- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00420940
The Influence of Vibration on Bone Mineral Density in Women Who Have Weak Bones After Menopause
The Effect of Daily Whole-Body Vibration on Tibial Trabecular Bone Mineral Density in Osteopenic Postmenopausal Women
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
BACKGROUND:
Recent animal studies have shown that whole-body vibration increases bone mineral density. The effect of whole-body vibration on bone has been examined in only six small human studies with inconsistent results. Two of these studies have shown whole-body vibration reduces bone loss after menopause. Studies that used higher speed whole-body vibration may have produced greater reductions in bone loss.
OBJECTIVE AND HYPOTHESIS:
The objective of this study is to examine the effects of two whole-body vibration speeds trabecular BMD in the lower leg in osteopenic postmenopausal women. Two hundred postmenopausal women will take part in this 12-month study. Women will be randomly assigned into three groups (67 women per group) and these groups will be compared. Group 1 will receive very fast (90 Hz) whole-body vibration, Group 2 will receive fast (30 Hz) whole-body vibration, and Group 3 will not receive whole-body vibration. The hypothesis of this study is that the in comparison to Group 3 (no vibration), Groups 1 (very fast vibration, 90 Hz) and 2 (fast vibration, 30 Hz) will experience reduced bone loss over 12 months, and that the greatest reduction in bone loss will be experienced by Group 1.
METHODOLOGY:
Women with any clinical conditions that affect bone and those receiving drugs that affect bone will be excluded. The whole-body vibration therapy will involve standing barefoot and upright on a vibration platform daily for 20 minutes. Data will be collected at baseline, and at 12 months of follow-up. Our primary analysis will evaluate whether there are differences in changes in trabecular BMD in the lower leg (as measured by peripheral quantitative computed tomography; pQCT) between Groups 1, 2, and 3. Our secondary analyses will examine whether there are differences in changes in the following bone characteristics between Groups 1, 2, and 3:
- trabecular bone quality in the lower leg (as measured by pQCT)
- cortical bone BMD and quality in the lower leg (as measured by pQCT)
- trabecular and cortical bone BMD and quality in the wrist (as measured by pQCT)
- BMD at the hip and spine (as measured by dual x-ray absorptiometry, DXA)
- BMD and quality at the heel (as measured by quantitative ultrasound).
SIGNIFICANCE:
Based on current scientific understanding of bone remodeling, vibration devices have the potential to play a significant part in maintaining bone health in postmenopausal women. The results of this study will help us determine whether low-magnitude, high-frequency WBV at different vibration rates produces variable effects on bone, hence explaining the inconsistency of the results obtained previously. This study will also lay the ground work for future large-scale randomized controlled trials that are needed to investigate the long-term effects of WBV on preventing postmenopausal bone loss. If effective, WBV can be another non-pharmaceutical strategy to decrease bone loss in postmenopausal women. This in turn will decrease the number of osteoporotic fractures and their associated morbidity and mortality.
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
Ontario
-
Toronto, Ontario, Canada, M5G 2C4
- University Health Network
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- osteopenic
- postmenopausal
Exclusion Criteria:
- use of HRT in the past 12 months
- use of raloxifene or parathyroid hormone in the past 6 months
- use of bisphosphonates or fluoride in the past 3 months or ever taken for more than 3 months
- current use of calcitonin
- use of other medications that may indirectly affect bone metabolism
- presence of metabolic bone disease or diseases that indirectly affect bone metabolism
- occurrence of fragility fracture over 40 years of age
- presence of unhealed non-fragility fracture (i.e., occurring less then 6 months ago)
- having body mass ≤28 kg and ≥90 kg
- having knee or hip joint replacements and spine implants
- having poor balance (assessed by Timed-Up-and-Go)
- presence of other medical risks for the study
- inability to stand erect daily for 20 minutes
- planned vacation or other activities that would prevent one from using the platform for ≥1 month
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: 90 Hz whole-body vibration
20-minute daily whole-body vibration at 90 Hz and 0.3g
|
Standing on a DMT whole-body vibration platform for 20 minutes per day at a frequency of 90 Hz and acceleration due to gravity of 0.3g
Other Names:
|
Experimental: 30 Hz whole-body vibration
20-minute daily whole-body vibration at 90 Hz and 0.3g
|
Standing on a DMT whole-body vibration platform for 20 minutes per day at a frequency of 90 Hz and acceleration due to gravity of 0.3g
Other Names:
|
No Intervention: control
control group (receiving no vibration)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Trabecul volumetric bone mineral density (BMD) of the lower tibia (using peripheral quantitative computed tomography; pQCT))
Time Frame: Baseline and 12 months
|
Baseline and 12 months
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Total BMD of the lower tibia (using pQCT)
Time Frame: Baseline and 12 months
|
Baseline and 12 months
|
Cortical BMD and cortical thickness of the lower tibia (using pQCT)
Time Frame: Baseline and 12 months
|
Baseline and 12 months
|
Trabecular thickness, separation, and number of the lower tibia (using pQCT)
Time Frame: Baseline and 12 months
|
Baseline and 12 months
|
Total BMD of the distal radius (using pQCT)
Time Frame: Baseline and 12 months
|
Baseline and 12 months
|
Cortical BMD and cortical thickness of the distal radius (using pQCT)
Time Frame: Baseline and 12 months
|
Baseline and 12 months
|
Trabecular BMD and thickness, separation, and number of the distal radius (using pQCT)
Time Frame: Baseline and 12 months
|
Baseline and 12 months
|
BMD at the total hip (using dual x-ray absorptiometry; DXA)
Time Frame: Baseline and 12 months
|
Baseline and 12 months
|
BMD at the femoral neck (using DXA)
Time Frame: Baseline and 12 months
|
Baseline and 12 months
|
BMD lumbar spine (using DXA)
Time Frame: Baseline and 12 months
|
Baseline and 12 months
|
BMD at the calcaneus (using quantitative ultrasound; QUS)
Time Frame: Baseline and 12 months
|
Baseline and 12 months
|
Speed of sound and broadband ultrasound attenuation at the calcaneus (QUS)
Time Frame: Baseline and 12 months
|
Baseline and 12 months
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Angela M Cheung, M.D., Ph.D., University Health Network, University of Toronto
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 06-0332-AE
- PSI 06-28 (Other Grant/Funding Number: The Physicians' Services Incorporated Foundation)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Osteoporosis
-
Radius Health, Inc.CompletedOsteoporosis | Osteoporosis Risk | Osteoporosis, Postmenopausal | Osteoporosis Fracture | Osteoporosis, Age-Related | Osteoporosis Localized to Spine | Osteoporosis Senile | Osteoporosis of Vertebrae | Osteoporosis VertebralUnited States
-
Radius Health, Inc.CompletedOsteoporosis | Age Related Osteoporosis | Osteoporosis, Age-Related | Osteoporosis Localized to Spine | Osteoporosis Senile | Osteoporosis of VertebraeUnited States, Poland, Italy
-
Hoffmann-La RocheCompletedPostmenopausal OsteoporosisUnited States
-
Hoffmann-La RocheCompletedPost Menopausal OsteoporosisUnited States, Puerto Rico
-
Centre Hospitalier Universitaire de Saint EtienneMinistry of Health, FranceRecruitingPost Menopausal OsteoporosisFrance
-
AmgenCompletedPost Menopausal OsteoporosisFrance
-
Hoffmann-La RocheCompletedPost Menopausal OsteoporosisUnited States
-
Hoffmann-La RocheCompletedPost Menopausal OsteoporosisSpain, South Africa, Germany, Mexico, United States, Canada, France, United Kingdom, Italy, Belgium, Australia, Poland, Denmark, Hungary, Czech Republic, Norway
-
Hoffmann-La RocheGlaxoSmithKlineCompletedPost Menopausal OsteoporosisFrance
-
Novartis PharmaceuticalsCompletedPost-menopausal OsteoporosisColombia, Belgium, Sweden, Hong Kong, United States, Hungary, Switzerland, Australia, Germany, Italy, Canada, Poland, Argentina, Thailand, Norway, New Zealand, France, Finland
Clinical Trials on Juvent 1000 Dynamic Motion Therapy (DMT) Platform
-
Maastricht University Medical CenterUniversity of Sheffield; Research Center for Ageing and Osteoporosis, Copenhagen...CompletedOsteoporosisNetherlands
-
Sheffield Teaching Hospitals NHS Foundation TrustUniversity of SheffieldCompleted
-
University Hospital of FerraraCompletedTraumatic Brain Injury | Balance Disorders | Attention DeficitsItaly
-
Rennes University HospitalCompleted
-
Juan-Víctor Lorente, MD, PhDCompleted
-
Hacettepe UniversityCompletedQuality of Life | Physical Disability | Psychosocial Problem | Meniere DiseaseTurkey