The Effect of Whole-Body Vibration on Patients with Multiple Sclerosis: A Systematic Review
Alam MM, Khan AA* and Farooq M
Journal Title:Ergonomics International Journal
Multiple sclerosis (MS) is a type of degenerative syndrome that causes impaired physical function, decreased walking, imbalance, spasticity, sensory impairment, muscle weakness, fatigue and demyelination of the central nervous system. The purpose of this review was to critically examine available studies on the efficacy of whole-body vibration (WBV) in patients suffering from MS during rehabilitation training to increase strength, balance, and functional mobility; and also to investigate the effects of various vibration parameters (method of application of vibration, frequency and amplitude of vibration exposure) and exercise protocols on the effects of this training. An organized literature search was performed on databases from various sources, including Pub Med MEDLINE, CINAHL, and EMBASE, to identify relevant randomized clinical trials (RCTs). Eight studies were finally selected based on exclusion and inclusion criteria. Attempts were made to identify factors affecting the improvement in muscle strength, balance, and functional mobility in MS patients as a result of the WBV intervention. The results of the review showed that WBV interventions are positive for the rehabilitation of MS patients, with improvements in muscle strength, balance recovery, functional mobility and walking endurance. Therefore, it can be concluded that the WBV training protocol has a positive effect on improving functional abilities, walking endurance, postural control, and strength of MS patients. Balance restoration and functional mobility appeared to respond to a WBV intervention with additional exercise protocols compared to a WBV intervention alone.