OBJECTIVE: To study the effect of whole-body vibration therapy on bone mass, bone turnover and body composition in severely disabled children. METHODS: Nineteen non-ambulatory children aged 5.1-16.3 years (6 males, 13 females) with severe motor disabilities participated in an intervention programme with standing exercise on a self-controlled dynamic platform, which included whole-body vibration therapy (vibration, jump and rotation movements). Whole-body vibration therapy was performed at 40-42 Hz, with an oscillation amplitude of 0.2 mm, 5-15 min/treatment, twice/week for 6 months. Bone mass parameters and bone markers were measured at the study start, and after 6 and 12 months. RESULTS: Whole-body vibration therapy was appreciated by the children. Total-body bone mineral density increased during the study period (p < 0.05). Z-scores for total-body bone mineral density ranged from -5.10 to -0.60 at study start and remained unchanged throughout. Approximately 50% of the subjects had increased levels of carboxy-terminal telopeptides of type I collagen and decreased levels of osteocalcin at the start. Body mass index did not change during the intervention period, but had increased by the 12-month follow-up (p < 0.05). CONCLUSION: Whole-body vibration therapy appeared to be well tolerated by children with severe motor disabilities. Total-body bone mineral density increased after 6 months of whole-body vibration therapy. Higher carboxy-terminal telopeptides of type I collagen and lower osteocalcin values indicated that severely disabled children have a reduced capacity for bone acquisition.
OBJECTIVE: To study the effect of whole-body vibration therapy on bone mass, bone turnover and body composition in severely disabled children. METHODS: Nineteen non-ambulatory children aged 5.1-16.3 years (6 males, 13 females) with severe motor disabilities participated in an intervention programme with standing exercise on a self-controlled dynamic platform, which included whole-body vibration therapy (vibration, jump and rotation movements). Whole-body vibration therapy was performed at 40-42 Hz, with an oscillation amplitude of 0.2 mm, 5-15 min/treatment, twice/week for 6 months. Bone mass parameters and bone markers were measured at the study start, and after 6 and 12 months. RESULTS: Whole-body vibration therapy was appreciated by the children. Total-body bone mineral density increased during the study period (p < 0.05). Z-scores for total-body bone mineral density ranged from -5.10 to -0.60 at study start and remained unchanged throughout. Approximately 50% of the subjects had increased levels of carboxy-terminal telopeptides of type I collagen and decreased levels of osteocalcin at the start. Body mass index did not change during the intervention period, but had increased by the 12-month follow-up (p < 0.05). CONCLUSION: Whole-body vibration therapy appeared to be well tolerated by children with severe motor disabilities. Total-body bone mineral density increased after 6 months of whole-body vibration therapy. Higher carboxy-terminal telopeptides of type I collagen and lower osteocalcin values indicated that severely disabled children have a reduced capacity for bone acquisition.
Authors: A Matute-Llorente; A González-Agüero; A Gómez-Cabello; J Tous-Fajardo; G Vicente-Rodríguez; J A Casajús Journal: Osteoporos Int Date: 2015-07-23 Impact factor: 4.507
Authors: M B Saquetto; F F Pereira; R S Queiroz; C M da Silva; C S Conceição; M Gomes Neto Journal: Osteoporos Int Date: 2018-01-12 Impact factor: 4.507
Authors: Jaya Sujatha Gopal-Kothandapani; Alan S Rigby; Rachel Harrison; Richard Eastell; Rebecca J Moon; Elizabeth M Curtis; Cyrus Cooper; Nicholas C Harvey; Nick Bishop Journal: J Musculoskelet Neuronal Interact Date: 2020-03-03 Impact factor: 2.041