Effects of Whole-Body Vibration in Older Adult Patients With Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis (original) (raw)
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Objective: To determine whether a 12-week whole-body vibration (WBV) training program improved balance in participants with type 2 diabetes mellitus (T2DM). Design: Randomized controlled trial. Setting: Primary health care setting. Participants: Participants with T2DM (NZ50). Interventions: Participants were randomly allocated to either a WBV group (nZ25), which performed a 12-week WBV-based exercise program on an oscillating platform (12e16Hzd4mm; 3 sessions/wk), or a usual-care control group (nZ25). Main Outcome Measures: Clinical and sociodemographic variables were recorded at baseline. Static balance and dynamic balance were also assessed at baseline by measuring postural sway (measurement of center of pressure [COP] excursions in the anteroposterior and mediolateral directions) using a Wii Balance Board and the Timed Up and Go test. Results: Significant between-group differences in COP excursions with participants' eyes closed were found with their feet apart and feet together. In addition, participants in the WBV group exhibited significantly lower COP excursions with their eyes closed after the intervention, while participants in the control group experienced a nonsignificant deterioration in COP excursions (ie, greater excursion) with their eyes open (mediolateral axis). There was no significant difference in the Timed Up and Go test values postintervention. Conclusions: WBV provides a safe and well-tolerated approach to improve balance in participants with T2DM. These findings may have important implications for falls prevention in those with T2DM in the primary health care setting.
BMC Endocrine Disorders
Background: Metabolic syndrome (MetS) is a cluster of metabolic abnormalities that increases the cardiovascular risk. Regular physical exercise can promote benefits, but the MetS individuals are demotivated to perform it. Thus, new possibilities are important as an alternative intervention. The whole-body vibration can be considered an exercise modality and would be a safe and low-cost strategy to improve functional parameters of individuals in different clinical conditions. The aim of this exploratory study was to assess effects of whole-body vibration on functional parameters of MetS individuals. The hypothesis of this work was that the whole-body vibration could improve the functionality of MetS individuals. Methods: Twenty-two individuals performed the intervention. The vibration frequency varied from 5 to 14 Hz and the peak-to-peak displacements, from 2.5 to 7.5 mm. Each session consisted of one minute-bout of working time followed by a one minute-bout of passive rest in each peak-to-peak displacement for three-times. The whole-body vibration protocol was applied twice per week for 5 weeks. Data from the trunk flexion, gait speed, sit-to-stand test and handgrip strength were collected. Physiological parameters (blood pressure and heart rate) were also evaluated. The Wilcoxon Rank test and Student t-test were used. Results: No significant changes (p > 0.05) were observed in physiological parameters (arterial blood pressure and heart rate). Significant improvements were found in trunk flexion (p = 0.01), gait speed (p = 0.02), sit-to-stand test (p = 0.005) and handgrip strength (p = 0.04) after the whole-body vibration. Conclusions: In conclusion, whole-body vibration may induce biological responses that improve functional parameters in participants with MetS without interfering in physiological parameters, comparing before and after a 5-week whole-body vibration protocol. Trial registration: Register in the Registro Brasileiro de Ensaios Clínicos (ReBEC) with the number RBR 2bghmh (June 6th, 2016) and UTN: U1111-1181-1177. (virgula).
2012
approved: Gianni F. Maddalozzo Introduction. Painful diabetic peripheral neuropathy (DPN) is a common complication of diabetes that interferes with daily living and causes severe pain. Pharmacotherapy is the accepted treatment strategy, however, this strategy is associated with high cost, minimal reductions in pain, and adverse side effects. Thus, a critical need exists to develop alternative treatment strategies. Purpose. To determine if a 12-week whole-body vibration (WBV) intervention reduces pain in adults with DPN. Methods. Twenty-one adults with physician confirmed painful DPN volunteered to take part in a 26-week time series design study. Pain was assessed with the Brief Pain Inventory Short Form [BPI-sf] and a 0-10 numeric rating scale [NRS]. The BPI-sf contains two indices that respectively measure how pain interferes with daily living and severity. The intervention began after a 12-week control period. At week 13, participants were asked to stand on a WBV machine 3 d/week ...
Diagnostics
Vascular endothelium insults caused by high serum glucose levels affect the oxygen supply to tissues, via the microvascular endothelium, resulting in an increased perfusion heterogeneity. These insults may lead to the underuse of blood capillaries, while other vessels are overused and effectively overload their oxygen supply capacity, which eventually causes damages to distal parts of the peripheral nervous system. Therefore, the proprioceptive and exteroceptive feedback information will be gradually lost and contribute to a mobility reduction. This study aims to assess the efficacy of whole-body vibration (WBV) associated with strength training (ST) on lower-limb blood flow and mobility in older adults with type 2 diabetes (DM2). Methods and analyses: This is a protocol (1st version) for Pa single-blind, randomized, controlled clinical trial guided by the SPIRIT guidelines. Our sample will consist of 51 older adults with DM2 randomly allocated to three groups: low frequency WBV (16...
Peripheral neuropathy is a common complication of diabetes mellitus. Muscle strength and the balance deficits are seen in these patients. Whole-Body Vibration (WBV) is a time-efficient method which may be beneficial for them. The immediate effects of WBV on muscle strength and balance have not been studied yet. The aim of this study was to investigate the effects of one session of WBV on muscle strength and the balance of diabetic patients. Ten diabetic patients with peripheral neuropathy took part in this study. Outcome measurements were total strength, strength of tibialis anterior and quadriceps femoris muscles and the balance parameters including Unilateral Stance Test and Timed Up and Go Test. Tibialis anterior muscle strength and Timed Up and GO Test parameters showed significant differences post-exercise in comparison to baseline. A session of WBV had positive effects on muscle strength and the balance in patients with type-2 diabetes associated with neuropathy. ª
Journal of Diabetes & Metabolic Disorders, 2015
Background: Patients with diabetes type 2 suffer from many complications such as peripheral neuropathy (PN). PN impairs postural stability and muscle strength. Therapeutic exercise may improve functional abilities of diabetic patients but they are unwilling to participate in exercise programs. Whole Body vibration (WBV) is a new somatosensory stimulation which is easy to use and time-efficient. The effects of WBV on balance and strength of diabetic patients had not been studied; therefore the aim of this study was to assess the effects of WBV in type 2 diabetes patients. Methods: It was a quasi-RCT study performed between March 2011 and February 2013. Twenty patients were randomly assigned into either a whole body vibration group, or a control group. WBV group received vibration (frequency: 30 Hz, amplitude: 2 mm) twice a week for 6 weeks. Muscle strength, Timed Up & Go Test (TUGT) and Unilateral Stance Test and balance parameters were measured at baseline and after the intervention.
International Journal of Environmental Research and Public Health, 2020
Background: Type 2 Diabetes Mellitus (T2DM) is a chronic disease that affects millions of people, and according to the International Diabetes Federation, 46.5% of people have undiagnosed diabetes. One of the most common complications of diabetes mellitus is loss of peripheral sensation. Whole Body Vibration (WBV) is a therapy, and it would be interesting to know if it can be considered as a training method to improve the Vibration Perception Threshold (VPT). The aim of the study is to verify whether there are really acute effects on the VPT after a WBV training session in people with T2DM. Methods: Ninety people with T2DM (56 men and 34 women) were randomly allocated to two groups: the WBV group and the placebo group. The ninety subjects went through a VPT training test before receiving the assigned intervention, and they performed the VPT test using the Vibratron II device. Results: After one session of WBV, an increase of the VPT in the WBV group was found, with respect to the pla...
Quality of Life of Patients with Metabolic Syndrome is Improved After Whole Body Vibration Exercises
African journal of traditional, complementary, and alternative medicines : AJTCAM, 2017
Whole body vibration exercises (WBVE) improve the quality of life (QoL) of different populations. Metabolic syndrome patients (MetS) may be favored by physical activity. Questionnaires are used to assess the QoL. The aim was to evaluate the QoL of patients with MetS that have undergone WBVE with a brief WHOQOL (WHOQOL-BREF). MetS patients were randomly divided into three groups: (i) control group (CG), (ii) treated with WBVE once per week (WBVE1) and (iii) treated with WBVE twice per week (WBVE2). In the first session, the patient was sat in a chair in front of the platform with the feet on its base in 3 peak to peak displacements (2.5, 5.0 and 7.5 mm) and frequency of 5 Hz was used. From the second to the last session, patients were subjected to the same protocol, however they were standing on the base of the platform and the frequency was increased up to 14 Hz. The patients fulfilled the WHOQOL-BREF before the first and after the last sessions. Cronbach coefficients were determine...
Effect of whole-body vibration on painful diabetic peripheral neuropathy
2012
Diabetic peripheral neuropathy (DPN), characterized mainly by sensory nerve damage and dysfunction, is one of the most common long-term complications of diabetes, affecting 60-70% of all diabetics (National Institutes of Health [NIH] 2009). It is also the most common type of neuropathy in the Western world (Marchettini, Lacerenza, Mauri, & Marangoni, 2006) with the greatest prevalence among patients who are aged 65-74 years and have had diabetes for at least 25 years (Argoff et al., 2006). Despite the multiple pharmacological treatment methods available, efficacy, safety, and tolerability issues remain a major concern (Dworkin et al., 2003). Non-steroidal antiinflammatory drugs (NSAID) are the most commonly prescribed class of analgesic, but have demonstrated limited efficacy for this population. To date, pharmacological agents have been accepted as the mainstay for the treatment of painful DPN. However, this approach includes high cost, minimal reductions in pain, side effects, and limited efficacy (Woolf & Mannion, 1999). There is, therefore, a critical need to develop safe and cost-effective treatment strategies that reduce pain. Whole-body vibration involves the application of vibratory stimuli throughout the body by standing on a vibrating platform (Merriman & Jackson, 2009). The vibration is created by a mechanical, linear motion, which transfers energy upwardly through the body stimulating muscles to contract (Rittweger, 2010). Whole-body vibration has recently been used to reduce back pain and fibromyalgia pain in women (Alentorn
Whole Body Vibration: An Effective Treatment for Painful Diabetic Neuropathy
Introduction: Painful diabetic neuropathy is a common complication of diabetes that affects multiple aspects of patients' lives, severely limiting daily functions and quality of life. The aim of this case study was to evaluate the efficacy of whole body vibration (WBV) to reduce pain and thereby improve quality of life, walking speed, and general clinical characteristics. Methods: A 63-year-female with type-2 diabetes and seven years of pain symptoms volunteered for a 12-week WBV intervention receiving 12-minutes of WBV per day, three days per week. Pain severity and its interference in daily life, 0-10 Numeric Rating Scale to assess pain immediately before and after WBV, quality of life, walking speed, body composition, general clinical characteristics and medication usage were assessed. Results: Pain severity and interference decreased by approximately 5.0 points post-intervention reducing the participant's pain levels from borderline severe to very mild. Pain levels immediately prior to and following WBV exposure decreased every week and continued to decrease throughout the intervention. The participant indicated at baseline that her foot pain had a significant impact on her ability to take part in leisure activities, made her physically dependent on others for help, significantly affected her relationships and her role in the family and significantly impaired her ability to perform activities of daily life. Post-intervention, she was able to take part in leisure activities, no longer felt dependent on others, improved her relationships and her role in the family and was now able to easily perform daily tasks. Her walking speed also improved by 13.7% thereby reducing her risk of death. Other beneficial changes included weight loss (15.91 kg) and decreases in fasting glucose, hypertriglyceridemia, lower limb and feet swelling, and hypertension while decreasing her daily intake of pain and diabetes medications. Conclusion: WBV was effective at safely reducing pain and improving health related outcomes in our participant.