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Böing-Meßing DM, Tomschi F, Cegla T, Hilberg T. The eEgg: Evaluation of a New Device to Measure Pain. Front Physiol 2022; 13:832172. [PMID: 35418877 PMCID: PMC8996247 DOI: 10.3389/fphys.2022.832172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Accepted: 03/07/2022] [Indexed: 11/13/2022] Open
Abstract
Aim: The aim of this study was to evaluate whether pain stimuli can be measured validly and reliably by the eEgg (electronic Egg), a new device to measure pain intensity, in comparison to the hand dynamometer.Methods: This study consists of screening and diagnostic tests conforming to the standard criterion of handgrip strength measurement. Fifty healthy participants (25 women, 25 men; age, 39.1 ± 13.7 years) participated in this study. The approach of intermodal comparison was used to transfer different degrees of pain sensations into measurable handgrip strength values. This included an intensity comparison of 10-100% of the subjective maximum handgrip strength and an application of thermal stimuli of 34-48°C. The eEgg was compared to the numeric rating scale (NRS) as a categorization method regarding the subjective assessment of pain. An online questionnaire was distributed to test the evaluation of the product’s features.Results: Regarding the experiment’s validity, the handgrip strength values showed significant (p < 0.05) positive correlations between the eEgg and the hand dynamometer (intensities: r=0.328 to r=0.550; thermal stimuli: r=0.353 to r=0.614). The reliability results showed good to very good correlations (p < 0.05) in the calculated ICC (intraclass correlation coefficient) values between the individual measurement devices: eEgg intensities: ICC=0.621 to 0.851; thermal stimuli: ICC=0.487 to 0.776 and hand dynamometer intensities: ICC= 0.789 to 0.974; thermal stimuli: ICC=0.716 to 0.910.Conclusion: The new eEgg device shows strong correlations with the hand dynamometer. The central limitation focuses on the obligatory use of an arbitrary unit (AU) for the eEgg. The results of the study indicate that this device can be used in medical and therapeutic practice in the future.
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Affiliation(s)
- Dshamilja M. Böing-Meßing
- Department of Sports Medicine, University of Wuppertal, Wuppertal, Germany
- *Correspondence: Dshamilja M. Böing-Meßing, ; Thomas Hilberg,
| | - Fabian Tomschi
- Department of Sports Medicine, University of Wuppertal, Wuppertal, Germany
| | - Thomas Cegla
- Department of Pain Medicine, Helios Klinikum Wuppertal, Wuppertal, Germany
| | - Thomas Hilberg
- Department of Sports Medicine, University of Wuppertal, Wuppertal, Germany
- *Correspondence: Dshamilja M. Böing-Meßing, ; Thomas Hilberg,
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Caryn RC, Dickey JP. Transmission of Acceleration From a Synchronous Vibration Exercise Platform to the Head During Dynamic Squats. Dose Response 2019; 17:1559325819827467. [PMID: 30833873 PMCID: PMC6393836 DOI: 10.1177/1559325819827467] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2018] [Revised: 12/28/2018] [Accepted: 01/08/2019] [Indexed: 11/28/2022] Open
Abstract
Many research studies have evaluated the effects of whole-body vibration exercise on muscular strength, standing balance, and bone density, but relatively few reports have evaluated safety issues for vibration exercises. Knee flexion reduces acceleration transmission to the head during static exercise. However, few studies have evaluated dynamic exercises. The purpose of this investigation was to evaluate the transmission of acceleration to the head during dynamic squats. Twelve participants performed dynamic squats (0°-40° of knee flexion) on a synchronous vertical whole-body vibration platform. Platform frequencies from 20 to 50 Hz were tested at a peak-to-peak nominal displacement setting of 1 mm. Transmissibilities from the platform to head varied depending on platform frequency and knee flexion angle. We observed amplification during 20 and 25 Hz platform vibration when knee flexion was <20°. Vibration from exercise platforms can be amplified as it is transmitted through the body to the head during dynamic squats. Similarly, this vibration energy contributes to observed injuries such as retinal detachment. It is recommended that knee flexion angles of at least 20° and vibration frequencies above 30 Hz are used when performing dynamic squat exercises with whole-body vibration.
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Affiliation(s)
- Robert C Caryn
- School of Kinesiology, Western University, London, Ontario, Canada
| | - James P Dickey
- School of Kinesiology, Western University, London, Ontario, Canada
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Pollard J, Porter W, Mayton A, Xu X, Weston E. The effect of vibration exposure during haul truck operation on grip strength, touch sensation, and balance. INTERNATIONAL JOURNAL OF INDUSTRIAL ERGONOMICS 2017; 57:23-31. [PMID: 28220051 PMCID: PMC5315416 DOI: 10.1016/j.ergon.2016.11.009] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
Falls from mobile equipment are reported at surface mine quarry operations each year in considerable numbers. Research shows that a preponderance of falls occur while getting on/off mobile equipment. Contributing factors to the risk of falls include the usage of ladders, exiting onto a slippery surface, and foot or hand slippage. Balance issues may also contribute to fall risks for mobile equipment operators who are exposed to whole-body vibration (WBV). For this reason, the National Institute for Occupational Safety and Health, Office of Mine Safety and Health Research conducted a study at four participating mine sites with seven haul truck operators. The purpose was to ascertain whether WBV and hand-arm vibration (HAV) exposures for quarry haul truck operators were linked to short-term decreases in performance in relation to postural stability, touch sensation threshold, and grip strength that are of crucial importance when getting on/off the trucks. WBV measures of frequency-weighted RMS accelerations (wRMS) and vibration dose value (VDV), when compared to the ISO/ANSI standards, were mostly below levels identified for the Health Guidance Caution Zone (HGCZ), although there were instances where the levels were within and above the specified Exposure Action Value. Comparably, all mean HAV levels, when compared to the ISO/ANSI standards, were below the HGCZ. For the existing conditions and equipment, no significant correlation could be identified between the WBV, HAV, postural stability, touch sensation threshold, and grip strength measures taken during this study.
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Affiliation(s)
- Jonisha Pollard
- National Institute for Occupational Safety and Health, Pittsburgh Mining Research Division, Pittsburgh, PA 15236, USA
- Corresponding author. (J. Pollard)
| | - William Porter
- National Institute for Occupational Safety and Health, Pittsburgh Mining Research Division, Pittsburgh, PA 15236, USA
| | - Alan Mayton
- National Institute for Occupational Safety and Health, Pittsburgh Mining Research Division, Pittsburgh, PA 15236, USA
| | - Xueyan Xu
- National Institute for Occupational Safety and Health, Health Effects Laboratory Division, Morgantown, WV 26505, USA
| | - Eric Weston
- National Institute for Occupational Safety and Health, Pittsburgh Mining Research Division, Pittsburgh, PA 15236, USA
- The Ohio State University, Department of Integrated Systems Engineering, Biodynamics Laboratory, Columbus, OH 43210, USA
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Horng CT, Hsieh YS, Tsai ML, Chang WK, Yang TH, Yauan CH, Wang CH, Kuo WH, Wu YC. Effects of horizontal acceleration on human visual acuity and stereopsis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2015; 12:910-26. [PMID: 25607601 PMCID: PMC4306901 DOI: 10.3390/ijerph120100910] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/26/2014] [Accepted: 01/13/2015] [Indexed: 11/16/2022]
Abstract
The effect of horizontal acceleration on human visual acuity and stereopsis is demonstrated in this study. Twenty participants (mean age 22.6 years) were enrolled in the experiment. Acceleration from two different directions was performed at the Taiwan High-Speed Rail Laboratory. Gx and Gy (< and >0.1 g) were produced on an accelerating platform where the subjects stood. The visual acuity and stereopsis of the right eye were measured before and during the acceleration. Acceleration <0.1 g in the X- or Y-axis did not affect dynamic vision and stereopsis. Vision decreased (mean from 0.02 logMAR to 0.25 logMAR) and stereopsis declined significantly (mean from 40 s to 60.2 s of arc) when Gx > 0.1 g. Visual acuity worsened (mean from 0.02 logMAR to 0.19 logMAR) and poor stereopsis was noted (mean from 40 s to 50.2 s of arc) when Gy > 0.1 g. The effect of acceleration from the X-axis on the visual system was higher than that from the Y-axis. During acceleration, most subjects complained of ocular strain when reading. To our knowledge, this study is the first to report the exact levels of visual function loss during Gx and Gy.
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Affiliation(s)
- Chi-Ting Horng
- Medical Education Center, Kaohsiung Armed Forced General Hospital, Kaohsiung City 802, Taiwan.
| | - Yih-Shou Hsieh
- Institute of Biochemistry and Biotechnology, Chung Shang Medical University and Chung Shang Medical University Hospital, Taichung City 402, Taiwan.
| | - Ming-Ling Tsai
- Department of Ophthalmology, Taipei Buddhist Tzu Chi General Hospital, Taipei City 231, Taiwan.
| | - Wei-Kang Chang
- Medical Affairs Bureau, Ministry of National Defense, Taipei City 104, Taiwan.
| | - Tzu-Hung Yang
- Medical Education Center, Kaohsiung Armed Forced General Hospital, Kaohsiung City 802, Taiwan.
| | - Chien-Han Yauan
- Department of Ear-Nose-Throat, Kaohsiung Armed Forced General Hospital, Kaohsiung City 802, Taiwan.
| | - Chih-Hung Wang
- Medical Affairs Bureau, Ministry of National Defense, Taipei City 104, Taiwan.
| | - Wu-Hsien Kuo
- Division of Gastroenterology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei City 100, Taiwan.
| | - Yi-Chang Wu
- Medical Affairs Bureau, Ministry of National Defense, Taipei City 104, Taiwan.
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Frissen I, Guastavino C. Do whole-body vibrations affect spatial hearing? ERGONOMICS 2014; 57:1090-1101. [PMID: 24783989 DOI: 10.1080/00140139.2014.910611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
UNLABELLED To assist the human operator, modern auditory interfaces increasingly rely on sound spatialisation to display auditory information and warning signals. However, we often operate in environments that apply vibrations to the whole body, e.g. when driving a vehicle. Here, we report three experiments investigating the effect of sinusoidal vibrations along the vertical axis on spatial hearing. The first was a free-field, narrow-band noise localisation experiment with 5- Hz vibration at 0.88 ms(-2). The other experiments used headphone-based sound lateralisation tasks. Experiment 2 investigated the effect of vibration frequency (4 vs. 8 Hz) at two different magnitudes (0.83 vs. 1.65 ms(-2)) on a left-right discrimination one-interval forced-choice task. Experiment 3 assessed the effect on a two-interval forced-choice location discrimination task with respect to the central and two peripheral reference locations. In spite of the broad range of methods, none of the experiments show a reliable effect of whole-body vibrations on localisation performance. PRACTITIONER SUMMARY We report three experiments that used both free-field localisation and headphone lateralisation tasks to assess their sensitivity to whole-body vibrations at low frequencies. None of the experiments show a reliable effect of either frequency or magnitude of whole-body vibrations on localisation performance.
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Affiliation(s)
- Ilja Frissen
- a School of Information Studies, Centre for Interdisciplinary Research on Music Media and Technology (CIRMMT), McGill University , 3661 Peel street, Montréal , Québec , Canada , H3A 1X1
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Moussavi Najarkola SA, Khavanin A, Mirzaei R, Salehnia M, Muhammadnejad A. Cochlear damages caused by vibration exposure. IRANIAN RED CRESCENT MEDICAL JOURNAL 2013; 15:771-4. [PMID: 24616783 PMCID: PMC3929808 DOI: 10.5812/ircmj.5369] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/30/2012] [Revised: 01/20/2013] [Accepted: 06/19/2013] [Indexed: 11/16/2022]
Abstract
Background Many industrial devices have an excessive vibration which can affect human body systems. The effect of vibration on cochlear histology has been as a debatable problem in occupational health and medicine. Objectives Due to limitation present in human studies, the research was conducted to survey the influence of vibration on cochlear histology in an animal model. Materials and Methods Twelve albino rabbits were experimented as: Vibration group (n = 6; exposed to 1.0 m.s-2 r.m.s vertical whole-body vibration at 4 - 8 Hz for 8 hours per day during 5 consecutive days) versus Control group (n = 6; the same rabbits without vibration exposure). After finishing the exposure scenario, all rabbits were killed by CO2 inhalation; their cochleae were extracted and fixed in 10% formaldehyde for 48 hours, decalcified by 10% nitric acid for 24 hours. Specimens were dehydrated, embedded, sectioned 5 µm thick and stained with Hematoxylin and Eosin for light microscopy observations. Results Severely hydropic degenerated and vacuolated inner hair cells (IHCs) were observed in vibration group compared to the control group. Inter and intracellular edema was appeared in supporting cells (SC). Nuclei of outer hair cells (OHCs) seemed to be pyknotic. Slightly thickened basilar membrane (BM) was probably implied to inter cellular edematous. Tectorial Membrane (TM) was not affected pathologically. Conclusions Whole-body vibration could cause cochlear damages in male rabbits, though vibration-induced auditory functional effects might be resulted as subsequent outcome of prolonged high level vibration exposures.
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Affiliation(s)
- Seyyed Ali Moussavi Najarkola
- Department of Occupational Hygiene, Collage of Health, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
| | - Ali Khavanin
- Department of Occupational Health, School of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran
- Corresponding author: Ali Khavanin, Department of Occupational Health, School of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran, Tel: +98-2182883849, Fax: +98-2182883825, E-mail:
| | - Ramazan Mirzaei
- Department of Occupational Health, Health Promotion Research Center, Zahedan University of Medical Sciences,Zahedan, IR Iran
| | - Mojdeh Salehnia
- Department of Anatomical Sciences, School of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran
| | - Ahad Muhammadnejad
- Cancer Research Center, Iran Cancer Institute, Tehran University of Medical Sciences, Tehran, IR Iran
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Di Giminiani R, Masedu F, Tihanyi J, Scrimaglio R, Valenti M. The interaction between body position and vibration frequency on acute response to whole body vibration. J Electromyogr Kinesiol 2013; 23:245-51. [DOI: 10.1016/j.jelekin.2012.08.018] [Citation(s) in RCA: 68] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2012] [Revised: 07/12/2012] [Accepted: 08/28/2012] [Indexed: 11/30/2022] Open
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Moussavi-Najarkola SA, Khavanin A, Mirzaei R, Salehnia M, Akbari M. Assessment of the influence of whole body vibration on Cochlear function. J Occup Med Toxicol 2012; 7:12. [PMID: 22720724 PMCID: PMC3480898 DOI: 10.1186/1745-6673-7-12] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2011] [Accepted: 05/04/2012] [Indexed: 02/02/2023] Open
Abstract
Background Whole body vibration (WBV) is a potentially harmful consequence resulting from the dissipation of energy by industrial machineries. The result of WBV exposure on the auditory system remains unknown. The objective of the present research was to evaluate the influence of WBV on cochlear function, in particular outer hair cell function. It is hypothesized that WBV impairs cochlear function resulting in decreased Distortion Product Otoacoustic Emission (DPOAE) levels (Ldp) in rabbits subjected to WBV. Methods Twelve rabbits were equally divided into vibration and control groups. Animals in vibration group were exposed to 1.0 ms-2 r.m.s vertical WBV at 4–8 Hz for 8 h/day during 5 consecutive days. Outer hair cell function was assessed by comparing repeated-measurements of DPOAE levels (Ldp) across a range of f2 frequencies in rabbits both exposed and unexposed to WBV. DPOAE level shifts (LSdp) were compared across ears, frequencies, groups, and times. Results No differences were seen over time in DPOAE levels in the non-exposed rabbits (p = 0.082). Post-exposure Ldp in rabbits exposed to WBV were significantly increased at all test frequencies in both ears compared to baseline measures (p = 0.021). The greatest increase in Ldp following exposure was seen at 5888.5 Hz (mean shift = 13.25 dB). Post-exposure Ldp in rabbits exposed to WBV were not significantly different between the right and left ears (p = 0.083). Conclusion WBV impairs cochlear function resulting in increased DPOAE responses in rabbits exposed to WBV. DPOAE level shifts occurred over a wide range of frequencies following prolonged WBV in rabbits.
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Moussavi-Najarkola SA, Khavanin A, Mirzaei R, Salehnia M, Akbari M. Effects of whole body vibration on outer hair cells' hearing response to distortion product otoacoustic emissions. In Vitro Cell Dev Biol Anim 2012; 48:276-83. [PMID: 22549335 DOI: 10.1007/s11626-012-9490-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2011] [Accepted: 02/03/2012] [Indexed: 02/02/2023]
Abstract
Whole body vibration (WBV) is one of the most vexing problems in industries. There is a debate about the effect of WBV exposure on hearing system as vibration-induced hearing loss. The purpose of this study was to investigate outer hair cells' (OHCs') hearing response hearing response to distortion product otoacoustic emissions (DPOAEs) in rabbits exposed to WBV. It was hypothesized that the DPOAE response amplitudes (A(dp)) in rabbits exposed to WBV would be lower than those in control rabbits not exposed to WBV. New Zealand white (NZW) rabbits as vibration group (n = 6, exposed to WBV in the z-axis at 4-8 Hz and 1.0 ms(-2) root mean square for 8 h per day during five consecutive days) and NZW rabbits as control group (n = 6, not exposed to any WBV) were participated. A(dp) and noise floor levels (L(nf)) were examined on three occasions: day 0 (i.e., baseline), day 8 (i.e., immediately 1 h after exposure), and day 11 (i.e., 72 h following exposure) with f(2) frequencies ranging from 500 to 10,000 Hz and primaries L(1) and L(2) levels of 65 and 55 dB sound pressure level, respectively. Main effects were statistically found to be significant for group, time, and frequency (p < 0.05). DPOAE amplitudes were significantly larger for rabbits exposed to WBV, larger on day 8 and larger for mid to high f(2) frequencies (at and above 5,888.50 Hz). Main effects were not statistically found to be significant for ear (p > 0.05). Also, four statistically significant interactions including time by ear, time by frequency, group by frequency, and group by time were detected (p < 0.05). Contrary to the main hypothesis, DPOAE amplitudes were significantly larger for rabbits exposed to WBV. WBV exposure significantly led to enhanced mean A(dp) at mid to high frequencies rather than at low ones.
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Lau RWK, Liao LR, Yu F, Teo T, Chung RCK, Pang MYC. The effects of whole body vibration therapy on bone mineral density and leg muscle strength in older adults: a systematic review and meta-analysis. Clin Rehabil 2011; 25:975-88. [PMID: 21849376 DOI: 10.1177/0269215511405078] [Citation(s) in RCA: 104] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE A systematic review and meta-analysis of randomized controlled trials was undertaken to determine whether whole body vibration improves bone mineral density and leg muscle strength in older adults. DATA SOURCES Sources included MEDLINE, CINAHL, EMBASE, PEDro, PubMed, Science Citation Index and the reference list of each eligible article. REVIEW METHODS Article search and selection was performed independently by two researchers. The methodological quality of each selected article was rated by the PEDro scale. RESULTS Thirteen randomized trials (18 articles) totalling 896 subjects fulfilled the selection criteria. Four were considered to have good or excellent methodological quality and the rest were rated as fair. Meta-analyses revealed that whole body vibration has no significant effect on hip or lumbar spine bone mineral density in older women when compared with no intervention or active exercise (P > 0.05). Whole body vibration, however, had a significant treatment effect on knee extension dynamic strength (standardized mean difference = 0.63, P = 0.006), leg extension isometric strength (standardized mean difference = 0.57, P = 0.003), and functional measures of leg muscle strength such as jumping height (standardized mean difference = 0.51, P = 0.010) and performance in sit-to-stand (standardized mean difference = 0.72, P < 0.001) among older adults compared with no intervention. CONCLUSION Whole body vibration is beneficial for enhancing leg muscle strength among older adults. However, the review suggests that whole body vibration has no overall treatment effect on bone mineral density in older women. No randomized trial has examined the effects of whole body vibration on bone mineral density in older men.
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Affiliation(s)
- Ricky W K Lau
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong
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Effects of whole-body vibration on sensorimotor performance in people with Parkinson disease: a systematic review. Phys Ther 2011; 91:198-209. [PMID: 21212374 DOI: 10.2522/ptj.20100071] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Abstract
BACKGROUND Earlier studies show that whole-body vibration (WBV) has beneficial effects on neuromuscular performance in older adults and may be a viable treatment option for people with Parkinson disease (PD). PURPOSE This systematic review was aimed at determining whether WBV improves sensorimotor performance in people with PD. DATA SOURCES The sources used in this review were MEDLINE, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), the Excerpta Medica database (EMBASE), the Cochrane Database of Systematic Reviews, and the Physiotherapy Evidence Database (PEDro) (last searched in April 2010). STUDY SELECTION Randomized and nonrandomized controlled studies examining the effects of WBV in people with PD were selected. Six studies fulfilled the selection criteria and were included in this review. DATA EXTRACTION The PEDro score was used to evaluate methodological quality. The effects of WBV on various sensorimotor outcomes were noted. DATA SYNTHESIS Methodological quality was rated as good for 1 study (PEDro score of 6), fair for 4 studies (PEDro score of 4 or 5), and poor for 1 study (PEDro score of 2). Two studies showed that, compared with no intervention, WBV treatment led to significant reductions in tremor and rigidity, as measured with the Unified Parkinson Disease Rating Scale (UPDRS). The findings for other UPDRS cluster scores were conflicting, however. Two studies showed that longer-term WBV (3-5 weeks) did not result in better sensorimotor outcomes than conventional exercise training. LIMITATIONS The studies reviewed here are limited by their methodological weaknesses and small, heterogeneous samples. CONCLUSIONS There is insufficient evidence to prove or refute the effectiveness of WBV in enhancing sensorimotor performance in people with PD (ie, grade D recommendations). More good-quality trials are needed to establish the clinical efficacy of WBV in improving sensorimotor function in people with PD.
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Paschold HW, Sergeev AV. Whole-body vibration knowledge survey of U.S. occupational safety and health professionals. JOURNAL OF SAFETY RESEARCH 2009; 40:171-176. [PMID: 19527809 DOI: 10.1016/j.jsr.2009.02.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/03/2008] [Revised: 11/20/2008] [Accepted: 02/02/2009] [Indexed: 05/27/2023]
Abstract
PROBLEM Whole-body vibration (WBV) is an occupational issue of concern due to adverse health effects or simple discomfort and annoyance. Unlike in Europe, WBV is an emerging topic in the U.S. safety and health (S&H) professional community. We hypothesized that at least one-half of the U.S. occupational S&H professionals knew little or nothing about WBV. METHOD We conducted a cross-sectional study (survey) of WBV knowledge among members of the American Society of Safety Engineers. A Likert scale (1-none to 5-expert) was used to determine WBV topic knowledge levels (KL(1-5)). RESULTS Analysis of 2,764 responses revealed that 69.5% of the participants self-reported a less than basic WBV understanding. The WBV KL(1-5) mean for all participants was 1.94+/-1.00, corresponding to an awareness of WBV without a depth of understanding. SUMMARY Many at-risk U.S. workers may not be supported by occupational S&H professionals with adequate WBV knowledge. IMPACT ON INDUSTRY A significant number of U.S. workers may be exposed to unhealthy levels of whole-body vibration. However, the U.S. occupational safety and health community is generally unprepared to anticipate, monitor, and control the whole-body vibration hazard.
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Affiliation(s)
- Helmut W Paschold
- School of Public Health Sciences & Professions, College of Human and Health Services, Ohio University, Athens, Ohio 45701, USA.
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Ljungberg JK, Neely G. Cognitive After‐effects of Vibration and Noise Exposure and the Role of Subjective Noise Sensitivity. J Occup Health 2007; 49:111-6. [PMID: 17429168 DOI: 10.1539/joh.49.111] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
This study investigated the effects on attention performance after exposure to noise and whole-body vibration in relation to subjective noise sensitivity. Sixteen high and 16 low sensitivity male students, as determined by the Weinstein Noise Sensitivity Questionnaire, participated in a within-subjects experiment. Noise and vibration stimuli similar to those usually occurring in forestry vehicles were presented either individually, combined or not at all in four separate sessions lasting approximately 44 min. After exposure, participants completed an attention task and made subjective ratings of alertness. No main effect of noise sensitivity was observed in MANOVA, thus the data was pooled with the data from a pilot study using the exact same procedure without using a noise sensitivity inclusion criterion. The combined data revealed performance degradation in the attention task after exposure to vibration, regardless as to whether it was presented alone or in combination with noise. Increased ratings of alertness after vibration exposure and decreased ratings of alertness after noise exposure were also found. Neither synergistic nor antagonistic effects were observed from the combined noise and vibration exposure.
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Maikala RV, King S, Bhambhani YN. Cerebral oxygenation and blood volume responses to seated whole-body vibration. Eur J Appl Physiol 2005; 95:447-53. [PMID: 16177916 DOI: 10.1007/s00421-005-0013-8] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/14/2005] [Indexed: 10/25/2022]
Abstract
Role of backrest support and hand grip contractions on regional cerebral oxygenation and blood volume were evaluated by near infrared spectroscopy in 13 healthy men during whole-body vibration (WBV). Subjects were exposed to three WBV (3, 4.5, and 6 Hz at approximately 0.9 g(rms) in the vertical direction), in a randomized order on separate days. During WBV, subjects performed right-hand maximal voluntary intermittent rhythmic hand grip contractions for 1 min. Subjects demonstrated highest oxygenation and blood volume values at 4.5 Hz, however, these responses were similar with and without backrest support (P>0.01). Compared to WBV alone, addition of hand grip exercise during WBV further increased oxygenation (0.07+/-0.11 vs. 0.004+/-0.11 od, P=0.003) and blood volume (0.156+/-0.20 vs. 0.066+/-0.17 od, P=0.000) in the right forehead. Peak oxygen uptake did not correlate to changes in oxygenation and blood volume (P>0.01). Based on the increase in ventilation volume and no change in the ratio of ventilation volume and expired carbon dioxide (P>0.01), it is concluded that WBV induces hyperventilation that might activate the pre-frontal cortical region, thus influencing cerebral responses through neuronal activation.
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Affiliation(s)
- Rammohan V Maikala
- Liberty Mutual Research Institute for Safety, 71 Frankland Road, Hopkinton, MA, 01748, USA.
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Rubin C, Recker R, Cullen D, Ryaby J, McCabe J, McLeod K. Prevention of postmenopausal bone loss by a low-magnitude, high-frequency mechanical stimuli: a clinical trial assessing compliance, efficacy, and safety. J Bone Miner Res 2004; 19:343-51. [PMID: 15040821 DOI: 10.1359/jbmr.0301251] [Citation(s) in RCA: 336] [Impact Index Per Article: 16.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2003] [Revised: 09/26/2003] [Accepted: 10/30/2003] [Indexed: 12/28/2022]
Abstract
UNLABELLED A 1-year prospective, randomized, double-blind, and placebo-controlled trial of 70 postmenopausal women demonstrated that brief periods (<20 minutes) of a low-level (0.2g, 30 Hz) vibration applied during quiet standing can effectively inhibit bone loss in the spine and femur, with efficacy increasing significantly with greater compliance, particularly in those subjects with lower body mass. INTRODUCTION Indicative of the anabolic potential of mechanical stimuli, animal models have demonstrated that short periods (<30 minutes) of low-magnitude vibration (<0.3g), applied at a relatively high frequency (20-90 Hz), will increase the number and width of trabeculae, as well as enhance stiffness and strength of cancellous bone. Here, a 1-year prospective, randomized, double-blind, and placebo-controlled clinical trial in 70 women, 3-8 years past the menopause, examined the ability of such high-frequency, low-magnitude mechanical signals to inhibit bone loss in the human. MATERIALS AND METHODS Each day, one-half of the subjects were exposed to short-duration (two 10-minute treatments/day), low-magnitude (2.0 m/s2 peak to peak), 30-Hz vertical accelerations (vibration), whereas the other half stood for the same duration on placebo devices. DXA was used to measure BMD at the spine, hip, and distal radius at baseline, and 3, 6, and 12 months. Fifty-six women completed the 1-year treatment. RESULTS AND CONCLUSIONS The detection threshold of the study design failed to show any changes in bone density using an intention-to-treat analysis for either the placebo or treatment group. Regression analysis on the a priori study group demonstrated a significant effect of compliance on efficacy of the intervention, particularly at the lumbar spine (p = 0.004). Posthoc testing was used to assist in identifying various subgroups that may have benefited from this treatment modality. Evaluating those in the highest quartile of compliance (86% compliant), placebo subjects lost 2.13% in the femoral neck over 1 year, whereas treatment was associated with a gain of 0.04%, reflecting a 2.17% relative benefit of treatment (p = 0.06). In the spine, the 1.6% decrease observed over 1 year in the placebo group was reduced to a 0.10% loss in the active group, indicating a 1.5% relative benefit of treatment (p = 0.09). Considering the interdependence of weight, the spine of lighter women (<65 kg), who were in the highest quartile of compliance, exhibited a relative benefit of active treatment of 3.35% greater BMD over 1 year (p = 0.009); for the mean compliance group, a 2.73% relative benefit in BMD was found (p = 0.02). These preliminary results indicate the potential for a noninvasive, mechanically mediated intervention for osteoporosis. This non-pharmacologic approach represents a physiologically based means of inhibiting the decline in BMD that follows menopause, perhaps most effectively in the spine of lighter women who are in the greatest need of intervention.
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Affiliation(s)
- Clinton Rubin
- Department of Biomedical Engineering, State University of New York, Stony Brook, New York, USA.
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16
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Ljungberg J, Neely G, Lundström R. Cognitive performance and subjective experience during combined exposures to whole-body vibration and noise. Int Arch Occup Environ Health 2004; 77:217-21. [PMID: 14749930 DOI: 10.1007/s00420-003-0497-7] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2003] [Accepted: 11/14/2003] [Indexed: 11/29/2022]
Abstract
OBJECTIVE The goal of this study was to examine the effects of noise and whole-body vibration, individually and combined, and at various stimulus intensity levels, on cognitive performance and subjective experience. METHOD Fifty-four participants (27 men and 27 women) with a mean age of 25 years, ranging from 19 to 30, were exposed for 20 min each to a 16-Hz sinusoidal whole-body vibration, a helicopter sound at 21 Hz, both stimuli combined, and a control condition. Participants were randomly assigned to one of three groups: low intensity [77 dB(A) noise and 1.0 m/s2 vibration], medium intensity [81 dB(A)/1.6 m/s2] or high intensity [86 dB(A)/2.5 m/s2. During each environmental exposure, short-term memory performance was tested with a visual Sternberg paradigm. Reaction time was measured as a dependent variable. Directly following each environmental exposure, participants rated the difficulty of the task and the annoyance level of the exposure stimulus. RESULTS Results revealed no significant changes in reaction times due to environmental exposure or intensity level. However, participants significantly rated the combined exposure as both more annoying and more difficult than the other conditions. Further, the high-intensity group rated subjective annoyance significantly higher than the other groups for all conditions. CONCLUSIONS The results from this study indicate that performance alone is not a sufficient measure for the study of the effects of combined stimuli on a human operator.
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Affiliation(s)
- Jessica Ljungberg
- National Institute for Working Life, P.O. Box 7654, 907 13, Umeå, Sweden.
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17
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Rubin C, Pope M, Fritton JC, Magnusson M, Hansson T, McLeod K. Transmissibility of 15-hertz to 35-hertz vibrations to the human hip and lumbar spine: determining the physiologic feasibility of delivering low-level anabolic mechanical stimuli to skeletal regions at greatest risk of fracture because of osteoporosis. Spine (Phila Pa 1976) 2003; 28:2621-7. [PMID: 14652479 DOI: 10.1097/01.brs.0000102682.61791.c9] [Citation(s) in RCA: 153] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
STUDY DESIGN Experiments were undertaken to determine the degree to which high-frequency (15-35 Hz) ground-based, whole-body vibration are transmitted to the proximal femur and lumbar vertebrae of the standing human. OBJECTIVES To establish if extremely low-level (<1 g, where 1 g = earth's gravitational field, or 9.8 ms-2) mechanical stimuli can be efficiently delivered to the axial skeleton of a human. SUMMARY OF BACKGROUND DATA Vibration is most often considered an etiologic factor in low back pain as well as several other musculoskeletal and neurovestibular complications, but recent in vivo experiments in animals indicates that extremely low-level mechanical signals delivered to bone in the frequency range of 15 to 60 Hz can be strongly anabolic. If these mechanical signals can be effectively and noninvasively transmitted in the standing human to reach those sites of the skeleton at greatest risk of osteoporosis, such as the hip and lumbar spine, then vibration could be used as a unique, nonpharmacologic intervention to prevent or reverse bone loss. MATERIALS AND METHODS Under sterile conditions and local anesthesia, transcutaneous pins were placed in the spinous process of L4 and the greater trochanter of the femur of six volunteers. Each subject stood on an oscillating platform and data were collected from accelerometers fixed to the pins while a vibration platform provided sinusoidal loading at discrete frequencies from 15 to 35 Hz, with accelerations ranging up to 1 g(peak-peak). RESULTS With the subjects standing erect, transmissibility at the hip exceeded 100% for loading frequencies less than 20 Hz, indicating a resonance. However, at frequencies more than 25 Hz, transmissibility decreased to approximately 80% at the hip and spine. In relaxed stance, transmissibility decreased to 60%. With 20-degree knee flexion, transmissibility was reduced even further to approximately 30%. A phase-lag reached as high as 70 degrees in the hip and spine signals. CONCLUSIONS These data indicate that extremely low-level, high-frequency mechanical accelerations are readily transmitted into the lower appendicular and axial skeleton of the standing individual. Considering the anabolic potential of exceedingly low-level mechanical signals in this frequency range, this study represents a key step in the development of a biomechanically based treatment for osteoporosis.
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Affiliation(s)
- Clinton Rubin
- Department of Biomedical Engineering, State University of New York at Stony Brook, Stony Brook, NY 11794-2580, USA.
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Silva MJ, Dias A, Barreta A, Nogueira PJ, Castelo-Branco NAA, Boavida MG. Low frequency noise and whole-body vibration cause increased levels of sister chromatid exchange in splenocytes of exposed mice. TERATOGENESIS, CARCINOGENESIS, AND MUTAGENESIS 2002; 22:195-203. [PMID: 11948630 DOI: 10.1002/tcm.10012] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Chronic exposure to low frequency (LF) noise and whole-body vibration (WBV) induces both physiological and psychological alterations in man. Recently, we have shown that long-term occupational exposure to LF noise and WBV produces genotoxic effects in man expressed as an increase in sister chromatid exchange (SCE) levels in lymphocytes. The objectives of the present study were to investigate whether the observed effect could be reproduced in a murine model and, if so, which of the agents, LF noise alone or in combination with WBV, would be instrumental in the SCE induction. SCEs were analyzed in spleen lymphocytes of mice exposed to LF noise alone and in combination with WBV for 300 and 600 hr. An effect at the cell cycle kinetics level was also investigated. The results revealed significant increases in the mean SCE number per cell and in the proportion of cells with high frequency of SCEs (HFCs) in lymphocytes of mice submitted to combined noise and WBV over controls. No significant differences were found between single noise-exposed and control mice. A cell cycle delay was observed exclusively in the noise and WBV exposure groups. In conclusion, we demonstrated that, as in exposed workers, prolonged exposure to the combination of LF noise and WBV determines an increase in SCE level in mice while LF noise alone is not effective in SCE induction.
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Affiliation(s)
- M J Silva
- Center of Human Genetics, National Institute of Health, Lisbon, Portugal.
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Abstract
The problem of a "vibration disease" caused by low-frequency whole-body vibration (wbv) is critically discussed. Disorders of the nervous, circulatory, and digestive systems are interpreted not to be predominantly wbv-specific, but to be related to the totality of working conditions. Long-term wbv exposure can probably contribute to the pathogenesis of disorders of female reproductive organs (menstrual disturbances, anomalies of position) and disturbances of pregnancy (abortions, stillbirths). Animal experiments suggest harmful effects on the fetus. WBV has a minor synergistic effect on the development of noise-induced hearing loss. Degenerative changes of the spine are more prevalent among wbv-exposed workers. Model calculations demonstrate an increased spinal load in pregnant women exposed to wbv or self-induced vibration, and illustrate a possibility for the comparison of data on stress, strain, and strength. The analysis of individual exposure-effect relationships is suggested as a future approach for evaluating potential occupation-related diseases.
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Affiliation(s)
- H Seidel
- Federal Institute for Occupational Health, Berlin, Federal Republic of Germany
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Seidel H, Blüthner R, Martin J, Menzel G, Panuska R, Ullsperger P. Effects of isolated and combined exposures to whole-body vibration and noise on auditory-event related brain potentials and psychophysical assessment. EUROPEAN JOURNAL OF APPLIED PHYSIOLOGY AND OCCUPATIONAL PHYSIOLOGY 1992; 65:376-82. [PMID: 1425639 DOI: 10.1007/bf00868144] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Auditory event-related brain potentials (ERP) in response to two different tone stimuli (1.1 kHz or 1 kHz, 80 dB, 50 ms; given by headphones at a regular interstimulus interval of 5 s with a probability distribution of 70:30) were recorded from 12 healthy male subjects (Ss) during four different conditions with two repetitions: A-60 dBA white noise (wN), no whole-body vibration (WBV); B-60 dBA wN plus sinusoidal WBV in the az-direction with a frequency of 2.01 Hz and acceleration of 2 m.s-2 root mean square; C-80 dBA wN, no WBV; D-80 dBA wN plus WBV. Each condition consisted of two runs of about 11 min interrupted by a break of 4 min. During the break with continuing exposure, but without auditory stimuli, Ss judged the difficulty of the tone-detection task and intensity of noise by means of cross-modality matching (CMM). Vibration-synchronous activity in the electrocardiogram was eliminated by a subtraction-technique. Noise caused an attenuation of the N1 and P2 amplitudes and prolongation of P3 latencies. The WBV did not cause systematic ERP effects. Condition B was associated with higher N1 and smaller P3 amplitudes. The factor "condition" had a significant effect on the peak latencies of P3 to target stimuli and the task difficulty judged by CMM. Both effects exhibited significant linear increases in the sequence of conditions A, B, C, D. For the evaluation of exposure conditions at work, it can be suggested that noise has a strong systematic effect which can be enhanced by WBV.(ABSTRACT TRUNCATED AT 250 WORDS)
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Affiliation(s)
- H Seidel
- Federal Institute for Occupational Health, Berlin, Federal Republic of Germany
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Seidel H, Schuster U, Menzel G, Nikolajewitsch Kurerov N, Richter J, Schajpak EJ, Blüthner R, Meister A, Ullsperger P. Changes in auditory evoked brain potentials during ultra-low frequency whole-body vibration of man or of his visual surround. EUROPEAN JOURNAL OF APPLIED PHYSIOLOGY AND OCCUPATIONAL PHYSIOLOGY 1990; 61:356-61. [PMID: 2079053 DOI: 10.1007/bf00236053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Auditory evoked brain potentials (AEP) were recorded from nine healthy male subjects during three types of condition: A - subject and visual field stationary; B - subject vibrated (z-axis, 0.6 Hz, 1.85 ms-2 rms), visual field stationary; C - subject stationary, visual field vibrated (as for B). The visual surround was confined to a checkerboard pattern in front of the subject. Auditory stimuli (1000 Hz, 86 dB, interstimulus interval 7 s) were delivered via headphones to evoke AEP. Vibration-synchronous activity in the EEG was eliminated by a subtraction technique. In comparison with condition A, conditions B and C caused an attenuation of P2 and N1P2 components of AEP together with an increased latency of N1. Effects of conditions B and C did not differ. Direct vestibular stimulation and mechanisms specific for whole-body vibration were rejected as modes of action. The AEP-changes and the subjective evaluation of experimental conditions, arousal and performance, as well as symptoms of kinetosis (motion sickness) suggest a sensory mismatch, leading to a "latent kinetosis" with de-arousal, as the dominating mechanism by which the processing of information was affected. This suggestion was supported by an additional pilot study. Under real working conditions a similar effect can be expected during relative motion between the driver and his visual surround, i.e. even with perfect vibro-isolation of the driver's seat.
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Affiliation(s)
- H Seidel
- Department of Occupational Hygiene, Central Institute for Occupational Medicine of the German Democratic Republic, Berlin
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