Effects of whole-body vibration training on lower extremity muscle strength and physical function in elderly patients with sarcopenia

ABSTRACT

Objectives To investigate the feasibility and benefits of WBV training in enhancing muscle strength and physical performance in older inpatients with sarcopenia.

Methods We included 40 patients with sarcopenia (mean age 85 years; age range 80~90 years) and randomly separated into the WBV group or control (CON) group. The WBV group underwent 8 weeks of conventional rehabilitation training combined with WBV, whereas the CON group received 8 weeks of conventional rehabilitation training alone. The primary outcome was maximal isometric muscle strength. The secondary outcomes were the time-up-and-go test (TUGT), the five-times sit-to-stand test (FTSST), the 6-m gait speed test, and the Morse Fall Scale (MFS).

Results After an 8-week intervention, only the quadriceps and tibialis anterior muscles in the CON group showed substantial gains in strength. In the WBV group, significant increases were observed in iliopsoas (P<0.05), quadriceps (P<0.01), hamstring(P<0.01), and tibialis anterior muscle (P<0.01) respectively. For all physical performance assessments, improvements were observed in both CON and WBV groups (P<0.05), the improvement in the WBC group was greater than the CON group (P<0.05). However, there was no significant difference in fall risk between the two groups (P>0.05).

Conclusion This result highlights a eight weeks of whole-body vibration training can increase the lower-limb muscular strength and physical performance of older inpatients with sarcopenia.

ZUSAMMENFSAAUNG

Ziele Untersuchung der Durchführbarkeit und des Nutzens von WVV Training zur Verbesserung der Muskelkraft und körperlichen Leistungsfähigkeit bei älteren stationären Patienten mit Sarkopenie.

Methoden Wir haben 40-Patienten mit Sarkopenie (mittleres Alter 85 Jahre; Altersbereich 80~90 Jahre) einbezogen und zufällig in die WVV-Gruppe oder Kontrollgruppe (CON) getrennt. Die WBV-Gruppe durchlief acht Wochen konventionelles Rehabilitationstraining kombiniert mit WBV, während die CON-Gruppe acht Wochen konventionelles Rehabilitationstraining allein erhielt. Das primäre Ergebnis war die maximale isometrische Muskelkraft. Die sekundären Ergebnisse waren der Time-up-and-go Test (TUGT), der fünfmalige Sitz-to-Stand Test (FTSST), der 6-m Ganggeschwindigkeitstest und die Morse Fall Scale (MFS).

Ergebnisse Nach einer 8-wöchigen Intervention zeigten nur die vorderen Quadrizeps- und Tibialismuskeln der CON-Gruppe deutliche Kraftzuwächse. In der WBV-Gruppewurden signifikante Erhöhungen in Iliopsoas (P<0,05), Quadrizeps (P<0,01), Hamstring (P<0,01) und Tibialis anterior Muskel (P<0,01) beobachtet. Bei allen körperlichen Leistungsbeurteilungen wurden Verbesserungen sowohl in CON- als auch in WBV-Gruppen beobachtet (P<0,05), die Verbesserung in der WBC-Gruppe war größer als in der CON-Gruppe (P<0,05), jedoch gab es keinen signifikanten Unterschied im Sturzrisiko zwischen den beiden Gruppen (P>0,05).

Schlussfolgerung Dieses Ergebnis zeigt, dass ein achtwöchiges Ganzkörper-Vibrationstraining die Muskelkraft und körperliche Leistungsfähigkeit älterer stationärer Patienten mit Sarkopenie steigern kann.

Keywords

whole body vibration - sarcopenia - muscle strength - physical performance

Schlüsselwörter

Ganzkörpervibration - Sarkopenie - Muskelkraft - körperliche Leistungsfähigkeit

• References

• 1 Cruz-Jentoft AJ, Sayer AA. Sarcopenia. The Lancet 2019; 393: 2636-2646
• 2 Yazar T, Olgun Yazar H. Prevalance of sarcopenia according to decade. Clinical Nutrition ESPEN 2019; 29: 137-141
• 3 Xin C, Sun X, Lu L. et al. Prevalence of sarcopenia in older Chinese adults: a systematic review and meta-analysis. BMJ Open 2021; 11: e041879
• 4 Beaudart C, Zaaria M, Pasleau F. et al. Health outcomes of sarcopenia: a systematic review and meta-analysis. PloS one 2017; 12: e0169548
• 5 Zhao Y, Zhang Y, Hao Q. et al. Sarcopenia and hospital-related outcomes in the old people: a systematic review and meta-analysis. Aging Clinical and Experimental Research 2019; 31: 5-14
• 6 Kwak JY, Kwon KS. Pharmacological Interventions for Treatment of Sarcopenia: Current Status of Drug Development for Sarcopenia. Annals of geriatric medicine and research 2019; 23: 98-104
• 7 Yoo SZ, No MH, Heo JW. et al. Role of exercise in age-related sarcopenia. Journal of exercise rehabilitation 2018; 14: 551-558
• 8 Hurst C, Robinson SM, Witham MD. et al. Resistance exercise as a treatment for sarcopenia: prescription and delivery. Age and Ageing 2022; 51: afac003
• 9 Burton LA, Sumukadas D. Optimal management of sarcopenia. Clinical interventions in aging 2010; 5: 217-228
• 10 Perchthaler D, Grau S, Hein T. Evaluation of a Six-Week Whole-Body Vibration Intervention on Neuromuscular Performance in Older Adults. The Journal of Strength& Conditioning Research 2015; 29: 86-95
• 11 Bautmans I, Van Hees E, Lemper J-C. et al. 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 Geriatrics 2005; 5: 17
• 12 Sitjà-Rabert M, Martínez-Zapata MJ, Fort Vanmeerhaeghe A. et al. Effects of a Whole Body Vibration (WBV) Exercise Intervention for Institutionalized Older People: A Randomized, Multicentre, Parallel, Clinical Trial. Journal of the American Medical Directors Association 2015; 16: 125-131
• 13 Montoro P, Párraga Montilla JA. The vibration training as sarcopenia intervention: impact on the neuromuscular system of the elderly. Nutr Hosp 2015; 32: 1454-1461
• 14 Wadsworth D, Lark S. Effects of Whole-Body Vibration Training on the Physical Function of the Frail Elderly: An Open, Randomized Controlled Trial. Archives of Physical Medicine and Rehabilitation 2020; 101: 1111-1119
• 15 Chen L-K, Woo J, Assantachai P. et al. Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment. Journal of the American Medical Directors Association 2020; 21: 300-307.e302
• 16 Wuang Y-P, Chang J-J, Wang M-H. et al. Test–retest reliabilities of hand-held dynamometer for lower-limb muscle strength in intellectual disabilities. Research in Developmental Disabilities 2013; 34: 2281-2290
• 17 Barry E, Galvin R, Keogh C. et al. Is the Timed Up and Go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta- analysis. BMC Geriatrics 2014; 14: 14
• 18 Tiwari D, Talley SA, Alsalaheen B. et al. Strength of association between the Five-Times-Sit-to-Stand Test and balance, knee extensor strength and lower limb power in community-dwelling older adults. International Journal of Therapy and Rehabilitation 2019; 26: 1-10
• 19 Lund C, Dalgas U, Grønborg TK. et al. Balance and walking performance are improved after resistance and aerobic training in persons with chronic stroke. Disability and Rehabilitation 2018; 40: 2408-2415
• 20 Bóriková I, Žiaková K, Tomagová M. et al. The risk of falling among older adults in long-term care: Screening by the Morse Fall Scale. Kontakt 2018; 20: e111-e119
• 21 Keller K. Sarcopenia. Wiener Medizinische Wochenschrift 2019; 169: 157-172
• 22 Zhu Y-Q, Peng N, Zhou M. et al. Tai Chi and whole-body vibrating therapy in sarcopenic men in advanced old age: a clinical randomized controlled trial. European journal of ageing 2019; 16: 273-282
• 23 Monteiro-Oliveira BB, Coelho-Oliveira AC, Paineiras-Domingos LL. et al. Use of surface electromyography to evaluate effects of whole-body vibration exercises on neuromuscular activation and muscle strength in the elderly: a systematic review. Disability and Rehabilitation 2022; 44: 7368-7377
• 24 Wakeling JM, Nigg BM, Rozitis AI. Muscle activity damps the soft tissue resonance that occurs in response to pulsed and continuous vibrations. Journal of applied physiology 2002; 93: 1093-1103
• 25 Huang M, Pang MY. Muscle activity and vibration transmissibility during whole-body vibration in chronic stroke. Scandinavian Journal of Medicine & Science in Sports 2019; 29: 816-825
• 26 Lam FMH, Tang C-Y, Kwok TCY. et al. Transmissibility and waveform purity of whole-body vibrations in older adults. Clinical Biomechanics 2018; 51: 82-90
• 27 Ritzmann R, Gollhofer A, Kramer A. The influence of vibration type, frequency, body position and additional load on the neuromuscular activity during whole body vibration. European Journal of Applied Physiology 2013; 113: 1-11
• 28 Tseng S-Y, Ko C-P, Tseng C-Y. et al. Is 20 Hz Whole-Body Vibration Training Better for Older Individuals than 40 Hz?. International Journal of Environmental Research and Public Health 2021; 18: 11942
• 29 Sievänen H, Karinkanta S, Moisio-Vilenius P. et al. Feasibility of whole-body vibration training in nursing home residents with low physical function: a pilot study. Aging Clinical and Experimental Research 2014; 26: 511-517
• 30 Kang L, Han PP, Wang JZ. et al. Timed Up and Go Test can predict recurrent falls: a longitudinal study of the community-dwelling elderly in China. Clinical interventions in aging 2017; 12: 2009-2016
• 31 Zhou R, Li JY, Chen ML. The Value of Cognitive and Physical Function Tests in Predicting Falls in Older Adults: A Prospective Study. Frontiers in Medicine 2022; 9