Whole-body vibration training versus conventional balance training in patients with severe COPD—a randomized, controlled trial
Abstract Background Whole-body vibration training (WBV) performed on a vibration platform can significantly improve physical performance in patients with chronic obstructive pulmonary disease. It has been suggested that an important mechanism of this improvement is based on an improvement in balance...
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| Format: | Article |
| Language: | English |
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BMC
2021-05-01
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| Series: | Respiratory Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12931-021-01688-x |
| _version_ | 1818403095149805568 |
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| author | Rainer Gloeckl Tessa Schneeberger Daniela Leitl Tobias Reinold Christoph Nell Inga Jarosch Klaus Kenn Andreas R. Koczulla |
| author_facet | Rainer Gloeckl Tessa Schneeberger Daniela Leitl Tobias Reinold Christoph Nell Inga Jarosch Klaus Kenn Andreas R. Koczulla |
| author_sort | Rainer Gloeckl |
| collection | DOAJ |
| description | Abstract Background Whole-body vibration training (WBV) performed on a vibration platform can significantly improve physical performance in patients with chronic obstructive pulmonary disease. It has been suggested that an important mechanism of this improvement is based on an improvement in balance. Therefore, the aim of this study was to investigate the effects of WBV compared to conventional balance training. Methods 48 patients with severe COPD (FEV1: 37 ± 7%predicted) and low exercise performance (6 min walk distance (6MWD): 55 ± 10%predicted) were included in this randomized controlled trial during a 3 week inpatient pulmonary rehabilitation. All patients completed a standardized endurance and strength training program. Additionally, patients performed 4 different balance exercises 3x/week for 2 sets of 1 min each, either on a vibration platform (Galileo) at varying frequencies (5–26 Hz) (WBV) or on a conventional balance board (BAL). The primary outcome parameter was the change in balance performance during a semi tandem stance with closed eyes assessed on a force measurement platform. Muscular power during a countermovement jump, the 6MWD, and 4 m gait speed test (4MGST) were secondary outcomes. Non-parametric tests were used for statistical analyses. Results Static balance performance improved significantly more (p = 0.032) in favor of WBV (path length during semi-tandem stand: − 168 ± 231 mm vs. + 1 ± 234 mm). Muscular power also increased significantly more (p = 0.001) in the WBV group (+ 2.3 ± 2.5 W/kg vs. − 0.1 ± 2.0 W/kg). 6MWD improved to a similar extent in both groups (WBV: 48 ± 46 m, p < 0.001 vs. BAL: 38 ± 32 m; p < 0.001) whereas the 4MGST increased significantly only in the WBV-group (0.08 ± 0.14 m/s2, p = 0.018 vs. 0.01 ± 0.11 m/s2, p = 0.71). Conclusions WBV can improve balance performance and muscular power significantly more compared to conventional balance training. Trial registration: Clinical-Trials registration number: NCT03157986; date of registration: May 17, 2017. https://clinicaltrials.gov/ct2/results?cond=&term=NCT03157986&cntry=&state=&city=&dist = |
| first_indexed | 2024-12-14T08:18:48Z |
| format | Article |
| id | doaj.art-c6dc6d8fb4b743bb9c5fe095cc90362f |
| institution | Directory Open Access Journal |
| issn | 1465-993X |
| language | English |
| last_indexed | 2024-12-14T08:18:48Z |
| publishDate | 2021-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Respiratory Research |
| spelling | doaj.art-c6dc6d8fb4b743bb9c5fe095cc90362f2022-12-21T23:09:51ZengBMCRespiratory Research1465-993X2021-05-0122111010.1186/s12931-021-01688-xWhole-body vibration training versus conventional balance training in patients with severe COPD—a randomized, controlled trialRainer Gloeckl0Tessa Schneeberger1Daniela Leitl2Tobias Reinold3Christoph Nell4Inga Jarosch5Klaus Kenn6Andreas R. Koczulla7Department of Pulmonary Rehabilitation, Philipps-University of Marburg, German Center for Lung ResearchDepartment of Pulmonary Rehabilitation, Philipps-University of Marburg, German Center for Lung ResearchDepartment of Pulmonary Rehabilitation, Philipps-University of Marburg, German Center for Lung ResearchDepartment of Prevention, Rehabilitation and Sports Medicine, Technical University of MunichDepartment of Internal Medicine, Division of Pulmonary Diseases, Philipps University of MarburgDepartment of Pulmonary Rehabilitation, Philipps-University of Marburg, German Center for Lung ResearchDepartment of Pulmonary Rehabilitation, Philipps-University of Marburg, German Center for Lung ResearchDepartment of Pulmonary Rehabilitation, Philipps-University of Marburg, German Center for Lung ResearchAbstract Background Whole-body vibration training (WBV) performed on a vibration platform can significantly improve physical performance in patients with chronic obstructive pulmonary disease. It has been suggested that an important mechanism of this improvement is based on an improvement in balance. Therefore, the aim of this study was to investigate the effects of WBV compared to conventional balance training. Methods 48 patients with severe COPD (FEV1: 37 ± 7%predicted) and low exercise performance (6 min walk distance (6MWD): 55 ± 10%predicted) were included in this randomized controlled trial during a 3 week inpatient pulmonary rehabilitation. All patients completed a standardized endurance and strength training program. Additionally, patients performed 4 different balance exercises 3x/week for 2 sets of 1 min each, either on a vibration platform (Galileo) at varying frequencies (5–26 Hz) (WBV) or on a conventional balance board (BAL). The primary outcome parameter was the change in balance performance during a semi tandem stance with closed eyes assessed on a force measurement platform. Muscular power during a countermovement jump, the 6MWD, and 4 m gait speed test (4MGST) were secondary outcomes. Non-parametric tests were used for statistical analyses. Results Static balance performance improved significantly more (p = 0.032) in favor of WBV (path length during semi-tandem stand: − 168 ± 231 mm vs. + 1 ± 234 mm). Muscular power also increased significantly more (p = 0.001) in the WBV group (+ 2.3 ± 2.5 W/kg vs. − 0.1 ± 2.0 W/kg). 6MWD improved to a similar extent in both groups (WBV: 48 ± 46 m, p < 0.001 vs. BAL: 38 ± 32 m; p < 0.001) whereas the 4MGST increased significantly only in the WBV-group (0.08 ± 0.14 m/s2, p = 0.018 vs. 0.01 ± 0.11 m/s2, p = 0.71). Conclusions WBV can improve balance performance and muscular power significantly more compared to conventional balance training. Trial registration: Clinical-Trials registration number: NCT03157986; date of registration: May 17, 2017. https://clinicaltrials.gov/ct2/results?cond=&term=NCT03157986&cntry=&state=&city=&dist =https://doi.org/10.1186/s12931-021-01688-xChronic obstructive pulmonary diseasePulmonary rehabilitationExerciseNeuromuscular powerForce measurement platformVibration platform |
| spellingShingle | Rainer Gloeckl Tessa Schneeberger Daniela Leitl Tobias Reinold Christoph Nell Inga Jarosch Klaus Kenn Andreas R. Koczulla Whole-body vibration training versus conventional balance training in patients with severe COPD—a randomized, controlled trial Respiratory Research Chronic obstructive pulmonary disease Pulmonary rehabilitation Exercise Neuromuscular power Force measurement platform Vibration platform |
| title | Whole-body vibration training versus conventional balance training in patients with severe COPD—a randomized, controlled trial |
| title_full | Whole-body vibration training versus conventional balance training in patients with severe COPD—a randomized, controlled trial |
| title_fullStr | Whole-body vibration training versus conventional balance training in patients with severe COPD—a randomized, controlled trial |
| title_full_unstemmed | Whole-body vibration training versus conventional balance training in patients with severe COPD—a randomized, controlled trial |
| title_short | Whole-body vibration training versus conventional balance training in patients with severe COPD—a randomized, controlled trial |
| title_sort | whole body vibration training versus conventional balance training in patients with severe copd a randomized controlled trial |
| topic | Chronic obstructive pulmonary disease Pulmonary rehabilitation Exercise Neuromuscular power Force measurement platform Vibration platform |
| url | https://doi.org/10.1186/s12931-021-01688-x |
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