Application of Vibration Training in People with Common Neurological Disorders

  • Feng YangEmail author


Controlled whole-body vibration training has been widely used as an alternative and non-pharmacological therapeutic modality of exercise training among healthy individuals, such as athletes and older adults. It has also recently received attentions from researchers in motor rehabilitation fields to improve neuromuscular functions in people with neurological disorders. This chapter summarizes the recent progress of vibration training in neurorehabilitation among people with common movement dysfunctions, such as multiple sclerosis, stroke, and Parkinson’s disease. Overall, a bulk of evidence supports the beneficial effect of vibration training on neuromuscular functions among people with neurological disorders. However, there are limitations associated with current studies. Potential directions for future research in this area are also discussed.


Movement disease Fall prevention Functional performance Dose-response relationship 


  1. 1.
    Batista P, Pereira A. Quality of life in patient with neurodegenerative diseases. J Neurol Neurosci. 2016;77(1):1–7.Google Scholar
  2. 2.
    Stolze H, et al. Falls in frequent neurological diseases: prevalence, risk factors and aetiology. J Neurol. 2004;251(1):79–84.Google Scholar
  3. 3.
    Allendorfer JB, Bamman MM. Getting the brain into shape: exercise in neurological disorders. Clin Ther. 2018;40(1):6–7.PubMedGoogle Scholar
  4. 4.
    English CK, et al. Circuit class therapy versus individual physiotherapy sessions during inpatient stroke rehabilitation: a controlled trial. Arch Phys Med Rehabil. 2007;88(8):955–63.PubMedGoogle Scholar
  5. 5.
    Yang F, et al. Controlled whole-body vibration training reduces risk of falls among community-dwelling older adults. J Biomech. 2015;48(12):3206–12.PubMedGoogle Scholar
  6. 6.
    Lam FMH, et al. The effect of whole body vibration on balance, mobility and falls in older adults: a systematic review and meta-analysis. Maturitas. 2012;72(3):206–13.PubMedGoogle Scholar
  7. 7.
    Merriman H, Jackson K. The effects of whole-body vibration training in aging adults: a systematic review. J Geriatr Phys Ther. 2009;32(3):134–45.PubMedGoogle Scholar
  8. 8.
    Wunderer K, Schabrun SM, Chipchase LS. The effect of whole body vibration in common neurological conditions – a systematic review. Phys Ther Rev. 2008;13(6):434–42.Google Scholar
  9. 9.
    Dincher A, Schwarz M, Wydra G. Analysis of the effects of whole-body vibration in Parkinson disease – systematic review and meta-analysis. Phys Med Rehabil. 2019;11(6):640–53.Google Scholar
  10. 10.
    Yang F, Butler AJ. Efficacy of controlled whole-body vibration training on improving fall risk factors in stroke survivors: A meta-analysis. Neurorehabil Neural Repair. 2020;34(4):275–88.PubMedGoogle Scholar
  11. 11.
    Rittweger J. Vibration as an exercise modality: how it may work, and what its potential might be. Eur J Appl Physiol. 2010;108(5):877–904.PubMedGoogle Scholar
  12. 12.
    Zago M, et al. Whole-body vibration training in obese subjects: a systematic review. PLoS One. 2018;13(9):e0202866.PubMedPubMedCentralGoogle Scholar
  13. 13.
    Wallin MT, et al. The prevalence of MS in the United States. Neurology. 2019;92(10):e1029–40.PubMedPubMedCentralGoogle Scholar
  14. 14.
    Browne P, et al. Atlas of multiple sclerosis 2013: a growing global problem with widespread inequity. Neurology. 2014;83(11):1022–4.PubMedPubMedCentralGoogle Scholar
  15. 15.
    Wallin MT, et al. Depression and multiple sclerosis: review of a lethal combination. J Rehabil Res Dev. 2006;43(1):45–62.PubMedGoogle Scholar
  16. 16.
    Finlayson ML, Peterson EW, Cho CC. Risk factors for falling among people aged 45 to 90 years with multiple sclerosis. Arch Phys Med Rehabil. 2006;87(9):1274–9.PubMedGoogle Scholar
  17. 17.
    Wunderer K, Schabrum SM, Chipchase LS. Effects of whole body vibration on strength and functional mobility in multiple sclerosis. Physiother Theory Pract. 2010;26(6):374–84.PubMedGoogle Scholar
  18. 18.
    Claerbout M, et al. Effects of 3 weeks’ whole body vibration training on muscle strength and functional mobility in hospitalized persons with multiple sclerosis. Mult Scler J. 2012;18(4):498–505.Google Scholar
  19. 19.
    Kantele S, Karinkanta S, Sievanen H. Effects of long-term whole-body vibration training on mobility in patients with multiple sclerosis: a meta-analysis of randomized controlled trials. J Neurol Sci. 2015;358(1–2):31–7.PubMedGoogle Scholar
  20. 20.
    Mason RR, et al. Is 8 weeks of side-alternating whole-body vibration a safe and acceptable modality to improve functional performance in multiple sclerosis? Disabil Rehabil. 2012;34(8):647–54.PubMedGoogle Scholar
  21. 21.
    Hilgers C, et al. Effects of whole-body vibration training on physical function in patients with multiple sclerosis. NeuroRehabilitation. 2013;32(3):655–63.PubMedGoogle Scholar
  22. 22.
    Schyns F, et al. Vibration therapy in multiple sclerosis: a pilot study exploring its effects on tone, muscle force, sensation and functional performance. Clin Rehabil. 2009;23(9):771–81.PubMedGoogle Scholar
  23. 23.
    Broekmans T, et al. Exploring the effects of a 20-week whole-body vibration training programme on leg muscle performance and function in persons with multiple sclerosis: a pilot study. J Rehabil Med. 2010;42(9):866–72.PubMedGoogle Scholar
  24. 24.
    Yang F, Estrada E, Sanchez MC. Vibration training improves disability status in multiple sclerosis: a pretest-posttest pilot study. J Neurol Sci. 2016;369:96–101.PubMedGoogle Scholar
  25. 25.
    Yang F, et al. Effects of controlled whole-body vibration training in improving fall risk factors among individuals with multiple sclerosis: a pilot study. Disabil Rehabil. 2018;40(5):553–60.PubMedGoogle Scholar
  26. 26.
    Fischer JS, et al. Multiple sclerosis functional composite administration and scoring manual. New York, NY: National Multiple Sclerosis Society; 2001.Google Scholar
  27. 27.
    Almeida SRM, Loureiro AB, Maki T. Brazilian version, reliability and validity study of the Equiscale. Fisioter Pesqui. 2008;15(3):266–72.Google Scholar
  28. 28.
    Yardley L, et al. Development and initial validation of Falls Efficacy Scale-International (FES-I). Age Ageing. 2005;34(6):614–9.PubMedGoogle Scholar
  29. 29.
    Clarkson HM. Musculoskeletal assessment: joint motion and muscle testing. 3rd ed. Philadelphia: Lippincott Wilkins; 2013. p. 532.Google Scholar
  30. 30.
    Yang Q-H, et al. Vital signs: recent trends in stroke death rates – United States, 2000–2015. Morb Mortal Wkly Rep. 2017;66:933–9.Google Scholar
  31. 31.
    Benjamin EJ, et al. Heart disease and stroke statistics – 2017 update: a report from the American Heart Association. Circ Res. 2017;135(10):e146–603.Google Scholar
  32. 32.
    Weerdesteyn V, et al. Falls in individuals with stroke. J Rehabil Res Dev. 2008;45(8):1195–214.PubMedGoogle Scholar
  33. 33.
    Pouwels S, et al. Risk of hip/femur fracture after stroke: a population-based case-control study. Stroke. 2009;40(10):3281–5.PubMedGoogle Scholar
  34. 34.
    Liao L-R, et al. Effects of whole-body vibration therapy on body functions and structures, activity, and participation poststroke: a systematic review. Phys Ther. 2014;94(9):1232–51.PubMedGoogle Scholar
  35. 35.
    Santos-Filho SD, et al. Possible benefits of the whole body vibration in the treatment of complications in stroke patients. Br J Med Med Res. 2014;4(7):1539–51.Google Scholar
  36. 36.
    Park Y-J, Park S-W, Lee H-S. Comparison of the effectiveness of whole body vibration in stroke patients: a meta-analysis. Biomed Res Int. 2018;2018:5083634.PubMedPubMedCentralGoogle Scholar
  37. 37.
    Lu J, Xu G, Wang Y. Effects of whole body vibration training on people with chronic stroke: a systematic review and meta-analysis. Top Stroke Rehabil. 2015;22(3):161–8.PubMedGoogle Scholar
  38. 38.
    Yang X, et al. The effect of whole body vibration on balance, gait performance and mobility in people with stroke: a systematic review and meta-analysis. Clin Rehabil. 2015;29(7):627–38.PubMedGoogle Scholar
  39. 39.
    Costantino C, et al. Effects of single of multiple sessions of whole body vibration in stroke: is there any evidence to support the clinical use in rehabilitation? Rehabil Res Pract. 2018;2018:8491859.PubMedPubMedCentralGoogle Scholar
  40. 40.
    Tankisheva E, et al. Effects of intensive whole-body vibration training on muscle strength and balance in adults with chronic stroke: a randomized controlled pilot study. Arch Phys Med Rehabil. 2014;95:439–46.PubMedGoogle Scholar
  41. 41.
    Liao L-R, et al. Whole-body vibration intensities in chronic stroke: a randomized controlled trial. Med Sci Sports Exerc. 2016;48(7):1227–36.PubMedGoogle Scholar
  42. 42.
    Alp A, et al. The impact of whole body vibration therapy on spasticity and disability of the patients with poststroke hemiplegia. Rehabil Res Pract. 2018;2018:8637573.PubMedPubMedCentralGoogle Scholar
  43. 43.
    Marin PJ, et al. Effects of whole-body vibration on muscle architecture, muscle strength, and balance in stroke patients: a randomized controlled trial. Am J Phys Med Rehabil. 2013;92(10):881–8.PubMedGoogle Scholar
  44. 44.
    Lau RWK, Yip SP, Pang MYC. Whole-body vibration has no effect on neuromotor function and falls in chronic stroke. Med Sci Sports Exerc. 2012;44(8):1409–18.PubMedGoogle Scholar
  45. 45.
    Guo C, et al. Whole body vibration training improves walking performance of stroke patients with knee hyperextension: a randomized controlled pilot trial. CNS Neurol Disord Drug Targets. 2015;14(9):1110–5.PubMedGoogle Scholar
  46. 46.
    Brogårdh C, Flansbjer U-B, Lexell J. No specific effect of whole-body vibration training in chronic stroke: a double-blind randomized controlled study. Arch Phys Med Rehabil. 2012;93:253–8.PubMedGoogle Scholar
  47. 47.
    Becker BJ. The effects on strength, balance and mobility when combining whole body vibration and traditional rehabilitation for stroke patients. Windsor, Canada: University of Windsor; 2015. p. 123.Google Scholar
  48. 48.
    Merkert J, et al. Combined whole body vibration and balance training using Vibrosphere: improvement of trunk stability, muscle tone, and postural control in stroke patients during early geriatric rehabilitation. Zeitschrift Gerontol Geriatr. 2011;44(4):256–61.Google Scholar
  49. 49.
    Nagino K, et al. Effect of whole-body vibration training on body balance in chronic stroke patients. J Appl Health Sci. 2013;4(2):24–31.Google Scholar
  50. 50.
    Tihanyi J, et al. Low resonance frequency vibration affects strength of paretic and non-paretic leg differently in patients with stroke. Acta Physiol Hung. 2010;97(2):172–82.PubMedGoogle Scholar
  51. 51.
    van Nes IJ, Latour H, Schils F. Long-term effects of 6-week whole-body vibration on balance recovery and activities of daily living in the postacute phase of stroke: a randomized, controlled trial. Stroke. 2006;37:2331–5.PubMedGoogle Scholar
  52. 52.
    Pringsheim T, et al. The prevalence of Parkinson’s disease: a systematic review and meta-analysis. Mov Disord. 2014;29(13):1583–90.PubMedGoogle Scholar
  53. 53.
    Dorsey ER, et al. Projected number of people with Parkinson disease in the most populous nations, 2005 through 2030. Neurology. 2007;68(5):384–6.PubMedGoogle Scholar
  54. 54.
    Ebersbach G, et al. Whole body vibration versus conventional physiotherapy to improve balance and gait in Parkinson’s disease. Arch Phys Med Rehabil. 2008;89(3):399–403.PubMedGoogle Scholar
  55. 55.
    Kaut O, et al. Postural stability in Parkinson’s disease patients is improved after stochastic resonance therapy. Parkinsons Dis. 2016;2016:7948721.PubMedPubMedCentralGoogle Scholar
  56. 56.
    Gaßner H, et al. Random whole body vibration over 5 weeks leads to effects similar to placebo: a controlled study in Parkinson’s disease. Parkinsons Dis. 2014;2014:386495.PubMedPubMedCentralGoogle Scholar
  57. 57.
    Cardinale M, Bosco C. The use of vibration as an exercise intervention. Exerc Sport Sci Rev. 2003;31(1):3–7.PubMedGoogle Scholar
  58. 58.
    Kossev A, et al. Crossed effects of muscle vibration on motor-evoked potentials. Clin Neurophysiol. 2001;112(3):453–6.PubMedGoogle Scholar
  59. 59.
    Lienhard K, et al. Older adults show higher increases in lower-limb muscle activity during whole-body vibration exercise. J Biomech. 2017;50:55–60.Google Scholar
  60. 60.
    Yang F, et al. Effects of vibration intensity on lower limb joint moments during standing. J Biomech. 2019;88(9):18–24.PubMedGoogle Scholar
  61. 61.
    Kavounoudias A, Roll R, Roll JP. Specific whole-body shifts induced by frequency-modulated vibrations of human plantar soles. Neurosci Lett. 1999;266(3):181–4.PubMedGoogle Scholar
  62. 62.
    Delecluse C, et al. Effects of whole body vibration training on muscle strength and sprint performance in sprint-trained athletes. Int J Sports Med. 2005;26(8):638–44.Google Scholar

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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Kinesiology and HealthGeorgia State UniversityAtlantaUSA

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