Effect of semi-recumbent vibration exercise on muscle outcomes in older adults: a pilot randomized controlled clinical trial

Murad H Taani, Neil Binkley, Ronald Gangnon, Diane Krueger, Bjoern Buehring, Murad H Taani, Neil Binkley, Ronald Gangnon, Diane Krueger, Bjoern Buehring

Abstract

Background: Many older adults with physical limitations living in residential care apartments are unable to exercise in a standing position and are at risk for declining in muscle function leading to falls and injury. Novel approaches to achieve exercise benefits are needed. The purpose of this study was to test the effect of semi-recumbent vibration exercise on muscle outcomes in older adults living in residential care apartment complexes (RCACs).

Methods: A randomized, crossover design was used to examine the effect of semi-recumbent vibration exercise on muscle function and mass among 32 RCAC residents (mean age 87.5 years) with physical limitations. Participants received a randomized sequence of two study conditions: sham or vibration for 8 weeks each separated by a 4-week washout. Before and after the 8 weeks of vibration treatment and sham treatment, muscle mechanography was used to assess muscle function including jump power, weight-corrected jump power, and jump height. Short physical performance battery (SPPB) and handgrip strength were also used to measure muscle function. Bioelectrical impedance spectroscopy was used to estimate skeletal muscle mass. The effect of the vibration treatment on muscle outcomes was analyzed through mixed effects linear regression models.

Results: Vibration exercise leads to better jump height (p < .05) compared to sham exercise but also poorer chair rise performance (p = 0.012). Other muscle functions tests and muscle mass parameters showed non-significant changes.

Conclusion: This small pilot study showed no conclusive results on the effect of semi-recumbent vibration exercise on muscle function and mass in older adults living in RCAC. However, the promising signals of improved jump performance could be used to power larger studies of longer duration with various vibration doses to determine the benefit of vibration exercise in this physically impaired, high-risk population with few exercise capabilities.

Trial registration: The study is registered at clinicaltrials.gov ( NCT02533063 ; date of first registration 26/08/2015).

Keywords: Exercise; Jump power; Muscle function; Residential care apartment complexes.

Conflict of interest statement

The authors declare they have no competing interests.

© 2022. The Author(s).

Figures

Fig. 1
Fig. 1
Study flowchart
Fig. 2
Fig. 2
CONSORT diagram of progress through the enrolment, intervention allocation, follow-up, and data analysis of this study

References

    1. Larsson L, Degens H, Li M, Salviati L, et al. Sarcopenia: aging-related loss of muscle mass and function. Physiol Rev. 2019;99(1):427–511. doi: 10.1152/physrev.00061.2017.
    1. Cruz-Jentoft AJ, Bahat G, Bauer J, et al. Sarcopenia: Revised European consensus on definition and diagnosis. Age Ageing. 2019;48(1):16–31. doi: 10.1093/ageing/afy169.
    1. Fragala MS, Cadore EL, Dorgo S, et al. Resistance training for older adults: Position statement from the national strength and conditioning association. J Strength Cond Res. 2019;33(8):2019–2052. doi: 10.1519/JSC.0000000000003230.
    1. Keadle SK, McKinnon R, Graubard BI, et al. Prevalence and trends in physical activity among older adults in the United States: A comparison across three national surveys. Prev Med. 2016;89:37–43. doi: 10.1016/j.ypmed.2016.05.009.
    1. Rivera-Torres S, Fahey TD, Rivera MA. Adherence to exercise programs in older adults: Informative report. Gerontol Geriatr Med. 2019;5:1–10. doi: 10.1177/2333721418823604.
    1. Rogan S, Taeymans J, Radlinger L, et al. Effects of whole-body vibration on postural control in elderly: An update of a systematic review and meta-analysis. Arch Gerontol Geriatr. 2017;73:95–112. doi: 10.1016/j.archger.2017.07.022.
    1. Guedes-Aguiar EO, de Sá-Caputo DDC, Moreira-Marconi E, et al. Effect of whole-body vibration exercise in the pelvic floor muscles of healthy and unhealthy individuals: A narrative review. Transl Androl Urol. 2019;8(4):395–404. doi: 10.21037/tau.2019.06.14.
    1. Sitjà-Rabert M, Rigau D, Vanmeerghaeghe AF, et al. Efficacy of whole body vibration exercise in older people: A systematic review. Disabil Rehabil. 2012;34:883–893. doi: 10.3109/09638288.2011.626486.
    1. Taani MH, Siglinsky E, Kovach CR, et al. Psychosocial factors associated with reduced muscle mass, strength, and function in residential care apartment complex residents. Res Gerontol Nurs. 2018;11(5):238–248. doi: 10.3928/19404921-20180810-02.
    1. Taani MH, Siglinsky E, Libber J, et al. Semi-recumbent vibration exercise in older adults: A pilot study of methodology, feasibility, and safety. Gerontol Geriatr Med. 2019;5:1–8. doi: 10.1177/2333721419881552.
    1. Kruschke C. Kruschke C Leadership skills for licensed practical nurses working with the aging population. Cham: Springer; 2018. Current and future trends in long-term care; pp. 123–139.
    1. Taani MH, Kovach CR, Buehring B. Muscle mechanography: A novel method to measure muscle function in older adults. Res Gerontol Nurs. 2017;10(1):17–24. doi: 10.3928/19404921-20161209-03.
    1. Buehring B, Krueger D, Binkley N. Jumping mechanography: A potential tool for sarcopenia evaluation in older individuals. J Clin Densitom. 2010;13(3):283–291. doi: 10.1016/j.jocd.2010.04.002.
    1. Guralnik JM, Simonsick EM, Ferrucci L, et al. A short physical performance battery assessing lower extremity function: Association with self-reported disability and prediction of mortality and nursing home admission. Journals Gerontol. 1994;49(2):M85–94. doi: 10.1093/geronj/49.2.m85.
    1. Mathiowetz V. Comparison of Rolyan and Jamar dynamometers for measuring grip strength. Occup Ther Int. 2002;9(3):201–209. doi: 10.1002/oti.165.
    1. Yamada Y, Watanabe Y, Ikenaga M, et al. Comparison of single-or multifrequency bioelectrical impedance analysis and spectroscopy for assessment of appendicular skeletal muscle in the elderly. J Appl Physiol. 2013;115(6):812–818. doi: 10.1152/japplphysiol.00010.2013.
    1. Steihaug OM, Gjesdal CG, Bogen B, et al. Identifying low muscle mass in patients with hip fracture: Validation of bioelectrical impedance analysis and anthropometry compared to dual energy X-ray absorptiometry. J Nutr Health Aging. 2016;20(7):685–690. doi: 10.1007/s12603-016-0686-1.
    1. Rittweger J. Vibration as an exercise modality: how it may work, and what its potential might be. Eur J Appl Physiol. 2010;108(5):877–904. doi: 10.1007/s00421-009-1303-3.
    1. Kenward MG, Roger JH. The use of baseline covariates in crossover studies. Biostatistics. 2010;11(1):1–17. doi: 10.1093/biostatistics/kxp046.
    1. Chen H, Ma J, Lu B, et al. The effect of whole-body vibration training on lean mass: A PRISMA-compliant meta-analysis. Medicine. 2017;96(45). e8390. 10.1097/MD.0000000000008390
    1. Wu S, Ning HT, Xiao SM, et al. Effects of vibration therapy on muscle mass, muscle strength and physical function in older adults with sarcopenia: A systematic review and meta-analysis. Eur Rev Aging Phys Act. 2020;17(1):1–12. doi: 10.1186/s11556-020-00247-5.
    1. Wei N, Pang MY, Ng SS, et al. Optimal frequency/time combination of whole-body vibration training for improving muscle size and strength of people with age-related muscle loss (sarcopenia): A randomized controlled trial. Geriatr Gerontol Int. 2017;17(10):1412–1420. doi: 10.1111/ggi.12878.
    1. Mikhael M, Orr R, Amsen F, et al. Effect of standing posture during whole body vibration training on muscle morphology and function in older adults: A randomised controlled trial. BMC Geriatr. 2010;74. 10.1186/1471-2318-10-74.
    1. Pietrangelo T, Mancinelli R, Toniolo L, Cancellara L, Paoli A, Puglielli C, ... & Reggiani, C. Effects of local vibrations on skeletal muscle trophism in elderly people: mechanical, cellular, and molecular events. Int J Mol Med. 2009;24(4):503–512.

Source: PubMed

Sponsoren und Mitarbeiter

Krankheiten

Drogeninterventionen

3
Abonnieren