April 17, 2014

Whole Body Vibration Training and Osteoporosis

osteoporosisIn a recent study completed in China and published in Aging Clinical and Experimental Research, it was demonstrated that Whole Body Vibration (WBV) training on a pivotal (a.k.a. “alternating” or “side to side”) platform led to a significant increase in bone mineral density (BMD) at both the lumbar spine and the hips. These two areas, along with the wrists, represent the most prevalent areas for declining BMD in both males and females. Even further, the positive results of this study were found for both sexes regardless of whether they were diagnosed with osteopenia or osteoporosis. This study is now one of over 12 studies recently conducted internationally that has demonstrated the efficacy of WBV training for the purposes of reducing the loss of or increasing bone density in individuals.

With osteoporosis affecting a growing number of people over 50 years of age (In the US, 8 million woman and 2 million men are estimated to have it), new thoughts and treatment options are in great need. Our primary intervention to date has been pharmaceuticals, which to no great surprise, has not only been ineffective for many people, but has shown to have a number of serious side effects.

Old and New Strategies

Outside of pharmaceutical approach, the most prevalent “natural” intervention has come in the form of generic recommendations to perform “weightbearing resistance exercises”. Although this recommendation can be effective, most recommended programs are prescribed with little understanding of what is required to trigger an adaptive response at the level of the bone. This has resulted in improper training programs which not only have little effect on bone, but further allow the age-related reduction in lean muscle mass (referred to as sarcopenia) to occur. For those fortunate individuals that are prescribed an appropriate weightbearing program, the repeated participation is this type of program comes with great risks. Among these risks include muscle and tendon overuse injuries, compressive joint irritation (especially in those with pre-existing osteoarthritis), and low back pain. This can be corrected to some extent with proper instruction on form and execution, but this appears to only reduce the risk as opposed to eliminate it. Other than that, and perhaps the biggest limiting factor is that these programs typically require 45-60 minutes of dedicated training time, which is approximately 45-60 minutes more than most people are willing to give to exercise.

WBV training on the other hand, a form of resistance training, represents an exciting and promising treatment option due to the fact that it resolves most of these limitations. Not only does it provide the necessary forces required for adaptation, but seemingly appears to be of very low impact on the joints and surrounding tissues. Furthermore, WBV training, based upon the research, requires no more than 10-20 minutes of training time. Given this information, it is time to stop searching for a “magic bullet” and start seeking out this new tool in the fight against this epidemic.

How it Works

How WBV training influences bone density is a source of some dispute, but the growing amount of research utilizing the mechanostat theory, a theory describing the relationship between muscle and bone is emerging as the leading candidate. Roughly put, this theory states that bone growth and bone loss is stimulated by the local mechanical elastic deformation of bone. The reason for the elastic deformation of bone is the peak forces caused by the contractions of the surrounding muscles.

WBV training involves the manipulation of the variables of amplitude and frequency. These two parameters, varying from one machine to the next, combine to determine the acceleration of the platform (described as the platform’s “G-Force”). Since the users mass (bodyweight) is constant and we have a given acceleration, we can determine the force (F=MxA) that the user’s muscles must respond to. Therefore, by manipulating these variables, we are able to increase the peak force that must be generated in the muscles. Through increases in force generation, based upon mechanostat, we are able to exert greater strain on the bone and can therefore expect a corresponding increase in bone mineral density.

 

Going Forward

Other ideas have been proposed, including piezoelectricity and cellular responses due to the repeated transmission of forces (through compression) on the joints by the platforms repeated movement. When considered together however, these theories, along with several others, may just represent various theories describing the same mechanisms; the only exception being which part of the collective process in considered the “driver”. Unfortunately, the complexity of the neuromusculoskeletal system will likely make it quite difficult to ever establish a “final answer”. In the meantime, the research clearly points to one thing, Whole Body Vibration Training should not be overlooked! For this reason it is time to make an effort to move “beyond the shake” and better understand the intricacies of WBV training. Through further education, we can start to combat osteoporosis and improve the lives of the many people dealing with this deleterious process.

Gabriel Ettenson, PT is a physical therapist in New York, NY. He is the owner of Equilibrium Physical Therapy and Amplitude Vibration Studio.

Comments

  1. Hi Gabriel, I’ve heard lots of good stuff about you and your new studio from my friends in Calgary and Florida.

    Glenn, if you’re on line please include your insight also please.

    Gentlemen, your assistance in answering the follow inquiry would be greatly appreciated:

    “My name is Sheldene I spoke to you at the home show today, I am from South Africa. I asked you if it would be ok to use the machine (HyperVibe) if I had spinal fusion of the L1 S5 without pins. I would appreciate it if you could find an answer for me please”.

    i believe Sheldene did share that his surgery was this past December.

    • Hi Hyperguy,

      If the surgery was performed this past December, I would be hesitant to begin any type of vibration training. In my studio, we have a 1 year rule and that would be with MD’s permission (damn Americans and their litigation!). Having that been said, with this type of surgery, I would want more information. How was the surgery performed. If not with hardware, what was used. Also, do you mean L5-S1?

  2. A second inquiry also please;

    Rick’s inquiry is to the use of whole body vibration and again with a HyperVibe, he’s had three separate hernia operations in his life time, the last just 21/2 months ago and this one via the belly button in which he shared, his intestines had begun to extrude through the torn muscles, the discovery and fast timing of the operation saved his life apparently.

    Thanks again

    • As far as Rick goes, this should be of little risk as long as his training is progressed slowly. I might want to inform the MD in this situation as well. Obviously, avoid or go extremely carefully with any positions that may more stressful on the abdominal area (plank, pushup, etc.). Avoid crunches altogether (if you do these). It is possible that the training may actually assist with the healing process and further strengthen the repair site.

  3. And lastly,

    Annette has been advised by her doctor to consider whole body vibration to deal with her pains related from herniated disks.

    Not knowing the doctor, or his choice of WBV machines at the present time, my first concern is that of this being a contraindication.

    Again with thanks

    • With Annette, if she has active radiating nerve pain from the disc, I would be hesitant to do vibration work. Once it subsides, and the pain levels are low, I would begin training. Go very slowly! I personally think this is an excellent way to assist with the disc repair and re-educate the weakened muscles.

      In my clinic, I treat this all the time and that isn’t even considering how many clients in the studio have HNP’s and are unaware.

  4. Dan Pelletier says:

    Great article Gabriel! Hyper Guy, your in good hands.

  5. Thanks Gabriel,

    Your replies have been forwarded and this site brought to the attention of our prospects.

  6. Gabriel,

    Sheldene’s reply;
    My surgery was 16 years ago but I don’t know what kind of hardware was used.. I guess you are correct that it is L5-S1 fusion.

  7. Very old fusion and only one single level is fused so should not be an issue. If there is hardware, it is deeply embedded. I would still have her clear it with the MD. Other than that, progress slowly and stick to lower amplitudes (2-4 mm). Frequency can increase as tolerated as can time if you choose to work with this variable. All lower body exercises (flexibility and strength) as well as upper body should be fine. Just have to be safe!

  8. Gabriel,

    Annette’s reply;
    Thank you. I actually don’t have nerve pain (luck, I guess…). My pain is all muscular. It’s that catch-22 situation – the muscles tighten to support the weak spine and the tightened muscles aggravate the spine.

  9. Should be no problem with Annette then. Proceed slowly and safely. She should do quite well if the muscular issues, are in fact, the primary source of dysfunction.

  10. Thanks so much again Gabriel,

    It’s been a busy couple of week-ends with consumer shows for us. Lot’s of interest and questions from consumers with particular concerns that I cannot answer without the assistance and support of this great site and your regular contributors. Each and every reply we send directs our prospects here for further education and encouragement to participate.

    Here’s another from Noreen just this morning;

    “I am looking to purchase one of your HyperVibe machines.
    I have stage IV colon cancer but am still in excellent shape. I am currently
    trying to follow the recommendations in the ph Miracle regime created by Dr. Robert O. Young.
    WBV is one of the modalities that he recommends.
    I will basically just be standing on the machine – no fancy exercises – to keep my muscles busy and my lymph fluid moving. Any other guidance you can give me regarding frequencies to use, length of time per frequency etc would be greatly appreciated.

    The other exercise machines I have at home are a rebounder, a rowing machine and a gazelle. I am also going to be purchasing an infrared sauna.”

    Cheers,

    • First off, cancer is considered a contraindication so let me get that out there. Now that this is out of the way, let me say that it would make sense that this type of light stimulus and its effects on cellular health, lymphatic movement, and circulation makes a lot of sense given this diagnosis.

      I am unfamiliar with the ph Miracle regime. Generally, for lymphatic movement, we use lower frequencies – around 7 – 9 hz. Amplitude for this can go anywhere from 2-4 depending on the comfort level of the user. If light muscle activity is desired, stick to 12-15 hz – same amplitide rules.

      As far as time, at the lower frequencies (6-12), 5-10 minutes of standing should be safe. When using higher frequencies, (15+), use 1-2 minute bursts.

      Total training time, between the two, should be approx. 10-12 minutes with proper rests of course.

  11. Gabriel,
    The contraindication was my concern, the recommendation of WBV from her doctor came as a surprise to me.

    Noreen has since added more details of her past treatments;

    - first chemo was Sept-Nov of 2008
    - first surgery was Dec 15, 2008 – liver and bowel resection
    - then more chemo Feb – Jun 2009
    - second surgery – July 2009 – removal of left ovary
    - then took a break from chemo – built up my strength and went
    hiking/climbing in Peru (Nov 2009)
    - new tumours found Jan 2010 (lungs, liver, spleen)
    - chemo started again Feb 2010 until July 2010
    - laparoscopic surgery for a liver biopsy done end of August 2010
    - latest drug I was on was called erbitux – it is not a chemo – it is a biological agent.
    I started it in Sept of 2010. It just stopped working last month so I’ve not been on any drugs
    since Feb 10.

    Except for when I was really recuperating from surgery I’ve been able to be physically active – walking, climbing stairs, doing exercises, etc.

    Hope this helps.

    • As long as the MD is on board, I don’t see any reason that she shouldn’t pursue vibration training. I personally think that cancer is a relative contraindication and should be considered on a case to case basis.

      If you take the Galileo for example, they only use forms of bone cancer and metastatic cancer as contraindications. I recently hosted them at my clinic and they mentioned use in Germany for cancer patients with neuropathic pain. Claimed they were responding well to WBV.

      Best of luck to her. Happy to help. Hope she will keep us posted on her progress.

      • Noreen has a couple more questions please,

        “Why is cancer a contraindication?”
        “My guess is because of my metastases. One way metastases spreads is through the lymphatic system so anything that moves the lymph around may also be spreading the cancer around.”
        “Could I ask why?”

        • You hit the nail on the head. The concern over cancer is that the vibration, through its potential effects on lymph, will contribute to metastasis. There is no documented evidence of this of course.

          • Actually, only some tumor cells have the ability to penetrate blood vessel walls to become metastatic. So whether you exercise or not if your tumor has those cells that will eventually go traveling, to exercise or not is irrelevant. I think all the benefits of exercising outweighs the speculation whether the tumor will spread or not. After all exercise improves the immune system function. With proper nutrition, supplementation and exercise your body has remarkable healing properties. I haven’t found any studies relation cancer spread being directly related to metastasis, if you do please let me know.

  12. Thanks again for your time Gabriel,

    Noreen will be reviewing all with her doctor tomorrow.

  13. Debbie Narain says:

    I suffer with rheumatoid arthritis and Osteoporosis in my hips . I suffer with terrible pains in my knees ankles & hips and they are always inflammated
    will the Whole Body Vibration Training help

    please please help

  14. Hello Debbie,

    If we look at the existing research, with the proper platform system, there is good evidence that your osteoporosis condition will benefit from vibration training. As far as RA, there is no current reasearch looking at this condition specifically with regards to vibration.

    Having that been said, I have worked with quite a few RA patients and they have all responded well. Most improvements in the areas of pain, joint mobility, and muscle strength. These are areas where research does exist.

    I use vibration with Fibromyalgia patients, Lupus patients, and many other individuals with chronic pain conditions. They all tolerate it well and can even get into higher level of training. It is the only thing I have found that can consistently get these individuals moving without the typical yo-yo effects.

    It is without a doubt worth pursuing given your situation.

  15. I purchased a vibration trainer to improve the begining of osteopososis. I also have two brain tumors small and benin. Could the vibration be of concern because of the tumors?

  16. In this situation, it is recommended that you speak with your physician about concerns moving forward with training. Cancer is considered a contrainidication to vibration training, but most concern is over metastatic cancer due to influence of vibration movement of the lymphatic system.

  17. Tania Psathas says:

    Hi,
    i’m a hemo dialysis patient (for last 2.5 years).
    Are you aware of any research on the vibration machine and dialysis patients?
    Is this a safe form of exercise for a healthy (other than my kidneys) dialysis patient?
    thank you!

  18. Hi Tania. I am not familiar with any research looking at this specifically. Perhaps in the future it will be examined. As far as safety goes, the only contraindication for Vibration Training related to the kidneys is kidney stones. Other than that, with the permission of your physician, you should be okay to train and will likely benefit. In general, exercise capacity is limited with people undergoing dialysis (although I do not know you) so it is important that you go slow and work with someone who knows about vibration training and how to progress/regress the program.

    If you tell us where you live, we can try and direct you. Best of luck.

    • Tania Psathas says:

      many thanks Gabriel.
      I live in New Zealand and already have someone in mind.
      thanks again!

  19. Hyper Guy says:

    Hi there,

    Any experience with Adjustable Gastric Lap Band?

    A prospective WBV user would like to know.

    Thank you,

  20. HG,

    I do not have any direct experience with this, but don’t think it will be an issue with proper training. Have the MD clear her first though.

  21. carmen quinones says:

    Hola estoy interesada en saber si el body vibration training es adecuado para mi, tengo artritis y me duele muchos las articulaciones las piernas y rodillas cadera y cintura baja.espero repuesta gracias carmen

    • Hola Carmen. Sí, los problemas que usted menciona puede beneficiarse mucho de entrenamiento de vibración. Lo que también hace que esta técnica valiosa para la artritis de la articulación es que es muy bajo impacto. Si usted nos puede dar alguna información más, podemos tratar de aconsejarle más.

      – ¿Dónde vive usted?
      – ¿Cuántos años tienes?
      – ¿Está pasado de peso?
      – ¿Tiene algún problema médico?
      – ¿Qué otras formas de ejercicio puede hacer?
      – ¿En qué fase se THR artritis y qué ubicación (s) es / son los peores?

  22. Hi,
    I just bought a HyperVibe Performance from Peter and am wondering if anyone has experience with it to help with Plantar Fasciitis (one foot). I did a google search and it seems to work for some but no direction on what pose or frequency/amplitude/time would work best. Any advise appreciated. I already do various stretches and sometimes use a night splint but would like to use this machine as an additional therapy method. Tx

  23. Hi Roy,

    There are no official studies on the subject so I can only share my experience and recommendations. For the most part, I have found vibration mostly helpful for this condition. The only exception is when the pain and inflammation is acute. In these cases, you will have to proceed with caution. Also, please check with your MD that the following exercises are safe for you as I am unfamiliar with your condition(s).

    Assuming this is not acute, and your MD clears you, the best way to treat this condition is to focus initially on:

    - increasing flexibility of the hamstring and calf muscles (as well as bottom of foot) through stretching on the platform

    perform 1-2 sets of the hamstring stretch position (forward fold) for 60-90 seconds at 18-22 hz with SMALL towel rolled up and placed under the toes). Feet at #1.

    perform calf stretch 1-2 sets at same setting. May need a small piece of foam here in order to stretch the tissue. Otherwise, drop heals off of the edge of the platform. Feet at #2-3

    - releasing the connective tissue tightness through seated and standing postions on the platform

    Allow platform to “pummel” the bottom of the feet. Avoid direct impact on heel or rear of foot – 2-3 minutes at 18-20 hz with feet at 2-3. maintain a small knee bend during this exercise.

    Can do in seated position if too tough in standing

    - increasing circulation to the surrounding areas

    Do calf massage position (lying on back with calf muscles on the platform) 2-3 minutes at 22 hz. Legs fairly wide

    After that, once pain subsides, work on strengthening and balance training

    Squats, heel raises, lunges, single leg balance training etc.

    You can email me through my site if you would like pics showing these exercises.

    Good Luck

  24. I had plantar fasciitis in both feet. I actually had shock wave therapy on one foot before I discovered what works best (for me) with this type thing. Best thing I have found for such a foot problem is to get two golf balls and put them side by side and roll your foot back and forth over it and press down to give your foot a deep tissue massage. It will release any tension in those small muscles and just make them feel much better. Just be careful because the golf balls have a tendency to squirt loose. Good luck. Oh, and you can ice them too to relieve inflammation.

  25. Thanks Gabrie! Great information and just what I was looking for. Is the link to you site on this site? Also thanks MIke for the golf ball trick. I have used one golf ball in the past. The belt stretch also seems to work well for me…

  26. I have scoliosis and have had 6 surgeries, the last being 1996. My spine is fused from T-6 to L-5. My curve is about 50 degrees upper and lower curves. Can I safely use the vibration machine?

  27. Hi Kathy. The short answer to your question is yes as the contraindication of “metal implants or hardware” is 1 year post-op. I am also assuming that you are otherwise healthy and do not have any other contraindications.

    Given the severity of both the surgical history and the curvature however, I would recommend that you speak with your physician first. If he is on board, I would suggest starting with seated use (sitting on a stool or chair with feet on the platform). From there, you would progress very slowly and cautiously.

    With the right program, it will likely be very beneficial for you.

    How old are you? Where do you live? Do you do any other forms of exercise presently?

  28. I am 68 years old. Very healthy. Do have some osteoporosis. Exercise daily. Go to a rehab facility and exercise and also use treadmill. Obviously do have a lot of pain daily anyway and was told this might help with pain relief. I do have a hip replacement also (arthritis wore away hip). My exercises consist of machines, bands and some free weights. I live in Florida. Practice very healthy lifestyle.

    • Hi Kathy!

      Would you happen to be in the Orlando area?
      I may be able to connect you to the pivotal type vibration platform Gabriel mentioned. Feel free to contact me through my website.

  29. Hi Kathy,

    Thanks for the prompt reply and the information. As far as the total hip replacement, as long as it is one year old or more and your MD says ok, you are ok for training. Otherwise I cannot see any other reason why it is not something worth pursuing. I would recommend pivotal as it is more effective for relief of “central pain” (back, hip, pelvis etc.) and also has a greater range of training variability (in both sitting and standing).

    The program, as mentioned, should start light and build as tolerated. I anticipate that with the curvature, you will need some time to find the right way to position yourself so that your training is comfortable and specific. We are happy to help you in any way possible.

    Keep us posted and don’t hesitate to ask any other questions you may have.

  30. Hi,
    I’m 52 and had an accident 28 yrears ago where both my legs were broken, one leg was pinned from hip to knee with a K-Nail would this stop me from using vibration training machine?

  31. In general, the contraindication for vibration training is 1 year after hardware has been placed in the body. So…it would appear safe for you to pursue the form of training. Given the medical history however, please take time to sit down with a qualified professional to work on program design.

  32. Kay Burns says:

    I am looking for a Doctor or Clinic that treats people on the hypervib. I am dealing with Fibromylogia and
    would like answers about this kind of treatment?
    Kay

    • Helllo Kay,

      Can you please let us know where you are located. That will make it much easier to locate someone for you. As far as treatment goes, there are no specific rules other than to go very slow initially and then progress as tolerated. In most case, vibration is tolerated much better than most forms of exercise.

  33. I had a spinal fusion October 2010. L4-L5 with a cage, 2 rods and 4 screws. The surgery was quite successful. I can’t seem to get a definitive answer as to whether or not I can use a vibration machine. Can you help?

  34. The rule on “metal implants” and vibration training, assuming there have been no complications, is 1 year. Therefore, given your surgical date, you are in the clear. I would advise you to speak with your MD first however. Always good for him to be on board.

  35. Hi there,

    Your assistance on benefits of a Hypervibe WBV machine for therapy on the following please:

    1) A 48yr. old diabetic who had her leg amputated due to complications of Diabetes one month ago and was sent home from Hospital this last past weekend. She has been a Diabetic for 8yrs. and was told she had poor circulation and vascular disease. The leg was amputated and Physiotherapy or a prosthesis is not possible, as her incisions are not healing. She was sent home much earlier than expected due to her poor circulation. The only hope for her to not have her leg now removed is for healing of her stump and then she will be accepted on the Rehab floor again to try to improve her quality of life.

    2) A 56yr. old woman who is having Chemotherapy due to Breast Cancer. She has now endured 6 out of 8 Chemo.s and since last week is experiences neuropathy to her feet, hands & lip. She does not want this to become permanent, which is highly likely.

    Is WBV a possible therapy for these 2 cases?

    Thank-you for your time, I look forward to your response.

    Most Sincerely,

    Bev

    • Hi Bev,

      1) I cannot say that I have any experience in this situation although my intuition says it would certainly be worth a try. Of course, in the US, this would require the permission and close supervision of her physician. As far as usage goes, my suggestion would be to rest the stump on the platform and choose conservative treatment parameters to begin. If her doctor is on board and the person decides to begin, check back in here and we can discuss treatment details.

      2) post-chemo neuropathic pain is a big problem and there is a lot of work being done in Germany with the Galileo for this population. They have some good results from what I hear too! There are two problems however. The first is they haven’t released any data so no treatment parameters are known yet. The second is that using WBV with cancer patients is still considered a contraindication (at least in the US) so you take some risks recommending it.

      Both examples are people who I believe would benefit, but both represent areas of usage that are just not supported yet by research so it is up the physician to recommend exploring it. Let us know what happens.

      Sorry I cannot be of more assistance.

  36. I am considering a whole body vibration machine and wanted to give you some details of myself and conditions I wish to treat.
    My age is 77 and I have osteoarthritis for the past three years.
    My knee has been troubling me for the past 3 years. I had an injection in my knee, that was fluid to protect the bone on bone deterioration which was $450.00
    With no help from that I then saw a specialist who recommended I have an MRI and found that I had a deposit in the spine where the nerve comes out of the spine. He will not operate on it unless I cannot walk any more as it is an very dangerous operation.
    I did have an injection for pain, I cannot think of the name right now but most people have it for pain. This did do nothing for me as well.
    Then I got numbness in my big toe that is slowly moving on to the rest of my foot. As of now it is to my instep.

    Your assistance on my considering vibration as therapy would be appreciated,

    Thank you
    Riekie

  37. Hello,

    I have tried a few machines and have found the feeling acceptable. I would like to ask about whole body vibration benefits and wanted to give you some details of myself.
    My age is 77.
    I have osteoarthritis for the past three years.
    My knee has been troubling me for the past 3 years. I had an injection in my knee, that was fluid to protect the bone on bone deterioration which was $450.00 with no help from that
    Then I saw an specialist who recommended I have an MRI and found that I had a deposit in the spine where the nerve comes out of the spine. He will not operate on it unless I cannot walk any more as it is an very dangerous operation.
    I did have an injection for pain, I cannot think of the name right now but most people have it for pain.
    This did do nothing for me as well.
    I have numbness in my big toe that is slowly moving on to the rest of my foot. As of now it is to my instep.
    I do not have any other to tell you.

    Thank you for your assistance,
    Riekie

    • Hi Riekie,

      Both situations, the osteoarthritis of the knee and the “pinched nerve” can benefit from vibration training. Even basic standing positions will be of benefit (pivotal). There are articles on this site that go into details on how they help. Your situtation is complex however so should you buy a platform, the right program will be necessary.

  38. Riekie Sam says:

    Thank you for your reply
    But I think I will wait to get more feed back from my doctor or herbalist.
    I do not want to do more harm to myself as you can understand.
    I did read all you send me.
    Only I have no code or password so I coud not get in to any more of the email
    Thanks Riekie

  39. Yes. We understand. If your MD or herbalist need any specific information, research referencs etc., let us know. It is likely they know little about vibration training.

    Not sure what you mean when you say “password”?

  40. My question for Gabriel is whether WBV can make osteoporosis worse or stress bones that ate already porous…I know the article/research suggests the opposite, but can’t help but think that if I already have osteoporosis in my hips that this might not be for me because of possibly too much stress on my bones…what do you think?

    Thx in advance for a nice article…

    Lb

    • Hi LB,

      Thank you for your compliment and for your inquiry. Your concern in understandable given the significant amount of confusion surrounding this industry. I would also assume that perhaps a marketer has used a common scare tactic to create this fear.

      Either way, the bottom line is this…unless you have the most severe case of osteoporosis, so severe that just walking can result in a spontaneous fracture (typically people with this level of severity are in wheelchairs), then vibration training on a PROPER platform will be well tolerated and likely beneficial. Although the acceleration levels can reach high levels on a good platform system, the body “absorbs” this energy throughout all the tissues, especially the muscle tissue. It is the indirect stimulation of the bones through the “tugging” of the muscles as they contract in response to this force that is theorized to be the mechanism for bone density improvements. Not any significant direct pressure on the bones. This theory of “pounding” the bones is outdated and soon to be obsolete.

      At the highest levels of training, in a standing position with minimal bend of the knees (recommended for stimulating hip,spine and pelvis), the forces of the platform will be approximate those of walking. Only difference is they will be occurring at extremely high frequencies. This is the brilliance as well as the safety behind this technique. In other words, if this was a dangerous amount of force then every doctor who recommends walking as a treatment for osteoporosis would be sued for malpractice.

      Finally, just to support the safety of WBV, realize that their is now over 16 years of research done on all sorts of patient populations including individuals with the most severe levels of risk, with no reports of harmful side effects.

      I hope this helps. I am happy to go into more detail if you’d like, but I would imagine I have already gotten too technical for most. Let me know if you have any other questions. Remember, like all training, you must introduce your body slowly and then progress to harder and harder levels of training. If you approach it this way, you will do very well.

      • Wow! Thank you for the in depth and easy to understand information…it is exactly what I needed to know…thanks again for the great information!

  41. Hi! I am a 71 year old female. I exercise on a regular basis also walk a lot. I have no particular problems other than joint pain. Would it be all right for me to use the vibration machine? And also is there a place where that is available near South Bend, IN? Thank you.

  42. Hi Diane,

    Are you asking whether you can use a vibration platform because you have joint pain? If so, the answer is yes. Otherwise, you seem quite healthy so of course vibration training is an option for you.

    Are you looking to try a platform for home purchase or for a gym/studio that you can join go to for vibration training?

    You can contact most manufacturers to inquire about platforms in your area. For Hypervibe, contact Brenda at Best of Health – 1-877 733 0237

  43. Does accelerated vibration taining have any negavite impact on back fusion implants?

    • Hi Pres,

      I am not sure what “accelerated vibration training” means, but I will answer this question assuming you mean high acceleration vibration training. To date, there is no data to support that any risk is taken with spinal implants when engaging in a vibration training program. Having that been said, in the US, we do not train until 1 year post-op. Personally I have trained many individuals with hardware and there have been no issues.

  44. What is your advice regarding “stroke” victims, or mild heart attack victims using wbv “workouts” to increase their general fitness (considering the lack of knowledge of most doctors re the benefits of wbv training)?

    • Hi Ron,

      Thanks for your question. In both cases, WBV can be of tremendous value. In fact, there are several studies supporting its benefits for stroke already published (see links below). At the moment, I also know of two additional that are underway. Having that been said, one must always consider the acuteness of the episode and it is likely that WBV would be quite risky in an acute case. After time, however, this could be introduced slowly and, as you said, provide significant boost to the individuals level of fitness.

      Although MD’s generally still do not know much about this technology, the awareness is growing and you may be surprised to find your MD is willing to work with you on introducing this to the person with the stroke/MI.

      Hope this helps.

      http://www.ncbi.nlm.nih.gov/pubmed/17875558
      http://www.ncbi.nlm.nih.gov/pubmed/15502741

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