Rainer Gloeckl1, Inga Jarosch2, Ulrike Bengsch3, Magdalena Claus3, Tessa Schneeberger4, Vasileios Andrianopoulos2, Jeffrey W Christle5, Wolfgang Hitzl6, Klaus Kenn4. 1. Department of Respiratory Medicine & Pulmonary Rehabilitation, Schoen Klinik Berchtesgadener Land, Schoenau am Koenigssee, Germany; Department of Prevention, Rehabilitation and Sports Medicine, Klinikum Rechts der Isar, Technical University of Munich (TUM), Germany. Electronic address: rainer.gloeckl@gmx.de. 2. Department of Respiratory Medicine & Pulmonary Rehabilitation, Schoen Klinik Berchtesgadener Land, Schoenau am Koenigssee, Germany. 3. Department of Internal Medicine, Division of Pulmonary Diseases, Philipps University of Marburg, Germany. 4. Department of Respiratory Medicine & Pulmonary Rehabilitation, Schoen Klinik Berchtesgadener Land, Schoenau am Koenigssee, Germany; Philipps University of Marburg, Marburg, Germany. 5. Division of Cardiovascular Medicine, Stanford University, Stanford, CA, USA. 6. Research Department (biostatistics), Paracelsus Medical University, Salzburg, Austria.
Abstract
BACKGROUND: Several studies have shown that whole-body vibration training (WBVT) improves exercise capacity in patients with severe COPD. The aim of this study was to investigate the determinants of improved exercise capacity following WBVT. METHODS:Seventy-four COPD patients (FEV1: 34 ± 9%predicted) were recruited during a 3-week inpatient pulmonary rehabilitation (PR) program. Conventional endurance and strength exercises were supplemented with self-paced dynamic squat training sessions (4bouts*2min, 3times/wk). Patients were randomly allocated to either a WBVT-group performing squat training on a side-alternating vibration platform (Galileo) at a high intensity (24-26 Hz) or a control group performing squat training without WBVT. RESULTS: Patients in the WBVT group significantly improved postural balance in several domains compared to the control-group (i.e. tandem stance: WBVT +20% (95%CI 14 to 26) vs. control -10% (95%CI 6 to 15), p < 0.001; one-leg stance: WBVT +11% (95%CI 4 to 19) vs. control -8% (95%CI -19 to 3), p = 0.009). Six-minute walk distance and muscle power but not muscle strength were also significantly improved compared to control group. CONCLUSIONS: Implementation of WBVT improves postural balance performance and muscle power output. The neuromuscular adaptation related to improved balance performance may be an important mechanism of the improvement in exercise capacity after WBVT especially in COPD patients with impaired balance performance and low exercise capacity.
RCT Entities:
BACKGROUND: Several studies have shown that whole-body vibration training (WBVT) improves exercise capacity in patients with severe COPD. The aim of this study was to investigate the determinants of improved exercise capacity following WBVT. METHODS: Seventy-four COPDpatients (FEV1: 34 ± 9%predicted) were recruited during a 3-week inpatient pulmonary rehabilitation (PR) program. Conventional endurance and strength exercises were supplemented with self-paced dynamic squat training sessions (4bouts*2min, 3times/wk). Patients were randomly allocated to either a WBVT-group performing squat training on a side-alternating vibration platform (Galileo) at a high intensity (24-26 Hz) or a control group performing squat training without WBVT. RESULTS:Patients in the WBVT group significantly improved postural balance in several domains compared to the control-group (i.e. tandem stance: WBVT +20% (95%CI 14 to 26) vs. control -10% (95%CI 6 to 15), p < 0.001; one-leg stance: WBVT +11% (95%CI 4 to 19) vs. control -8% (95%CI -19 to 3), p = 0.009). Six-minute walk distance and muscle power but not muscle strength were also significantly improved compared to control group. CONCLUSIONS: Implementation of WBVT improves postural balance performance and muscle power output. The neuromuscular adaptation related to improved balance performance may be an important mechanism of the improvement in exercise capacity after WBVT especially in COPDpatients with impaired balance performance and low exercise capacity.
Authors: Borja Sañudo; Adérito Seixas; Rainer Gloeckl; Jörn Rittweger; Rainer Rawer; Redha Taiar; Eddy A van der Zee; Marieke J G van Heuvelen; Ana Cristina Lacerda; Alessandro Sartorio; Michael Bemben; Darryl Cochrane; Trentham Furness; Danúbia de Sá-Caputo; Mario Bernardo-Filho Journal: Int J Environ Res Public Health Date: 2020-05-22 Impact factor: 3.390
Authors: Eulogio Pleguezuelos; Paula Casarramona; Lluis Guirao; Beatriz Samitier; Pilar Ortega; Xavier Vila; Amin Del Carmen; Laura Ovejero; Eva Moreno; Noemi Serra; Manuel Gomís; Manuel V Garnacho-Castaño; Marc Miravitlles Journal: Int J Chron Obstruct Pulmon Dis Date: 2018-10-18
Authors: Rainer Gloeckl; Tessa Schneeberger; Daniela Leitl; Tobias Reinold; Christoph Nell; Inga Jarosch; Klaus Kenn; Andreas R Koczulla Journal: Respir Res Date: 2021-05-04