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Vibratory Therapy for the Neuromusculoskeletal Health

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Sports Medicine".

Deadline for manuscript submissions: closed (25 April 2024) | Viewed by 10773

Special Issue Editors


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Guest Editor
Department of Physical Education and Sports (EPS), University of Reims Champagne-Ardenne, Reims, France
Interests: biomechanics of health disease and rehabilitation; industry engineering for medicine and high-level sport
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Guest Editor
Laboratory of Mechanical Vibrations and Integrative Practices of the UERJ (LAVIMPI-UERJ), Rio de Janeiro, Brazil
Interests: physical therapy; exercise; rehabilitation

Special Issue Information

Dear Colleagues,

Mechanical vibration, under controlled parameters, can promote biological responses that are responsible for improvements in the neuromusculoskeletal system when the individual is exposed to this vibratory stimulus. Mechanical vibration is naturally present in various cells, tissues, and organs, and it is essential to life and health. This vibratory stimulus can be added/transmitted to the whole body of the individual in daily activities and in vibratory therapy. In systemic vibratory therapy (SVT), the whole-body vibration exercise is produced when the mechanical vibration is generated in the vibrating platform, and it is transmitted to the body of the individual. Highly relevant effects due to SVT have been reported, such as improvements in muscular strength, bone mineral density, cognition, quality of life, and functional abilities in several populations. It is also possible for the transmission of mechanical vibration to be local, named local vibratory therapy (LVT). In this case, the mechanical vibration is generated in small and portable vibrators, and it is applied directly in a region of the body, over the tendon or muscle belly. Important effects related to the LVT have also been reported in different populations improving neuromuscular performance and functionality. A relevant challenge considering the SVT and LVT is to establish the best clinical protocols to be used in children, adolescents, and adults for the improvement of neuromusculoskeletal health, aiding in rehabilitation, and in the quality of life. Moreover, the mechanisms involved in vibratory therapy must be better understood. The comprehension of the possible use of SVT and LVT and the consequence of this exposure can aid in the development of conditions to minimize the undesirable effects in the workplace.

The aim of this Special Issue is to integrate knowledge to try to better understand the effects of mechanical vibrations in the human body to improve the application of the vibratory stimulus in medicine, sport, and at work.

Prof. Dr. Redha Taiar
Prof. Dr. Mario Bernardo-Filho
Dr. Danúbia Da Cunha De Sá-Caputo
Guest Editors

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Keywords

  • systemic vibratory therapy
  • local vibratory therapy
  • whole-body vibration exercise
  • rehabilitation
  • healthcare
  • neuromusculoskeletal system
  • neuromusculoskeletal disorders
  • mechanical vibration in the workplace
  • mechanical vibration exposure
  • quality of life

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Published Papers (3 papers)

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10 pages, 4269 KiB  
Article
Effect of Localized Vibration Massage on Popliteal Blood Flow
by Devin Needs, Jonathan Blotter, Madison Cowan, Gilbert Fellingham, A. Wayne Johnson and Jeffrey Brent Feland
J. Clin. Med. 2023, 12(5), 2047; https://doi.org/10.3390/jcm12052047 - 4 Mar 2023
Cited by 5 | Viewed by 3913
Abstract
There is a broad scope of literature investigating whole-body vibration (WBV) effects on blood flow (BF). However, it is unclear how therapeutic localized vibrations alter BF. Low-frequency massage guns are advertised to enhance muscle recovery, which may be through BF changes; however, studies [...] Read more.
There is a broad scope of literature investigating whole-body vibration (WBV) effects on blood flow (BF). However, it is unclear how therapeutic localized vibrations alter BF. Low-frequency massage guns are advertised to enhance muscle recovery, which may be through BF changes; however, studies using these devices are lacking. Thus, the purpose of this study was to determine if popliteal artery BF increases from localized vibration to the calf. Twenty-six healthy, recreationally active university students (fourteen males, twelve females, mean age 22.3 years) participated. Each subject received eight therapeutic conditions randomized on different days with ultrasound blood flow measurements. The eight conditions combined either control, 30 Hz, 38 Hz, or 47 Hz for a duration of 5 or 10 min. BF measurements of mean blood velocity, arterial diameter, volume flow, and heart rate were measured. Using a cell means mixed model, we found that both control conditions resulted in decreased BF and that both 38 Hz and 47 Hz resulted in significant increases in volume flow and mean blood velocity, which remained elevated longer than the BF induced by 30 Hz. This study demonstrates localized vibrations at 38 Hz and 47 Hz significantly increase BF without affecting the heart rate and may support muscle recovery. Full article
(This article belongs to the Special Issue Vibratory Therapy for the Neuromusculoskeletal Health)
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14 pages, 2143 KiB  
Systematic Review
The Effect of Additional Whole-Body Vibration on Musculoskeletal System in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Clinical Trials
by Márk Ágoston Pulay, Rita Nagy, Tamás Kói, Andrea Harnos, Nóra Zimonyi, Miklós Garami, Ákos Gasparics, Péter Hegyi, Ibolya Túri and Éva Feketéné Szabó
J. Clin. Med. 2023, 12(21), 6759; https://doi.org/10.3390/jcm12216759 - 25 Oct 2023
Cited by 2 | Viewed by 3147
Abstract
Nowadays, whole-body vibration (WBV) has become increasingly popular as an additional therapy in the intervention of patients with cerebral palsy (CP). However, the impact of WBV remains a subject of debate. Consequently, a systematic review and meta-analysis were undertaken to evaluate the effects [...] Read more.
Nowadays, whole-body vibration (WBV) has become increasingly popular as an additional therapy in the intervention of patients with cerebral palsy (CP). However, the impact of WBV remains a subject of debate. Consequently, a systematic review and meta-analysis were undertaken to evaluate the effects of WBV on the musculoskeletal system in children with CP. Randomized controlled trials (RCTs) were sought in the most frequent databases. The intervention studied was WBV combined with conventional physiotherapy (PT) compared with conventional PT as the control; the main outcomes were changes in the musculoskeletal system. Weighted mean differences with 95%CIs were calculated. A random-effects model was applied, and the publication bias was checked using funnel plots. On the basis of the inclusion and exclusion criteria, 16 articles, including 414 patients, were considered in the final analysis. The improvement in walking performance (speed and step length) was statistically significant (p < 0.05), and although there were no significant differences in the further outcomes, a clear positive tendency was visible in the case of improved muscle strength, decreased spasticity, enhanced gross motor functions, and overall stability. Based on the findings, a clear assessment of the usefulness of this intervention cannot be made; nonetheless, due to the promising results, it would be worthwhile to conduct additional RCTs to enhance the available evidence in this field. Due to the wide range of vibration configurations, including varying durations and intensities, it is suggested to establish guidelines and a strategy for the incorporation of this additional treatment. Full article
(This article belongs to the Special Issue Vibratory Therapy for the Neuromusculoskeletal Health)
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22 pages, 1505 KiB  
Systematic Review
Impacts of Whole-Body Vibration on Muscle Strength, Power, and Endurance in Older Adults: A Systematic Review and Meta-Analysis
by Raphael Gonçalves de Oliveira, Heloísa Maria Elaine Licha Coutinho, Maiara Naldi Mansano Martins, Mario Bernardo-Filho, Danúbia da Cunha de Sá-Caputo, Laís Campos de Oliveira and Redha Taiar
J. Clin. Med. 2023, 12(13), 4467; https://doi.org/10.3390/jcm12134467 - 3 Jul 2023
Cited by 7 | Viewed by 2769
Abstract
Background: Randomized clinical trials (RCTs) were conducted to identify the effectiveness of whole-body vibration (WBV) on strength, power, and muscular endurance in older adults. However, the results of different studies are contradictory. Objective: To verify the impacts of the WBV on strength, power, [...] Read more.
Background: Randomized clinical trials (RCTs) were conducted to identify the effectiveness of whole-body vibration (WBV) on strength, power, and muscular endurance in older adults. However, the results of different studies are contradictory. Objective: To verify the impacts of the WBV on strength, power, and muscular endurance in older adults. Methods: The search was carried out in PubMed, Embase, CENTRAL, CINAHL, SPORTDiscus, Web of Science, LILACS and PEDro databases. Methodological quality was assessed using the PEdro scale. Meta-analysis calculations were performed using the standardized mean difference, comparing WBV with control groups and WBV with other types of exercise. Results: Thirty-four studies were included in the current systematic review. Most studies (56%) had low methodological quality (PEDro score < 6). WBV, compared with control groups, has significant effects on muscle strength of knee extensors and flexors, lower limb extensors, and ankle plantar flexors. There were no differences between WBV and other types of exercise. Subgroup analyzes demonstrated that, in general, the significant results observed in the primary analyzes were not dependent on body position during vibration, kind of vibration, cumulative dose or magnitude of WBV. Conclusion: WBV was effective in increasing lower limb muscle strength. However, no significant results were observed for upper limb strength, lower limb power, and lower and upper limb muscle endurance in older adults. However, more studies are needed to better understand the physiological impacts of WBV in older. Full article
(This article belongs to the Special Issue Vibratory Therapy for the Neuromusculoskeletal Health)
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