Effects of Whole-Body Vibration Training Versus Balance Training in Patients With Severe Chronic Obstructive Pulmonary Disease

Effects of Whole-Body Vibration Training Versus Balance Training in Patients With Severe Chronic Obstructive Pulmonary Disease

Effects of a Three Week Whole Body Vibration Training Versus Conventional Balance Training in Patients With Severe Chronic Obstructive Pulmonary Disease

Aim of this study is to compare the effects of whole-body Vibration Training versus conventional Balance Training on Balance performance, gait quality and exercise capacity in patients with severe chronic obstructive pulmonary disease. Patients will be recruited during a 3-week inpatient pulmonary rehabilitation program and will be randomized into one of two intervention groups. On top of a standardized endurance and strength Training program (5 days per week) patients in both groups will perform an additional Balance Training (on 3 days per week). Patients in both Groups will perform the same 4 different Balance exercises (2x1 Minute each): dynamic squats with closed eyes, heel raise, semi-Tandem stance and single leg stance but on a different surface. The Vibration Training Group will perform the exercises on a side-alternating Vibration platform (Galileo) at frequencies between 15 to 26 Hertz and the control Group will perform exercises on instable objects like Balance pads. The degree of difficulty in both Groups will be individually adjusted and will be progressively increased, if possible.

n=24 patients with severe chronic obstructive pulmonary disease. Exercises will be performed on a side-alternating Vibration platform (Galileo) at frequencies between 15 to 26 Hertz.

patients stand still for 10 seconds with closed eyes on a force platform that measures absolute path length of the center of force.

Patients try to perform 5 repetitions of standing up and sitting down from a chair with crossed arms on a force platform as quick as possible

Patients try to perform as many repetitions as possible of standing up and sitting down from a chair with crossed arms on a force platform during 1 minute

patients have to walk 4 meters at their usual Speed. Outcome is the average Speed during the 4m walk.

Patients walk 20m while wearing the Mc Roberts move test device (triaxial accelerometer) which performs a gait analysis

the Hospital anxiety and Depression scale is a questionnaire that evaluates signs of anxiety or depression

patients stand still for 10 seconds with closed eyes on a force platform that measures absolute path length of the center of force.

patients stand still for 10 seconds with closed eyes on a force platform that measures absolute path length of the center of force.

Inclusion Criteria: COPD stage III or IV according to the global initiative for chronic obstructive lung disease impaired exercise capacity (6 Minute walk distance of less than 70% of the reference value from Troosters et al.) Exclusion Criteria: current acute exacerbation of COPD carbon dioxide pressure of more than 45 mmHg at rest any contraindication for vibration Training (e.g. acute deep vein thrombosis)

Gloeckl R, Schneeberger T, Leitl D, Reinold T, Nell C, Jarosch I, Kenn K, Koczulla AR. Whole-body vibration training versus conventional balance training in patients with severe COPD-a randomized, controlled trial. Respir Res. 2021 May 4;22(1):138. doi: 10.1186/s12931-021-01688-x.