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Published in: BMC Geriatrics 1/2015

Open Access 01-12-2015 | Research article

Feasibility and effects of applying stochastic resonance whole-body vibration on untrained elderly: a randomized crossover pilot study

Authors: Slavko Rogan, Lorenz Radlinger, Roger Hilfiker, Dietmar Schmidtbleicher, Rob A de Bie, Eling D de Bruin

Published in: BMC Geriatrics | Issue 1/2015

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Abstract

Background

Aging is associated with loss of balance and activity in daily life. It impacts postural control and increases the risk of falls. The current study was conducted to determine the feasibility and long-term impact of stochastic resonance whole-body vibration (SR-WBV) on static and dynamic balance and reaction time among elderly individuals.

Methods

A randomized crossover pilot study with blinding of the participants. Twenty elderly were divided into group A (SR-WBV 5 Hz, Noise 4/SR-WBV 1 Hz, Noise 1) or group B (SR-WBV 1 Hz, Noise 1/SR-WBV 5 Hz, Noise 1). Feasibility outcomes included recruitment, compliance and safety. Secondary outcomes were Semi-Tandem Stand (STS), Functional Reach Test (FRT), Expanded Timed Get Up-and-Go (ETGUG), walking under single (ST) & dual task (DT) conditions, hand and foot reaction time (RTH/RTF). Puri and Sen Rank-Order L Statistics were used to analyse carry-over effects. To analyse SR-WBV effects Wilcoxon signed-ranked tests were used.

Results

With good recruitment rate (55%) and compliance (attrition 15%; adherence 85%) rates the intervention was deemed feasible. Three participants dropped out, two due to knee pain and one for personal reasons. ETGUG 0 to 2 m (p = 0.143; ES: 0.36) and ETGUG total time (p = 0.097; ES: 0.40) showed medium effect sizes.

Conclusions

Stochastic resonance training is feasible in untrained elderly resulting in good recruitment and compliance. Low volume SR-WBV exercises over 12 training sessions with 5 Hz, Noise 4 seems a sufficient stimulus to improve ETGUG total time. The stimulation did not elicit changes in other outcomes.

Trial registration

This trial has been registered at the U.S. National Institutes of Health under ClinicalTrials.gov: NCT01045746.
Literature
1.
go back to reference Lacour M, Bernard-Demanze L, Dumitrescu M. Posture control, aging, and attention resources: models and posture-analysis methods. Neurophysiol Clin. 2008;38(6):411–21.CrossRefPubMed Lacour M, Bernard-Demanze L, Dumitrescu M. Posture control, aging, and attention resources: models and posture-analysis methods. Neurophysiol Clin. 2008;38(6):411–21.CrossRefPubMed
2.
go back to reference Goble DJ, Coxon JP, Wenderoth N, Van Impe A, Swinnen SP. Proprioceptive sensibility in the elderly: degeneration, functional consequences and plastic-adaptive processes. Neurosci Biobehav Rev. 2009;33(3):271–8.CrossRefPubMed Goble DJ, Coxon JP, Wenderoth N, Van Impe A, Swinnen SP. Proprioceptive sensibility in the elderly: degeneration, functional consequences and plastic-adaptive processes. Neurosci Biobehav Rev. 2009;33(3):271–8.CrossRefPubMed
3.
go back to reference Rosso AL, Studenski SA, Chen WG, Aizenstein HJ, Alexander NB, Bennett DA, et al. Aging, the central nervous system, and mobility. J Gerontol A Biol Sci Med Sci. 2013;68(11):1379–86.CrossRefPubMedPubMedCentral Rosso AL, Studenski SA, Chen WG, Aizenstein HJ, Alexander NB, Bennett DA, et al. Aging, the central nervous system, and mobility. J Gerontol A Biol Sci Med Sci. 2013;68(11):1379–86.CrossRefPubMedPubMedCentral
4.
go back to reference Pizzigalli L, Filippini A, Ahmaidi S, Jullien H, Rainoldi A. Prevention of falling risk in elderly people: the relevance of muscular strength and symmetry of lower limbs in postural stability. J Strength Cond Res. 2011;25(2):567–74.CrossRefPubMed Pizzigalli L, Filippini A, Ahmaidi S, Jullien H, Rainoldi A. Prevention of falling risk in elderly people: the relevance of muscular strength and symmetry of lower limbs in postural stability. J Strength Cond Res. 2011;25(2):567–74.CrossRefPubMed
5.
go back to reference Skelton DA, Dinan SM. Exercise for falls management: Rationale for an exercise programme aimed at reducing postural instability. Physiother Theory Pract. 1999;15(2):105–20.CrossRef Skelton DA, Dinan SM. Exercise for falls management: Rationale for an exercise programme aimed at reducing postural instability. Physiother Theory Pract. 1999;15(2):105–20.CrossRef
6.
go back to reference Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319(26):1701–7.CrossRefPubMed Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319(26):1701–7.CrossRefPubMed
7.
go back to reference Thibaud M, Bloch F, Tournoux-Facon C, Brèque C, Rigaud A, Dugué B, et al. Impact of physical activity and sedentary behaviour on fall risks in older people: a systematic review and meta-analysis of observational studies. Eur Rev Aging Phys Act. 2011;8(1):5–15.CrossRef Thibaud M, Bloch F, Tournoux-Facon C, Brèque C, Rigaud A, Dugué B, et al. Impact of physical activity and sedentary behaviour on fall risks in older people: a systematic review and meta-analysis of observational studies. Eur Rev Aging Phys Act. 2011;8(1):5–15.CrossRef
8.
go back to reference Baert V, Gorus E, Mets T, Geerts C, Bautmans I. Motivators and barriers for physical activity in the oldest old: a systematic review. Ageing Res Rev. 2011;10(4):464–74.CrossRefPubMed Baert V, Gorus E, Mets T, Geerts C, Bautmans I. Motivators and barriers for physical activity in the oldest old: a systematic review. Ageing Res Rev. 2011;10(4):464–74.CrossRefPubMed
9.
go back to reference Freiberger E, Sieber C, Pfeifer K. Physical activity, exercise, and sarcopenia - future challenges. Wien Med Wochenschr. 2011;161(17–18):416–25.CrossRefPubMed Freiberger E, Sieber C, Pfeifer K. Physical activity, exercise, and sarcopenia - future challenges. Wien Med Wochenschr. 2011;161(17–18):416–25.CrossRefPubMed
10.
go back to reference Gardner MM, Buchner DM, Robertson MC, Campbell AJ. Practical implementation of an exercise-based falls prevention programme. Age Ageing. 2001;30(1):77–83.CrossRefPubMed Gardner MM, Buchner DM, Robertson MC, Campbell AJ. Practical implementation of an exercise-based falls prevention programme. Age Ageing. 2001;30(1):77–83.CrossRefPubMed
11.
go back to reference Landi F, Abbatecola AM, Provinciali M, Corsonello A, Bustacchini S, Manigrasso L, et al. Moving against frailty: does physical activity matter? Biogerontol. 2010;11(5):537–45.CrossRef Landi F, Abbatecola AM, Provinciali M, Corsonello A, Bustacchini S, Manigrasso L, et al. Moving against frailty: does physical activity matter? Biogerontol. 2010;11(5):537–45.CrossRef
12.
go back to reference Chanou K, Gerodimos V, Karatrantou K, Jamurtas A. Whole-body vibration and rehabilitation of chronic diseases: a review of the literature. J Sports Sci Med. 2012;11(2):187–200.PubMedPubMedCentral Chanou K, Gerodimos V, Karatrantou K, Jamurtas A. Whole-body vibration and rehabilitation of chronic diseases: a review of the literature. J Sports Sci Med. 2012;11(2):187–200.PubMedPubMedCentral
13.
go back to reference Rogan S, Schmidtbleicher D, Radlinger L. Immediate effects after stochastic resonance whole-body vibration on physical performance on frail elderly for skilling-up training: a blind cross-over randomised pilot study. Aging Clin Exp Res. 2014;26(5):519–27.CrossRefPubMed Rogan S, Schmidtbleicher D, Radlinger L. Immediate effects after stochastic resonance whole-body vibration on physical performance on frail elderly for skilling-up training: a blind cross-over randomised pilot study. Aging Clin Exp Res. 2014;26(5):519–27.CrossRefPubMed
14.
go back to reference Rogan S, Radlinger L, Schmid S, Herren K, Hilfiker R, de Bruin E. Skilling up for training: a feasibility study investigating acute effects of stochastic resonance whole-body vibration on postural control of older adults. Ageing Res. 2012;4:e5.CrossRef Rogan S, Radlinger L, Schmid S, Herren K, Hilfiker R, de Bruin E. Skilling up for training: a feasibility study investigating acute effects of stochastic resonance whole-body vibration on postural control of older adults. Ageing Res. 2012;4:e5.CrossRef
15.
go back to reference Rogan S, Hilfiker R, Schmid S, Radlinger L. Stochastic resonance whole-body vibration training for chair rising performance on untrained elderly: a pilot study. Arch Gerontol Geriatr. 2012;55(2):468–73.CrossRefPubMed Rogan S, Hilfiker R, Schmid S, Radlinger L. Stochastic resonance whole-body vibration training for chair rising performance on untrained elderly: a pilot study. Arch Gerontol Geriatr. 2012;55(2):468–73.CrossRefPubMed
16.
go back to reference Herren K, Holz Hängärtner C, Oberli A, Radlinger L. [Cardiovascular and metabolic strain during stochastic resonance therapy in stroke patients]. Physioscience. 2009;5(1):13.CrossRef Herren K, Holz Hängärtner C, Oberli A, Radlinger L. [Cardiovascular and metabolic strain during stochastic resonance therapy in stroke patients]. Physioscience. 2009;5(1):13.CrossRef
17.
go back to reference Rogan S, Hilfiker R, Herren K, Radlinger L, de Bruin ED. Effects of whole-body vibration on postural control in elderly: a systematic review and meta-analysis. BMC Geriatr. 2011;11:72.CrossRefPubMedPubMedCentral Rogan S, Hilfiker R, Herren K, Radlinger L, de Bruin ED. Effects of whole-body vibration on postural control in elderly: a systematic review and meta-analysis. BMC Geriatr. 2011;11:72.CrossRefPubMedPubMedCentral
18.
go back to reference Rogan S, Hilfiker R. [Training methods - increase muscle strength due to whole-body vibration - force with Hz]. Sportverletz Sportschaden. 2012;26(4):185–7.PubMed Rogan S, Hilfiker R. [Training methods - increase muscle strength due to whole-body vibration - force with Hz]. Sportverletz Sportschaden. 2012;26(4):185–7.PubMed
19.
20.
go back to reference Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M. Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ. 2008;337:a1655.CrossRefPubMedPubMedCentral Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M. Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ. 2008;337:a1655.CrossRefPubMedPubMedCentral
21.
go back to reference van Tulder M, Furlan A, Bombardier C, Bouter L, Editorial Board of the Cochrane Collaboration Back Review G. Updated method guidelines for systematic reviews in the cochrane collaboration back review group. Spine. 2003;28(12):1290–9.PubMed van Tulder M, Furlan A, Bombardier C, Bouter L, Editorial Board of the Cochrane Collaboration Back Review G. Updated method guidelines for systematic reviews in the cochrane collaboration back review group. Spine. 2003;28(12):1290–9.PubMed
22.
go back to reference Ritchie C, Trost SG, Brown W, Armit C. Reliability and validity of physical fitness field tests for adults aged 55 to 70 years. J Sci Med Sport. 2005;8(1):61–70.CrossRefPubMed Ritchie C, Trost SG, Brown W, Armit C. Reliability and validity of physical fitness field tests for adults aged 55 to 70 years. J Sci Med Sport. 2005;8(1):61–70.CrossRefPubMed
23.
go back to reference Duncan PW, Weiner DK, Chandler J, Studenski S. Functional reach: a new clinical measure of balance. J Gerontol. 1990;45(6):M192–7.CrossRefPubMed Duncan PW, Weiner DK, Chandler J, Studenski S. Functional reach: a new clinical measure of balance. J Gerontol. 1990;45(6):M192–7.CrossRefPubMed
24.
go back to reference Weiner DK, Duncan PW, Chandler J, Studenski SA. Functional reach: a marker of physical frailty. J Am Geriatr Soc. 1992;40(3):203–7.CrossRefPubMed Weiner DK, Duncan PW, Chandler J, Studenski SA. Functional reach: a marker of physical frailty. J Am Geriatr Soc. 1992;40(3):203–7.CrossRefPubMed
25.
go back to reference Botolfsen P, Helbostad JL, Moe-Nilssen R, Wall JC. Reliability and concurrent validity of the Expanded Timed Up-and-Go test in older people with impaired mobility. Physiother Res Int. 2008;13(2):94–106.CrossRefPubMed Botolfsen P, Helbostad JL, Moe-Nilssen R, Wall JC. Reliability and concurrent validity of the Expanded Timed Up-and-Go test in older people with impaired mobility. Physiother Res Int. 2008;13(2):94–106.CrossRefPubMed
26.
go back to reference Wall JC, Bell C, Campbell S, Davis J. The Timed Get-up-and-Go test revisited: measurement of the component tasks. J Rehabil Res Dev. 2000;37(1):109–13.PubMed Wall JC, Bell C, Campbell S, Davis J. The Timed Get-up-and-Go test revisited: measurement of the component tasks. J Rehabil Res Dev. 2000;37(1):109–13.PubMed
27.
go back to reference Hamacher D, Singh NB, Van Dieen JH, Heller MO, Taylor WR. Kinematic measures for assessing gait stability in elderly individuals: a systematic review. J R Soc Interface. 2011;8(65):1682–98.CrossRefPubMedPubMedCentral Hamacher D, Singh NB, Van Dieen JH, Heller MO, Taylor WR. Kinematic measures for assessing gait stability in elderly individuals: a systematic review. J R Soc Interface. 2011;8(65):1682–98.CrossRefPubMedPubMedCentral
28.
go back to reference Nelson AJ, Certo LJ, Lembo LS, Lopez DA, Manfredonia EF, Vanichpong SK, et al. The functional ambulation performance of elderly fallers and non-fallers walking at their preferred velocity. NeuroRehabilitation. 1999;13(3):141–46. Nelson AJ, Certo LJ, Lembo LS, Lopez DA, Manfredonia EF, Vanichpong SK, et al. The functional ambulation performance of elderly fallers and non-fallers walking at their preferred velocity. NeuroRehabilitation. 1999;13(3):141–46.
29.
go back to reference Bohannon RW. Comfortable and maximum walking speed of adults aged 20–79 years: reference values and determinants. Age Ageing. 1997;26(1):15–9.CrossRefPubMed Bohannon RW. Comfortable and maximum walking speed of adults aged 20–79 years: reference values and determinants. Age Ageing. 1997;26(1):15–9.CrossRefPubMed
30.
go back to reference Lord SR, Castell S. Physical activity program for older persons: effect on balance, strength, neuromuscular control, and reaction time. Arch Phys Med Rehabil. 1994;75(6):648–52.CrossRefPubMed Lord SR, Castell S. Physical activity program for older persons: effect on balance, strength, neuromuscular control, and reaction time. Arch Phys Med Rehabil. 1994;75(6):648–52.CrossRefPubMed
31.
go back to reference Lord SR, Clark RD, Webster IW. Postural stability and associated physiological factors in a population of aged persons. J Gerontol. 1991;46(3):M69–76.CrossRefPubMed Lord SR, Clark RD, Webster IW. Postural stability and associated physiological factors in a population of aged persons. J Gerontol. 1991;46(3):M69–76.CrossRefPubMed
32.
go back to reference Thomas JR, Nelson JK, Thomas KT. A generalized rank-order method for nonparametric analysis of data from exercise science: a tutorial. Res Q Exerc Sport. 1999;70(1):11–23.CrossRefPubMed Thomas JR, Nelson JK, Thomas KT. A generalized rank-order method for nonparametric analysis of data from exercise science: a tutorial. Res Q Exerc Sport. 1999;70(1):11–23.CrossRefPubMed
33.
go back to reference Cleophas TJ, Zwinder AH, Cleophas TF, Cleophas EP. Statistics applied to clinical trials, 5th edn: Springer; 2012. Cleophas TJ, Zwinder AH, Cleophas TF, Cleophas EP. Statistics applied to clinical trials, 5th edn: Springer; 2012.
35.
go back to reference Corder GW, Foreman DI. Nonparameztric statistics for non-statisticans . a step-by-step approach. Hoboken, New Jersey: John Wiley & Sons. Inc; 2009.CrossRef Corder GW, Foreman DI. Nonparameztric statistics for non-statisticans . a step-by-step approach. Hoboken, New Jersey: John Wiley & Sons. Inc; 2009.CrossRef
36.
go back to reference Kawanabe K, Kawashima A, Sashimoto I, Takeda T, Sato Y, Iwamoto J. Effect of whole-body vibration exercise and muscle strengthening, balance, and walking exercises on walking ability in the elderly. Keio J Med. 2007;56(1):28–33.CrossRefPubMed Kawanabe K, Kawashima A, Sashimoto I, Takeda T, Sato Y, Iwamoto J. Effect of whole-body vibration exercise and muscle strengthening, balance, and walking exercises on walking ability in the elderly. Keio J Med. 2007;56(1):28–33.CrossRefPubMed
37.
go back to reference Haas CT, Schmidtbleicher D. Potential of Stochastic Resonance in Neurorehabilitation. Isokinetic Exerc Sci. 2006;14(2):144–6. Haas CT, Schmidtbleicher D. Potential of Stochastic Resonance in Neurorehabilitation. Isokinetic Exerc Sci. 2006;14(2):144–6.
38.
go back to reference Turbanski S, Haas CT, Schmidtbleicher D, Friedrich A, Duisberg P. Effects of random whole-body vibration on postural control in Parkinson’s disease. Res Sports Med. 2005;13(3):243–56.CrossRefPubMed Turbanski S, Haas CT, Schmidtbleicher D, Friedrich A, Duisberg P. Effects of random whole-body vibration on postural control in Parkinson’s disease. Res Sports Med. 2005;13(3):243–56.CrossRefPubMed
39.
go back to reference de Bruin ED, van Het Reve E, Murer K. A randomized controlled pilot study assessing the feasibility of combined motor-cognitive training and its effect on gait characteristics in the elderly. Clin Rehabil. 2012;27(3):215–25.CrossRefPubMed de Bruin ED, van Het Reve E, Murer K. A randomized controlled pilot study assessing the feasibility of combined motor-cognitive training and its effect on gait characteristics in the elderly. Clin Rehabil. 2012;27(3):215–25.CrossRefPubMed
40.
go back to reference Cook DJ, Rocker G, Meade M, Guyatt G, Geerts W, Anderson D, et al. Prophylaxis of Thromboembolism in Critical Care (PROTECT) Trial: a pilot study. J Crit Care. 2005;20(4):364–72.CrossRefPubMed Cook DJ, Rocker G, Meade M, Guyatt G, Geerts W, Anderson D, et al. Prophylaxis of Thromboembolism in Critical Care (PROTECT) Trial: a pilot study. J Crit Care. 2005;20(4):364–72.CrossRefPubMed
Metadata
Title
Feasibility and effects of applying stochastic resonance whole-body vibration on untrained elderly: a randomized crossover pilot study
Authors
Slavko Rogan
Lorenz Radlinger
Roger Hilfiker
Dietmar Schmidtbleicher
Rob A de Bie
Eling D de Bruin
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2015
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-015-0021-4

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