Low back pain (LBP) is a common health problem with a high recurrence
\nrate. Current treatments are not that effective. As patients with LBP are often
\nfound to be proprioception impaired, new proprioception exercises are required.
\nWhole body vibration (WBV) stimulates proprioceptive receptors on the muscles,
\ncausing an alternation in muscle recruitment and hence modifying the muscle
\nstiffness and joint stability. Its potential to improve muscle function and
\nproprioception has been shown in athletes. Sinusoidal alternative WBV was
\nshown to be able to relieve pain in patients with LBP after a long term
\napplication. However, the underlying mechanism has not been investigated.
\nAnother study has demonstrated that short term WBV had an immediate effect
\non improving pelvic repositioning ability on normal individuals. As spinal
\nproprioception facilitates spine positioning and movement and computes selfcoordination
\nunder both static and dynamic conditions, it is essential to
\ninvestigate the effect of WBV on lumbo-pelvic stability, coordination and
\nrepositioning ability to justify whether WBV has a beneficial effect on spinal
\nproprioception. In this study, the immediate and carryover effect of a 5-min 18Hz
\nWBV on spinal proprioception were investigated.
\nThe study was divided into two stages. In the first stage, twenty young
\nnormal individuals were recruited and the effects of WBV in standing and seated
\npostures on spinal proprioception were determined and compared. In the second
\nstage, the effect of WBV on spinal proprioception was evaluated in eight
\nindividuals with LBP, with age matched with those in the healthy group, in
\nseated posture. The results were compared with the healthy subjects receiving
\nWBV in seated posture. In addition to quantifying body alignment, repositioning
\n3
\nability of participants before and after WBV, postural stability and phasic
\nrelationship between the lumbar and pelvis segments were investigated in terms
\nof maximum reaching distance and lumbo-pelvic coordination using Dynamical
\nSystems Theory approach. Assessments were conducted before, immediately
\nafter, 30 minutes after and 1 hour after 5 minutes of WBV (18Hz, 6mm p-p
\namplitude). Multivariate analysis of variance was used to study the changes of
\neach variable and LSD criterion was adopted for post-hoc comparisons.
\nIn the first stage, it was shown that WBV in both standing and seated
\nposture had significant beneficial effect on maximum reaching distance, dynamic
\nlumbo-pelvic coordination and repositioning ability without significant group
\ndifference. Significant carryover effect of WBV was also shown. In the second
\nstage, immediate improvement of postural control, lumbo-pelvic coordination
\nand repositioning ability were observed for the LBP group. However, the effect
\nseemed to be less long-lasting.
\nThere were limitations in the study. The effect of vibration intensity and
\nlearning effect have not been fully investigated. As analysis was limited to the
\nsagittal plane, the effect of WBV on spinal motor control in other planes was not
\nknown.. In conclusion, 5 minutes of 18 Hz WBV was shown to have significant
\npositive effect on lumbo-pelvic stability, coordination and repositioning ability
\nwithout any apparent adverse effect in both normal and LBP individuals. The
\neffects were more apparent and long-lasting when WBV was applied to healthy
\nindividuals than patients with LBP. Further clinical study on patients with LBP
\nundergoing similar or different WBV protocol is recommended to confirm its
\nclinical application on improving spinal proprioception.<\/p>\n","protected":false},"excerpt":{"rendered":"
Low back pain (LBP) is a common health problem with a high recurrence rate. Current treatments are not that effective.<\/p>\n","protected":false},"author":22,"parent":0,"menu_order":0,"template":"","format":"standard","meta":{"_acf_changed":false},"tags":[],"thema":[5898,5876,5880,5856],"produktgruppe":[7527,5829],"literatur_kategorie":[7221],"class_list":["post-165860","literatur","type-literatur","status-publish","format-standard","hentry","thema-back-pain","thema-diseases","thema-pyhsitherapy-rehabilitation","thema-therapy-prevention-using-galileo","produktgruppe-galileo-en","produktgruppe-galileo-training-en","literatur_kategorie-clinical-studies"],"acf":[],"_links":{"self":[{"href":"https:\/\/stratec-med.com\/en\/wp-json\/wp\/v2\/literatur\/165860","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stratec-med.com\/en\/wp-json\/wp\/v2\/literatur"}],"about":[{"href":"https:\/\/stratec-med.com\/en\/wp-json\/wp\/v2\/types\/literatur"}],"author":[{"embeddable":true,"href":"https:\/\/stratec-med.com\/en\/wp-json\/wp\/v2\/users\/22"}],"version-history":[{"count":0,"href":"https:\/\/stratec-med.com\/en\/wp-json\/wp\/v2\/literatur\/165860\/revisions"}],"wp:attachment":[{"href":"https:\/\/stratec-med.com\/en\/wp-json\/wp\/v2\/media?parent=165860"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stratec-med.com\/en\/wp-json\/wp\/v2\/tags?post=165860"},{"taxonomy":"thema","embeddable":true,"href":"https:\/\/stratec-med.com\/en\/wp-json\/wp\/v2\/thema?post=165860"},{"taxonomy":"produktgruppe","embeddable":true,"href":"https:\/\/stratec-med.com\/en\/wp-json\/wp\/v2\/produktgruppe?post=165860"},{"taxonomy":"literatur_kategorie","embeddable":true,"href":"https:\/\/stratec-med.com\/en\/wp-json\/wp\/v2\/literatur_kategorie?post=165860"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}