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Using Whole Body Vibration in Physical Therapy and Sport E-Book

Using Whole Body Vibration in Physical Therapy and Sport E-Book

Alfio Albasini | Martin Krause | Ingo Volker Rembitzki

(2010)

Abstract

This innovative new manual demonstrates the application of vibration technology to the treatment of pathologies such as osteoporosis, osteopenia, stroke and different musculoskeletal disorders. It covers pathology on the upper and lower extremities as well as the whole spine. New treatment strategies are practically and logically presented with recommended exercises and accompanying instructions that can be applied using the vibration platforms. Rationale is given for selected vibration frequencies, amplitudes and modes for the duration and frequency of the exercise session. The manual is grounded in evidence underpinned by a thorough literature review (including a balanced view of both pros and cons) and clinical cases. The authors present clinical treatment parameters that are evidence-based and have supportive physiological rationale that is consistent with the nature of the pathology being treated.

  • First book of its kind applying evidence-based vibration technology to physical (physiotherapy) and sport therapy practice
  • Exercise recommendations accompanied by over 70 four-colour illustrations
  • Indications and contra-indications in clinical practice
  • Comprehensive literature review of evidence base and principles
  • Written and supported by experts actively applying this technology to their practice

Table of Contents

Section Title Page Action Price
Front cover cover
Half title page i
Using Whole Body Vibration in Physical Therapy and Sport iii
Copyright page iv
Table of Contents v
Foreward by Professor Martha R. Hinman vii
Acknowledgements ix
1 Introduction 1
History 2
Is vibration a natural stimulus? 5
Definition 6
Commercial devices that deliver WBV 6
Galileo 6
Galileo Up-X Dumbell and Galileo TOP Dumbell 7
Galileo Delta Tilt Table 8
VibraFlex 8
NEMES and NBS 8
Power Plate 9
Pneu Vibe 9
References 10
2 Biomechanics 13
The inverted pendulum and walking 15
Simple harmonic motion (SHM) 16
Motor control: length, stiffness and potential 16
Stiffness 18
Resonance 19
Force exerted by stretched or compressed material 20
Elastic potential energy 22
Hill model of viscoelasticity and motor control 23
Generation of torque and the conservation of momentum 24
Inverse dynamics 25
Eccentric exercise and plyometrics 26
Tensegrity 30
What is tensegrity? 30
Conclusion 36
References 37
3 Theoretical considerations in the clinical application of WBV to sarcopenia, osteoporosis and metabolic syndrome 43
Sarcopenia 44
WBV and muscle function 45
Immune function and sarcopenia 45
Bone 54
Clinical effects of WBV on bone density 56
Clinical effects of WBV on obesity and metabolic syndrome 58
Conclusion 59
References 60
4 Indications and contraindications in the clinical application of WBV 65
Indications 65
Contraindications 65
Clinical research on acute and long-term effects of WBV 66
Acute effects of WBV using the variables of duration, frequency, body positioning and amplitude 67
Amplitude and frequency 68
Body positioning and fatigue 68
Muscle function 69
Hormones and muscle function 70
Swelling and erythema 71
Blood flow 71
Proprioception and low back pain 72
Parkinson’s disease 73
Stroke 76
Multiple sclerosis 76
Conclusions of acute effects 76
Long-term effects of WBV using the variables of duration, frequency, body positioning and amplitude 77
Variable methods of dosage for progression 78
The long-term effects of progression on outcome measures 79
Bone mineral density (BMD) and muscle strength 81
Improvements in proprioception, muscle hypertrophy, motor control and bone density for the treatment of low back pain 82
Elderly and function 87
Conclusion 87
References 88
5 Whole body vibration 93
Preparation for therapy 93
Fundamental principles 94
Fundamental starting position (FSP) 94
Guidelines 94
Choice of frequency 94
Patient guidance 95
Observe the reaction of the patient 95
Client report/feedback 95
Guiding the patient through WBV therapy 95
Warm-up exercises are recommended at the start of every training therapy session 95
Goals 95
Aims for the client 96
Observational objectives for the therapist 96
Safety check during treatment 96
Preparation before the commencement of exercise 96
Instructions to the client 96
Example of an assessment form used in the preparation for training/therapy 97
Possible side-effects 98
Conclusion 98
Guidelines and indications using examples of exercises for specific clinical conditions 99
Standard guidelines 99
Explanation and introduction of WBV training and WBV therapy sessions 100
S-series (S = stretching) 100
B-series (B = balance) 100
F-series (F = force) 100
P-series (P = power (watt) = force × velocity) 101
Guidelines for vibration therapy in low back pain 101
Therapy aims/objectives/goals 101
Treatment sequence 101
Examples of exercises 102
Guidelines for the treatment of osteoporosis/osteopenia 103
Treatment aims 103
Treatment guidelines 103
Exercise examples 103
Guidelines for reducing the likelihood of falling 105
Aims of therapy 105
Therapy methods 105
Examples of exercises 105
Power training 107
Guidelines for impaired circulation 107
Treatment goals/aims/objectives 107
Guidelines for incontinence 108
Exercise examples 108
Pelvic floor training 109
Exercise example 110
Guidelines for the tilt table system 110
Aim of the tilt table system 110
Adjustable parameters 111
Commencement of the tilt table treatment 111
Exercise examples 112
Release of spasticity 113
Guidelines for weighted dumbbell training 113
Familiarization 113
Example: arm/shoulder/neck 114
Example: shoulder stiffness 114
Example: frozen shoulder 114
Example: tennis elbow/golfer’s elbow 115
Exercise proposals 115
Basic positioning 115
Description 115
Position of feet 115
Body positioning 116
Execution, exercise duration and stimulation frequency 117
Objective 117
Comments: Recommendations before each treatment 117
weight shift to the forefoot 117
Description 117
Position of feet 117
Body positioning 117
Execution of the exercise 118
Training duration and stimulation frequency 118
Aim/objective/goal 118
Comments/notes 118
Weight shift to the heel 118
Description 118
Foot placement 118
Body positioning 119
Execution of exercise 119
Training duration and stimulation frequency 119
Aim/objective/goal 119
Comments 119
Squatting with/without weights 120
Description 120
Foot placement 120
Body positioning 120
Execution 121
Exercise duration and stimulation frequency 121
Aim/objective/goal 121
Comments 121
Torso bending/torso extending 121
Description 121
Foot positioning 121
Body posture 122
Execution, duration and stimulation frequency 122
Aim/objective/goal 123
Comments 123
Pelvic tilting 123
Description 123
Foot placement/positioning 123
Body positioning 123
Execution, duration and stimulation frequency 124
Aim/objective/goal 124
Comments/notes 124
Trunk side bending (A) and trunk rotation (B) 125
Foot positioning 125
Body positioning 125
Execution, duration and stimulation frequency 126
Aim/objective/goal 126
6 WBV as a warm-up prior to sport 143
Whole body vibration and the effect on flexibility: a review 143
Conclusion 152
Exercise proposals: stretching section 152
Appendix: Synopsis of research into WBV 155
References 154
Index 195
A 195
B 195
C 196
D 196
E 196
F 197
G 197
H 198
I 198
K 198
L 198
M 198
N 199
O 199
P 199
Q 200
R 200
S 200
T 201
U 202
V 202
W 202
Y 202
Z 202