What does the vibration therapy add? A quasi-experimental, pilot study on the short term effects of whole-body vibration as mode of exercise for nursing home residents aged 80+

Francisco Álvarez Barbosa, Rosa Maria Alfonso Rosa, Jesús del Pozo Cruz

Abstract

Aims: To compare the responses of nursing home residents aged 80+ to an 8 weeks exercise program performed on a vibratory device and to the same exercise program preformed without vibration on lower limb performance, functional dependence and quality of life. Methods: Lower limb performance was evaluated using the 30 seconds Chair Sit to Stand test. Functional mobility was assessed using the timed up and go test. Postural stability was measured using a force platform. The Barthel Index was used to assess functional dependence and the EuroQol was used to evaluate Health-Related Quality of Life. 44 participants were allocated to the whole-body vibration group (n= 15), non-vibration group (n= 15) or to the control group (n= 14). Results: Significant differences were detected in favour of the whole-body vibration group in lower limb muscle performance (p = 0.001), mobility (p = 0.001), functional independence (p = 0.009) and quality of life (p < 0.001) as compared to the control and non-vibration groups. Conclusions: Whole body vibration based interventions may add additional benefits to conventional exercise programs in terms of lower limb muscle performance, functional dependence and quality of life among nursing home residents over 80 years.


Keywords

Whole body vibration; Nursing home; Quality of life; Functional mobility

References

Almomani, F. M., McDowd, J. M., Bani-Issa, W. & Almomani, M. (2014). Health-related quality of life and physical, mental, and cognitive disabilities among nursing home residents in Jordan. Quality of Life Research, 23(1), 155–165. http://doi.org/10.1007/s11136-013-0461-2

Álvarez-Barbosa, F., Pozo-Cruz, J., Pozo-Cruz, B., Alfonso-Rosa, R. M., Rogers, M. E. & Zhang, Y. (2014). Effects of supervised whole body vibration exercise on fall risk factors, functional dependence and health-related quality of life in nursing home residents aged 80+. Maturitas, 79(4), 456–463. http://doi.org/10.1016/j.maturitas.2014.09.010

Bautmans, I., Van Hees, E., Lemper, J. C. & Mets, T. (2005). The feasibility of Whole Body Vibration in institutionalised elderly persons and its influence on muscle performance, balance and mobility: a randomised controlled trial [ISRCTN62535013]. BMC Geriatr, 5, 17. http://doi.org/10.1186/1471-2318-5-17

Bogaerts, A. C. G., Delecluse, C., Claessens, A. L., Troosters, T., Boonen, S. & Verschueren, S. M. P. (2009). Effects of whole body vibration training on cardiorespiratory fitness and muscle strength in older individuals (a 1-year randomised controlled trial). Age and Ageing, 38(4), 448–54. http://doi.org/10.1093/ageing/afp067

Bogaerts, A., Delecluse, C., Boonen, S., Claessens, A. L., Milisen, K. & Verschueren, S. M. P. (2011). Changes in balance, functional performance and fall risk following whole body vibration training and vitamin D supplementation in institutionalized elderly women. A 6 month randomized controlled trial. Gait & Posture, 33(3), 466–472. https://doi.org/10.1016/j.gaitpost.2010.12.027

Bruyere, O., Wuidart, M.-A., Di Palma, E., Gourlay, M., Ethgen, O., Richy, F. & Reginster, J.-Y. (2005). Controlled Whole Body Vibration to Decrease Fall Risk and Improve Health-Related Quality of Life of Nursing Home Residents. Archives of Physical Medicine & Rehabilitation, 86(2), 303–307. https://doi.org/10.1016/j.apmr.2004.05.019

Burke, D. & Schiller, H. H. (1976). Discharge pattern of single motor units in the tonic vibration reflex of human triceps surae. J Neurol Neurosurg Psychiatry, 39(8), 729–741. https://doi.org/10.1136/jnnp.39.8.729

Cadore, E. L., Casas-Herrero, A., Zambom-Ferraresi, F., Idoate, F., Millor, N., Gómez, M. & Izquierdo, M. (2014). Multicomponent exercises including muscle power training enhance muscle mass, power output, and functional outcomes in institutionalized frail nonagenarians. AGE, 36(2), 773–785. http://doi.org/10.1007/s11357-013-9586-z

Cardinale, M. & Bosco, C. (2003). The use of vibration as an exercise intervention. Exerc Sport Sci Rev, 31(1), 3–7. https://doi.org/10.1097/00003677-200301000-00002

Chou, C. H., Hwang, C. L. & Wu, Y. T. (2012). Effect of exercise on physical function, daily living activities, and quality of life in the frail older adults: A meta-analysis. Archives of Physical Medicine and Rehabilitation, 93(2), 237–244. http://doi.org/10.1016/j.apmr.2011.08.042

del Pozo-Cruz, B., Alfonso-Rosa, R. M., del Pozo-Cruz, J., Sañudo, B. & Rogers, M. E. (2014). Effects of a 12-wk whole-body vibration based intervention to improve type 2 diabetes. Maturitas, 77(1), 52–8. http://doi.org/10.1016/j.maturitas.2013.09.005

EuroQol Group. (1990). EuroQol--a new facility for the measurement of health-related quality of life. Health Policy (Amsterdam, Netherlands), 16(3), 199–208. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/10109801

Foldvari, M., Clark, M., Laviolette, L. C., Bernstein, M. A., Kaliton, D., Castaneda, C. & Singh, M. A. (2000). Association of muscle power with functional status in community-dwelling elderly women. J Gerontol A Biol Sci Med Sci, 55(4), M192-9. https://doi.org/10.1093/gerona/55.4.M192

Gine-Garriga, M., Roque-Figuls, M., Coll-Planas, L., Sitja-Rabert, M. & Salva, A. (2014). Physical exercise interventions for improving performance-based measures of physical function in community-dwelling, frail older adults: a systematic review and meta-analysis. Arch Phys Med Rehabil, 95(4), 753–769 e3. http://doi.org/10.1016/j.apmr.2013.11.007

Kadono, N. & Pavol, M. J. (2013). Effects of aging-related losses in strength on the ability to recover from a backward balance loss. Journal of Biomechanics, 46(1), 13–8. http://doi.org/10.1016/j.jbiomech.2012.08.046

Lam, F. M., Lau, R. W., Chung, R. C. & Pang, M. Y. (2012). The effect of whole body vibration on balance, mobility and falls in older adults: a systematic review and meta-analysis. Maturitas, 72(3), 206–213. http://doi.org/10.1016/j.maturitas.2012.04.009

Mahoney, F. I. & Barthel, D. W. (1965). Functional Evaluation: The Barthel Index. Md State Med J, 14, 61–65. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/14258950

Marques, N. R., LaRoche, D. P., Hallal, C. Z., Crozara, L. F., Morcelli, M. H., Karuka, A. H. & Goncalves, M. (2013). Association between energy cost of walking, muscle activation, and biomechanical parameters in older female fallers and non-fallers. Clin Biomech (Bristol, Avon), 28(3), 330–336. http://doi.org/10.1016/j.clinbiomech.2013.01.004

Mikhael, M., Orr, R., Amsen, F., Greene, D. & Singh, M. A. (2010). Effect of standing posture during whole body vibration training on muscle morphology and function in older adults: a randomised controlled trial. BMC Geriatr, 10, 74. http://doi.org/10.1186/1471-2318-10-74

Nitz, J. C. & Josephson, D. L. (2011). Enhancing Functional Balance and Mobility Among Older People Living in Long-Term Care Facilities. Geriatric Nursing, 32(2), 106–113. http://doi.org/10.1016/j.gerinurse.2010.11.004

Podsiadlo, D. & Richardson, S. (1991). The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc, 39(2), 142–148. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x

Pollock, R. D., Martin, F. C. & Newham, D. J. (2012). 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, 26(10), 915–923. http://doi.org/10.1177/0269215511435688

Prieto, T. E., Myklebust, J. B., Hoffmann, R. G., Lovett, E. G. & Myklebust, B. M. (1996). Measures of postural steadiness: differences between healthy young and elderly adults. IEEE Trans Biomed Eng, 43(9), 956–966. http://doi.org/10.1109/10.532130

Rikli, R. E. & Jones, C. J. (2013). Senior fitness test manual. Human Kinetics. Retrieved from https://books.google.es/books?hl=es&lr=&id=NXfXxOFFOVwC&oi=fnd&pg=PR1&dq=rikli+re+jones+cj.+senior+fitness+test+manual.+champaign+il+human+kinetics+2001&ots=cT-1G9OpfN&sig=czAA_CNrPiZW0ttYDHrldS5MUTo#v=onepage&q&f=false

Rittweger, J. (2010). Vibration as an exercise modality: how it may work, and what its potential might be. Eur J Appl Physiol, 108(5), 877–904. http://doi.org/10.1007/s00421-009-1303-3

Rubenstein, L. Z. & Josephson, K. R. (2002). The epidemiology of falls and syncope. Clinics in Geriatric Medicine, 18(2), 141–158. http://doi.org/10.1016/S0749-0690(02)00002-2

Sherrington, C., Tiedemann, A., Fairhall, N., Close, J. C. & Lord, S. R. (2011). Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations. N S W Public Health Bull, 22(3–4), 78–83. http://doi.org/10.1071/NB10056

Sherrington, C., Whitney, J. C., Lord, S. R., Herbert, R. D., Cumming, R. G. & Close, J. C. (2008). Effective exercise for the prevention of falls: a systematic review and meta-analysis. J Am Geriatr Soc, 56(12), 2234–2243. http://doi.org/10.1111/j.1532-5415.2008.02014.x

Shimada, H., Tiedemann, A., Lord, S. R., Suzukawa, M., Makizako, H., Kobayashi, K. & Suzuki, T. (2011). Physical factors underlying the association between lower walking performance and falls in older people: A structural equation model. Archives of Gerontology and Geriatrics, 53(2), 131–134. http://doi.org/10.1016/j.archger.2010.11.003

Sievanen, H., Karinkanta, S., Moisio-Vilenius, P. & Ripsaluoma, J. (2012). Effect of whole body vibration training on physical performance among institutionalized older people: A 10-WK pilot blinded randomized controlled trial. Osteoporosis International, 23, S83–S84. Retrieved from http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=emed10&AN=70741198

Sousa-Victor, P., García-Prat, L., Serrano, A. L., Perdiguero, E. & Muñoz-Cánoves, P. (2015). Muscle stem cell aging: regulation and rejuvenation. Trends in Endocrinology & Metabolism, 26(6), 287–296. http://doi.org/10.1016/j.tem.2015.03.006

Thapa, P. B., Gideon, P., Fought, R. L., Kormicki, M. & Ray, W. A. (1994). Comparison of clinical and biomechanical measures of balance and mobility in elderly nursing home residents. J Am Geriatr Soc, 42(5), 493–500. https://doi.org/10.1111/j.1532-5415.1994.tb04970.x

Wolfson, L. (2001, April 29). Gait and balance dysfunction: A model of the interaction of age and disease. Neuroscientist. http://doi.org/10.1177/107385840100700212

Wright, A. A., Cook, C. E., Baxter, G. D., Dockerty, J. D. & Abbott, J. H. (2011). A comparison of 3 methodological approaches to defining major clinically important improvement of 4 performance measures in patients with hip osteoarthritis. J Orthop Sports Phys Ther, 41(5), 319–327. http://doi.org/10.2519/jospt.2011.3515




DOI: https://doi.org/10.14198/jhse.2018.134.09





License URL: http://creativecommons.org/licenses/by-nc-nd/4.0/