Journal of the Korean Society of Physical Medicine (대한물리의학회지)

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

DOI QR Code

Effects of Whole Body Vibration Exercise on the Pulmonary Function, Gait Ability and Quality of Life of Patients with Severe Chronic Obstructive Pulmonary Disease

전신진동자극이 중증의 만성폐쇄폐질환 환자의 폐기능과 보행능력 및 삶의 질에 미치는 영향

  • Kang, Jeong-Il (Department of Physical Therapy, Sehan University) ;
  • Jeong, Dae-Keun (Department of Physical Therapy, Sehan University) ;
  • Park, Jun-Su (Department of Physical Therapy, Jin-Do Public Health Center)
  • Received : 2021.06.02
  • Accepted : 2021.06.18
  • Published : 2021.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

PURPOSE: This study aimed to provide supporting data for the clinical use of breathing exercise with a WBV stimulation as a sustained and safe intervention program, by examining the effect of breathing exercise with WBV stimulation on the pulmonary function, gait ability, and life quality in patients with severe chronic obstructive pulmonary disease (COPD), who have difficulty performing exercise. METHODS: For this study, after collecting the samples from 20 patients with severe COPD, they were placed randomly in an experimental group to perform breathing exercises with a WBV stimulation (n = 10) and a control group to perform breathing exercises only (n=10). Before the intervention, pulmonary function, six-minute gait distance, and health-related life quality were measured as pre-tests. After applying the intervention program to the patients for 30 minutes once a day, for four days a week, for six weeks, the post-test items were remeasured in the same way as the pre-tests, and the results were analyzed. RESULTS: In the within-group comparison, both the experimental and control groups showed significant differences in the forced expiratory volume in one second, six-minute gait distance, and health-related life quality (p < .01) (p < .05). In the intergroup comparison, there were significant differences in the forced expiratory volume in one second and the six-minute gait distance (p < .05). CONCLUSION: WBV stimulation was more effective for the patients by improving the muscular strength and muscular endurance through the reflexive contraction of muscles, and increasing the exercise tolerance. This result could serve as an alternative means to clinically improve the physical function of patients with severe COPD, who have difficulty performing breathing exercises in the future.

Keywords

Acknowledgement

본 논문은 2021년 세한대학교의 학술연구비에 의하여 지원되었다.

References

  1. Choudhury G, Rabinovich R, MacNee W. Comorbidities and Systemic Effects of Chronic Obstructive Pulmonary Disease. Clin Chest Med. 2014;35(1):101-30. https://doi.org/10.1016/j.ccm.2013.10.007
  2. Ciancio N, Sanguinetti CM, Falcone F, et al. Most Italians attending a congress on health of elderly people do not know and do not recognize respiratory diseases. Multidiscip Respir Med. 2016;11:26. https://doi.org/10.1186/s40248-016-0062-3
  3. Jaitovich A, Barreiro E. Skeletal muscle dysfunction in chronic obstructive pulmonary disease. What we know and can do for our patients. Am J Respir Crit Care Med. 2018;198(2):175-86. https://doi.org/10.1164/rccm.201710-2140ci
  4. Taivassalo T, Hussain SN. Contribution of the mitochondria to locomotor muscle dysfunction in patients with COPD. Chest. 2016;149(5):1302-12. https://doi.org/10.1016/j.chest.2015.11.021
  5. Lee A, Holland A. Time to adapt exercise training regimens in pulmonary rehabilitation - a review of the literature. Int J Chron Obstruct Pulmon Dis. 2014:9[1]:1275-88.
  6. Cardim AB, Marinho PE, Nascimento JF, et al. Does whole-body vibration improve the functional exercise capacity of subjects with COPD? A meta-analysis. Respir Care. 2016;61(11): 1552-9. https://doi.org/10.4187/respcare.04763
  7. Gloeckl R, Marinov B, Pitta F. Practical recommendations for exercise training in patients with COPD. Eur Respir Rev. 2013;22(128):178-86. https://doi.org/10.1183/09059180.00000513
  8. Jackson AS, Shrikrishna D, Kelly JL, et al. Vitamin D and skeletal muscle strength and endurance in COPD. Eur Respir J. 2013;41(2):309-16. https://doi.org/10.1183/09031936.00043112
  9. Ritzmann R, Kramer A, Gruber M, et al. EMG activity during whole body vibration: motion artifacts or stretch reflexes?. Eur J Appl Physiol. 2010;110(1):143-51. https://doi.org/10.1007/s00421-010-1483-x
  10. Pamukoff DN, Pietrosimone B, Ryan ED, et al. Whole-body vibration improves early rate of torque development in individuals with anterior cruciate ligament reconstruction. J Strength Cond Res. 2017;31(11):2992-3000. https://doi.org/10.1519/JSC.0000000000001740
  11. Alentorn-Geli E, Padilla J, Moras G, et al. Six weeks of whole-body vibration exercise improves pain and fatigue in women with fibromyalgia. J Altern Complement Med. 2008;14(8):975-81. https://doi.org/10.1089/acm.2008.0050
  12. Figueroa A, Gil R, Wong A, et al. Whole-body vibration training reduces arterial stiffness, blood pressure and sympathovagal balance in young overweight/obese women. Hypertens Res. 2012;35(6):667-72. https://doi.org/10.1038/hr.2012.15
  13. Ko MS, Sim YJ, Kim DH, et al. Effects of three weeks of whole-body vibration training on joint-position sense, balance, and gait in children with cerebral palsy: A randomized controlled study. Physiother Can. 2016;68(2):99-105. https://doi.org/10.3138/ptc.2014-77
  14. Huang M, Pang MY. Muscle activity and vibration transmissibility during whole-body vibration in chronic stroke. Scand J Med Sci Sports. 2019;29(6):816-25. https://doi.org/10.1111/sms.13408
  15. Zheng YL, Wang XF, Chen BL, et al. Effect of 12-week whole-body vibration exercise on lumbopelvic proprioception and pain control in young adults with nonspecific low back pain. Medical science monitor: international medical journal of experimental and clinical research, 2019;25:443-52. https://doi.org/10.12659/MSM.912047
  16. Hernandes NA, Wouters EFM, Meijer K, et al. Reproducibility of 6-minute walking test in patients with COPD. Eur Respir J. 2011;38(2):261-7. https://doi.org/10.1183/09031936.00142010
  17. Pahl A, Wehrle A, Kneis S, et al. Whole body vibration training during allogeneic hematopoietic cell transplantationthe effects on patients' physical capacity. Ann Hematol. 2020;99(3):635-48. https://doi.org/10.1007/s00277-020-03921-x
  18. 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. https://doi.org/10.1111/j.1532-5415.2004.52256.x
  19. Spruit MA, Singh SJ, Garvey C, et al. An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med. 2013;188(8):e13-64.
  20. Rittweger J, Ehrig J, Just K, et al. Oxygen uptake in whole-body vibration exercise: influence of vibration frequency, amplitude and external load. Int J Sports Med. 2002;23(6): 428-32. https://doi.org/10.1055/s-2002-33739
  21. Moran K, McNamara B, Luo J. Effect of vibration training in maximal effort (70% 1RM) dynamic bicep curls. Med Sci Sports Exerc. 2007; 39(3):526-33. https://doi.org/10.1249/mss.0b013e31802d11a7
  22. Tsukahara Y, Iwamoto J, Iwashita K, et al. What is the most effective posture to conduct vibration from the lower to the upper extremities during whole-body vibration exercise?. Open Access J sports Med. 2016;7:5-10. https://doi.org/10.2147/OAJSM.S93047
  23. Ye J, Ng G, Yuen K. Acute effects of whole-body vibration on trunk muscle functioning in young healthy adults. J Strength Cond Res. 2014;28(10):2872-9. https://doi.org/10.1519/JSC.0000000000000479
  24. Pleguezuelos E, Casarramona P, Guirao L, et al. How whole-body vibration can help our COPD patients. Physiological changes at different vibration frequencies. International journal of chronic obstructive pulmonary disease. 2018;13:3373-80. https://doi.org/10.2147/COPD.S165058
  25. Nasrallah TM, Emam H, Alwakil IM, et al. Effects of Whole-Body Vibration on Egyptian Patients with Chronic Obstructive Pulmonary Disease. Int J Med Arts. 2020;2(2):420-6.
  26. Fischer M, Vialleron T, Laffaye G, et al. Long-term effects of whole-body vibration on human gait: a systematic review and meta-analysis. Front Neurol. 2019;10:627. https://doi.org/10.3389/fneur.2019.00627
  27. Telford D, Vesey RM., Hofman PL, et al. The Effect of Vibration Therapy on Walking Endurance in Children and Young People With Cerebral Palsy: Do Age and Gross Motor Function Classification System Matter?. Arch Rehabili Res Clin Transl. 2020;2(3):100068. https://doi.org/10.1016/j.arrct.2020.100068
  28. Pamukoff DN, Pietrosimone B, Lewek MD, et al. Immediate effect of vibra\-tory stimuli on quadriceps function in healthy adults. Muscle Nerve. 2016;54(3):469-78. https://doi.org/10.1002/mus.25081
  29. Barnes PJ. Cellular and molecular mechanisms of chronic obstructive pulmonary disease. Clin Chest Med. 2014;35(1):71-86. https://doi.org/10.1016/j.ccm.2013.10.004
  30. Neves CD, Lacerda AC, Lage VK, et al. Whole body vibration training increases physical measures and quality of life without altering inflammatory-oxidative biomarkers in patients with moderate COPD. J Appl Physiol. 2018;125(2):520-8. https://doi.org/10.1152/japplphysiol.01037.2017