Vibration Therapy: Difference between revisions
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== Therapeutic Mechanisms == | == Therapeutic Mechanisms == | ||
== Beneficial Effects == | == Beneficial Effects == | ||
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* [[Osteoarthritis]]: improving walking performance in patients with knee osteoarthrosis <ref name=":0" /> | * [[Osteoarthritis]]: improving walking performance in patients with knee osteoarthrosis <ref name=":0" /> | ||
* [[Fibromyalgia]] | * [[Fibromyalgia]] | ||
* [[Myofascial Pain|Myofascial pain]] <ref name=":3">Lupowitz L. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9528696/ Vibration Therapy–A Clinical Commentary]. International journal of sports physical therapy. 2022;17(6):984.</ref> | |||
* Autogenic muscle inhibition <ref name=":3" /> | |||
* [[Delayed onset muscle soreness (DOMS)|Delayed onset muscle soreness]] <ref name=":3" /> | |||
== Clinical Application == | |||
=== Application Principles === | |||
The standardized protocols including vibration parameters (frequency, amplitude, acceleration) and training durations are non-existent. <ref name=":1" /> However most studies agree that the main benefits are associated with low-intensity WBV protocols. <ref name=":2" /> For example, WBV at frequencies below 20 Hz has been suggested to reduce LBP by relaxing muscle spasm. | |||
It is known that the vibration therapy cause; | |||
* additional excitation of the motor neuron pool which increases initial firing rates and ultimately enhanced force production '''when applied briefly (2-25 seconds)''' <ref>Bongiovanni LG, Hagbarth KE. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1189742/ Tonic vibration reflexes elicited during fatigue from maximal voluntary contractions in man]. The Journal of physiology. 1990 Apr 1;423(1):1-4.</ref><ref>Grande G, Cafarelli E. Ia afferent input alters the recruitment thresholds and firing rates of single human motor units. Experimental brain research. 2003 Jun;150:449-57.</ref> | |||
* a decrease in maximal voluntary strength via presynaptic autogenic inhibition '''when applied for prolonged periods (30+ seconds).''' <ref>Barrera-Curiel A, Colquhoun RJ, Hernandez-Sarabia JA, DeFreitas JM. The effects of vibration-induced altered stretch reflex sensitivity on maximal motor unit firing properties. Journal of neurophysiology. 2019 Jun 1;121(6):2215-21.</ref><ref>Girard O, Billaut F, Christian RJ, Bradley PS, Bishop DJ. Exercise-related sensations contribute to decrease power during repeated cycle sprints with limited influence on neural drive. European Journal of Applied Physiology. 2017 Nov;117:2171-9.</ref><ref>Shinohara M. Effects of prolonged vibration on motor unit activity and motor performance. Medicine and science in sports and exercise. 2005 Dec 1;37(12):2120-5.</ref> | |||
Thus, a study <ref name=":3" /> recommended to choose; | |||
* lower frequency, amplitude coupled with longer duration (30+ seconds) for '''alleviate pain, improve tissue extensibility, and reduce the potential for delayed onset muscle soreness''' which can be beneficial '''in patients who are post-operative, dealing with chronic pain or just finished performing strenuous eccentric exercises''' | |||
* higher frequency, amplitude with short duration usage (< 30 seconds) '''to assist with motor unit recruitment and tissue preparedness''' which can be beneficial '''prior to or during exercise activity.''' | |||
General recommendation is to provide gentle pressure with continuous motion into the affected tissue. If the response from the tissue is more pronounced (‘bouncy’) or louder, then the therapist will know that they have found an area that requires more attention. <ref name=":3" /> | |||
=== Safety and Contraindications === | === Safety and Contraindications === | ||
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Description[edit | edit source]
Vibration therapy can take two forms: Whole-Body Vibration (WBV) or Focal Vibration (FV). Vibration is either delivered through a vibration platform on which a patient can sit or stand (WBV), or a hand-held or wearable vibrating device applied to muscles and tendons (FV). [1]
Therapeutic Mechanisms[edit | edit source]
Beneficial Effects[edit | edit source]
WBV shown to has beneficial effects on nervous and musculoskeletal system:
- It causes increase in neuronal activity, cognitive function, and synaptic plasticity. [2]
- It promotes proprioceptive function, reducing the intensity and perception of pain. [2]
- It increases muscle mass and strength, as well as motor performance, while reducing muscle atrophy. [1]
- It increases bone mineral density and promotes fracture healing and joint stability. [2]
- It improve balance and mobility. [2]
- It improves the physical performance of healthy athletes in terms of muscle strength, agility, flexibility, and vertical jump height. [2]
Evidence[edit | edit source]
Evidence for the efficacy of vibration therapy in different patient populations is as follows.
- Low Back Pain: WBV showed beneficial effect on pain and functional ability in people with non-spesific low back pain. [3]
- Sarcopenia: Both LV and WBV improved muscle strength and physical performance in older adults. [4]
- Stroke: WBV improves walking performance following stroke. [5]
- Multiple Sclerosis
- Cerebral Palsy
- Osteoporosis
- Osteoarthritis: improving walking performance in patients with knee osteoarthrosis [5]
- Fibromyalgia
- Myofascial pain [6]
- Autogenic muscle inhibition [6]
- Delayed onset muscle soreness [6]
Clinical Application[edit | edit source]
Application Principles[edit | edit source]
The standardized protocols including vibration parameters (frequency, amplitude, acceleration) and training durations are non-existent. [1] However most studies agree that the main benefits are associated with low-intensity WBV protocols. [2] For example, WBV at frequencies below 20 Hz has been suggested to reduce LBP by relaxing muscle spasm.
It is known that the vibration therapy cause;
- additional excitation of the motor neuron pool which increases initial firing rates and ultimately enhanced force production when applied briefly (2-25 seconds) [7][8]
- a decrease in maximal voluntary strength via presynaptic autogenic inhibition when applied for prolonged periods (30+ seconds). [9][10][11]
Thus, a study [6] recommended to choose;
- lower frequency, amplitude coupled with longer duration (30+ seconds) for alleviate pain, improve tissue extensibility, and reduce the potential for delayed onset muscle soreness which can be beneficial in patients who are post-operative, dealing with chronic pain or just finished performing strenuous eccentric exercises
- higher frequency, amplitude with short duration usage (< 30 seconds) to assist with motor unit recruitment and tissue preparedness which can be beneficial prior to or during exercise activity.
General recommendation is to provide gentle pressure with continuous motion into the affected tissue. If the response from the tissue is more pronounced (‘bouncy’) or louder, then the therapist will know that they have found an area that requires more attention. [6]
Safety and Contraindications[edit | edit source]
Resources[edit | edit source]
References[edit | edit source]
- ↑ 1.0 1.1 1.2 Ghazi M, Rippetoe J, Chandrashekhar R, Wang H. Focal vibration therapy: Vibration parameters of effective wearable devices. Applied Sciences. 2021 Mar 26;11(7):2969.
- ↑ 2.0 2.1 2.2 2.3 2.4 2.5 Bonanni R, Cariati I, Romagnoli C, D’Arcangelo G, Annino G, Tancredi V. Whole body vibration: a valid alternative strategy to exercise?. Journal of functional morphology and kinesiology. 2022 Nov 3;7(4):99.
- ↑ Wang W, Wang S, Lin W, Li X, Andersen LL, Wang Y. Efficacy of whole body vibration therapy on pain and functional ability in people with non-specific low back pain: a systematic review. BMC Complementary Medicine and Therapies. 2020 Dec;20:1-2.
- ↑ Wu S, Ning HT, Xiao SM, Hu MY, Wu XY, Deng HW, Feng H. Effects of vibration therapy on muscle mass, muscle strength and physical function in older adults with sarcopenia: a systematic review and meta-analysis. European Review of Aging and Physical Activity. 2020 Dec;17:1-2.
- ↑ 5.0 5.1 Fischer M, Vialleron T, Fourcade P, Yiou E, Delafontaine A. Long-term effects of whole-body vibration on human gait: a systematic review and meta-analysis. Frontiers in neurology. 2019 Jun 19;10:449173.
- ↑ 6.0 6.1 6.2 6.3 6.4 Lupowitz L. Vibration Therapy–A Clinical Commentary. International journal of sports physical therapy. 2022;17(6):984.
- ↑ Bongiovanni LG, Hagbarth KE. Tonic vibration reflexes elicited during fatigue from maximal voluntary contractions in man. The Journal of physiology. 1990 Apr 1;423(1):1-4.
- ↑ Grande G, Cafarelli E. Ia afferent input alters the recruitment thresholds and firing rates of single human motor units. Experimental brain research. 2003 Jun;150:449-57.
- ↑ Barrera-Curiel A, Colquhoun RJ, Hernandez-Sarabia JA, DeFreitas JM. The effects of vibration-induced altered stretch reflex sensitivity on maximal motor unit firing properties. Journal of neurophysiology. 2019 Jun 1;121(6):2215-21.
- ↑ Girard O, Billaut F, Christian RJ, Bradley PS, Bishop DJ. Exercise-related sensations contribute to decrease power during repeated cycle sprints with limited influence on neural drive. European Journal of Applied Physiology. 2017 Nov;117:2171-9.
- ↑ Shinohara M. Effects of prolonged vibration on motor unit activity and motor performance. Medicine and science in sports and exercise. 2005 Dec 1;37(12):2120-5.
