Highlights
- •We collected data on several types of chronic musculoskeletal disorders.
- •We identified the effectiveness of whole body vibration as treatment for chronic musculoskeletal pain.
- •Evidence suggests positive effects of whole body vibration exercise on chronic musculoskeletal pain.
- •Long durations of whole body vibration exercise could be more beneficial for chronic musculoskeletal pain.
Abstract
Objective
This study systematically reviews previous work on the effects of whole body vibration
exercise (WBVE) on pain associated with chronic musculoskeletal disorders.
Data Sources
Seven electronic databases (PubMed, Embase, CINAHL, Web of Science, Cochrane, Physiotherapy
Evidence Database [PEDro], and the China National Knowledge Infrastructure) were searched
for articles published between January 1980 and September 2018.
Study Selection
Randomized controlled trials involving adults with chronic low back pain (CLBP), osteoarthritis
(OA), or fibromyalgia were included. Participants in the WBVE intervention group were
compared with those in the nontreatment and non-WBVE control groups.
Data Extraction
Data were independently extracted using a standardized form. Methodological quality
was assessed using PEDro.
Data Synthesis
Suitable data from 16 studies were pooled for meta-analysis. A random effects model
was used to calculate between-groups mean differences at 95% confidence interval (CI).
The data were analyzed depending on the duration of the follow-up, common disorders,
and different control interventions.
Results
Alleviation of pain was observed at medium term (standardized mean difference [SMD],
-0.67; 95% CI, -1.14 to -0.21; I2, 80%) and long term (SMD, -0.31; 95% CI, -0.59 to -0.02; I2, 0%). Pain was alleviated in osteoarthritis (OA) (SMD, -0.37; 95% CI, -0.64 to -0.10;
P<.05; I2, 22%) and CLBP (SMD, -0.44; 95% CI, -0.75 to -0.13; P<.05; I2, 12%). Long-term WBVE could relieve chronic musculoskeletal pain conditions of OA
(SMD, -0.46; 95% CI, -0.80 to -0.13; P<.05; I2, 0%). WBVE improved chronic musculoskeletal pain compared with the treatment “X”
control (SMD, -0.37; 95% CI, -0.61 to -0.12; P<.05; I2, 26%), traditional treatment control (SMD, -1.02; 95% CI, -2.44 to 0.4; P>.05; I2, 94%) and no treatment control (SMD, -1; 95% CI, -1.76 to -0.24; P<.05; I2, 75%).
Conclusions
Evidence suggests positive effects of WBVE on chronic musculoskeletal pain, and long
durations of WBVE could be especially beneficial. However, WBVE does not significantly
relieve chronic musculoskeletal pain compared with the traditional treatment. Further
work is required to identify which parameters of WBVE are ideal for patients with
chronic musculoskeletal pain.
Keywords
List of abbreviations:
CI (confidence interval), CLBP (chronic low back pain), OA (osteoarthritis), PEDro (Physiotherapy Evidence Database), RCT (randomized controlled trial), SMD (standardized mean difference), VAS (visual analog scale), WBV (whole body vibration), WBVE (whole body vibration exercise)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: April 17, 2019
Footnotes
Supported by the National Natural Science Foundation of China (grant no. 81501956, 81871844), Fok Ying-Tong Education Foundation of China (grant no. 161092), Shanghai Municipal Commission of Health and Family Planning (grant no. 201840346), Shuguang Program supported by Shanghai Education Development Foundation and Shanghai Municipal Education Commission (grant no. 18SG48), and Shanghai Key Lab of Human Performance (Shanghai University of Sport) (grant no. 11DZ2261100).
Clinical Trial Registration No.: CRD42017080546
Disclosures: none.
Identification
Copyright
© 2019 by the American Congress of Rehabilitation Medicine
