A single whole body vibration session influences quadriceps muscle strength, functional mobility and balance of elderly with osteopenia and/or osteoporosis? Pragmatic clinical trial

Abstract

Background

The purpose of this study verify the immediate effect of whole body vibration (WBV) on quadriceps muscle strength, functional mobility and balance in elderly patients with Osteopenia and/or Osteoporosis.

Methods

This was a randomized pragmatic clinical trial with 34 elderly (32 women) randomly assigned to two groups: the experimental group (EG; n = 17) who underwent low-frequency (16 Hz) WBV and the control group (CG; n = 17) who performed the walk. Outcome measures were: quadriceps muscle strength measured by a maximal repetition test (1RM); functional mobility assessed by the Timed Up and Go (TUG) test and balance assessed by the Berg Balance Scale (BBS).

Results

In within-group interaction, a significant increase was observed in quadriceps muscle strength (EG:p = 0.047) and balance (EG: p = 0,012; CG: p = 0,007). In between-groups interaction, a significant difference was not observed. There was an increase in the muscular strength of the EG and in the balance in both groups.

Conclusion

An WBV training session was able to alter the muscular strength of the LQ and the balance of the elderly with Osteopenia and/or Osteoporosis. It is suggested, however, that future studies involving larger sample number and/or populations should be developed to analyze the short-term effects of WBV.

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Abbreviations

OP:

Osteoporosis

OPN:

Osteopenia

WBV:

Whole body vibration

CONSORT:

Consolidated Standards of Reporting Trials

LACIRTEM:

Laboratório de Cinesioterapia e Recursos Terapêuticos Manuais

UFPE:

Universidade Federal de Pernambuco

FICF:

Free and Informed Consent Form

IBM:

Body mass index

EG:

Experimental Group

CG:

Control group

HPAQ:

Habitual Physical Activity Questionnaire

1RM:

One repetition maximum

BBS:

Berg Balance Scale

TUG:

Timed Up and Go

SBP:

Systolic blood pressure

DBP:

Diastolic blood pressure

RR:

Respiratory rate

HR:

Heart rate

SpO 2:

Saturation

MAP:

Mean Arterial Pressure

SPSS:

Statistical Package for Social Science

L1:

First lumbar vertebra

L4:

Fourth lumbar vertebra

BMD:

Bone mineral densitometry

T :

Standard deviations

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Funding

APQ-0337-4.08/13 - FACEPE – Fundação de Amparo à Ciência e Tecnologia do Estado de Pernambuco.

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Affiliations

Authors

Contributions

Acquisition of data: FTMR; Application of the protocols: LAXR e LS; Statistical analysis: MRG e ROG; Drafting the manuscript: MFAB e AGCC; Revision criticall: APLF e MGRA; Approval of the final version: LAXR, FTMR, LS, MFAB, AGCC, MRG, APLF, ROG e MGRA.

Corresponding author

Correspondence to Maria das Graças Rodrigues de Araújo.

Ethics declarations

Ethics approval and consent to participate

This study was approved by the Research Ethics Committee of the CCS / UFPE (opinion no 2.452.339), respecting the ethical aspects of Resolution 466/12 of the National Health Council and the Declaration of Helsinki. All participants signed the FICF after being informed of the objectives, risks and benefits of the research.

Competing interests

Luanda Alves Xavier Ramos, François Talles Medeiros Rodrigues, Lívia Shirahige, Maria de Fátima Alcântara Barros, Antônio Geraldo Cidrão de Carvalho, Marcelo Renato Guerino, Ana Paula de Lima Ferreira, Ricardo Oliveira Guerra and Maria das Graças Rodrigues de Araújo declare that they have no competing interests.

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Ramos, L.A.X., Rodrigues, F.T.M., Shirahige, L. et al. A single whole body vibration session influences quadriceps muscle strength, functional mobility and balance of elderly with osteopenia and/or osteoporosis? Pragmatic clinical trial. J Diabetes Metab Disord 18, 73–80 (2019). https://doi.org/10.1007/s40200-019-00392-4

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Keywords

  • Osteoporosis
  • Muscle strength
  • Postural equilibrium
  • Vibration
  • Walking