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Research Article| Volume 16, ISSUE 4, P256-261, August 2009

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Effect of whole body vibration exercise on muscle strength and proprioception in females with knee osteoarthritis

Published:January 16, 2009DOI:https://doi.org/10.1016/j.knee.2008.11.014

      Abstract

      The purpose of this study was to assess the effect of whole body vibration (WBV) exercise on muscle strength and proprioception in female patients with osteoarthritis in the knee (knee-OA). A single blinded, randomised, controlled trial was performed in an outpatient clinic on 52 female patients diagnosed with knee-OA (mean age 60.4 years±9.6). They were randomly assigned to one of 3 groups: 1. WBV-exercise on a stable platform (VibM; n=17 (mean age, 61.5±9.2)), WBV-exercise on a balance board (VibF; n=18 (mean age, 58.7±11.0)), or control group (Con; n=18 (mean age, 61.1±8.5)).
      The WBV groups trained twice a week for 8 weeks, with a progressively increasing intensity. The WBV groups performed unloaded static WBV exercise.
      The following were measured: knee muscle strength (extension/flexion) and proprioception (threshold for detection of passive movement (TDPM)). Self-reported disease status was measured using WOMAC.
      It was found that muscle strength increased significantly (p<0.001) in VibM compared to Con. Isometric knee-extension significantly increased (p=0.021) in VibM compared to Con. TDPM was significantly improved (p=0.033) in VibF compared to Con, while there was a tendency (p=0.051) for VibM to perform better compared to Con. There were no effects in the self-reported disease status measures.
      This study showed that the WBV-exercise regime on a stable platform (VibM) yielded increased muscle strength, while the WBV-exercise on a balance board (VibF) showed improved TDPM. The WBV-exercise is a time-saving and safe method for rehabilitation of women with knee-OA.

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      References

        • Fisher N.M.
        • Pendergast D.R.
        Reduced muscle function in patients with osteoarthritis.
        Scand J Rehabil Med. 1997; 29: 213-221
        • Sharma L.
        The role of proprioceptive deficits, ligamentous laxity, and malalignment in development and progression of knee osteoarthritis.
        J Rheumatol Suppl. 2004; 70: 87-92
        • Fisher N.M.
        • White S.C.
        • Yack H.J.
        • Smolinski R.J.
        • Pendergast D.R.
        Muscle function and gait in patients with knee osteoarthritis before and after muscle rehabilitation.
        Disabil Rehabil. 1997; 19: 47-55
        • Fransen M.
        • McConnell S.
        • Bell M.
        Exercise for osteoarthritis of the hip or knee.
        Cochrane Database Syst Rev. 2003; : CD004286
        • Barrett D.S.
        • Cobb A.G.
        • Bentley G.
        Joint proprioception in normal, osteoarthritic and replaced knees.
        J Bone Joint Surg Br. 1991; 73: 53-56
        • Sharma L.
        • Pai Y.C.
        • Holtkamp K.
        • Rymer W.Z.
        Is knee joint proprioception worse in the arthritic knee versus the unaffected knee in unilateral knee osteoarthritis?.
        Arthritis Rheum. 1997; 40: 1518-1525
        • Koralewicz L.M.
        • Engh G.A.
        Comparison of proprioception in arthritic and age-matched normal knees.
        J Bone Joint Surg Am. 2000; 82-A: 1582-1588
        • Fransen M.
        • Crosbie J.
        • Edmonds J.
        Physical therapy is effective for patients with osteoarthritis of the knee: a randomized controlled clinical trial.
        J Rheumatol. 2001; 28: 156-164
        • Roddy E.
        • Zhang W.
        • Doherty M.
        Aerobic walking or strengthening exercise for osteoarthritis of the knee? A systematic review.
        Ann Rheum Dis. 2005; 64: 544-548
        • Pisters M.F.
        • Veenhof C.
        • van Meeteren N.L.
        • Ostelo R.W.
        • de Bakker D.H.
        • Schellevis F.G.
        • et al.
        Long-term effectiveness of exercise therapy in patients with osteoarthritis of the hip or knee: a systematic review.
        Arthritis Rheum. 2007; 57: 1245-1253
        • Sharma L.
        • Dunlop D.D.
        • Cahue S.
        • Song J.
        • Hayes K.W.
        Quadriceps strength and osteoarthritis progression in malaligned and lax knees.
        Ann Intern Med. 2003; 138: 613-619
        • Verschueren S.M.
        • 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 Miner Res. 2004; 19: 352-359
        • Roelants M.
        • Delecluse C.
        • Verschueren S.M.
        Whole-body-vibration training increases knee-extension strength and speed of movement in older women.
        J Am Geriatr Soc. 2004; 52: 901-908
        • Russo C.R.
        • Lauretani F.
        • Bandinelli S.
        • Bartali B.
        • Cavazzini C.
        • Guralnik J.M.
        • et al.
        High-frequency vibration training increases muscle power in postmenopausal women.
        Arch Phys Med Rehabil. 2003; 84: 1854-1857
        • Bogaerts A.
        • Verschueren S.
        • Delecluse C.
        • Claessens A.L.
        • 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
        • Rehn B.
        • Lidstrom J.
        • Skoglund J.
        • Lindstrom B.
        Effects on leg muscular performance from whole-body vibration exercise: a systematic review.
        Scand J Med Sci Sports. 2007; 17: 2-11
        • Topp R.
        • Woolley S.
        • Hornyak III, J.
        • Khuder S.
        • Kahaleh B.
        The effect of dynamic versus isometric resistance training on pain and functioning among adults with osteoarthritis of the knee.
        Arch Phys Med Rehabil. 2002; 83: 1187-1195
        • Cardinale M.
        • Bosco C.
        The use of vibration as an exercise intervention.
        Exerc Sport Sci Rev. 2003; 31: 3-7
        • Luo J.
        • McNamara B.
        • Moran K.
        The use of vibration training to enhance muscle strength and power.
        Sports Med. 2005; 35: 23-41
        • Altman R.
        • Asch E.
        • Bloch D.
        • Bole G.
        • Borenstein D.
        • Brandt K.
        • et al.
        Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association.
        Arthritis Rheum. 1986; 29: 1039-1049
        • Bellamy N.
        • Buchanan W.W.
        • Goldsmith C.H.
        • Campbell J.
        • Stitt L.W.
        Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee.
        J Rheumatol. 1988; 15: 1833-1840
        • Lund H.
        • Sondergaard K.
        • Zachariassen T.
        • Christensen R.
        • Bulow P.
        • Henriksen M.
        • et al.
        Learning effect of isokinetic measurements in healthy subjects, and reliability and comparability of Biodex and Lido dynamometers.
        Clin Physiol Funct Imaging. 2005; 25: 75-82
        • Juul-Kristensen B.
        • Lund H.
        • Hansen K.
        • Christensen H.
        • nneskiold-Samsoe B.
        • Bliddal H.
        Test–retest reliability of joint position and kinesthetic sense in the elbow of healthy subjects.
        Physiother Theory Pract. 2008; 24: 65-72
        • Shrout P.E.
        • Fleiss J.L.
        Intraclass correlations: uses in assessing rater reliability.
        Psychol Bull. 1979; 86: 420-428
        • Bellamy N.
        • Buchanan W.W.
        • Goldsmith C.H.
        • Campbell J.
        • Stitt L.W.
        Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee.
        J Rheumatol. 1988; 15: 1833-1840
        • Wolfe F.
        • Kong S.X.
        Rasch analysis of the Western Ontario MacMaster questionnaire (WOMAC) in 2205 patients with osteoarthritis, rheumatoid arthritis, and fibromyalgia.
        Ann Rheum Dis. 1999; 58: 563-568
        • Campbell M.J.
        • Julious S.A.
        • Altman D.G.
        Estimating sample sizes for binary, ordered categorical, and continuous outcomes in two group comparisons.
        BMJ. 1995; 311: 1145-1148
        • Littell R.C.
        • Pendergast J.
        • Natarajan R.
        Modelling covariance structure in the analysis of repeated measures data.
        Stat Med. 2000; 19: 1793-1819
        • Hurley M.V.
        • Scott D.L.
        Improvements in quadriceps sensorimotor function and disability of patients with knee osteoarthritis following a clinically practicable exercise regime.
        Br J Rheumatol. 1998; 37: 1181-1187
        • Rogind H.
        • Bibow-Nielsen B.
        • Jensen B.
        • Moller H.C.
        • Frimodt-Moller H.
        • Bliddal H.
        The effects of a physical training program on patients with osteoarthritis of the knees.
        Arch Phys Med Rehabil. 1998; 79: 1421-1427
        • O'Reilly S.C.
        • Jones A.
        • Muir K.R.
        • Doherty M.
        Quadriceps weakness in knee osteoarthritis: the effect on pain and disability.
        Ann Rheum Dis. 1998; 57: 588-594
        • Delecluse C.
        • Roelants M.
        • Verschueren S.
        Strength increase after whole-body vibration compared with resistance training.
        Med Sci Sports Exerc. 2003; 35: 1033-1041
        • Diracoglu D.
        • Aydin R.
        • Baskent A.
        • Celik A.
        Effects of kinesthesia and balance exercises in knee osteoarthritis.
        J Clin Rheumatol. 2005; 11: 303-310
        • Rees S.S.
        • Murphy A.J.
        • Watsford M.L.
        Effects of whole-body vibration exercise on lower-extremity muscle strength and power in an older population: a randomized clinical trial.
        Phys Ther. 2008; 88: 462-470
        • de Ruiter C.J.
        • Van Raak S.M.
        • Schilperoort J.V.
        • Hollander A.P.
        • de H.A.
        The effects of 11 weeks whole body vibration training on jump height, contractile properties and activation of human knee extensors.
        Eur J Appl Physiol. 2003; 90: 595-600
        • Kvorning T.
        • Bagger M.
        • Caserotti P.
        • Madsen K.
        Effects of vibration and resistance training on neuromuscular and hormonal measures.
        Eur J Appl Physiol. 2006; 96: 615-625
        • De G.P.
        • Lance J.W.
        • Neilson P.D.
        Differential effects on tonic and phasic reflex mechanisms produced by vibration of muscles in man.
        J Neurol Neurosurg Psychiatry. 1966; 29: 1-11
        • Cardinale M.
        • Leiper J.
        • Erskine J.
        • Milroy M.
        • Bell S.
        The acute effects of different whole body vibration amplitudes on the endocrine system of young healthy men: a preliminary study.
        Clin Physiol Funct Imaging. 2006; 26: 380-384
        • Nordlund M.M.
        • Thorstensson A.
        Strength training effects of whole-body vibration?.
        Scand J Med Sci Sports. 2007; 17: 12-17
        • Bruyere O.
        • Wuidart M.A.
        • Di P.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
        • Cheung W.H.
        • Mok H.W.
        • Qin L.
        • Sze P.C.
        • Lee K.M.
        • Leung K.S.
        High-frequency whole-body vibration improves balancing ability in elderly women.
        Arch Phys Med Rehabil. 2007; 88: 852-857
        • Roelants M.
        • Delecluse C.
        • Verschueren S.M.
        Whole-body-vibration training increases knee-extension strength and speed of movement in older women.
        J Am Geriatr Soc. 2004; 52: 901-908