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Anterior Cruciate Ligament Reconstruction- Whole-Body Vibration Board Training

July 9, 2018

https://www.ncbi.nlm.nih.gov/pubmed/28657911

Efficacy of Whole-Body Vibration Board Training on Strength in Athletes After Anterior Cruciate Ligament Reconstruction: A Randomized Controlled Study.

Costantino C1, Bertuletti S, Romiti D. Author information

Abstract

OBJECTIVE:

To evaluate whether an 8-week whole-body vibration training program may improve recovery of knee flexion/extension muscular strength in athletes after arthroscopic anterior cruciate ligament (ACL) reconstruction.

DESIGN: Randomized controlled trial.

SETTING: Single outpatient rehabilitation center.

PARTICIPANTS: Thirty-eight female volleyball/basketball players (aged between 20 and 30), randomized into 2 treatment groups.

INTERVENTIONS: During a standardized six-month rehabilitation program, from week 13 to week 20 after surgery, the whole-body vibration group (n = 19) and the control group (n = 19) performed additional static knee flexor/extensor exercises on a vibration platform. For the whole-body vibration group, the vibration platform was set to 2.5 mm of amplitude and 26 Hz of frequency. The control group followed the same whole-body vibration board training with no vibrations.

MAIN OUTCOME MEASURES: All patients were evaluated using an isokinetic strength test with a Biodex dynamometer at the beginning and at the end of the additional treatment protocol. The parameters tested were the peak torque and the maximum power of knee flexor and extensor muscles performing strength and endurance tests.

RESULTS: No vibration-related side effects were observed. Improvements were noticed in both groups, but increase in knee muscle isokinetic strength values was statistically significant in the whole-body vibration group when compared with the control group (differences in extension: peak torque 11.316/10.263 N·m and maximum power 13.684/11.211 W; flexion: peak torque 9.632/11.105 N·m and maximum power 10.158/9.474 W; P < 0.001).

CONCLUSIONS: When combined with a standardized rehabilitation program, whole-body vibration may increase muscular strength and be an effective additional treatment option in the rehabilitation of athletes after ACL arthroscopic reconstruction.

Frequently asked questions

Does whole-body vibration training actually help after ACL reconstruction surgery?
A randomized controlled study found that adding whole-body vibration board training to a standard six-month rehab program may improve knee muscle strength recovery after ACL reconstruction more than the standard program alone. Female athletes who trained on a vibrating platform from weeks 13 to 20 post-surgery showed greater gains in knee flexor and extensor strength than those doing the same exercises without vibration. This suggests vibration training could be a helpful addition, though it should be guided by a rehab professional.
When after ACL surgery should vibration training start?
In the study referenced, whole-body vibration exercises were introduced between weeks 13 and 20 of a standardized six-month rehabilitation program, not immediately after surgery. This timing suggests vibration training may be most useful once basic healing and early rehab milestones are met. Anyone recovering from ACL reconstruction should follow their surgeon's and physical therapist's individualized timeline rather than a generic schedule, since healing speed varies.
Is vibration platform training safe for the knee after ACL surgery?
Based on the referenced trial, no vibration related side effects were reported among the athletes using the platform during their ACL rehabilitation. The settings used were low amplitude, around 2.5 millimeters, at 26 Hz frequency, combined with standard strengthening exercises rather than used alone. Still, anyone with swelling, sharp pain, locking, or instability in the knee should stop activity and seek prompt evaluation rather than continuing vibration training.
Can I try whole-body vibration training for my knee at a Spine Health & Wellness clinic in North Texas?
This type of vibration board training is typically supervised by a physical therapist as part of a structured post-surgical rehabilitation plan, not a standalone home exercise. Spine Health & Wellness clinics across North Texas, including Irving, Bedford, Grapevine, Arlington, Carrollton, and Fort Worth, offer physical therapy services where a clinician can assess whether such training fits your recovery stage. Call (972) 556-5667 to discuss your ACL recovery goals.
Gregory H. Stowe, DC
Founder of Spine Health & Wellness. Doctor of Chiropractic, Texas Designated Doctor and California Qualified Medical Evaluator.

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