J Heart Lung Transplant, 2015; 34(11): 1455-61, PMID: 26279196

Effects of complementary whole-body vibration training in patients after lung transplantation: A randomized, controlled trial.

Year: 2015

Gloeckl R, Heinzelmann I, Seeberg S, Damisch T, Hitzl W, Kenn K
Department of Respiratory Medicine and Pulmonary Rehabilitation, Schoen Klinik Berchtesgadener Land, Schoenau am Koenigssee, Germany; Department for Prevention, Rehabilitation and Sports Medicine, Klinikum Rechts der Isar, Technische Universitat Munchen,

Abstract

BACKGROUND: In recent years, some studies have shown that whole-body vibration training (WBVT) may be a beneficial training mode in patients with chronic obstructive pulmonary disease (COPD). However, the effects of WBVT in patients after lung transplantation (LTx) have not yet been investigated. METHODS: Eighty-three LTx patients (56 +/- 7 years of age, 51% male, 10 +/- 12 weeks post-LTx, forced expiratory volume in 1 second [FEV1] 68 +/- 20 percent predicted [% pred], baseline 6-minute walk distance [6MWD] 350 +/- 120 meters) admitted to a 4-week inpatient multidisciplinary program of pulmonary rehabilitation (PR) performed supervised endurance and strength training on 5 days per week. In addition, patients were randomly assigned to 1 of 2 supervised intervention groups on 3 days/week: (1) 4 x 2 minutes of bilateral dynamic squat exercises on a side-alternating vibration platform at 24 to 26 Hz (WBVT); and (2) a control group (CON) with the same amount of exercise time on the floor. RESULTS: Seventy patients completed the study (WBVT: n = 34; CON: n = 36). Improvement in 6MWD was significantly (p = 0.029) higher in the WBVT group (83.5 meters [95% CI 65.4 to 101.7]) compared with the CON group (55.2 m [95% CI 37.5 to 72.8]). Also, peak work rate increased significantly (p = 0.042) more in the WBVT group (16.8 W [95% CI 13.5 to 20.5]) than in the CON group (12.6 W [95% CI 9.0 to 16.1]). No adverse events related to the intervention occurred during the study. CONCLUSIONS: A complementary WBVT on top of conventional endurance and strength training seems to be a feasible and safe exercise modality in patients after LTx. Furthermore, it may even enhance the benefits of a comprehensive PR on exercise capacity.

Keywords: Galileo pulmonary rehabilitation; lung transplantation; whole-body vibration training; vibration training; exercise; training
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