Using Vibration Platforms For Rehabilitation and Restoration of Bone, Muscle and Health

Whole Body Vibration Technology (WBVT) has beenWBV exercise in addition to muscle strengthening,
touted as the next generation exercise and weightbalance, and walking exercises in improving the
loss machine and has been credited with somewalking ability in the elderly. WBV exercise was safe
amazing claims. This paper is to redefine and defineand well tolerated in the elderly. (Kawanabe K. et al,
those claims and validate the existing credible2007) Please see reference list for more research
research into this technology.into bone density.
Historically speaking WBVT first began in 1857, isWhole body vibration has demonstrated positive
backed by over 40 years of research and waseffects on blood flow. Gentle rapid contractions,
originally developed to prevent and treat bone andrepeated at a high rate, allow the muscle to work as
lean muscle loss in cosmonauts who amassed time ina pump, resulting in increased blood flow within the
a weightless environment. We begin by delving intoperipheral circulatory system. This results in the body
the history of WBVT and onto creditable researchcarrying off waste products much faster, thereby
and studies into the fitness and health benefits ofenhancing recovery. Effects of vibration therapy on
using vibration techonology.circulatory system include:
Vibration therapy is not new, originally developed by- Enhanced peripheral and systemic blood flow
a Swedish doctor, Dr. Gustav Zander who build and- Enhanced peripheral lymphatic flow
tested over 70 different types of exercise machines- Increased venous drainage
some of which were based on vibration exercise. InA study by the Dept of Physical Therapy Loma Linda
the 1960's Dr John Kellogg the originator of KelloggsUniversity found that short duration vibration sessions
Cornflakes also developed a 'shaker' which he claimedsignificantly increased skin blood flow and hails WBVT
could cure constipation, headaches and back pain.as an emerging therapeutic modality. (Lohman E. et al;
Whole body Vibration Technology was developed1985)
and refined by Russian scientists who began the realAged care is not simply about extending life years,
studies of Whole Body Vibration used the technologybut increasing the quality of life. 'Functional age' is
for many years to rehabilitate their cosmonauts aftermuch more important that 'chronological age.' This is
returning from space to help restore atrophiedinterpreted as the ability of an individual to maintain
muscles and bone density compromised due to thecertain parameters as they age, such as strength,
weightless environment of space.balance, and agility. Exercise has shown significant
Many of these cosmonauts were so weak theybenefits in combating some of these problems.
needed assistance emerging from the aircraft andAging and Inactivity
Russian scientists were called in to come up with a- Muscle loss occurs at a rate of 1% per year after
therapy that could focussed on hyper-gravitationalthe age of 40
force to mimic a gravitational field in space.- Bone density is correlated with muscle strength.
The vibration platform and Whole Body VibrationDecreases in muscle mass and strength can affect
Technology was born and researchers werebone density
astounded to find that it not only stopped the loss,- Loss of muscle strength may increase risk of falls
but also increased bone density and strengthenedand fractures
muscle tissue. They then used this technology toTo implement an exercise program for the aging
prevent injury to and rehabilitate their Olympicpopulation, it must be safe, gentle, and effective.
athletes from injury and found that it could almostWhole body vibration has attracted increased
halve the recuperation time. Since this time WBVTattention as an exercise alternative to combat the
has spread to the world and even NASA haseffects of inactivity and aging. Current research has
incorporated vibration technology into their spaceshown positive benefits. These results have led to
program. NASA-funded scientists suggest thatcontinuing research around the world, reinforcing
astronauts might prevent bone loss by standing on avibration exercise's role in promoting healthy aging.
lightly vibrating plate for 10 to 20 minutes each day.(Kawanabe K. et al; 2007)
Held down with the aid of elastic straps, theAging and Vibration Exercise
astronauts could keep working on other tasks while- Improvement in chair rising test, indicative of
they vibrate.The same therapy, they say, mightimprovement in muscle power
eventually be used to treat some of the millions of- Improve elements of fall risk and health-related
people who suffer from bone loss, calledquality of life
osteoporosis, here on Earth. (NASA)- Ability to promote ambulatory competence
WBVT is now used in rehabilitation and(improved walking) in elderly women
physio-therapy clinics in Europe and the US and is- Beneficial for balance and mobility in nursing home
now filtering into to the rest of the world on a waveresidents with limited functional dependency
of interest and marketing. Now used to treat many- High compliance with vibration exercise
health challenges, scientists are documenting positiveA study on nursing home residents using Vibrational
changes in more and more health related challengesTechnology to enhance balance and mobility
by the day including; osteoporosis, loss of muscleconcluded with this statement: "In nursing home
tone in MS, Parkinson's Disease and even variousresidents with limited functional dependency, six
forms of paralysis, back pain, pain, ankle and kneeweeks static WBVT exercise is feasible, and is
injuries, arthritis, emphysema, stroke recovery,beneficial for balance and mobility. The supplementary
varicose veins, and cerebral palsy just to name abenefit of WBVT on muscle performance compared
few.By standing on the plate, the vibration generatesto classic exercise remains to be explored further."
systematic involuntary muscle contraction through(Bautmans I. et al; 2005)
out the body, which not only increases your flexibilityScientific principles underlying vibration training:
but also burns fat by increasing your metabolism- Myotatic Stretch Reflex
while it improves your circulation and provides your- Tonic Vibration Reflex
cells with ideal oxygen and nutrient delivery to slow- Neurological Adaptation to Exercise
the degenerative process.The platform drops either 2- Excitation of the GTO (Golgi Tendon Organ)
or 4 mm. This is a very small and gentle drop. For- Optimal Recruitment of Motor Units
example, let's say that you are standing on the- Force and power output through increased
vibration plate with a gentle knee bend. Once theacceleration
platform drops 2 mm, your muscle is quickly- Stretch-Shortening-Cycle (SSC) Model
lengthened, or 'stretched'. The body reacts to this by- Effects on the Hormonal System o Effects on the
quickly contracting the muscle. By the time it doesCirculatory System
that, the platform is already back at the first position.- Effect on the skeletal system through Wolff's Law
The platform drops again and this is repeated. Sinceadaptation, shifting the force/velocity curve to the
the platform has been designed to do this 20 to 50right (faster strength gains)
times per second, you can get a maximum of 50In summary it could be said that WBVT holds
muscle contractions per second! In one minute, youpromise as a significant tool for physiotherapists,
can actually get 3000 safe and gentle musclesport injury specialists and rehabilitation clinics. It use
contractions. This is the equivalent to doing 3000in such places is certainly warranted and more
knee bends. In addition to these muscle contractions,research should be encouraged to further the
vibration exercise is also able to work more of thedocumentation of positive health and fitness benefits
muscles.for any age of person and many health challenged
Because the vibration effect makes the musclesindividuals.
contract involuntarily, all muscles that are beingResources:
exercised will be activated. In fact, with regularBarry, Patrick L. quot;Good Vibrations: A New
training such as weight lifting, only 40% of yourTreatment Under Study by NASA-funded Doctors
muscles will be working. With vibration exercise, thatCould Reverse Bone Loss Experienced by Astronauts
number can reach nearly 100%. Not only will you getin Space." Science @ NASA Web site, Nov. 2, 2001.
more muscle contractions in a short period of time,Bone Density:
but also more of your muscles will be working duringClinton Rubin, Robert Recker, Diane Cullen, John
this time. All this leads to vibration exercise being aRyaby, Joan McCabe,and Kenneth McLeod4JOURNAL
safe and fast way to exercise effectively.ResearchOF BONE AND MINERAL RESEARCHVolume 19,
published in the American Journal of bone MineralNumber 3, 2004Published online on December 22,
Research has shown that vibration technology can2003; doi: 10.1359/JBMR.0301251© 2004
lead to an increase in bone density similar to thatAmerican Society for Bone and Mineral Research
achieved by weight-bearing exercises normallyKawanabe K., A. Kawashima, I. Sashimoto, T. Takeda,
prescribed for osteoporosis. WBVT is deliveringY. Sato, and J. Iwamoto, (2007). "Effect of
results in less time and with less stress on olderwhole-body vibration exercise and muscle
patients and can even be used safely in aged carestrengthening, balance, and walking exercises on
homes.walking ability in the elderly." Keio Journal of Medicine.
In addition to the increase in bone density the2007 Mar. 56(1): 28-33.
research also showed that the acceleration trainingVerschueren, S., M. Roelants, C. Delecluse, S. Swinnen,
led to an improvement in postural control and balance.D. Vanderschueren and S. Boonen. "Effect of 6-Month
These effects can help to reduce the risk of falls andWhole Body Vibration Training on Hip Density, Muscle
therefore reduce the risk of broken bones inStrength, and Postural Control in Postmenopausal
osteoporosis patients."After twelve weeks of steadyWomen: A Randomized Controlled Pilot Study."
use once, twice or three times per week with 20Journal of Bone and Mineral Research, Vol. 19, March
subjects, including myself, I am happy to share with2004, pg. 352-359.
you the very positive effects my clients and I haveCirculation
enjoyed due to use of the Power Plate:Kerschan-Schindl K, Grampp S, Henk C, Resch H,
1. Increased endocrine balance ...Preisinger E, Fialka-Moser V, Imhof H. (2001).
2. Increased range of motion ...Whole-body vibration exercise leads to alterations in
3. Improved circulation and lymphatic return ...muscle blood volume. Department of Physical
4. Rapid growth of lean muscle ...Medicine and Rehabilitation, University of Vienna,
5. Improved proprioception, balance, righting and tiltingVienna, Austria. PMID: 11380538 [PubMed - indexed
reflexes ...for MEDLINE]Lohman EB 3rd, Petrofsky JS,
6. Loss of subcutaneous fat ...Maloney-Hinds C, Betts-Schwab H, Thorpe D. The
7. While my clients hope to see, over time, reversaleffect of whole body vibration on lower extremity
of bone loss, they have baseline bone densityskin blood flow in normal subjects. Department of
measurements to compare to ...Physical Therapy, Loma Linda University, Loma Linda,
8. Pain reduction ...CA 92350, USA. PMID: 17261985 [PubMed - indexed
9. Increased energy ...for MEDLINE]
After the 2-month exercise program, the walkingAging and Geriatric Care
speed, step length, and the maximum standing timeBautmans I, Van Hees E, Lemper JC, Mets T. (2005)
on one leg were significantly improved in the WBVThe feasibility of Whole Body Vibration in
exercise plus routine exercises group, while noinstitutionalised elderly persons and its influence on
significant changes in these parameters weremuscle performance, balance and mobility: a
observed in the routine exercises alone group. Thus,randomised controlled trial [ISRCTN62535013].
the present study showed the beneficial effect of