Effects of Whole-Body Vibration on Functional Mobility, Balance, Gait Strength, and Quality of Life in Institutionalized Older People: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

in Journal of Aging and Physical Activity
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The aim of this study was to quantify the effect of whole-body vibration on balance, functional mobility, gait, functional performance, and quality of life in institutionalized older people. Eight databases were systematically reviewed, as recommended by the Cochrane Collaboration. This systematic review was designed to answer the acronym set by the participants, interventions, comparators, and outcomes (PICO)-model. Ten randomized controlled trials were included in the meta-analysis. The analysis of the mean differences (MDs) of the functional mobility assessed with Time Up and Go test was MD = −2.49 s (95% confidence interval, CI, [−4.37, −0.61]; I2 = 68%). In 279 participants from five studies, the overall MD = 0.49 (95% CI [−0.13, 1.11]; I2 = 23%) for gait, and MD = 0.96 (95% CI [−0.45, 2.37]; I2 = 85%) for balance, which represents the total Tinetti score, MD = 1.59 (95% CI [−0.52, 3.70]; I2 = 82%). In summary, whole-body vibration could have benefits on functional mobility in institutionalized older people.

Alvarez-Barbosa is with the Department of Physical Education and Sport, University of Cardenal Spinola CEU, Sevilla, Spain. J. del Pozo-Cruz is with the Department of Physical Education and Sport, University of Seville, Seville, Spain. B. del Pozo-Cruz is with the Institute for Positive Psychology & Education, Australian Catholic University, Sydney, NSW, Australia. García-Hermoso is with Sport and Health Sciences Laboratory, Chile. Alfonso-Rosa is with the Área de Motricidad Humana y Rendimiento Deportivo, University of Seville, Seville, Spain.

Alfonso-Rosa (roalrosa@us.es) is corresponding author.
  • Alekna, V., Stukas, R., Tamulaityte-Morozoviene, I., Surkiene, G., & Tamulaitiene, M. (2015). Self-reported consequences and healthcare costs of falls among elderly women. Medicina, 51(1), 57–62. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Alvarez-Barbosa, F., Del Pozo-Cruz, J., Del Pozo-Cruz, B., Alfonso-Rosa, R.M., Rogers, M.E., & Zhang, Y. (2014). Effects of supervised whole body vibration exercise on fall risk factors, functional dependence and health-related quality of life in nursing home residents aged 80+. Maturitas, 79(4), 456–463. PubMed ID: 25449826 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bautmans, I., Van Hees, E., Lemper, J.C., & Mets, T. (2005). The feasibility of Whole Body Vibration in institutionalised elderly persons and its influence on muscle performance, balance and mobility: A randomised controlled trial [ISRCTN62535013]. BMC Geriatrics, 5, 17. PubMed ID: 16372905 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Beaudart, C., Maquet, D., Mannarino, M., Buckinx, F., Demonceau, M., Crielaard, J.M., & Bruyère, O. (2013). Effects of 3 months of short sessions of controlled whole body vibrations on the risk of falls among nursing home residents. BMC Geriatrics, 13:42. PubMed ID: 23647914 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bogaerts, A., Delecluse, C., Boonen, S., Claessens, A.L., Milisen, K., & Verschueren, S.M. (2011). Changes in balance, functional performance and fall risk following whole body vibration training and vitamin D supplementation in institutionalized elderly women. A 6 month randomized controlled trial. Gait Posture, 33(3), 466–472. PubMed ID: 21256028 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bogaerts, A.C., Delecluse, C., Claessens, A.L., Troosters, T., Boonen, S., & Verschueren, S.M. (2009). Effects of whole body vibration training on cardiorespiratory fitness and muscle strength in older individuals (a 1-year randomised controlled trial). Age Ageing, 38(4), 448–454. PubMed ID: 19439517 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bossers, W.J., van der Woude, L.H., Boersma, F., Hortobagyi, T., Scherder, E.J., & van Heuvelen, M.J. (2015). A 9-week aerobic and strength training program improves cognitive and motor function in patients with dementia: A randomized, controlled trial. The American Journal of Geriatric Psychiatry, 23(11):1106–1116. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bruyere, O., Wuidart, M.A., Di Palma, E., Gourlay, M., Ethgen, O., Richy, F., & Reginster, J.Y. (2005). Controlled whole body vibration to decrease fall risk and improve health-related quality of life of nursing home residents. Archives of Physical Medicine and Rehabilitation, 86(2), 303–307. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Buckinx, F., Beaudart, C., Maquet, D., Demonceau, M., Crielaard, J., Reginster, J., & Bruyère, O. (2014). Evaluation of the impact of 6-month training by whole body vibration on the risk of falls among nursing home residents, observed over a 12-month period: A single blind, randomized controlled trial. Aging Clinical & Experimental Research, 26(4), 369–376. PubMed ID: 24469903 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Burke, D., & Schiller, H.H. (1976). Discharge pattern of single motor units in the tonic vibration reflex of human triceps surae. Journal of Neurology, Neurosurgery, and Psychiatry, 39(8), 729–741. PubMed ID: 956859 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Cadore, E.L., Casas-Herrero, A., Zambom-Ferraresi, F., Idoate, F., Millor, N., Gomez, M., Izquierdo, M. (2014). Multicomponent exercises including muscle power training enhance muscle mass, power output, and functional outcomes in institutionalized frail nonagenarians. Age, 36(2), 773–785. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Cameron, I.D., Murray, G.R., Gillespie, L.D., Robertson, M.C., Hill, K.D., Cumming, R.G., & Kerse, N. (2010). Interventions for preventing falls in older people in nursing care facilities and hospitals. The Cochrane Database of Systematic Reviews, 1, CD005465. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Cardinale, M., & Bosco, C. (2003). The use of vibration as an exercise intervention. Exerc Sport Sci Rev, 31(1), 3–7. PubMed ID: 12562163 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Cochrane, D.J., Sartor, F., Winwood, K., Stannard, S.R., Narici, M.V., & Rittweger, J. (2008). A comparison of the physiologic effects of acute whole-body vibration exercise in young and older people. Archives of Physical Medicine and Rehabilitation, 89(5), 815–821. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Da Silva-Grigoletto, M.E., De Hoyo, M., Sanudo, B., Carrasco, L., & Garcia-Manso, J.M. (2011). Determining the optimal whole-body vibration dose-response relationship for muscle performance. Journal of Strength and Conditioning Research, 25(12), 3326–3333. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • de Morton, N.A. (2009). The PEDro scale is a valid measure of the methodological quality of clinical trials: A demographic study. The Australian Journal of Physiotherapy, 55(2), 129–133. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • de Vos, N.J., Singh, N.A., Ross, D.A., Stavrinos, T.M., Orr, R., & Fiatarone Singh, M.A. (2005). Optimal load for increasing muscle power during explosive resistance training in older adults. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 60(5), 638–647. PubMed ID: 15972618 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gomez-Pinilla, F., & Hillman, C. (2013). The influence of exercise on cognitive abilities. Comprehensive Physiology, 3(1), 403–428. doi:

  • Gusi, N., Carmelo Adsuar, J., Corzo, H., Del Pozo-Cruz, B., Olivares, P.R., & Parraca, J.A. (2012). Balance training reduces fear of falling and improves dynamic balance and isometric strength in institutionalised older people: A randomised trial. Journal of Physiotherapy, 58(2), 97–104. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Higgins, J.P., Thompson, S.G., Deeks, J.J., & Altman, D.G. (2003). Measuring inconsistency in meta-analyses. The British Medical Journal, 327(7414), 557–560. PubMed ID: 12958120 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Higgins, J.P.T., & Green, S. (2011). Cochrane handbook for systematic reviews of interventions version 5.1.0 [updated March 2011]. The Cochrane Collaboration. Available from www.cochrane-handbook.org.

    • Search Google Scholar
    • Export Citation
  • Hozo, S.P., Djulbegovic, B., & Hozo, I. (2005). Estimating the mean and variance from the median, range, and the size of a sample. BMC Medical Research Methodology, 5, 13. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Janssen, I., Heymsfield, S.B., & Ross, R. (2002). Low relative skeletal muscle mass (sarcopenia) in older persons is associated with functional impairment and physical disability. Journal of the American Geriatrics Society, 50(5), 889–896.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Joyner, M.J. (2005). Muscle strength, body composition, hormones, and aging. Exercise and Sport Sciences Reviews, 33(2), 61–62. PubMed ID: 15821425 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Krol-Zielinska, M., Kusy, K., Zielinski, J., & Osinski, W. (2011). Physical activity and functional fitness in institutionalized vs. independently living elderly: A comparison of 70-80-year-old city-dwellers. Archives of Gerontology and Geriatrics, 53(1), e10–e16. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Laird, N.M., & Mosteller, F. (1990). Some statistical methods for combining experimental results. International Journal of Technology Assessement in Health Care, 6(1), 5–30. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Lam, F.M., Lau, R.W., Chung, R.C., & Pang, M.Y. (2012). The effect of whole body vibration on balance, mobility and falls in older adults: A systematic review and meta-analysis. Maturitas, 72(3), 206–213. PubMed ID: 22609157 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Moher, D., Liberati, A., Tetzlaff, J., Altman, D.G., & PRISMA Group. (2010). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. International Journal of Surgery, 8(5), 336–341. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Mosole, S., Carraro, U., Kern, H., Loefler, S., Fruhmann, H., Vogelauer, M., & Zampieri, S. (2014). Long-term high-level exercise promotes muscle reinnervation with age. Journal of Neuropathology and Experimental Neurology, 73(4), 284–294. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Nitz, J.C., & Josephson, D.L. (2011). Enhancing functional balance and mobility among older people living in long-term care facilities. Geriatric Nursing, 32(2), 106–113. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ochi, A., Abe, T., Yamada, K., Ibuki, S., Tateuchi, H., & Ichihashi, N. (2015). Effect of balance exercise in combination with whole-body vibration on muscle activity of the stepping limb during a forward fall in older women: A randomized controlled pilot study. Archives of Gerontology and Geriatrics, 60(2), 244–251. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Orr, R. (2015). The effect of whole body vibration exposure on balance and functional mobility in older adults: A systematic review and meta-analysis. Maturitas, 80(4), 342–358. PubMed ID: 25631348 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Paillard, T. (2013). [Neuromuscular system and aging: Involutions and implications]. Geriatrie et Psychologie Neuropsychiatrie du Vieillissement, 11(4), 379–387. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Palop Montoro, M.V., Parraga Montilla, J.A., Lozano Aguilera, E., & Arteaga Checa, M. (2015). [The vibration training as sarcopenia intervention: Impact on the neuromuscular system of the elderly]. Nutricion Hosptalaria, 32(4), 1454–1461. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Perchthaler, D., Grau, S., & Hein, T. (2015). Evaluation of a six-week whole-body vibration intervention on neuromuscular performance in older adults. Journal of Strength and Conditioning Research, 29(1), 86–95. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Pollock, R.D., Martin, F.C., & Newham, D.J. (2012). Whole-body vibration in addition to strength and balance exercise for falls-related functional mobility of frail older adults: A single-blind randomized controlled trial. Clinical Rehabilitation, 26(10), 915–923. PubMed ID: 22324058 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Rauch, F., Sievänen, H., Boonen, S., Cardinale, M., Degens, H., Felsenberg, D., & Neuronal, I. (2010). Reporting whole-body vibration intervention studies: Recommendations of the International Society of Musculoskeletal and Neuronal Interactions. Journal of Musculoskeletal & Neuronal Interactions, 10(3), 193–198.

    • Search Google Scholar
    • Export Citation
  • Rittweger, J., Mutschelknauss, M., & Felsenberg, D. (2003). Acute changes in neuromuscular excitability after exhaustive whole body vibration exercise as compared to exhaustion by squatting exercise. Clinical Physiology and Function Imaging, 23(2), 81–86. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Rogan, S., de Bruin, E.D., Radlinger, L., Joehr, C., Wyss, C., Stuck, N.J., & Hilfiker, R. (2015). Effects of whole-body vibration on proxies of muscle strength in old adults: A systematic review and meta-analysis on the role of physical capacity level. European Review of Aging and Physical Activity, 12, 12. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Rogan, S., Hilfiker, R., Herren, K., Radlinger, L., & de Bruin, E.D. (2011). Effects of whole-body vibration on postural control in elderly: A systematic review and meta-analysis. BMC Geriatrics, 11, 72. PubMed ID: 22054046 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Santin-Medeiros, F., Rey-Lopez, J.P., Santos-Lozano, A., Cristi-Montero, C.S., & Garatachea Vallejo, N. (2015). Effects of eight months of whole-body vibration training on the muscle mass and functional capacity of elderly women. Journal of Strength and Conditioning Research, 29(7), 1863–1869. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Shaowei, Z., Xiaofeng, Z.O.U., & Hao, Z. (2013). Effects of whole-body vibration exercise on lower-extremity muscle strength and power of the elderly. Journal of Shenyang Institute of Physical Education, 32(4), 79–81. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Sherrington, C., Whitney, J.C., Lord, S.R., Herbert, R.D., Cumming, R.G., & Close, J.C. (2008). Effective exercise for the prevention of falls: A systematic review and meta-analysis. Journal of the American Geriatrics Society, 56(12), 2234–2243. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Sievänen, H., Karinkanta, S., Moisio-Vilenius, P., & Ripsaluoma, J. (2012). Effect of whole body vibration training on physical performance among institutionalized older people: A 10-WK pilot blinded randomized controlled trial. Osteoporosis International, 23, S83–S84.

    • Search Google Scholar
    • Export Citation
  • Sitjà-Rabert, M., Martnez-Zapata, M.J., Vanmeerhaeghe, A.F., Abella, F.R., Romero-Rodriguez, D., & Bonfill, X. (2015). Effects of a whole body vibration (WBV) exercise intervention for institutionalized older people: A randomized, multicentre, parallel, clinical trial. Journal of the American Medical Directors Association, 16(2), 125–131. PubMed ID: 25282631 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Verschueren, S.M.P., Bogaerts, A., Delecluse, C., Claessens, A.L., Haentjens, P., Vanderschueren, D., & Boonen, S. (2011). The effects of whole-body vibration training and vitamin d supplementation on muscle strength, muscle mass, and bone density in institutionalized elderly women: A 6-month randomized, controlled trial. Journal of Bone and Mineral Research, 26(1), 42–49. PubMed ID: 20648661 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Yumin, E.T., Simsek, T.T., Sertel, M., Ozturk, A., & Yumin, M. (2011). The effect of functional mobility and balance on health-related quality of life (HRQoL) among elderly people living at home and those living in nursing home. Archives of Gerontology and Geriatrics, 52(3), e180–e184. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Zhang, L., Weng, C.S., Liu, M., Wang, Q.H., Liu, L.M., & He, Y. (2014). Effect of whole-body vibration exercise on mobility, balance ability and general health status in frail elderly patients: A pilot randomized controlled trial. Clinical Rehabilitation, 28(1), 59–68. PubMed ID: 23864514 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
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