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Effect of whole body vibration exercise on muscle strength and proprioception in females with knee osteoarthritis |
Trans T, Aaboe J, Henriksen M, Christensen R, Bliddal H, Lund H |
The Knee 2009 Aug;16(4):256-261 |
clinical trial |
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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: 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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