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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

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Abstract

Objective

This pilot study examined the feasibility outcome recruitment, safety and compliance of the investigation for stochastic resonance whole-body vibration (SR-WBV) training. Another aim was to evaluate the effect size of one SR-WBV intervention session on Short Physical Performance Battery (SPPB), Expanded Timed Get Up-and-Go (ETGUG), isometric maximal voluntary contraction (IMVC) and rate of force development (IRFD) and chair rising (CR).

Design

Randomised double-blinded controlled cross-over pilot study.

Method

Feasibility outcomes included recruitment, safety and compliance. For secondary outcomes, SPPB, ETGUG, IMVC, IRFD and CR were measured before and 2-min after intervention. Nonparametric Rank-Order Tests of Puri and Sen L Statistics to Ranked Data were proposed. Wilcoxon signed-ranked tests were used to analyse the differences after SR-WBV intervention and sham intervention. Treatment effects between the interventions were compared by a Mann–Whitney U test.

Results

Among 24 eligible frail elderly, 12 agreed to participate and 3 drop out. The adherence was 15 of 24 intervention sessions. For secondary outcome, effect sizes (ES) for SR-WBV intervention on SPPB, ETGUG and CR were determined.

Conclusion

This pilot study indicate that the training protocol used in this form for frail elderly individuals is feasible but with modification due to the fact that not all defined feasibility outcomes target was met. SR-WBV with 6 Hz, noise level 4 shows benefit improvements on SPPB (ES 0.52), ETGUG (part sit-to-stand movement: ES 0.81; total time: ES 0.85) and CR (ES 0.66). Further research is desired to determine whether a new adapted training protocol is necessary for SR-WBV in the “skilling up” phase in frail elderly individuals.

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Notes

  1. RAI assess residents on admission to the nursing home, at least annually thereafter and on any significant change in status and to develop individualised, restorative plans of care.

References

  1. Clark BC, Manini TM (2008) Sarcopenia =/= dynapenia. J Gerontol Series A Biol Sci Med Sci 63(8):829–834

    Article  Google Scholar 

  2. Reid KF, Naumova EN, Carabello RJ, Phillips EM, Fielding RA (2008) Lower extremity muscle mass predicts functional performance in mobility-limited elders. J Nutr Health Aging 12(7):493–498

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  3. Skelton DA, Dinan SM (1999) Exercise for falls management: rationale for an exercise programme aimed at reducing postural instability. Physiother Theory Pract 15(2):105–120

    Article  Google Scholar 

  4. Landi F, Abbatecola AM, Provinciali M, Corsonello A, Bustacchini S, Manigrasso L, Cherubini A, Bernabei R, Lattanzio F (2010) Moving against frailty: does physical activity matter? Biogerontology 11(5):537–545. doi:10.1007/s10522-010-9296-1

    Article  PubMed  Google Scholar 

  5. Rogan S, de Bruin ED (2013) Skilling-up exercise for deconditioned nursing home dwellers. Paper presented at the 18th annual ECSS Congress Barcelona, Barcelona

  6. Marin PJ, Rhea MR (2010) Effects of vibration training on muscle power: a meta-analysis. J Strength Cond Res Natl Strength Cond Assoc 24(3):871–878. doi:10.1519/JSC.0b013e3181c7c6f0

    Article  Google Scholar 

  7. Marin PJ, Rhea MR (2010) Effects of vibration training on muscle strength: a meta-analysis. J Strength Cond Res Natl Strength Cond Assoc 24(2):548–556. doi:10.1519/JSC.0b013e3181c09d22

    Article  Google Scholar 

  8. Rogan S, Hilfiker R, Herren K, Radlinger L, de Bruin ED (2011) Effects of whole-body vibration on postural control in elderly: a systematic review and meta-analysis. BMC Geriatr 11:72. doi:10.1186/1471-2318-11-72

    Article  PubMed  PubMed Central  Google Scholar 

  9. Cochrane DJ (2011) Vibration exercise: the potential benefits. Int J Sports Med 32(2):75–99. doi:10.1055/s-0030-1268010

    Article  PubMed  CAS  Google Scholar 

  10. Herren K, Rogan S, Hilfiker R, Radlinger L (2009) Vibrationen mit therapeutischen Effekten. Physioactive 44(5):39–44

    Google Scholar 

  11. Cochrane DJ, Loram ID, Stannard SR, Rittweger J (2009) Changes in joint angle, muscle-tendon complex length, muscle contractile tissue displacement, and modulation of EMG activity during acute whole-body vibration. Muscle Nerve 40(3):420–429. doi:10.1002/mus.21330

    Article  PubMed  Google Scholar 

  12. Roelants M, Delecluse C, Goris M, Verschueren S (2004) Effects of 24 weeks of whole body vibration training on body composition and muscle strength in untrained females. Int J Sports Med 25(1):1–5. doi:10.1055/s-2003-45238

    Article  PubMed  CAS  Google Scholar 

  13. Haas CT, Schmidtbleicher D (2006) Potential of Stochastic Resonance in Neurorehabilitation. Isokinet Exerc Sci 14(2):144–146

    Google Scholar 

  14. Haas CT, Turbanski S, Schmidtbleicher D (2007) Vibrationstraining in der Rehabilitation von Gang- und Gleichgewichtsstörungen. Focus Neurogeriatr 1(3):18–19

    Article  Google Scholar 

  15. Haas CT, Turbanski S, Kaiser I, Schmidtbleicher D (2004) Biomechanical and physiological effects of oscillating mechanical stimuli in humans. Deutsche Zeitschrift für Sportmedizin 55(2):34–43

    Google Scholar 

  16. Rogan S, Hilfiker R, Schmid S, Radlinger L (2012) Stochastic resonance whole-body vibration training for chair rising performance on untrained elderly: a pilot study. Arch Gerontol Geriatr 55(2):468–473. doi:10.1016/j.archger.2012.02.011

    Article  PubMed  Google Scholar 

  17. Thabane L, Ma J, Chu R, Cheng J, Ismaila A, Rios LP, Robson R, Thabane M, Giangregorio L, Goldsmith CH (2010) A tutorial on pilot studies: the what, why and how. BMC Med Res Methodol 10:1. doi:10.1186/1471-2288-10-1

    Article  PubMed  PubMed Central  Google Scholar 

  18. Rogan S, Radlinger L, Schmidtbleicher D, de Bie R, de Bruin ED (2012) Effect of whole-body vibration with stochastic resonance (SR-WBV) in an elderly population: impact on physical performance. Paper presented at the Ouvertüre Swiss Congress for Health Professions Winterthur, Switzerland

    Google Scholar 

  19. Rogan S, Radlinger L, Schmid S, Herren K, Hilfiker R, de Bruin E (2012) Skilling up for training: a feasibility study investigating acute effects of stochastic resonance whole-body vibration on postural control of older adults. Ageing Res 3(1):e5

    Article  Google Scholar 

  20. Guralnik JM, Seeman TE, Tinetti ME, Nevitt MC, Berkman LF (1994) Validation and use of performance measures of functioning in a non-disabled older population: MacArthur studies of successful aging. Aging (Milano) 6(6):410–419

    CAS  Google Scholar 

  21. Ostir GV, Volpato S, Fried LP, Chaves P, Guralnik JM (2002) Reliability and sensitivity to change assessed for a summary measure of lower body function: results from the women’s health and aging study. J Clin Epidemiol 55(9):916–921. doi:10.1016/S0895-4356(02)00436-5

    Article  PubMed  Google Scholar 

  22. Botolfsen P, Helbostad JL, Moe-Nilssen R, Wall JC (2008) Reliability and concurrent validity of the expanded timed up-and-go test in older people with impaired mobility. Physiother Res Int 13(2):94–106. doi:10.1002/pri.394

    Article  PubMed  Google Scholar 

  23. Viitasalo JT, Salo A, Lahtinen J (1998) Neuromuscular functioning of athletes and non-athletes in the drop jump. Eur J Appl Physiol 78(5):432–440

    Article  CAS  Google Scholar 

  24. Höss-Jelten C (2004) Untersuchungen zu den unmittelbaren Wirkungen verschiedener Dehnmethoden auf ausgewählte Kraftparameter. Technische Universität, München

    Google Scholar 

  25. Lord SR, Murray SM, Chapman K, Munro B, Tiedemann A (2002) Sit-to-stand performance depends on sensation, speed, balance, and psychological status in addition to strength in older people. J Gerontol Series A Biol Sci Med Sci 57(8):M539–M543

    Article  Google Scholar 

  26. Thomas JR, Nelson JK, Thomas KT (1999) A generalized rank-order method for nonparametric analysis of data from exercise science: a tutorial. Res Q Exerc Sport 70(1):11–23

    Article  PubMed  CAS  Google Scholar 

  27. Sabapathy NM, Minahan CL, Turner GT, Broadley SA (2011) Comparing endurance- and resistance-exercise training in people with multiple sclerosis: a randomized pilot study. Clin Rehabil 25(1):14–24. doi:10.1177/0269215510375908

    Article  PubMed  Google Scholar 

  28. Corder GW, Foreman DI (2009) Nonparameztric statistics for non-statisticans. A step-by-step approach. Wiley, Hoboken

    Book  Google Scholar 

  29. Erdfelder E, Buchner A, Faul F, Brandt M (2003) GPOWER: Teststärkeanalysen leicht gemacht. In: Funke EEJ (ed) Allgemeine Psychologie und deduktivistische Methodologie, 2nd edn. Vandenhoeck & Ruprecht, Göttingen, pp 148–166

    Google Scholar 

  30. Bortz WM (2002) A conceptual framework of frailty: a review. J Gerontol Series A Biol Sci Med Sci 57(5):M283–M288

    Article  Google Scholar 

  31. Rubenstein LZ (2006) Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing 35(Suppl 2):ii37–ii41. doi:10.1093/ageing/afl084

    PubMed  Google Scholar 

  32. Haas CT, Turbanski S, Kessler K, Schmidtbleicher D (2006) The effects of random whole-body-vibration on motor symptoms in Parkinson’s disease. NeuroRehabilitation 21(1):29–36

    PubMed  Google Scholar 

  33. Turbanski S, Haas CT, Schmidtbleicher D, Friedrich A, Duisberg P (2005) Effects of random whole-body vibration on postural control in Parkinson’s disease. Res Sports Med 13(3):243–256

    Article  PubMed  Google Scholar 

  34. Schuhfried O, Mittermaier C, Jovanovic T, Pieber K, Paternostro-Sluga T (2005) Effects of whole-body vibration in patients with multiple sclerosis: a pilot study. Clin Rehabil 19(8):834–842

    Article  PubMed  Google Scholar 

  35. Iwamoto J, Sato Y, Takeda T, Matsumoto H (2012) Whole body vibration exercise improves body balance and walking velocity in postmenopausal osteoporotic women treated with alendronate: Galileo and Alendronate Intervention Trail (GAIT). J Musculoskelet Neuronal Interact 12(3):136–143

    PubMed  CAS  Google Scholar 

  36. Runge M, Rehfeld G, Resnicek E (2000) Balance training and exercise in geriatric patients. J Musculoskelet Neuronal Interact 1(1):61–65

    PubMed  CAS  Google Scholar 

  37. Foldvari M, Clark M, Laviolette LC, Bernstein MA, Kaliton D, Castaneda C, Pu CT, Hausdorff JM, Fielding RA, Singh MA (2000) Association of muscle power with functional status in community-dwelling elderly women. J Gerontol Series A Biol Sci Med Sci 55(4):M192–M199

    Article  CAS  Google Scholar 

  38. Skelton DA, Greig CA, Davies JM, Young A (1994) Strength, power and related functional ability of healthy people aged 65–89 years. Age Ageing 23(5):371–377

    Article  PubMed  CAS  Google Scholar 

  39. Yamashita F, Iwamoto J, Osugi T, Yamazaki M, Takakuwa M (2012) Chair rising exercise is more effective than one-leg standing exercise in improving dynamic body balance: a randomized controlled trial. J Musculoskelet Neuronal Interact 12(2):74–79

    PubMed  CAS  Google Scholar 

  40. Knuttgen HG, Komi PV (2003) Basic considerations for exercise. In: Komi PV (ed) Strength and power in sport, 2nd edn. Blackwell Science Ltd, Oxford, pp 3–10

    Chapter  Google Scholar 

  41. Cuoco A, Callahan DM, Sayers S, Frontera WR, Bean J, Fielding RA (2004) Impact of muscle power and force on gait speed in disabled older men and women. J Gerontol Series A Biol Sci Med Sci 59(11):1200–1206

    Article  Google Scholar 

  42. Puthoff ML, Nielsen DH (2007) Relationships among impairments in lower-extremity strength and power, functional limitations, and disability in older adults. Phys Ther 87(10):1334–1347. doi:10.2522/ptj.20060176

    Article  PubMed  Google Scholar 

  43. Rogan S, Radlinger L, Jöhr C, Nyffenegger C, Stuck N-J, Hilfiker R [Effect of whole body vibration training on strength and power in an elderly population—a systematic review and meta-analysis]. In: Swiss National Physiotherapy Congress Geneva, 2012

  44. Herren K, Radlinger L Risks and side-effects of whole body vibration training. In: World Confederation of Physical Therapy Congress, Amsterdam, 2011

  45. Lipsitz LA, Jonsson PV, Kelley MM, Koestner JS (1991) Causes and correlates of recurrent falls in ambulatory frail elderly. J Gerontol 46(4):M114–M122

    Article  PubMed  CAS  Google Scholar 

  46. Nevitt MC, Cummings SR, Kidd S, Black D (1989) Risk factors for recurrent nonsyncopal falls. A prospective study. JAMA J Am Med Assoc 261(18):2663–2668

    Article  CAS  Google Scholar 

  47. Guralnik JM, Ferrucci L, Simonsick EM, Salive ME, Wallace RB (1995) Lower-extremity function in persons over the age of 70 years as a predictor of subsequent disability. N Engl J Med 332(9):556–561. doi:10.1056/NEJM199503023320902

    Article  PubMed  CAS  Google Scholar 

  48. Martin BJ, Park HS (1997) Analysis of the tonic vibration reflex: influence of vibration variables on motor unit synchronization and fatigue. Eur J Appl Physiol 75(6):504–511

    Article  CAS  Google Scholar 

  49. Porter Starr KN, McDonald SR, Bales CW (2014) Obesity and physical frailty in older adults: a scoping review of lifestyle intervention trials. J Am Med Dir Assoc. doi:10.1016/j.jamda.2013.11.008

    PubMed  PubMed Central  Google Scholar 

  50. Baumgartner RN, Koehler KM, Gallagher D, Romero L, Heymsfield SB, Ross RR, Garry PJ, Lindeman RD (1998) Epidemiology of sarcopenia among the elderly in New Mexico. Am J Epidemiol 147(8):755–763

    Article  PubMed  CAS  Google Scholar 

  51. Forbes GB (1999) Longitudinal changes in adult fat-free mass: influence of body weight. Am J Clin Nutr 70(6):1025–1031

    PubMed  CAS  Google Scholar 

  52. Annesi JJ, Vaughn LL (2011) Relationship of exercise volume with change in depression and its association with self-efficacy to control emotional eating in severely obese women. Adv Prev Med 2011:514271. doi:10.4061/2011/514271

    Article  PubMed  PubMed Central  Google Scholar 

  53. Luginbuehl H, Lehmann C, Gerber R, Kuhn A, Hilfiker R, Baeyens JP, Radlinger L (2012) Continuous versus intermittent stochastic resonance whole body vibration and its effect on pelvic floor muscle activity. Neurourol Urodyn 31(5):683–687. doi:10.1002/nau.21251

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Bern University of Applied Sciences, Discipline Physiotherapy, Murtenstrasse 10, 3008, Bern, Switzerland

    Slavko Rogan & Lorenz Radlinger

  2. Institute of Sport Sciences, Goethe-University, Frankfurt, Germany

    Dietmar Schmidtbleicher

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  1. Slavko Rogan
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  2. Dietmar Schmidtbleicher
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  3. Lorenz Radlinger
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Correspondence to Slavko Rogan.

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(Clinical trial register: NCT01543243).

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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 26, 519–527 (2014). https://doi.org/10.1007/s40520-014-0212-4

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