Current evidence does not support whole body vibration in clinical practice in children and adolescents with disabilities: a systematic review of randomized controlled trial |
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| Affiliation: | 1. Discipline of Physical Therapy, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, MG, Brazil;2. Discipline of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil;1. The University of Melbourne, Melbourne School of Population and Global Health, Centre for Epidemiology and Biostatistics, Melbourne, Victoria, Australia;2. Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Programa de Pós-Graduação em Reabilitação e Desempenho Funcional, Diamantina, MG, Brazil;3. Deakin University, School of Medicine, Centre for Molecular and Medical Research, Geelong, Victoria, Australia;4. Royal Children''s Hospital, Murdoch Childrens Research Institute, Melbourne, Victoria, Australia;5. The University of Melbourne, Department of Paediatrics, Melbourne, Victoria, Australia;6. Universidade Federal de Minas Gerais (UFMG), Departamento de Fisioterapia, Belo Horizonte, MG, Brazil;7. The University of Sydney, Faculty of Health Sciences, Musculoskeletal Health Research Group, Sydney, New South Wales, Australia;1. Hospital da Polícia Militar de Minas Gerais and Hospital Metropolitano Odilon Behrens, Belo Horizonte, MG, Brazil;2. Hospital Sírio-Libanês, São Paulo, SP, Brazil;3. Department of Epidemiology, Faculdade de Saúde Pública, Universidade de São Paulo (USP), São Paulo, SP, Brazil;4. Rehabilitation Service, Hospital Sírio-Libanês and Instituto do Câncer do Estado de São Paulo, São Paulo, SP, Brazil;5. Department of Legal Medicine, Medical Ethics, Social and Work Medicine, Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, SP, Brazil;1. NeuroGroup, Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil;2. Department of Physical Therapy, Faculdade Ciências Médicas de Minas Gerais (FCMMG), Belo Horizonte, Minas Gerais, Brazil;3. LabCare, Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil;1. School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia;2. Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, New South Wales, Australia;3. Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, SP, Brazil;4. Public Health Department, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil;5. Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark;6. Nordic Institute of Chiropractic and Clinical Biomechanics, Odense, Denmark;7. Monash Department of Clinical Epidemiology, Cabrini Institute and Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Malvern, VIC, Australia;1. Exercise Sciences Department, University of Auckland, Auckland, New Zealand;2. Liggins Institute, University of Auckland, Auckland, New Zealand |
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| Abstract: | BackgroundWhole body vibration has been used alone or combined with other interventions in rehabilitation of children and adolescents with disabilities; however, there is limited evidence to support this approach.ObjectivesTo review the strength, quality, and conclusiveness of evidence supporting the use of whole body vibration in children and adolescents with disabilities.MethodsElectronic database search included Medline, AMED, Embase, Cochrane, SportDiscus, CINAHL and PEDro from the inception to June 2018. Studies investigating the effects of whole body vibration, alone or combined with other interventions, compared to minimal intervention or other interventions were included. The outcomes measured were: body structure and function (lean body mass, bone mineral density, knee muscle strength and overall stability) and activity and participation (gait speed, walking distance, gross motor function, self-care and mobility).ResultsFifteen randomized trials involving 403 participants were included. Methodological quality of eligible trials was moderate (mean of 5.5 points on the 10-point PEDro scale). Overall, whole body vibration was no better than minimal intervention. In all comparisons where additional effect of whole body vibration was better than other interventions, the effect size ranged from low to high in the trials, but ranged from very-low to low quality at short and medium-term follow-up. Sensitivity analysis for health condition and low-quality studies showed impact on trunk bone mineral density of additional effect of whole body vibration at medium-term compared to other interventions.ConclusionThe low to very-low quality of evidence suggests caution in recommending the use of this approach. New studies could change the findings of this review. PROSPERO registration: CRD42017060704. |
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| Keywords: | Children Adolescent Disability Whole body vibration Exercise |
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