Document Type

Article

Publication Date

2014

Keywords

BMC, BMD, High-intensity Vibration, Low-intensity Vibration, DXA, pQCT

Abstract

Objective: Interventions utilizing vibration may increase bone mass and size which may reduce forearm fractures in children. This randomized controlled pilot trial tested the feasibility, compliance and efficacy of forearm loading regimes in an after-school program in pre-pubertal children aged 6-10 years. Methods: A 12-week randomized controlled trial incorporated high (HMMS; N=10) and low (LMMS; N=10) magnitude mechanical stimulation vibration, floor exercises (N=9), and controls (N=10). Radial bone measures by DXA and pQCT were compared at the end of intervention (12-weeks) and 4-months post-intervention (4- months post). Results: Percent changes were significantly greater in floor vs. control for ultra-distal areal BMD by DXA at 12- weeks (1%[-2,5] vs.-5%[-8,-2] respectively, p=0.02) and 4-months post (5%[1,8] vs -2%[-5,2], p=0.03) and in HMMS vs. controls for trabecular vBMD by pQCT at 12-weeks (4%[0, 8], vs. -8% [-14, -2], p=0.02). Children exposed to HMMS showed positive changes in cortical BMC, area, and cortical vBMD after 12 weeks that remained 4 months post-intervention. Children exposed to floor exercise showed positive changes in cortical BMC, area, and periosteal circumference 4-months post-intervention. Controls had decreased trabecular BMD, but increased bone area and periosteal circumference. Conclusions: Exposure to floor exercise and HMMS increased trabecular aBMD and vBMD in the radius.

Publication Title

Journal of Musculoskeletal and Neuronal Interactions

Volume

14

Issue

3

First Page

294

Last Page

302

Publisher

Hylonome Publications

Rights

Copyright © 2014 the Authors

Creative Commons License

Creative Commons Attribution-Noncommercial 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 4.0 License.

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