Effects of 3 months of short sessions of controlled whole body vibrations on the risk of falls among nursing home residents

Charlotte Beaudart, Didier Maquet, Mélanie Mannarino, Fanny Buckinx, Marie Demonceau, Jean-Michel Crielaard, Jean-Yves Reginster, Olivier Bruyère, Charlotte Beaudart, Didier Maquet, Mélanie Mannarino, Fanny Buckinx, Marie Demonceau, Jean-Michel Crielaard, Jean-Yves Reginster, Olivier Bruyère

Abstract

Background: Fatigue, lack of motivation and low compliance can be observed in nursing home residents during the practice of physical activity. Because exercises should not be too vigorous, whole body vibration could potentially be an effective alternative. The objective of this randomized controlled trial was to assess the impact of 3-month training by whole body vibration on the risk of falls among nursing home residents.

Methods: Patients were randomized into two groups: the whole body vibration group which received 3 training sessions every week composed of 5 series of only 15 seconds of vibrations at 30 Hz frequency and a control group with normal daily life for the whole study period. The impact of this training on the risk of falls was assessed blindly by three tests: the Tinetti Test, the Timed Up and Go test and a quantitative evaluation of a 10-second walk performed with a tri-axial accelerometer.

Results: 62 subjects (47 women and 15 men; mean age 83.2 ± 7.99 years) were recruited for the study. No significant change in the studied parameters was observed between the treated (n=31) and the control group (n=31) after 3 months of training by controlled whole-body-vibrations. Actually, the Tinetti test increased of + 0.93 ± 3.14 points in the treated group against + 0.88 ± 2.33 points in the control group (p = 0.89 when adjusted). The Timed Up and Go test showed a median evolution of - 1.14 (- 4.75-3.73) seconds in the treated group against + 0.41 (- 3.57- 2.41) seconds in the control group (p = 0.06). For the quantitative evaluation of the walk, no significant change was observed between the treated and the control group in single task as well as in dual task conditions.

Conclusions: The whole body vibration training performed with the exposition settings such as those used in this research was feasible but seems to have no impact on the risk of falls among nursing home residents. Further investigations, in which, for example, the exposure parameters would be changed, seem necessary.

Trial registration number: NCT01759680.

Figures

Figure 1
Figure 1
The Vibrosphere® device.
Figure 2
Figure 2
Flowchart of the study.

References

    1. Rubenstein LZ, Josephson KR. The epidemiology of falls and syncope. Clinics in geriatric medicine. 2002;18(2):141–158. doi: 10.1016/S0749-0690(02)00002-2.
    1. Gillespie LD, Gillespie WJ, Robertson MC, Lamb SE, Cumming RG, Rowe BH. Interventions for preventing falls in elderly people. Cochrane Database Syst Rev. 2003;4 CD000340.
    1. Rubenstein LZ, Josephson KR, Robbins AS. Falls in the nursing home. Ann Intern Med. 1994;121(6):442–451. doi: 10.7326/0003-4819-121-6-199409150-00009.
    1. Rolland Y, Pillard F, Klapouszczak A, Reynish E, Thomas D, Andrieu S, Riviere D, Vellas B. Exercise program for nursing home residents with Alzheimer's disease: a 1-year randomized, controlled trial. J Am Geriatr Soc. 2007;55(2):158–165. doi: 10.1111/j.1532-5415.2007.01035.x.
    1. Karlsson MK, Nordqvist A, Karlsson C. Physical activity, muscle function, falls and fractures. Food & nutrition research. 2008;52 doi: 10.3402/fnr.v52i0.1920.
    1. Heesch KC, Byles JE, Brown WJ. Prospective association between physical activity and falls in community-dwelling older women. Journal of epidemiology and community health. 2008;62(5):421–426. doi: 10.1136/jech.2007.064147.
    1. Sherrington C, Tiedemann A, Fairhall N, Close JC, Lord SR. Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations. New South Wales public health bulletin. 2011;22(3–4):78–83.
    1. Brooke-Wavell K, Mansfield NJ. Risks and benefits of whole body vibration training in older people. Age and ageing. 2009;38(3):254–255.
    1. Bogaerts A, Verschueren S, Delecluse C, Claessens AL, Boonen S. Effects of whole body vibration training on postural control in older individuals: a 1 year randomized controlled trial. Gait & posture. 2007;26(2):309–316. doi: 10.1016/j.gaitpost.2006.09.078.
    1. Bautmans I, Van Hees E, Lemper JC, Mets T. The feasibility of Whole Body Vibration in institutionalised elderly persons and its influence on muscle performance, balance and mobility: a randomised controlled trial [ISRCTN62535013] BMC Geriatr. 2005;5:17. doi: 10.1186/1471-2318-5-17.
    1. Bogaerts A, Delecluse C, Boonen S, Claessens AL, Milisen K, Verschueren SM. Changes in balance, functional performance and fall risk following whole body vibration training and vitamin D supplementation in institutionalized elderly women. A 6 month randomized controlled trial. Gait & posture. 2011;33(3):466–472.
    1. Bruyere O, Wuidart MA, Di Palma E, Gourlay M, Ethgen O, Richy F, Reginster JY. Controlled whole body vibration to decrease fall risk and improve health-related quality of life of nursing home residents. Archives of physical medicine and rehabilitation. 2005;86(2):303–307. doi: 10.1016/j.apmr.2004.05.019.
    1. Furness TP, Maschette WE, Lorenzen C, Naughton GA, Williams MD. Efficacy of a whole-body vibration intervention on functional performance of community-dwelling older adults. J Altern Complement Med. 2010;16(7):795–797. doi: 10.1089/acm.2009.0366.
    1. Kawanabe K, Kawashima A, Sashimoto I, Takeda T, Sato Y, Iwamoto J. Effect of whole-body vibration exercise and muscle strengthening, balance, and walking exercises on walking ability in the elderly. The Keio journal of medicine. 2007;56(1):28–33. doi: 10.2302/kjm.56.28.
    1. Pollock RD, Martin FC, Newham DJ. Whole-body vibration in addition to strength and balance exercise for falls-related functional mobility of frail older adults: a single-blind randomized controlled trial. Clin Rehabil. 2012;26(10):915–923. doi: 10.1177/0269215511435688.
    1. Rees S, Murphy A, Watsford M. Effects of vibration exercise on muscle performance and mobility in an older population. Journal of aging and physical activity. 2007;15(4):367–381.
    1. Roelants M, Delecluse C, Verschueren SM. Whole-body-vibration training increases knee-extension strength and speed of movement in older women. J Am Geriatr Soc. 2004;52(6):901–908. doi: 10.1111/j.1532-5415.2004.52256.x.
    1. Cheung WH, Mok HW, Qin L, Sze PC, Lee KM, Leung KS. High-frequency whole-body vibration improves balancing ability in elderly women. Archives of physical medicine and rehabilitation. 2007;88(7):852–857. doi: 10.1016/j.apmr.2007.03.028.
    1. Perell KL, Nelson A, Goldman RL, Luther SL, Prieto-Lewis N, Rubenstein LZ. Fall risk assessment measures: an analytic review. The journals of gerontology Series A, Biological sciences and medical sciences. 2001;56(12):M761–766. doi: 10.1093/gerona/56.12.M761.
    1. Tinetti ME. Performance-oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc. 1986;34(2):119–126.
    1. Mathias S, Nayak US, Isaacs B. Balance in elderly patients: the "get-up and go" test. Archives of physical medicine and rehabilitation. 1986;67(6):387–389.
    1. Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Phys Ther. 2000;80(9):896–903.
    1. Auvinet B, Berrut G, Touzard C, Moutel L, Collet N, Chaleil D, Barrey E. Gait abnormalities in elderly fallers. Journal of aging and physical activity. 2003;11:40–52.
    1. VanSwearingen JM, Brach JS. Making geriatric assessment work: selecting useful measures. Phys Ther. 2001;81(6):1233–1252.
    1. Merkert J, Butz S, Nieczaj R, Steinhagen-Thiessen E, Eckardt R. Combined whole body vibration and balance training using Vibrosphere(R): improvement of trunk stability, muscle tone, and postural control in stroke patients during early geriatric rehabilitation. Z Gerontol Geriatr. 2011;44(4):256–261. doi: 10.1007/s00391-011-0170-9.
    1. de Morton NA. The PEDro scale is a valid measure of the methodological quality of clinical trials: a demographic study. The Australian J Phys. 2009;55(2):129–133. doi: 10.1016/S0004-9514(09)70043-1.

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