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Whole-Body Vibration in Geriatric Rehabilitation

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Manual of Vibration Exercise and Vibration Therapy

Abstract

Aging is accompanied by an accumulation of diseases and disabilities, which threaten a person’s functional independence. Within the progression of disablement, neuromuscular decline is a key factor, conceptualized by the terms ‘sarcopenia’ and ‘frailty’. Physical activity, and in particular physical exercise, is the only acknowledged countermeasure to halt this process. However, the majority of old persons do not attain the recommended levels of physical activity, and readiness to engage in a physical exercise program is declining as we grow old. On the other hand, physical activity would have to be maintained over years and decades for a profound impact on health at old age. We therefore question whether the currently recommended training regimens, which had originally been designed for younger people or even athletes, are fit for purpose in the geriatric population. It is then discussed in how far the particularities of whole-body vibration (WBV) address the specific needs of geriatric patients. The efficacy for a broad range of age-related deficits, the short time frame with multiple repetitions, the relatively low demands for the cardiovascular and pulmonary systems, the low rating of perceived exertion, and an easy way to instruct and supervise the method could facilitate long-term adherence of vibration therapy in geriatric medicine. Especially for bed-ridden and chair-bound patients, tilt table WBV could be a supplementary opportunity to enlarge the established therapy and training regimens.

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References

  1. Bell KE, von Allmen MT, Devries MC, Phillips SM. Muscle disuse as a pivotal problem in sarcopenia-related muscle loss and dysfunction. J Frailty Aging. 2016;5(1):33–41. https://doi.org/10.14283/jfa.2016.78.

    Article  CAS  PubMed  Google Scholar 

  2. Booth FW, Roberts CK, Laye MJ. Lack of exercise is a major cause of chronic diseases. Compr Physiol. 2012;2(2):1143–211. https://doi.org/10.1002/cphy.c110025.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Wen CP, Wai JP, Tsai MK, Yang YC, Cheng TY, Lee MC, et al. Minimum amount of physical activity for reduced mortality and extended life expectancy: a prospective cohort study. Lancet. 2011;378(9798):1244–53. https://doi.org/10.1016/S0140-6736(11)60749-6.

    Article  PubMed  Google Scholar 

  4. Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):M146–56.

    Article  CAS  PubMed  Google Scholar 

  5. Larsson L, Degens H, Li M, Salviati L, Lee YI, Thompson W, et al. Sarcopenia: aging-related loss of muscle mass and function. Physiol Rev. 2019;99(1):427–511. https://doi.org/10.1152/physrev.00061.2017.

    Article  PubMed  Google Scholar 

  6. Rosenberg IH. Summary comments. Am J Clin Nutr. 1989;50:1231.

    Article  Google Scholar 

  7. Clark BC, Manini TM. Sarcopenia =/= dynapenia. J Gerontol A Biol Sci Med Sci. 2008;63(8):829–34.

    Article  PubMed  Google Scholar 

  8. Tanaka H, Tarumi T, Rittweger J. Aging and physiological lessons from master athletes. Compr Physiol. 2019;10:261–96.

    Article  PubMed  Google Scholar 

  9. Pedersen BK. Muscle as a secretory organ. Compr Physiol. 2013;3(3):1337–62. https://doi.org/10.1002/cphy.c120033.

    Article  PubMed  Google Scholar 

  10. Bernabeu-Wittel M, Gonzalez-Molina A, Fernandez-Ojeda R, Diez-Manglano J, Salgado F, Soto-Martin M, et al. Impact of sarcopenia and frailty in a multicenter cohort of polypathological patients. J Clin Med. 2019;8(4):535. https://doi.org/10.3390/jcm8040535.

    Article  PubMed Central  Google Scholar 

  11. Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age Ageing. 2010;39(4):412–23. https://doi.org/10.1093/ageing/afq034.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Ritt M, Schwarz C, Kronawitter V, Delinic A, Bollheimer LC, Gassmann KG, Sieber CC. Analysis of Rockwood et al’s clinical frailty scale and Fried et al’s frailty phenotype as predictors of mortality and other clinical outcomes in older patients who were admitted to a geriatric ward. J Nutr Health Aging. 2015;19(10):1043–8. https://doi.org/10.1007/s12603-015-0534-8.

    Article  CAS  PubMed  Google Scholar 

  13. Fiatarone MA, Marks EC, Ryan ND, Meredith CN, Lipsitz LA, Evans WJ. High-intensity strength training in nonagenarians. Effects on skeletal muscle. JAMA. 1990;263(22):3029.

    Article  CAS  PubMed  Google Scholar 

  14. Cadore EL, Pinto RS, Bottaro M, Izquierdo M. Strength and endurance training prescription in healthy and frail elderly. Aging Dis. 2014;5(3):183–95. https://doi.org/10.14336/AD.2014.0500183.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, Lamb SE. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2012;9:CD007146. https://doi.org/10.1002/14651858.CD007146.pub3.

    Article  Google Scholar 

  16. Lopez P, Pinto RS, Radaelli R, Rech A, Grazioli R, Izquierdo M, Cadore EL. Benefits of resistance training in physically frail elderly: a systematic review. Aging Clin Exp Res. 2018;30(8):889–99. https://doi.org/10.1007/s40520-017-0863-z.

    Article  PubMed  Google Scholar 

  17. Apostolo J, Cooke R, Bobrowicz-Campos E, Santana S, Marcucci M, Cano A, et al. Effectiveness of interventions to prevent pre-frailty and frailty progression in older adults: a systematic review. JBI Database System Rev Implement Rep. 2018;16(1):140–232. https://doi.org/10.11124/JBISRIR-2017-003382.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Cesari M, Marzetti E, Thiem U, Perez-Zepeda MU, Abellan Van Kan G, Landi F, et al. The geriatric management of frailty as paradigm of “The end of the disease era”. Eur J Intern Med. 2016;31:11–4. https://doi.org/10.1016/j.ejim.2016.03.005.

    Article  PubMed  Google Scholar 

  19. Turner, G., Clegg, A., British Geriatrics, S., Age, U. K., & Royal College of General, P. Best practice guidelines for the management of frailty: a British Geriatrics Society, Age UK and Royal College of General Practitioners report. Age Ageing. 2014;43(6):744–7. https://doi.org/10.1093/ageing/afu138.

    Article  Google Scholar 

  20. Guralnik JM, Ferrucci L, Pieper CF, Leveille SG, Markides KS, Ostir GV, et al. Lower extremity function and subsequent disability: consistency across studies, predictive models, and value of gait speed alone compared with the short physical performance battery. J GerontolA BiolSciMedSci. 2000;55(4):M221.

    Article  CAS  Google Scholar 

  21. Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49(2):M85.

    Article  CAS  PubMed  Google Scholar 

  22. Du Y, Liu B, Sun Y, Snetselaar LG, Wallace RB, Bao W. Trends in adherence to the physical activity guidelines for Americans for aerobic activity and time spent on sedentary behavior among US adults, 2007 to 2016. JAMA Netw Open. 2019;2(7):e197597. https://doi.org/10.1001/jamanetworkopen.2019.7597.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Orkaby AR, Forman DE. Physical activity and CVD in older adults: an expert’s perspective. Expert Rev Cardiovasc Ther. 2018;16(1):1–10. https://doi.org/10.1080/14779072.2018.1419062.

    Article  CAS  PubMed  Google Scholar 

  24. Fielding RA, Guralnik JM, King AC, Pahor M, McDermott MM, Tudor-Locke C, et al. Dose of physical activity, physical functioning and disability risk in mobility-limited older adults: results from the LIFE study randomized trial. PLoS One. 2017;12(8):e0182155. https://doi.org/10.1371/journal.pone.0182155.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Bangsbo J, Blackwell J, Boraxbekk CJ, Caserotti P, Dela F, Evans AB, et al. Copenhagen consensus statement 2019: physical activity and ageing. Br J Sports Med. 2019;53(14):856–8. https://doi.org/10.1136/bjsports-2018-100451.

    Article  PubMed  Google Scholar 

  26. Chomistek AK, Cook NR, Flint AJ, Rimm EB. Vigorous-intensity leisure-time physical activity and risk of major chronic disease in men. Med Sci Sports Exerc. 2012;44(10):1898–905. https://doi.org/10.1249/MSS.0b013e31825a68f3.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Physical Activity for Health. (2018). Retrieved from Louxembourg: https://www.who.int/ageing/events/world-report-2015-launch/en/.

  28. van der Ploeg HP, Chey T, Korda RJ, Banks E, Bauman A. Sitting time and all-cause mortality risk in 222 497 Australian adults. Arch Intern Med. 2012;172(6):494–500. https://doi.org/10.1001/archinternmed.2011.2174.

    Article  PubMed  Google Scholar 

  29. Fielding RA, Vellas B, Evans WJ, Bhasin S, Morley JE, Newman AB, et al. Sarcopenia: an undiagnosed condition in older adults. Current consensus definition: prevalence, etiology, and consequences. International working group on sarcopenia. J Am Med Dir Assoc. 2011;12(4):249–56. https://doi.org/10.1016/j.jamda.2011.01.003.

    Article  PubMed  Google Scholar 

  30. Witard OC, McGlory C, Hamilton DL, Phillips SM. Growing older with health and vitality: a nexus of physical activity, exercise and nutrition. Biogerontology. 2016;17(3):529–46. https://doi.org/10.1007/s10522-016-9637-9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Yue Z, Mester J. A model analysis of internal loads, energetics, and effects of wobbling mass during the whole-body vibration. J Biomech. 2002;35(5):639–47.

    Article  CAS  PubMed  Google Scholar 

  32. Gloeckl R, Heinzelmann I, Seeberg S, Damisch T, Hitzl W, Kenn K. Effects of complementary whole-body vibration training in patients after lung transplantation: a randomized, controlled trial. J Heart Lung Transplant. 2015;34(11):1455–61. https://doi.org/10.1016/j.healun.2015.07.002.

    Article  PubMed  Google Scholar 

  33. Semler O, Fricke O, Vezyroglou K, Stark C, Stabrey A, Schoenau E. Results of a prospective pilot trial on mobility after whole body vibration in children and adolescents with osteogenesis imperfecta. Clin Rehabil. 2008;22(5):387–94.

    Article  PubMed  Google Scholar 

  34. Rittweger J, Beller G, Felsenberg D. Acute physiological effects of exhaustive whole-body vibration exercise in man. Clin Physiol. 2000;20(2):134.

    Article  CAS  PubMed  Google Scholar 

  35. Rittweger J, Schiessl H, Felsenberg D. Oxygen-uptake during whole body vibration exercise: comparison with squatting as a slow voluntary movement. Eur J Appl Physiol. 2001;86:169–73.

    Article  CAS  PubMed  Google Scholar 

  36. Bergmann G, Kutzner I, Bender A, Dymke J, Trepczynski A, Duda GN, et al. Loading of the hip and knee joints during whole body vibration training. PLoS One. 2018;13(12):e0207014. https://doi.org/10.1371/journal.pone.0207014.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. Rohlmann A, Schmidt H, Gast U, Kutzner I, Damm P, Bergmann G. In vivo measurements of the effect of whole body vibration on spinal loads. Eur Spine J. 2014;23(3):666–72. https://doi.org/10.1007/s00586-013-3087-8.

    Article  PubMed  Google Scholar 

  38. Cochrane DJ, Sartor F, Winwood K, Stannard SR, Narici MV, Rittweger J. A comparison of the physiologic effects of acute whole-body vibration exercise in young and older people. Arch Phys Med Rehabil. 2008;89(5):815–21.

    Article  PubMed  Google Scholar 

  39. Osugi T, Iwamoto J, Yamazaki M, Takakuwa M. Effect of a combination of whole body vibration exercise and squat training on body balance, muscle power, and walking ability in the elderly. Ther Clin Risk Manag. 2014;10:131–8. https://doi.org/10.2147/TCRM.S57806.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Rees S, Murphy A, Watsford M. Effects of vibration exercise on muscle performance and mobility in an older population. J Aging Phys Act. 2007;15(4):367–81.

    Article  PubMed  Google Scholar 

  41. Runge M, Rehfeld G, Resnicek E. Balance training and exercise in geriatric patients. J Musculoskelet Neuronal Interact. 2000;1(1):61–5.

    Google Scholar 

  42. Russo CR, Lauretani F, Bandinelli S, Bartali B, Cavazzini C, Guralnik JM, Ferrucci L. High-frequency vibration training increases muscle power in postmenopausal women. Arch Phys Med Rehabil. 2003;84(12):1854–7.

    Article  PubMed  Google Scholar 

  43. Simao AP, Mendonca VA, Avelar NCP, da Fonseca SF, Santos JM, de Oliveira ACC, et al. Whole body vibration training on muscle strength and brain-derived neurotrophic factor levels in elderly woman with knee osteoarthritis: a randomized clinical trial study. Front Physiol. 2019;10:756. https://doi.org/10.3389/fphys.2019.00756.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Zhang L, Weng C, Liu M, Wang Q, Liu L, He Y. Effect of whole-body vibration exercise on mobility, balance ability and general health status in frail elderly patients: a pilot randomized controlled trial. Clin Rehabil. 2014;28(1):59–68. https://doi.org/10.1177/0269215513492162.

    Article  CAS  PubMed  Google Scholar 

  45. Perchthaler D, Grau S, Hein T. Evaluation of a six-week whole-body vibration intervention on neuromuscular performance in older adults. J Strength Cond Res. 2015;29(1):86–95. https://doi.org/10.1519/JSC.0000000000000608.

    Article  PubMed  Google Scholar 

  46. Santin-Medeiros F, Santos-Lozano A, Cristi-Montero C, Garatachea Vallejo N. Effect of 8 months of whole-body vibration training on quality of life in elderly women. Res Sports Med. 2017;25(1):101–7. https://doi.org/10.1080/15438627.2016.1258638.

    Article  PubMed  Google Scholar 

  47. Machado A, Garcia-Lopez D, Gonzalez-Gallego J, Garatachea N. Whole-body vibration training increases muscle strength and mass in older women: a randomized-controlled trial. Scand J Med Sci Sports. 2010;20(2):200–7. https://doi.org/10.1111/j.1600-0838.2009.00919.x.

    Article  CAS  PubMed  Google Scholar 

  48. Bautmans I, Van Hees E, Lemper JC, Mets T. The feasibility of whole body vibration in institutionalised elderly persons and its influence on muscle performance, balance and mobility: a randomised controlled trial [ISRCTN62535013]. BMC Geriatr. 2005;5:17.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Bruyere O, Wuidart MA, Di Palma E, Gourlay M, Ethgen O, Richy F, Reginster JY. Controlled whole body vibration to decrease fall risk and improve health-related quality of life of nursing home residents. Arch Phys Med Rehabil. 2005;86(2):303–7.

    Article  PubMed  Google Scholar 

  50. Bogaerts A, Delecluse C, Claessens AL, Coudyzer W, Boonen S, Verschueren SM. Impact of whole-body vibration training versus fitness training on muscle strength and muscle mass in older men: a 1-year randomized controlled trial. J Gerontol A Biol Sci Med Sci. 2007a;62(6):630–5.

    Article  PubMed  Google Scholar 

  51. Bogaerts A, Verschueren S, Delecluse C, Claessens AL, Boonen S. Effects of whole body vibration training on postural control in older individuals: a 1 year randomized controlled trial. Gait Posture. 2007b;26(2):309–16.

    Article  PubMed  Google Scholar 

  52. Rees SS, Murphy AJ, Watsford ML. Effects of whole-body vibration exercise on lower-extremity muscle strength and power in an older population: a randomized clinical trial. Phys Ther. 2008;88(4):462–70.

    Article  PubMed  Google Scholar 

  53. Roelants M, Delecluse C, Verschueren SM. Whole-body-vibration training increases knee-extension strength and speed of movement in older women. J Am Geriatr Soc. 2004;52(6):901–8.

    Article  PubMed  Google Scholar 

  54. Corrie H, Brooke-Wavell K, Mansfield NJ, Cowley A, Morris R, Masud T. Effects of vertical and side-alternating vibration training on fall risk factors and bone turnover in older people at risk of falls. Age Ageing. 2015;44(1):115–22. https://doi.org/10.1093/ageing/afu136.

    Article  PubMed  Google Scholar 

  55. Smith DT, Judge S, Malone A, Moynes RC, Conviser J, Skinner JS. Effects of biodensity training and power plate whole-body vibration on strength, balance, and functional independence in older adults. J Aging Phys Act. 2016;24(1):139–48. https://doi.org/10.1123/japa.2015-0057.

    Article  PubMed  Google Scholar 

  56. Mikhael M, Orr R, Amsen F, Greene D, Singh MA. Effect of standing posture during whole body vibration training on muscle morphology and function in older adults: a randomised controlled trial. BMC Geriatr. 2010;10:74. https://doi.org/10.1186/1471-2318-10-74.

    Article  PubMed  PubMed Central  Google Scholar 

  57. Rittweger J. Vibration as an exercise modality to prevent sarcopenia and osteoporosis. In: Takahashi H, Burr DB, Yamamoto N, editors. Osteoporotic fracture and systemic skeletal disorders – Mechanism, assessment, and treatment: Springer; 2020.

    Google Scholar 

  58. Ahn JY, Kim H, Park CB. Effects of whole-body vibration on upper extremity function and grip strength in patients with subacute stroke: a randomised single-blind controlled trial. Occup Ther Int. 2019;2019:5820952. https://doi.org/10.1155/2019/5820952.

    Article  PubMed  PubMed Central  Google Scholar 

  59. Choi W, Han D, Kim J, Lee S. Whole-body vibration combined with treadmill training improves walking performance in post-stroke patients: a randomized controlled trial. Med Sci Monit. 2017;23:4918–25. https://doi.org/10.12659/msm.904474.

    Article  PubMed  PubMed Central  Google Scholar 

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Runge, M., Rittweger, J. (2020). Whole-Body Vibration in Geriatric Rehabilitation. In: Rittweger, J. (eds) Manual of Vibration Exercise and Vibration Therapy. Springer, Cham. https://doi.org/10.1007/978-3-030-43985-9_18

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