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Acute effects of whole-body vibration on lower extremity muscle performance in persons with multiple sclerosis
Jackson KJ, Merriman HL, Vanderburgh PM, Brahler CJ
Journal of Neurologic Physical Therapy 2008 Dec;32(4):171-176
clinical trial
5/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND AND PURPOSE: Whole-body vibration (WBV) is a relatively new form of exercise training that may influence muscle performance. This study investigated the acute effects of high- (26 Hz) and low- (2 Hz) frequency WBV on isometric muscle torque of the quadriceps and hamstrings in persons with multiple sclerosis. PARTICIPANTS AND METHOD: Fifteen individuals (mean age 54.6 years, SD 9.6) with multiple sclerosis and Expanded Disability Status Scale scores ranging from 0 to 6.5 (mean 4.2, SD 2.3) participated in this randomized, crossover study. After baseline measures of isometric quadriceps and hamstring muscle torque, subjects were exposed to 30 seconds of WBV at either 2 or 26 Hz. Torque values were measured again at one, 10, and 20 minutes after vibration. Subjects returned one week later to repeat the same protocol at the alternate vibration frequency. RESULTS: There were no significant differences in isometric torque production between the 2- and 26-Hz WBV conditions. There was also no significant difference between baseline torque values and those measured at one, 10, and 20 minutes after either vibration exposure. However, there was a consistent trend of higher torque values after the 26-Hz WBV when compared with the 2-Hz condition for both quadriceps and hamstring muscles. DISCUSSION AND CONCLUSION: Although not statistically significant, peak torque values for both quadriceps and hamstring muscles were consistently higher after 30 seconds of WBV at 26 versus 2 Hz. Whether WBV presents a viable treatment option as either a warm-up activity or a long-term exercise intervention is yet to be determined. Future studies should include a wider variety of WBV parameters and the use of functional outcome measures.

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