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



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.


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).


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.


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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Whole body vibration


Consolidated Standards of Reporting Trials


Laboratório de Cinesioterapia e Recursos Terapêuticos Manuais


Universidade Federal de Pernambuco


Free and Informed Consent Form


Body mass index


Experimental Group


Control group


Habitual Physical Activity Questionnaire


One repetition maximum


Berg Balance Scale


Timed Up and Go


Systolic blood pressure


Diastolic blood pressure


Respiratory rate


Heart rate

SpO 2:



Mean Arterial Pressure


Statistical Package for Social Science


First lumbar vertebra


Fourth lumbar vertebra


Bone mineral densitometry

T :

Standard deviations


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

Author information




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