On the Optimal Whole-Body Vibration Protocol for Muscle Strength

The application of Whole Body Vibration (WBV) has been demonstrated to be effective in improving muscle strength/power by a number of studies, but an optimal training protocol has never been established. This paper presents a review of studies on the effects of WBV on muscles and an analysis of data to identify the optimal protocols for the most beneficial neuromuscular responses in terms of vibration frequency, amplitude, knee flexion angle, body posture (standing, sitting, supine, prone), muscle type (quadriceps, hamstrings), and vibration mode (superoinferior, anteroposterior, rotational). Ninety articles were selected for final review from initially selected 2093 articles using PRISMA guidelines. The findings suggest that the beneficial effects of WBV increase with frequency and amplitude but the optimal frequency and amplitude have not been established. The effect of the knee flexion angle is not clear. The optimal WBV protocol should be determined by considering the adverse effects of WBV on all parts of the human body including that related to head acceleration. WBV in sitting or lying positions may provide a better muscle response than standing. Directions for future research are discussed with regard to establishing the optimal WBV protocol as a safe and effective therapeutic/exercise modality for improving muscle strength and health.