0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Reviews |

Whole-Body Vibration Therapy for Osteoporosis: State of the Science

Andrea Wysocki, MPP; Mary Butler, MBA, PhD; Tatyana Shamliyan, MD, MS; and Robert L. Kane, MD
[+] Article and Author Information

From Minnesota Evidence-based Practice Center, Minneapolis, Minnesota.


Disclaimer: The findings and conclusions of this report are those of the authors, who are responsible for its contents; the findings and conclusions do not necessarily represent the view of AHRQ. Therefore, no statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.

Financial Support: This project was conducted by the Minnesota Evidence-based Practice Center under contract to AHRQ (contract HHSA 2 902 007 100 641).

Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M11-1686.

Requests for Single Reprints: Robert L. Kane, MD, Minnesota Evidence-based Practice Center, University of Minnesota School of Public Health, 420 Delaware Street SE, MMC 197 Mayo, Minneapolis, MN 55455; e-mail, kanex001@umn.edu.

Current Author Addresses: Ms. Wysocki and Drs. Butler, Shamliyan, and Kane: Minnesota Evidence-based Practice Center, University of Minnesota School of Public Health, 420 Delaware Street SE, MMC 197 Mayo, Minneapolis, MN 55455.

Author Contributions: Conception and design: A. Wysocki, M. Butler, R.L. Kane.

Analysis and interpretation of the data: A. Wysocki, M. Butler, R.L. Kane.

Drafting of the article: A. Wysocki, M. Butler, T. Shamliyan.

Critical revision of the article for important intellectual content: A. Wysocki, M. Butler, T. Shamliyan.

Final approval of the article: A. Wysocki, M. Butler, T. Shamliyan, R.L. Kane.

Obtaining of funding: R.L. Kane.

Administrative, technical, or logistic support: A. Wysocki, R.L. Kane.

Collection and assembly of data: A. Wysocki, M. Butler.


Ann Intern Med. 2011;155(10):680-686. doi:10.7326/0003-4819-155-10-201111150-00006
Text Size: A A A

Clinical guidelines for osteoporosis recommend dietary and pharmacologic interventions and weight-bearing exercise to prevent bone fractures. These interventions sometimes have low adherence and can cause adverse effects. A proposed alternative or adjunctive treatment is whole-body vibration therapy (WBV), in which energy produced by a forced oscillation is transferred to an individual from a mechanical vibration platform. Whole-body vibration platforms are not approved by the U.S. Food and Drug Administration for medical purposes. This review provides a broad overview of important issues related to WBV therapy for prevention and treatment of osteoporosis. Relying on key informants and a search of the gray and published literature from January 2000 to August 2011, the investigators found that the designs of WBV platforms and protocols for their use vary widely. The optimal target population for the therapy is not defined. Although WBV has some theoretical advantages, key informants have voiced several concerns, including uncertain safety and potential consumer confusion between low-intensity vibration platforms intended for osteoporosis therapy and high-intensity platforms intended for exercise. Finally, the scant literature did not establish whether WBV therapy leads to clinically important increases in bone mineral density or reduces risk for fracture.

Figures

Grahic Jump Location
Figure 1.
Low-intensity whole-body vibration platform.

The Juvent 1000 platform. Photograph courtesy of Juvent, Dynamic Motion Therapy, Somerset, New Jersey.

Grahic Jump Location
Grahic Jump Location
Figure 2.
Whole-body vibration platform that produces side-alternating vibration.

The Osci Health platform. Image courtesy of Health Mark, Acworth, Georgia.

Grahic Jump Location

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Related Point of Care
Topic Collections
PubMed Articles
Modern rehabilitation in osteoporosis, falls, and fractures. Clin Med Insights Arthritis Musculoskelet Disord 2014;7():33-40.

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)