Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Whole-Body Vibration Exercise on Balance, Muscle Strength and Falls Efficacy in the Elderly

전신진동운동이 노인의 균형, 근력 및 낙상효능감에 미치는 영향

  • Kim, Young-Min (Dept. of Physical Therapy, Korea National University of Transportation) ;
  • Park, Jin-Hwan (Dept. of Physical Therapy, Graduate School of Korea National University of Transportation)
  • 김영민 (한국교통대학교 물리치료학과) ;
  • 박진환 (한국교통대학교 대학원 물리치료학과)
  • Received : 2017.07.02
  • Accepted : 2017.08.07
  • Published : 2017.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

PURPOSE: The purpose of the present study was to investigate the effects of whole body vibration exercise on balance, muscle strength and falls efficacy in the elderly. METHODS: In this blinded randomized allocation study, 27 elderly were assigned to a whole-body vibration exercise group (n=14), consisting of 25 min structured exercises for 2 days per week for 6 weeks and a control group (n=13) performing the same program without vibration. At baseline and after the 6-week intervention, balance was measured using the Korean version of the Berg balance scale (K-BBS), timed up and go (TUG) test and functional reach test (FRT). Muscle strength was determined using the 30-s chair stand test (CST). Fear of falling was assessed using the Korean version of falls efficacy scale (K-FES). Paired t-test and independent t-test were used for within and between group comparisons, respectively. RESULTS: After the intervention, the experimental group showed significantly higher changes in all the parameters (K-BBS score, TUG test, CST, K-FES score) (p<.05) compared with the control group. However, there was no significant change in all parameters in the control group (p>.05). CONCLUSION: The whole-body vibration exercise program may be helpful to improve balance, mobility, muscle performance and fear of falling in the elderly.

Keywords

References

  1. Ahn MC, Song CH. Immediate effects of local vibration on ankle plantarflexion spasticity and clonus of both the gastrocnemius and soleus in patients with spinal cord injury. J Korean Soc Phys Med. 2016;11(2):1-11. https://doi.org/10.13066/kspm.2016.11.2.1
  2. Bautmans I, Van Hees E, Lemper JC, et al. The feasibility of whole body vibration in institutionalised elderly persons and its influence on muscle performance, balance and mobility. BMC Geriatr. 2005;5(1):5-17. https://doi.org/10.1186/1471-2318-5-5
  3. Berg KO, Maki BE, Williams JI, et al. Clinical and laboratory measures of postural balance in an elderly population. Arch Phys Med Rehabil. 1992;73(11):1073-80.
  4. Bogaerts A, Verschueren S, Delecluse C, et al. Effect of whole body vibration training on postural control in older individuals; A 1 year randomized controlled trial. Gait Posture. 2007;26(2):309-16. https://doi.org/10.1016/j.gaitpost.2006.09.078
  5. Bohannon RW. Sit-to-stand test for measuring performance of lower extremity muscles. Percept Mot Skills. 1995;80(1):163-6. https://doi.org/10.2466/pms.1995.80.1.163
  6. Bosco C, Colli R, Introini E, et al. Adaptive responses of human skeletal muscle to vibration exposure. Clin Physiol. 1999;19(2):183-7. https://doi.org/10.1046/j.1365-2281.1999.00155.x
  7. Bruyere O, Wuidart MA, Di Palma E, et al. 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. https://doi.org/10.1016/j.apmr.2004.05.019
  8. Cheung WH, Mok HW, Qin L, et al. High-frequency whole-body vibration improves balancing ability in elderly women. Arch Phys Med Rehabil. 2007;88(7):852-7. https://doi.org/10.1016/j.apmr.2007.03.028
  9. Cochrane DJ. The potential neural mechanisms of acute indirect vibration. J Sports Sci Med. 2011;10(1):19-30.
  10. Dehail P, Cressot V, Delleci C, et al. Gait and balance disorders. Falls in the elderly. Rev Prat. 2011;61(4):575-80.
  11. Denkinger MD, Igl W, Lukas A, et al. Relationship between fear of falling and outcomes of an inpatient geriatric rehabilitation population-fear of the fear of falling. J Am Geriatr Soc. 2010;58(4):664-73. https://doi.org/10.1111/j.1532-5415.2010.02759.x
  12. Di Giminiani R, Masedu F, Tihanyi J, et al. The interaction between body position and vibration frequency on acuteresponse to whole body vibration. J Electromyogr Kinesiol. 2013;23(1):245-51. https://doi.org/10.1016/j.jelekin.2012.08.018
  13. Duncan PW, Weiner DK, Chandler j, et al. Functional reach: A new clinical measure of balance. J Gerontol. 1990;45(6):192-7.
  14. Ha KJ, Lee SY, Choi SJ. Effects of an 8-week vibration exercise program on quadriceps and hamstring maximum strength and balance in male and female college students. J Korean Soc Phys Med. 2015;10(4):101-6. https://doi.org/10.13066/kspm.2015.10.4.101
  15. Huang HC, Gau ML, Lin WC, et al. Assessing risk of falling in older adult. Public Health Nurs. 2003;20(5): 399-411. https://doi.org/10.1046/j.1525-1446.2003.20508.x
  16. In TS, Song CH. The effects of whole body vibration on knee extensor strength, and balance and walking ability with chronic stroke. J Korean Soc Phys Med. 2010;5(4):675-83.
  17. Jung YM. The effects of whole body vibration combined with action observation on gross motor function, balance and gait in children spastic with cerebral palsy. Master's Degree. Sahmyook University. 2017.
  18. Kim MC, Ahn CS, Kim YS. The effect of exercise program for falls prevention on balance and quality of life in the elderly women. J Korean Soc Phys Med. 2010;5(2):245-54.
  19. Kim YY. The effects of whole body vibration on the improvement of lower extremity function and isokinetic musular strength on Korean male volley ball players. Doctor's Degree. Yongin University. 2015.
  20. Lach HW, Reed AT, Arfken CI, et al. Falls in the elderly: reliability of a classification system. J Am Geriatr Soc. 1991;39(2):197-202. https://doi.org/10.1111/j.1532-5415.1991.tb01626.x
  21. Lee SW. The effect of whole body vibration exercise on lower-limb strength, fitness variables and fatigue stuff in male adolescents. Doctor's Degree. KyungHee University. 2017.
  22. Legters K, Verbus NB, Kitchen S, et al. Fear of falling, balance confidence and health-related quality of life in individuals with postpolio syndrome. Physiother Theory Pract. 2006;22(3):127-35. https://doi.org/10.1080/09593980600724196
  23. Miller CA. The connection between drugs and falls in elders. Geriatr Nurs. 2002;23(2):109-10. https://doi.org/10.1067/mgn.2002.123794
  24. Morris S, Morris ME, Iansek R. Reliability of measurements obtained with the Timed "Up & Go" test in people with Parkinson disease. Phys Ther. 2001;81(2):810-8. https://doi.org/10.1093/ptj/81.2.810
  25. Pollock RD, Martin FC, Newham DJ. Whole-body vibration in addition to strength and balance exercise for falls-related functional mobility of frail older adults: a single-blind randomized controlled trial. Clin Rehabil. 2012;26(10):915-23. https://doi.org/10.1177/0269215511435688
  26. Rittweger J. Vibration as an exercise modality: how it may work, and what its potential might be. Eur J Appl Physiol. 2010;108(5):877-904. https://doi.org/10.1007/s00421-009-1303-3
  27. Rittweger J, Just K, Kautzsch K, et al. Treatment of chronic lower back pain with lumbar extensionand wholebody vibration exercise. Spine(Phila Pa 1976). 2002; 27(17):1829-34. https://doi.org/10.1097/00007632-200209010-00003
  28. Runge M, Rehfeld G, Resnicek E. Balance training and exercise in geriatric patients. J Musculoskelet Neuronal Interact. 2000;1(1):61-5.
  29. Ryu BS. A study on effects of walking exercise applying vibration movement on a body structure in the middle-aged obese female. Master's Degree. Yongin University. 2007.
  30. Scheffer AC, Schuurmans MJ, van Dijk N, et al. Fear of falling: measurement strategy, prevalence, risk factors and consequences among older person. Age Ageing. 2008;37(1):19-24. https://doi.org/10.1093/ageing/afm169
  31. Sitja-Rabert M, Rigau D, Fort Vanmeerghaeghe A, et al. Efficacy of whole body vibration exercise in older people. Disabil Rehabil. 2012;34(11):883-93. https://doi.org/10.3109/09638288.2011.626486
  32. Spirduso WW, Francis K, Eakin T, et al. Quantification of manual force control and tremor. J Mot Behav. 2005;37(3):197-210. https://doi.org/10.3200/JMBR.37.3.197-210
  33. Sturnieks DL, St George R, Lord SR. Balance disorders in the elderly. Neurophysiol Clin. 2008;38(6):467-78. https://doi.org/10.1016/j.neucli.2008.09.001
  34. Tinetti ME, Richman D, Powell L. Fall efficacy as a measure of fear of falling. J Gerontol. 1990;45(6):239-43. https://doi.org/10.1093/geronj/45.6.P239
  35. Torvinen S, Kannus P, Sievanen H, et al. Effect of four month vertical whole body vibration on performance and balance. Med Sci Sports Exerc. 2002;34(9):1523-8. https://doi.org/10.1097/00005768-200209000-00020
  36. Verschueren SM, Roelants M, Delecluse C, et al. Effect of 6-Month whole body vibration training on hip density, muscle strength, and postural controlin postmenopausal women: a randomized controlled pilotstudy. J Bone Miner Res. 2004;19(3):352-9. https://doi.org/10.1359/JBMR.0301245
  37. Warnes A, Fooks AR, Dowsett AB, et al. Expression of the measles virus nucleoprotein gene in Escherichia coliand assembly of nucleocapsid-like structures. Gene. 1995;160(2):173-8. https://doi.org/10.1016/0378-1119(95)00227-W

Cited by

  1. EFFECT OF LOWER LIMB EXERCISE ON POSTURE STABILITY AND BRAIN ACTIVITY DURING WHOLE BODY VIBRATION FOR THE ELDERLY vol.21, pp.9, 2017, https://doi.org/10.1142/s0219519421400431