Arch Phys Med Rehabil., 2005; 86(2): 303-7, PMID: 15706558
Controlled Whole Body Vibration to decrease Fall Risk and improve health-related Quality of Life of Nursing Home Residents
Year: 2005
Bruyere O, Wuidart MA, Di Palma E, Gourlay M, Ethgen O, Richy F, Reginster JY
WHO Collaborating Center for Public Health Aspects of Osteoarticular Disorders, Liège, Belgium. olivier.bruyere@ulg.ac.be
Abstract
OBJECTIVE:To investigate the effects of whole body vibration in the elderly.
DESIGN:
Randomized controlled trial.
SETTING:
Nursing home.
PARTICIPANTS:
Forty-two elderly volunteers.
INTERVENTIONS:
Six-week vibration intervention plus physical therapy (PT) (n=22) or PT alone (n=20).
MAIN OUTCOME MEASURES:
We assessed gait and body balance using the Tinetti test (maximum scores of 12 for gait, 16 for body balance, 28 for global score), motor capacity using the Timed Up & Go (TUG) test, and health-related quality of life (HRQOL) using the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36).
RESULTS:
After 6 weeks, the vibration intervention group improved by a mean +/- standard deviation of 2.4+/-2.3 points on the gait score compared with no score change in the control group ( P <.001). The intervention group improved by 3.5+/-2.1 points on the body balance score compared with a decrease of 0.3+/-1.2 points in the control group ( P <.001). TUG test time decreased by 11.0+/-8.6 seconds in the treated group compared with an increase of 2.6+/-8.8 seconds in the control group ( P <.001). The intervention group had significantly greater improvements from baseline on 8 of 9 items on the SF-36 compared with the control group. CONCLUSIONS: Controlled whole body vibration can improve elements of fall risk and HRQOL in elderly patients.
Keywords: elderly, Fall Risk
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