[en] 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
Disciplines :
Public health, health care sciences & services
Author, co-author :
Beaudart, Charlotte ; Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé
Maquet, Didier ; Université de Liège - ULiège > Département des sciences de la motricité > Département des sciences de la motricité
Mannarino, Mélanie; Université de Liège - ULiège > Département des Sciences de la motricité
Buckinx, Fanny ; Université de Liège - ULiège > 2e an. master sc. santé publ., fin. spéc. épidémio.& éco.
Demonceau, Marie ; Université de Liège - ULiège > Département des sciences de la motricité > Kinésithérapie générale et réadaptation
Crielaard, Jean-Michel ; Université de Liège - ULiège > Département des sciences de la motricité > Evaluation et entraînement des aptitudes physiques
Reginster, Jean-Yves ; Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé
Bruyère, Olivier ; Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé
Language :
English
Title :
Effects of 3 months of short sessions of controlled whole body vibrations on the risk of falls among nursing home residents
The epidemiology of falls and syncope. Rubenstein LZ, Josephson KR, Clinics in geriatric medicine 2002 18 2 141 158 10.1016/S0749-0690(02)00002-2 12180240 (Pubitemid 34693161)
Interventions for preventing falls in elderly people. Gillespie LD, Gillespie WJ, Robertson MC, Lamb SE, Cumming RG, Rowe BH, Cochrane Database Syst Rev 2003 4 CD000340
Falls in the nursing home. Rubenstein LZ, Josephson KR, Robbins AS, Ann Intern Med 1994 121 6 442 451 10.7326/0003-4819-121-6-199409150-00009 8053619
Exercise program for nursing home residents with Alzheimer's disease: a 1-year randomized, controlled trial. Rolland Y, Pillard F, Klapouszczak A, Reynish E, Thomas D, Andrieu S, Riviere D, Vellas B, J Am Geriatr Soc 2007 55 2 158 165 10.1111/j.1532-5415.2007.01035.x 17302650 (Pubitemid 46184389)
Physical activity, muscle function, falls and fractures. Karlsson MK, Nordqvist A, Karlsson C, Food & nutrition research 2008 52 10.3402/fnr.v52i0.1920 23650542
Prospective association between physical activity and falls in community-dwelling older women. Heesch KC, Byles JE, Brown WJ, Journal of epidemiology and community health 2008 62 5 421 426 10.1136/jech.2007.064147 18413455 (Pubitemid 351579916)
Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations. Sherrington C, Tiedemann A, Fairhall N, Close JC, Lord SR, New South Wales public health bulletin 2011 22 3-4 78 83 21632004
Risks and benefits of whole body vibration training in older people. Brooke-Wavell K, Mansfield NJ, Age and ageing 2009 38 3 254 255 19289489
Effects of whole body vibration training on postural control in older individuals: a 1 year randomized controlled trial. Bogaerts A, Verschueren S, Delecluse C, Claessens AL, Boonen S, Gait & posture 2007 26 2 309 316 10.1016/j.gaitpost.2006.09.078 23649215 (Pubitemid 46880360)
The feasibility of Whole Body Vibration in institutionalised elderly persons and its influence on muscle performance, balance and mobility: a randomised controlled trial [ISRCTN62535013]. Bautmans I, Van Hees E, Lemper JC, Mets T, BMC Geriatr 2005 5 17 10.1186/1471-2318-5-17 16372905 (Pubitemid 43273977)
Changes in balance, functional performance and fall risk following whole body vibration training and vitamin D supplementation in institutionalized elderly women. Bogaerts A, Delecluse C, Boonen S, Claessens AL, Milisen K, Verschueren SM, A 6 month randomized controlled trial. Gait & posture 2011 33 3 466 472 23490463
Controlled whole body vibration to decrease fall risk and improve health-related quality of life of nursing home residents. Bruyere O, Wuidart MA, Di Palma E, Gourlay M, Ethgen O, Richy F, Reginster JY, Archives of physical medicine and rehabilitation 2005 86 2 303 307 10.1016/j.apmr.2004.05.019 15706558 (Pubitemid 40215294)
Efficacy of a whole-body vibration intervention on functional performance of community-dwelling older adults. Furness TP, Maschette WE, Lorenzen C, Naughton GA, Williams MD, J Altern Complement Med 2010 16 7 795 797 10.1089/acm.2009.0366 20590479
Effect of whole-body vibration exercise and muscle strengthening, balance, and walking exercises on walking ability in the elderly. Kawanabe K, Kawashima A, Sashimoto I, Takeda T, Sato Y, Iwamoto J, The Keio journal of medicine 2007 56 1 28 33 10.2302/kjm.56.28 17392595 (Pubitemid 46588470)
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. Pollock RD, Martin FC, Newham DJ, Clin Rehabil 2012 26 10 915 923 10.1177/0269215511435688 22324058
Effects of vibration exercise on muscle performance and mobility in an older population. Rees S, Murphy A, Watsford M, Journal of aging and physical activity 2007 15 4 367 381 18048942 (Pubitemid 350232527)
Whole-body-vibration training increases knee-extension strength and speed of movement in older women. Roelants M, Delecluse C, Verschueren SM, J Am Geriatr Soc 2004 52 6 901 908 10.1111/j.1532-5415.2004.52256.x 15161453 (Pubitemid 38789061)
High-frequency whole-body vibration improves balancing ability in elderly women. Cheung WH, Mok HW, Qin L, Sze PC, Lee KM, Leung KS, Archives of physical medicine and rehabilitation 2007 88 7 852 857 10.1016/j.apmr.2007.03.028 17601464 (Pubitemid 46963221)
Fall risk assessment measures: an analytic review. Perell KL, Nelson A, Goldman RL, Luther SL, Prieto-Lewis N, Rubenstein LZ, The journals of gerontology Series A, Biological sciences and medical sciences 2001 56 12 761 766 10.1093/gerona/56.12.M761 11723150
Performance-oriented assessment of mobility problems in elderly patients. Tinetti ME, J Am Geriatr Soc 1986 34 2 119 126 3944402 (Pubitemid 16159911)
Balance in elderly patients: the get-up and go test. Mathias S, Nayak US, Isaacs B, Archives of physical medicine and rehabilitation 1986 67 6 387 389 3487300 (Pubitemid 16055506)
Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Shumway-Cook A, Brauer S, Woollacott M, Phys Ther 2000 80 9 896 903 10960937
Gait abnormalities in elderly fallers. Auvinet B, Berrut G, Touzard C, Moutel L, Collet N, Chaleil D, Barrey E, Journal of aging and physical activity 2003 11 40 52 (Pubitemid 36120230)
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. Merkert J, Butz S, Nieczaj R, Steinhagen-Thiessen E, Eckardt R, Z Gerontol Geriatr 2011 44 4 256 261 10.1007/s00391-011-0170-9 21505939
The PEDro scale is a valid measure of the methodological quality of clinical trials: a demographic study. de Morton NA, The Australian J Phys 2009 55 2 129 133 10.1016/S0004-9514(09)70043-1
