Whole Body Vibration Machines in Osteoporosis Prevention: A Review
Journal name: The Malaysian Journal of Medical Sciences
Original article title: Role of the Whole Body Vibration Machine in the Prevention and Management of Osteoporosis in Old Age: A Systematic Review
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
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Original source:
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Myint Swe, Biju Benjamin, Aye Aye Tun, Sandheep Sugathan
The Malaysian Journal of Medical Sciences:
(A peer-reviewed, open-access journal)
Full text available for: Role of the Whole Body Vibration Machine in the Prevention and Management of Osteoporosis in Old Age: A Systematic Review
Year: 2016 | Doi: 10.21315/mjms2016.23.5.2
Copyright (license): CC BY 4.0
Download the PDF file of the original publication
Summary of article contents:
Introduction
Whole body vibration (WBV) is understood as a method of delivering vibrations to the body through the feet or seat, which has garnered attention for its potential health implications. Prolonged exposure to high levels of vibration can negatively impact health, particularly in at-risk occupations such as bus drivers and heavy machinery operators, due to its known adverse effects on the skeletal and nervous systems. Osteoporosis, a condition characterized by diminished bone mineral density (BMD) and heightened fracture risk, is particularly relevant in aging populations, especially postmenopausal women. Given that maintaining or increasing BMD is crucial for preventing osteoporosis, low-magnitude, high-frequency vibration may serve as an effective therapeutic intervention.
Examining the Impact of WBV on Bone Mineral Density
A systematic review of randomized controlled trials focusing on the effects of WBV on BMD revealed promising results for postmenopausal women. The review narrowed down 276 initial trials to nine eligible studies involving 1,486 participants. Most studies utilized dual-energy x-ray absorptiometry (DXA) to evaluate BMD, with findings indicating that WBV generally leads to significant increases in BMD in certain bone regions, such as the hip and lumbar spine. Notably, the review highlighted that optimal vibration frequency and magnitude are vital for achieving positive outcomes, with experts suggesting that frequencies around 30 Hz could be most effective. However, variations in study design, including differences in vibration parameters and measurement sites, limit the ability to draw definitive conclusions about the best practices for using WBV therapy.
Conclusion
In conclusion, while the available evidence supports WBV as a helpful adjunct for managing osteoporosis in postmenopausal women by improving BMD, further studies are required to standardize treatment protocols. Such studies should focus on optimizing frequency, amplitude, and measurement sites, particularly favoring reliable methods like DXA for assessing BMD changes. The findings from the review suggest that WBV therapy could be an effective non-pharmacological approach to support the prevention and management of osteoporosis, with future research essential to establishing clear guidelines for its application, particularly in older adults and potentially underserved populations, such as elderly men.
FAQ section (important questions/answers):
What was the aim of the literature search conducted in the study?
The aim was to analyze randomized controlled trials regarding the effects of whole body vibration (WBV) machines on bone mineral density and osteoporosis in older populations, particularly postmenopausal women.
What significant findings were reported about WBV therapy and BMD?
The study concluded that WBV therapy could significantly increase bone mineral density (BMD) in postmenopausal women, with many trials reporting positive results when using appropriate frequencies and magnitudes of vibration.
What limitations were identified in the studies reviewed?
The major limitations included variability in WBV machine specifications, such as frequencies and amplitudes, which made it difficult to determine the optimal conditions for improving bone health effectively.
What recommendations were made for future research on WBV machines?
Future research should standardize the frequency at 30 Hz, explore different amplitude levels, measure BMD primarily in the femur and lumbar spine, and utilize DXA for accurate assessments.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Whole Body Vibration Machines in Osteoporosis Prevention: A Review”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Training:
Training refers to the process of preparing or developing someone or something in a particular skill or area, often through practice and instruction. In the context of this systematic review, training may refer to physical rehabilitation exercises designed specifically for individuals, particularly postmenopausal women, to maintain or improve bone mineral density (BMD) and prevent osteoporosis. The relevance of training in this study property affects the formulation of intervention programs for enhancing physical capabilities and health outcomes in older adults.
2) Study (Studying):
Studying involves engaging with subject matter to understand its nuances and intricacies, often through systematic analysis. This concept is at the core of the conducted research, involving a rigorous examination of randomized controlled trials to derive evidence regarding the efficacy of WBV. Studying is crucial for generating insights that inform clinical practices, especially concerning conditions like osteoporosis and their management.
3) Table:
Table refers to a structured arrangement of data, typically in rows and columns, used to display and summarize research findings in a comprehensible format. In the study, the table presents detailed characteristics of various trials included in the analysis, such as sample size, intervention specifics, and outcomes concerning bone mineral density. Tables serve as effective tools for readers to quickly assess data and facilitate comparisons among different studies referenced in the literature review.
4) Mineral:
Mineral refers to naturally occurring inorganic substances essential for various bodily functions, including bone health. In the context of osteoporosis, minerals like calcium and magnesium play critical roles in bone formation and maintenance. The review emphasizes the importance of minerals in conjunction with physical interventions like WBV exercises, as adequate mineral intake is necessary for optimizing bone mineral density (BMD) in postmenopausal women and preventing fractures.
5) Post:
Post, derived from the term postmenopausal, pertains to the period following menopause in women, characterized by a significant decrease in estrogen levels that contributes to bone loss and increased osteoporosis risk. The relevance of this term in the review highlights the demographic focus of the study, targeting older women who are more susceptible to decreased bone density and related health complications, thus necessitating targeted interventions to improve their quality of life.
6) Measurement:
Measurement involves the process of obtaining the quantitative data of a particular parameter, in this context referring specifically to the assessment of bone mineral density (BMD). Accurate measurement techniques, such as dual-energy x-ray absorptiometry (DXA), are critical in evaluating the effectiveness of interventions like WBV. The findings from this systematic review rely heavily on precise measurements to draw conclusions and inform clinical practice concerning osteoporosis management in varying populations.
7) Activity:
Activity denotes actions or tasks performed by individuals, including physical exercises that stimulate bodily systems. In relation to the study, it underscores the significance of regular physical activity in maintaining or improving BMD in older individuals. The review further establishes a clear link between increased activity levels and enhanced bone health, particularly in populations at higher risk of osteoporosis, thereby emphasizing the role of therapeutic interventions.
8) Pain:
Pain signifies a subjective experience often associated with injury, illness, or underlying health conditions. In the context of osteoporosis, pain can result from fractured bones that are more likely to occur as bone density decreases with age. The study addresses pain management strategies, highlighting the use of WBV not only as a preventive measure for osteoporosis but also as a potential intervention to mitigate chronic pain associated with weakened skeletal structures.
9) Hand:
Hand refers to the anatomical structure that allows for manipulation and interaction with the environment, frequently engaged in activities requiring strength and dexterity. In this study, the term may signify the context of occupations involving hand-arm vibration, which could negatively affect bone health and contribute to the onset of conditions like hand-arm vibration syndrome. Thus, it highlights the need for preventive strategies to mitigate occupational risks.
10) Male:
Male corresponds to one of the two primary sexes in biological classification, often associated with specific physical and hormonal traits. Although the study mainly focuses on postmenopausal women, understanding the differences between genders in terms of bone density responses to interventions like WBV may provide insights into the formulation of tailored treatment strategies for men. Future research may explore the potential benefits of WBV on male populations for comparative and comprehensive health analyses.
11) Science (Scientific):
Science encompasses the systematic study of the natural world through observation, experimentation, and evidence-based reasoning. In the context of this systematic review, science plays a crucial role in validating the efficacy of therapeutic interventions like WBV exercise on bone density. Scientific inquiry establishes the foundation for credible knowledge that informs clinical practices and guidelines for managing osteoporosis and related conditions.
12) Pulse:
Pulse refers to the rhythmic throbbing of arteries caused by the beating of the heart, crucial for assessing cardiovascular health. While not directly mentioned in the context of the study, understanding pulse and its relationship with physical activity can be relevant for evaluating overall cardiovascular fitness and health status of individuals engaged in exercise programs, including those utilizing WBV therapy, thus indirectly influencing bone health.
13) Ter:
Ther, possibly short for therapy, refers to treatment aimed at alleviating or curing a disease or disorder. In this systematic review, various therapies, primarily non-pharmacological methods like WBV exercise, are analyzed for their effectiveness in enhancing bone health and managing osteoporosis. Understanding the therapeutic implications highlights the necessity for alternative and adjunctive treatments in populations, particularly in older adults facing contraindications for traditional pharmaceuticals.
14) Young women (Young woman):
Young women refers to females of reproductive age, often highlighting a demographic less affected by osteoporosis yet important for understanding preventative measures. While the study centers on postmenopausal women, recognizing the younger demographic emphasizes the need for early interventions, education on lifestyle factors, and the establishment of long-term bone health habits to avert future osteoporosis risks.
15) Pharmacological:
Pharmacological pertains to the branch of medicine concerned with the uses, effects, and actions of drugs. This term reflects the study's intention to evaluate non-pharmacological interventions like WBV therapy against standard pharmacological treatments in managing osteoporosis. The focus on pharmacological alternatives opens dialogue concerning comprehensive management approaches that may be necessary for optimizing bone health in older populations.
16) Discussion:
Discussion in research refers to the section where findings are interpreted, implications are explored, and conclusions are drawn. This segment is critical for contextualizing the results within existing literature, addressing study limitations, and outlining future research directions. The discussion within this systematic review critically assesses the efficacy and practical applications of WBV therapy as a means to combat osteoporosis, providing a platform for further exploration in clinical settings.
17) Medicine:
Medicine is the science and practice of diagnosing, treating, and preventing illness and injury. The relevance of medicine in this context speaks to the study's contribution to evidence-based practices aimed at enhancing the health and well-being of individuals, particularly those suffering from osteoporosis. Advancements in medical treatments and interventions, such as WBV, underscore the evolving nature of healthcare practices in improving patient outcomes.
18) Relative:
Relative indicates the connection or relationship between different entities. In scientific research, it can refer to the comparative analysis of study outcomes and their significance within the context of existing literature. This term emphasizes the need to examine the relative effectiveness of WBV therapy against other interventions for osteoporosis, helping researchers identify the best strategies for enhancing bone health.
19) Quality:
Quality signifies the standard or degree of excellence of a specific attribute or outcome. In the context of this review, it conveys the necessity for high-quality research and methodologies when assessing the effectiveness of WBV therapy for osteoporosis. The review emphasizes the importance of quality trials in obtaining reliable evidence that can inform healthcare practices and improve patient care.
20) Reason:
Reason refers to the justification or explanation behind a particular action, decision, or phenomenon. Within the scope of this systematic review, the reason is critical for articulating the rationale behind investigating WBV as a therapeutic intervention for osteoporosis. Establishing clear reasons allows researchers to set focused objectives, driving targeted action and policy formulation in managing health conditions.
21) Medium:
Medium often signifies an intermediate state or the average position of various factors. In the context of this analysis, it could relate to the magnitude of vibration utilized in WBV exercise trials, which is crucial for achieving desired outcomes. The medium between effective interventions and results helps identify optimal exercise parameters for enhancing bone health in target populations.
22) Animal:
Animal pertains to living organisms that are not plants, often used in scientific research for understanding biological processes and effects of interventions. While the study focused on human trials, the exclusion of animal studies highlights the specificity and relevance of findings to the intended demographic. Understanding animal research can provide foundational knowledge and context for subsequent human studies.
23) Rules:
Rules refer to prescribed guidelines or principles governing specific activities or procedures. In the context of randomized controlled trials, rules are integral for ensuring research integrity, participant safety, and accuracy of results. Establishing rules for conducting and reporting studies on interventions like WBV is essential for maintaining high standards in research and yielding trustworthy evidence.
24) Earth:
Earth refers to the planet we inhabit and can also symbolize groundedness and stability in various contexts. While a direct mention may not appear within the study, the concept of earth connects to foundational health practices and lifestyle factors that support overall well-being, particularly in relation to physical activity and its impact on bone health.
25) Sign:
Sign denotes an indicator or a symbol representing a particular concept or phenomenon. In research, signs often refer to observable outcomes or results that evidence the effectiveness of an intervention. This systematic review highlights the importance of significant increases in bone mineral density (BMD) as signs of successful interventions in managing osteoporosis, guiding clinical practices.
26) Gold (Golden):
Gold often symbolizes the highest quality or standard in various contexts, including the medical field. In this review, it may pertain to the reference standard for measuring bone mineral density, with dual-energy x-ray absorptiometry (DXA) often serving as the 'gold standard.' Identifying gold standards is essential for establishing credible benchmarks in clinical trials and ensuring reliable results.
27) Seat (Seated):
Seat refers to the position or area where a person sits, often associated with stability and rest. In the context of whole-body vibration therapies, seating positions can influence the efficacy and safety of vibration exposure. Understanding how seating dynamics interact with treatment outcomes is essential for optimizing WBV interventions in achieving desired health improvements.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Whole Body Vibration Machines in Osteoporosis Prevention: A Review’. Further sources in the context of Science might help you critically compare this page with similair documents:
Elderly men, Elderly people, Elderly women, Conflict of interest, Vibration, Occupational hazard, Randomized controlled trial, Muscle Strength, Long term effect, Systematic Review, Muscle power, Adjuvant therapy, Significant increase, Bone mass, Bone mineral density, Osteoporosis management, Osteoporosis, Multifactorial condition, Calcium and vitamin D, Dual energy X-ray absorptiometry, Postmenopausal women, Bone fracture, Lumbar spine, Fracture risk, Bone density, Anthropometric Measures, Long-term studies, Bone loss, Quantitative ultrasound, Randomised control trial, Bone metabolism, Exercise programme, Low Bone Mineral Density, Randomised controlled trial, Biomechanical effects, Post menopausal osteoporosis, Mechanical stimuli, Bone mineral density (BMD), Bonferroni adjustment, Bone quality, Dual-energy x-ray absorptiometry (DXA), Whole body vibration, Authors contribution.
Concepts being referred in other categories, contexts and sources.
Bone strength, Frequency, Femoral neck.