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      Relevance of Whole-Body Vibration Exercises on Muscle Strength/Power and Bone of Elderly Individuals

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          Abstract

          Beneficial effects are associated with whole-body vibration exercises (WBVEs). Increases in muscular strength/power, flexibility, and gait speed; improvements in bone mineral density, balance, and the quality of life; and decreased pain and risk of falls are reported. The aim is to present a review about the importance of WBVE for elderly individuals, considering clinical studies and meta-analyses, on bone and muscle strength/power. There is evidence supporting beneficial effect of WBVE in postmenopausal women (PW); however, effects in PW with osteoporosis are unclear. Age-related decrease in muscle mass and function contribute to undesirable health conditions, including death risk. The WBVEs improve muscle strength/power, functional independence measure, balance, and various fall risk factors, and mobility, measured by Timed Up and Go test, increased significantly after WBVE. An explanation for the absence of positive effects in some outcomes could be related to discrepancies in WBVE protocols as well as the populations tested. It is concluded that WBVE is effective for counteracting the loss of muscle strength associated with sarcopenia in elderly individuals. Balance and leg and plantar flexor strength improvements due to WBV indicate benefit to reduce risk and incidence of falls, frailty, and fracture risks. However, long-term feasibility of WBVE for musculoskeletal and bone health in elderly individuals needs further investigation.

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          European guidance for the diagnosis and management of osteoporosis in postmenopausal women

          Summary Guidance is provided in a European setting on the assessment and treatment of postmenopausal women at risk of fractures due to osteoporosis. Introduction The International Osteoporosis Foundation and European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis published guidance for the diagnosis and management of osteoporosis in 2008. This manuscript updates these in a European setting. Methods Systematic literature reviews. Results The following areas are reviewed: the role of bone mineral density measurement for the diagnosis of osteoporosis and assessment of fracture risk, general and pharmacological management of osteoporosis, monitoring of treatment, assessment of fracture risk, case finding strategies, investigation of patients and health economics of treatment. Conclusions A platform is provided on which specific guidelines can be developed for national use.
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            Vibration as an exercise modality: how it may work, and what its potential might be.

            Whilst exposure to vibration is traditionally regarded as perilous, recent research has focussed on potential benefits. Here, the physical principles of forced oscillations are discussed in relation to vibration as an exercise modality. Acute physiological responses to isolated tendon and muscle vibration and to whole body vibration exercise are reviewed, as well as the training effects upon the musculature, bone mineral density and posture. Possible applications in sports and medicine are discussed. Evidence suggests that acute vibration exercise seems to elicit a specific warm-up effect, and that vibration training seems to improve muscle power, although the potential benefits over traditional forms of resistive exercise are still unclear. Vibration training also seems to improve balance in sub-populations prone to fall, such as frail elderly people. Moreover, literature suggests that vibration is beneficial to reduce chronic lower back pain and other types of pain. Other future indications are perceivable.
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              Reporting whole-body vibration intervention studies: recommendations of the International Society of Musculoskeletal and Neuronal Interactions.

              Whole-body vibration (WBV) is receiving increasing interest as a therapeutic modality to improve neuromuscular performance or to increase bone mass or density. In order to help improve the quality of reports about WBV treatment studies, the International Society of Musculoskeletal and Neuronal Interactions (ISMNI) invited experts in the field to provide suggestions on how the intervention should be described in such reports. The recommendations are presented here.
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                Author and article information

                Journal
                Dose Response
                Dose Response
                DOS
                spdos
                Dose-Response
                SAGE Publications (Sage CA: Los Angeles, CA )
                1559-3258
                06 December 2018
                Oct-Dec 2018
                : 16
                : 4
                : 1559325818813066
                Affiliations
                [1 ]Department of Health and Exercise Science, University of Oklahoma, Norman, OK, USA
                [2 ]Children’s and Adolescent’s Hospital, and Cologne Centre for Musculoskeletal Biomechanics, University of Cologne, Cologne, Germany
                [3 ]Redha Taiar, Université de Reims Champagne-Ardenne, Reims, France
                [4 ]Laboratório de Vibrações Mecânicas e Práticas Integrativas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
                Author notes
                [*]Mario Bernardo-Filho, Laboratório de Vibrações Mecânicas e Práticas Integrativas, Universidade do Estado do Rio de Janeiro, Av 28 de setembro, 87, fundos, 4º. andar, Rio de Janeiro, 20551, Rio de Janeiro, Brazil. Email: bernardofilhom@ 123456gmail.com
                Article
                10.1177_1559325818813066
                10.1177/1559325818813066
                6291875
                30559636
                66248513-c684-4d9d-8eaa-434c32799fdd
                © The Author(s) 2018

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                : 28 July 2018
                : 2 October 2018
                : 23 October 2018
                Funding
                Funded by: Conselho Nacional de Desenvolvimento Científico e Tecnológico, https://doi.org/10.13039/501100003593;
                Categories
                Biological Consequences of Exposure to Mechanical Vibration
                Original Research
                Custom metadata
                October-December 2018

                whole-body vibration,elderly,postmenopausal women,bone,muscle strength/power

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