Effect of an interval rehabilitation program with home-based, vibration-assisted training on the development of muscle and bone in children with cerebral palsy - an observational study

Whole Body Vibration Therapy for Children with Disabilities: A Survey of Potential Risks and Benefits

The purpose of this report is to remind providers of the potential risks of Whole Body Vibration Therapy (WBVT) for children with disabilities. We reviewed the current state of knowledge and learned that WBVT may have potential risk of injury for some children. To the best of our knowledge this review is the first to clarify WBVT risks. We believe WBVT may have therapeutic value but we recommend caution and offer suggestions for future research.

HIGH-INTENSITY INTERVAL TRAINING APPLIED TO PHYSICAL TRAINING

ABSTRACT Introduction High-intensity interval training (HIIT) has been widely used in functional physical performance enhancement, with the characteristics of low time demand and fast effects. Currently, many ways and methods are adopted in sports training, but the impact of HIIT training still needs to be determined. Objective Explore the effect of HIIT on physical training. Methods The training content includes preparatory activities, intermittent training, and relaxation activities. The preparatory and relaxation activities of the experimental and control groups are completely the same, differentiating only the addition of a protocol with HIIT in the control group. HIIT of medium intensity was adopted. Results After 10 weeks of intervention, there was no significant difference in vital capacity between the experimental and control groups. Comparing the vital capacity indices of the volunteers in both groups, it was found that the vital capacity levels of the experimental and control groups showed positive differences. Still, the experimental group with HIIT had a greater gain in their vital capacity. Conclusion HIIT can effectively improve the functional physical performance of athletes. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.

REHABILITATION EFFECT OF TENNIS ON PATIENTS WITH ELBOW JOINT INJURY

ABSTRACT Introduction: Knee joint injuries are common, and their pathogenesis is complex. Objective: To study the rehabilitation effect of tennis on patients with joint injury. Methods: We use literature, a questionnaire, and other research methods to investigate the joint injuries of 126 athletes who participated in the 19th University Tennis Championships in 2014. We use sports anatomy knowledge combined with tennis special techniques for analysis. Results: The rehabilitation group was better than the control group (p<0.01) in curative effect, duration of the knee pain, time until ligament reconstruction happened, knee joint movement range, knee joint movement pain degree, lower limb walking function score, and self-care ability. There was no statistical difference in accidental injuries between the two groups (p>0.05). Conclusions: When compared to conventional methods, the rehabilitation program was effective in treating knee joint sports injuries. Level of evidence II; Therapeutic studies - investigation of treatment results.

EXPERIMENTAL STUDY ON THE IMPACT OF INTERMITTENT STRENGTHENING TRAINING ON ATHLETES

ABSTRACT Introduction: High-intensity interval training (HIIT) refers to multiple short-term high-intensity exercises. Objective: To study the impact of sprint interval training (SIT) on the athletic ability of elite rugby players. Method: 36 male rugby players from a sports college were selected. They were randomly divided into upper limb training (Group A), lower limb training (Group B), and routine training (Group C - control). Group C received routine training for six weeks. Groups A and B added SIT training based on Group C’s upper and lower limb training. Results: After training, the maximum aerobic power (MAP) in Groups A and C was significantly higher (P < 0.05), as well as the myeloperoxidase (MPO) of lower limbs in group B (P < 0.05). After completing 5 and 6 sets of SIT training, blood lactic acid (BLA) was lower in group B (P <0.05). Parameters such as upper limb intermittent sprint exercise capacity and lower-limb aerobic exercise capacity did not significantly change compared with the same parameters before training (P>0.05). Conclusions: Excellent male rugby players can improve their upper limb aerobic and lower limb intermittent sprint athletic ability by integrating different methods of SIT training into their daily training. Level of evidence II; Therapeutic studies - investigation of treatment results.

The Impact of Whole-Body Vibration Training on Bone Minerals and Lean Mass in Children and Adolescents with Motor Disabilities: A Systematic Review and Meta-Analysis

Whole-body vibration training (WBVT) offers a potential auxiliary treatment method for the rehabilitation of motor disabilities to address a reduction in bone minerals and lean mass caused by motor-disability rehabilitation. The aim of this review was to analyze the efficacy of WBVT in muscle-bone rehabilitation. In order to investigate the potential effect of WBVT on children and adolescents with motor disabilities, a meta-analysis was carried out. From January 2006 to June 2021, studies that met certain criteria were searched for in the Scopus, PubMed, Web of Science, and EBSCO databases. An analysis of standardized mean differences was performed using the STATA 15.1 software with a 95% confidence interval (PROSPERO registration number: CRD42021258538). Eight studies were selected that included 179 male and 139 female children and adolescents suffering from motor disabilities. The results of the meta-analysis showed that WBVT significantly improved femur bone-mineral density ((p < 0.01, z = 2.66), standardized mean difference (SMD) (95% CI) = 0.41 (0.11, 0.72)), total body-bone mineral content ((p < 0.01, z = 3.08), SMD (95% CI) = 0.26 (0.10, 0.43)), and lean mass ((p < 0.01, z = 2.63), SMD (95% CI) = 0.22 (0.06, 0.39)). In addition, there was no significant effect of WBVT on lumbar spine bone mineral density in the disabled children and adolescents ((p = 0.21, z = 1.25), SMD (95% CI) = 0.17 (-0.10, 0.43)). WBVT can improve femur bone density, total body bone mineral content, and lean mass in children and adolescents suffering from motor disabilities, while there is no effect on lumbar-spine bone density. WBVT can be used as a potential program to improve bone minerals in children and adolescents with motor disabilities.

Impact of whole-body vibration exercise on physical performance and bone turnover in patients with monoclonal gammopathy of undetermined significance

OBJECTIVE

Monoclonal Gammopathy of Undetermined Significance (MGUS) is a risk factor for reduced physical performance, osteoporosis, and fractures due to compromised musculoskeletal metabolism. In this condition it is unknown whether whole-body vibration (WBV) exercise favorably alters physical performance and bone metabolism.

METHODS

To evaluate the effect of three-months WBV exercise (30 min; 2x/week) including an optional three-month extension on physical performance, bone metabolism and bone mineral density. Endpoints included functional assessments, bone turnover markers and bone mineral density assessed by peripheral quantitative computed tomography of the tibia.

RESULTS

Fifteen MGUS patients (median age 62.0, nine female) completed the first three months of which ten completed the three-month extension. Measures of physical functioning including chair rise test, timed up and go and 6-minute walk test improved (p = 0.007; p = 0.009; p = 0.005) after three and six months of WBV exercise. Total tibial bone mineral density remained unaltered (p > 0.05). WBV exercise tended to increase levels of sclerostin (p = 0.093) with a transient increase in osteoclast resorption markers (N-terminal telopeptide of collagen type 1, tartrate resistant acid phosphatase 5b) after three months while Dickkopf-1 (p = 0.093), procollagen I N-terminal propeptide (p = 0.074) and total alkaline phosphatase (p = 0.016) appeared to decline. No exercise-related adverse events were reported.

CONCLUSION

WBV exercise in MGUS patients improves indicators of physical performance. Observed trends in bone turnover markers and changes in distal tibial bone mineral density may indicate a regulatory effect of WBV exercise on bone metabolism and warrants further evaluation by large scale studies.