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Changes in body balance and functional performance following whole-body vibration training in patients with fibromyalgia syndrome: A randomized controlled trial
OBJECTIVE: To determine whether an 8-week exercise programme supplemented with whole-body vibration improves body balance and dynamic strength in women with fibromyalgia.
DESIGN: Randomized controlled trial.
Patients: Forty-six participants diagnosed with fibromyalgia.
METHODS: Participants were randomly assigned to: (i) an exercise training group with whole-body vibration (n = 15), which performed twice-weekly exercise sessions (aerobic exercise, strengthening and flexibility) combined with 3 whole-body vibration training sessions a week (bilateral squats: 6–9 sets of 30 s with 45-s recovery between sets; and unilateral squat: 4–7 sets of 30 s, 30 Hz–4 mm); (ii) an exercise group (n = 15) with the same combined exercise therapy; and (iii) a usual-care control group (n = 16).
RESULTS: Statistically significant improvements in the Medio–Lateral Stability Index and Medio–Lateral Mean Deflection with open eyes were found in the whole-body vibration exercise group compared with the control group. Non-significant effects were found for lower-limb physical function.
CONCLUSION: The results show that a traditional exercise programme, supplemented with whole-body vibration training, improved balance in women with fibromyalgia. This may represent a key factor for falls prevention in this patient group.
Borja Sañudo, Luis Carrasco, Moisés de Hoyo, Ángel Oliva-Pascual-Vaca , Cleofás Rodríguez-Blanco
Physical Education and Sports Department, University of Seville, Campus Pirotécnia. C/ Pirotécnia s/n, ES-41013 Sevilla, Spain. E-mail: email@example.com
References2. Jones KD, King LA, Mist SD, Bennett RM, Horak FB. Postural control deficits in people with fibromyalgia: a pilot study. Arthritis Res Ther 2011; 13: R127.
3. Góes SM, Leite N, Shay BL, Homann D, Stefanello JM, Rodacki AL. Functional capacity, muscle strength and falls in women with fibromyalgia. Clin Biomech (Bristol, Avon) 2012 27: 578–583.
4. Bennett RM, Jones J, Turk DC, Russell IJ, Matallana L. An internet survey of 2,596 people with fibromyalgia. BMC Musculoskelet Disord 2007; 8: 27.
5. Arendt-Nielsen L, Graven-Nielsen T. Muscle pain: sensory implications and interaction with motor control. Clin J Pain 2008; 24: 291–298.
6. Thomas AW, White KP, Drost DJ, Cook CM, Prato FS. A comparison of rheumatoid arthritis and fibromyalgia patients and healthy controls exposed to a pulsed (200 microT) magnetic field: effects on normal standing balance. Neurosci Lett 2001; 309: 17–20.
7. Lemos MCD, Valim V, Zandonade E, Natour J. Intensity level for exercise training in fibromyalgia by using mathematical models. BMC Musculoskelet Disord 2010; 11: 54.
8. Russek LN, Fulk GD. Pilot study assessing balance in women with fibromyalgia syndrome. Physiother Theory Pract 2009; 25: 555–565.
9. Häuser W, Klose P, Langhorst J, Moradi B, Steinbach M, Schiltenwolf M, et al. Efficacy of different types of aerobic exercise in fibromyalgia syndrome: a systematic review and meta-analysis of randomised controlled trials. Arthritis Res Ther 2010; 12: R79.
10. Bogaerts A, Verschueren S, Delecluse C, Claessens AL, Boonen S. Effects of whole body vibration training on postural control in older individuals: a 1 year randomized controlled trial. Gait Posture 2007; 26: 309–316.
11. Bruyere O, Wuidart MA, Di Palma E, Gourlay M, Ethgen O, Richy F, et al. Controlled whole body vibration to decrease fall risk and improve health-related quality of life of nursing home residents. Arch Phys Med Rehabil 2005; 86: 303–307.
12. Cheung WH, Mok HW, Qin L, Sze PC, Lee KM. High-frequency whole-body vibration improves balancing ability in elderly women. Arch Phys Med Rehabil 2007; 88: 852–857.
13. 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: 28–33.
14. Van Nes IJW, Latour H, Schils F, Meijer R, van Kuijk A, Geurts ACH. Long-term effects of 6-week whole-body vibration on balance recovery and activities of daily living in the postacute phase of stroke – a randomized, controlled trial. Stroke 2006; 37: 2331–2335.
15. Bautmans I, van Hees E, Lemper J-C, Mets T. The feasibility of whole body vibration in institutionalized elderly persons and its influence on muscle performance, balance and mobility: a randomized controlled trial. BMC Geriatrics 2005; 5: 17.
16. Runge M, Rehfeld G, Resnicek E. Balance training and exercise in geriatric patients. J Musculoskel Neuron Interact 2000; 1: 61–65.
17. Carlucci F, Mazzà C, Cappozzo A. Does whole-body vibration training have acute residual effects on postural control ability of elderly women? J Strength Cond Res 2010; 24: 3363–3368.
18. Elfering A, Thomann J, Schade V, Radlinger L. Stochastic resonance whole body vibration reduces musculoskeletal pain: A randomized controlled trial. World Journal of Orthopedics 2011; 2: 116–120.
19. Verschueren SM, Roelants M, Delecluse C, Swinnen S, Vanderschueren D, Boonen S. Effect of 6-month whole body vibration training on hip density, muscle strength, and postural control in postmenopausal women: a randomized controlled pilot study. J Bone Mineral Res 2004; 19: 352–359.
20. Marín PJ, Martín-López A, Vincente-Campos D, Angulo-Carrere MT, García-Pastor T, Garatachea N, et al. Effects of vibration training and detraining on balance and muscle strength in older adults. J Sports Sci Med 2011; 10: 559–564.
21. Lau RW, Yip SP, Pang MY. Whole-body vibration has no effect on neuromotor function and falls in chronic stroke. Med Sci Sports Exerc 2012; 44: 1409–1418.
22. Rees SS, Murphy AJ, Watsfort ML. Effects of whole body vibration on postural steadiness in an older population. J Sci Med Sport 2009; 12: 440–444.
23. Abercromby AFJ, Amonette WE, Layne CS, McFarlin BK, Hinman MR, Paloski WH. Vibration exposure and biodynamic responses during whole-body vibration training. Med Sci Sports Exerc 2007; 39: 1794–1800.
24. Horak FB. Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? Age Ageing 2006; 35: ii7–ii11.
25. Peterka RJ, Loughlin PJ. Dynamic regulation of sensorimotor integration in human postural control. J Neurophysiol 2004; 9: 410–423.
26. von Stengel S, Kemmler W, Engelke K, Kalender WA. Effect of whole-body vibration on neuromuscular performance and body composition for female 65 years and older: a randomized-controlled trial. Scand J Med Sci Sports. 2012; 22: 119–127.
27. Pang MYC. Whole body vibration therapy in fracture prevention among adults with chronic disease. World J Orthop 2010; 18: 20–25.
28. Pozo-Cruz BD, Adsuar JC, Parraca JA, Pozo-Cruz JD, Olivares PR, Gusi N. Using whole-body vibration training in patients affected with common neurological diseases: a systematic literature review. J Altern Complement Med 2012; 18: 29–41.
29. Alentorn-Geli E, Padilla J, Moras G, Lázaro-Haro C, Fernández-Solá J. Six weeks of whole-body vibration exercise improves pain and fatigue in women with fibromyalgia. J Altern Complement Med 2008; 14: 975–981.
30. Olivares PR, Gusi N, Parraca JA, Adsuar JC, Del Pozo-Cruz B. Tilting whole body vibration improves quality of life in women with fibromyalgia: a randomized controlled trial. J Altern Complement Med 2011; 17: 723–728.
31. Sañudo B, de Hoyo M, Carrasco L, McVeigh JG, Corral J, Cabeza R, et al. The effect of 6-weeks exercise and whole body vibration on strength and quality of life in women with fibromyalgia: a randomised study. Clin Exp Rheum 2010; 28: 40–45.
32. Gusi N, Parraca JA, Olivares PR, Leal A, Adsuar JC. Tilt vibratory exercise and the dynamic balance in fibromyalgia: a randomized controlled trial. Arthritis Care Res (Hoboken) 2010; 62: 1072–1078.
33. Sañudo B, de Hoyo M, Carrasco L, Rodríguez-Blanco C, Oliva A, McVeigh JG. Effect of whole-body vibration exercise on balance in women with fibromyalgia syndrome: a randomized controlled trial. J Altern Compl Med 2012; 18: 1–7.
34. Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL, et al. The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis Rheum 1990; 33: 160–172.
35. Pincivero DM, Lephart SM, Henry TJ. Learning effects and reliability of the biodex stability system. J Athl Train 1995; 30: 35.
36. Cachupe WJC, Shifflett B, Kahanov L, Wughalter EH. Reliability of biodex balance system measures. Meas Phys Educ Exerc Sci 2001; 5: 97–108.
37. Cardinale M, Lim J. Electromyography activity of vastus lateralis muscle during whole-body vibrations of different frequencies. J Strength Cond Res 2003; 17: 621–624.
38. Nied RJ, Franklin B. Promoting and prescribing exercise for the elderly. Am Fam Physician 2002; 65: 419–426.
39. Pel JJ, Bagheri J, van Dam LM, van den Berg-Emons HJ, Horemans HL, Stam HJ, van der Steen J. Platform accelerations of three different whole-body vibration devices and the transmission of vertical vibrations to the lower limbs. Med Eng Phys 2009; 31: 937–944.
40. Lam FM, Lau RW, Chung RC, Pang MY. The effect of whole body vibration on balance, mobility and falls in older adults: a systematic review and meta-analysis. Maturitas 2012; 72: 206–213.
41. Henriksen M, Lund H, Christensen R, Jespersen A, Dreyer L, Bennett RM, et al. Relationships between the fibromyalgia impact questionnaire, tender point count, and muscle strength in female patients with fibromyalgia: a cohort study. Arthritis Rheum 2009; 61: 732–739.
42. Valkeinen H, Alén M, Häkkinen A, Hannonen P, Kukkonen-Harjula K, Häkkinen K. Effects of concurrent strength and endurance training on physical fitness and symptoms in postmenopausal women with fibromyalgia: a randomized controlled trial. Arch Phys Med Rehabil 2008; 89: 1660–1666.
43. Persch LN, Ugrinowitsch C, Pereira G, Rodacki AL. Strength training improves fall-related gait kinematics in the elderly: a randomized controlled trial. Clin Biomech (Bristol, Avon) 2009; 24: 819–825.
44. Panton LB, Figueroa A, Kingsley JD, Hornbuckle L, Wilson J, St John N, et al. Effects of resistance training and chiropractic treatment in women with fibromyalgia. J Altern Complement Med 2009; 15: 321–328.
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