1 s: 38±8% predicted) were examined on two consecutive days. On day one, symptom-limited cardiopulmonary exercise testing was performed on a cycle ergometer. The next day, six bouts of repeated squat exercises were performed in random order for one, two or three minutes either with or without WBVT while metabolic demands were simultaneously measured.Squat exercises with or without WBVT induced comparable ventilatory efficiency (minute ventilation (VE)/carbon dioxide production (V′CO2): 38.0±4.4 with WBVT versus 37.4±4.1 without, p=0.236). Oxygen uptake after 3 min of squat exercises increased from 339±40 mL·min−1 to 1060±160 mL·min−1 with WBVT and 988±124 mL min−1 without WBV (p=0.093). However, there were no significant differences between squat exercises with and without WBVT in oxygen saturation (90±4% versus 90±4%, p=0.068), heart rate (109±13 bpm versus 110±15 bpm, p=0.513) or dyspnoea (Borg scale 5±2 versus 5±2, p=0.279).Combining squat exercises with WBVT induced a similar cardiopulmonary response in patients with severe COPD compared to squat exercises without WBVT. Bearing in mind the small sample size, WBVT might be a feasible and safe exercise modality even in patients with severe COPD.

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“…The authors suggest that WBV may be of benefit in some rehabilitation programs. The most recent studies indicate that WBV therapy should be considered for use in early in-bed rehabilitation in the intensive care unit (5,10). There are also reports regarding the use of resistance exercises combined with vibration exposure for the prevention of muscle atrophy associated with prolonged periods of supine positioning (3).…”

Section: Introductionmentioning

confidence: 99%

The application of whole-body vibration in physiotherapy – A narrative review

et al. 2016

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Whole-body vibration (WBV) training is a very popular kind of practice in sport, fitness and physiotherapy. This work reviews the current knowledge regarding the use and effectiveness of WBV in the physiotherapy. The discrepancies between different authors' results are probably due to divergence in WBV training protocols. The paperwork clearly showed that despite its ultimate effects, exercises on a vibration platform are safe, feasible, and well tolerated by patients with different disorders. This narrative review should help physiotherapists verify therapy programs regarding patients' exposure to WBV.

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Whole-body vibration therapy in intensive care patients: A feasibility and safety study

Cited by 24 publications

References 40 publications

Feasibility and safety of whole-body vibration therapy in intensive care patients

Feasibility and safety of whole-body vibration therapy in intensive care patients

Cardiopulmonary response during whole-body vibration training in patients with severe COPD

The application of whole-body vibration in physiotherapy – A narrative review

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