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  • Vibration Therapy to Prevent Bone Loss and Falls: Mechanisms and Efficacy

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    Author(s)
    Beck, Belinda R
    Griffith University Author(s)
    Beck, Belinda R.
    Year published
    2015
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    Abstract
    A considerable volume of evidence has accumulated to suggest that whole-body vibration (WBV) may have a therapeutic role to play in the prevention of osteoporotic fracture, particularly for individuals who are unable to tolerate vigorous exercise interventions. There is moderate to strong evidence that WBV will prevent falls (likely due to enhanced neuromuscular function), but also some indication that the effects of WBV do not outstrip those of targeted exercise. Animal data indicates that WBV will also improve bone mass, including preventing loss due to hormone withdrawal, disuse and glucocorticoid exposure. Human trials, ...
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    A considerable volume of evidence has accumulated to suggest that whole-body vibration (WBV) may have a therapeutic role to play in the prevention of osteoporotic fracture, particularly for individuals who are unable to tolerate vigorous exercise interventions. There is moderate to strong evidence that WBV will prevent falls (likely due to enhanced neuromuscular function), but also some indication that the effects of WBV do not outstrip those of targeted exercise. Animal data indicates that WBV will also improve bone mass, including preventing loss due to hormone withdrawal, disuse and glucocorticoid exposure. Human trials, however, have produced equivocal outcomes for bone. Positive trends are apparent at the hip and spine, but shortcomings in study designs have limited statistical power. The mechanism of the vibration effect on bone tissue is likely to be mechanical coupling between an oscillating cell nucleus and the cytoskeleton. More robust dose-response human data are required before therapeutic guidelines can be developed.
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    Journal Title
    Current Osteoporosis Reports
    Volume
    13
    Issue
    6
    DOI
    https://doi.org/10.1007/s11914-015-0294-8
    Copyright Statement
    © 2015 Springer Science+Business Media New York. This is an electronic version of an article published in Current Osteoporosis Reports, Volume 13, Issue 6, pp 381–389, 2015. Current Osteoporosis Reports is available online at: http://link.springer.com/ with the open URL of your article.
    Subject
    Clinical sciences
    Rehabilitation
    Publication URI
    http://hdl.handle.net/10072/141337
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    • Journal articles

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