Effect of Whole-Body Vibration Training on Muscle Activation for Individuals with Knee Osteoarthritis
Whole-body vibration (WBV) training may improve the strength of lower extremity muscles in patients with knee osteoarthritis (KOA), but the inconsistency in vibration parameters leads to differences in findings. This cross-sectional study is aimed at observing the effects of different vibration freq...
Gespeichert in:
Veröffentlicht in: | BioMed research international 2021, Vol.2021 (1), p.6671390-6671390 |
---|---|
Hauptverfasser: | , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 6671390 |
---|---|
container_issue | 1 |
container_start_page | 6671390 |
container_title | BioMed research international |
container_volume | 2021 |
creator | Zhang, Juan Wang, Rui Zheng, Yili Xu, Jiao Wu, Ya Wang, Xueqiang |
description | Whole-body vibration (WBV) training may improve the strength of lower extremity muscles in patients with knee osteoarthritis (KOA), but the inconsistency in vibration parameters leads to differences in findings. This cross-sectional study is aimed at observing the effects of different vibration frequencies and knee flexion angles on the activation of lower extremity muscles in patients with KOA. Enrolled participants received WBV training at 0, 30, and 60° knee flexion angles with vibration frequencies of 0, 5, 10, and 20 Hz. Activation rates for vastus medialis, vastus lateralis, rectus femoris, biceps femoris, and semitendinosus in different combinations were collected through surface electromyography. The effects of frequency and angle on muscle activation rate were quantified by repeated measures ANOVA. Individual and synergistic effects of frequency and angle were also analysed. Twenty-six participants with KOA were included. Muscle activation increased with the vibration frequency in 0–20 Hz range and with knee flexion angle in 0–60° range. WBV training at 20 Hz was the most effective for knee muscle activation, and static squatting at 60° was the most suitable for WBV training. Therefore, WBV training can increase the activation rate of knee flexor and extensor muscles in patients with KOA, and the most efficient combination was 20 Hz vibration frequency and 60° knee flexion. When applying WBV to patients with KOA, individual differences and rehabilitation purposes should be considered in selecting vibration parameters and knee angle to effectively increase neuromuscular activity. |
doi_str_mv | 10.1155/2021/6671390 |
format | Article |
fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8019384</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A696940741</galeid><sourcerecordid>A696940741</sourcerecordid><originalsourceid>FETCH-LOGICAL-c504t-7826a37a8c610d280252cc9f78933dd7b793d2569793be54e1b737baf8680d973</originalsourceid><addsrcrecordid>eNp9kktvEzEUhS0EolXojjUaiQ0SDPX7sUEKVYGKom4KLC2Px5NxNbFb25Oq_x5HCeGxqDf3SufTuT72BeAlgu8RYuwUQ4xOOReIKPgEHGOCaMsRRU8PPSFH4CTnG1iPRBwq_hwcESIZg0IeA3c-DM6WJg7NzzFOrv0Y-4fmh--SKT6G5joZH3xYNbX_Nmc7uWZpi9_s1CGm5iL0fuP72Uy5ufdlbL4G55qrXFw0qYzJF59fgGdD1d3Jvi7A90_n12df2surzxdny8vWMkhLKyTmhggjLUewxxJihq1Vg5CKkL4XnVCkx4yrWjvHqEOdIKIzg-QS9kqQBfiw872du7XrrQslmUnfJr826UFH4_W_SvCjXsWNlhApImk1eLM3SPFudrnotc_WTZMJLs5ZY4YIphzWCyzA6__QmzinUONVCtYkDCn6h1qZyWkfhljn2q2pXnLFFYWCoscpSTFTEm4nvttRNsWckxsOwRDU23XQ23XQ-3Wo-Ku_H-MA__78CrzdAaMPvbn3j9v9Att9udk</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2508265194</pqid></control><display><type>article</type><title>Effect of Whole-Body Vibration Training on Muscle Activation for Individuals with Knee Osteoarthritis</title><source>Wiley Online Library Open Access</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><source>PubMed Central Open Access</source><creator>Zhang, Juan ; Wang, Rui ; Zheng, Yili ; Xu, Jiao ; Wu, Ya ; Wang, Xueqiang</creator><contributor>Lee, Du-Hyeong</contributor><creatorcontrib>Zhang, Juan ; Wang, Rui ; Zheng, Yili ; Xu, Jiao ; Wu, Ya ; Wang, Xueqiang ; Lee, Du-Hyeong</creatorcontrib><description>Whole-body vibration (WBV) training may improve the strength of lower extremity muscles in patients with knee osteoarthritis (KOA), but the inconsistency in vibration parameters leads to differences in findings. This cross-sectional study is aimed at observing the effects of different vibration frequencies and knee flexion angles on the activation of lower extremity muscles in patients with KOA. Enrolled participants received WBV training at 0, 30, and 60° knee flexion angles with vibration frequencies of 0, 5, 10, and 20 Hz. Activation rates for vastus medialis, vastus lateralis, rectus femoris, biceps femoris, and semitendinosus in different combinations were collected through surface electromyography. The effects of frequency and angle on muscle activation rate were quantified by repeated measures ANOVA. Individual and synergistic effects of frequency and angle were also analysed. Twenty-six participants with KOA were included. Muscle activation increased with the vibration frequency in 0–20 Hz range and with knee flexion angle in 0–60° range. WBV training at 20 Hz was the most effective for knee muscle activation, and static squatting at 60° was the most suitable for WBV training. Therefore, WBV training can increase the activation rate of knee flexor and extensor muscles in patients with KOA, and the most efficient combination was 20 Hz vibration frequency and 60° knee flexion. When applying WBV to patients with KOA, individual differences and rehabilitation purposes should be considered in selecting vibration parameters and knee angle to effectively increase neuromuscular activity.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2021/6671390</identifier><identifier>PMID: 33855078</identifier><language>eng</language><publisher>United States: Hindawi</publisher><subject>Analysis ; Analysis of variance ; Arthritis ; Biomedical materials ; Biomedical research ; Care and treatment ; Electromyography ; Identification and classification ; Knee ; Methods ; Muscle contraction ; Muscle function ; Muscle strength ; Muscles ; Osteoarthritis ; Pain ; Parameters ; Physiological aspects ; Rehabilitation ; Software ; Strength training ; Strengthening exercises ; Synergistic effect ; Training ; Variance analysis ; Vibration ; Vibration tests</subject><ispartof>BioMed research international, 2021, Vol.2021 (1), p.6671390-6671390</ispartof><rights>Copyright © 2021 Juan Zhang et al.</rights><rights>COPYRIGHT 2021 John Wiley & Sons, Inc.</rights><rights>Copyright © 2021 Juan Zhang et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2021 Juan Zhang et al. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c504t-7826a37a8c610d280252cc9f78933dd7b793d2569793be54e1b737baf8680d973</citedby><cites>FETCH-LOGICAL-c504t-7826a37a8c610d280252cc9f78933dd7b793d2569793be54e1b737baf8680d973</cites><orcidid>0000-0001-6500-174X ; 0000-0001-9303-5445 ; 0000-0002-3440-1326 ; 0000-0001-8919-7206 ; 0000-0003-3154-9568 ; 0000-0001-5577-5231</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8019384/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8019384/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,4010,27900,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33855078$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Lee, Du-Hyeong</contributor><creatorcontrib>Zhang, Juan</creatorcontrib><creatorcontrib>Wang, Rui</creatorcontrib><creatorcontrib>Zheng, Yili</creatorcontrib><creatorcontrib>Xu, Jiao</creatorcontrib><creatorcontrib>Wu, Ya</creatorcontrib><creatorcontrib>Wang, Xueqiang</creatorcontrib><title>Effect of Whole-Body Vibration Training on Muscle Activation for Individuals with Knee Osteoarthritis</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>Whole-body vibration (WBV) training may improve the strength of lower extremity muscles in patients with knee osteoarthritis (KOA), but the inconsistency in vibration parameters leads to differences in findings. This cross-sectional study is aimed at observing the effects of different vibration frequencies and knee flexion angles on the activation of lower extremity muscles in patients with KOA. Enrolled participants received WBV training at 0, 30, and 60° knee flexion angles with vibration frequencies of 0, 5, 10, and 20 Hz. Activation rates for vastus medialis, vastus lateralis, rectus femoris, biceps femoris, and semitendinosus in different combinations were collected through surface electromyography. The effects of frequency and angle on muscle activation rate were quantified by repeated measures ANOVA. Individual and synergistic effects of frequency and angle were also analysed. Twenty-six participants with KOA were included. Muscle activation increased with the vibration frequency in 0–20 Hz range and with knee flexion angle in 0–60° range. WBV training at 20 Hz was the most effective for knee muscle activation, and static squatting at 60° was the most suitable for WBV training. Therefore, WBV training can increase the activation rate of knee flexor and extensor muscles in patients with KOA, and the most efficient combination was 20 Hz vibration frequency and 60° knee flexion. When applying WBV to patients with KOA, individual differences and rehabilitation purposes should be considered in selecting vibration parameters and knee angle to effectively increase neuromuscular activity.</description><subject>Analysis</subject><subject>Analysis of variance</subject><subject>Arthritis</subject><subject>Biomedical materials</subject><subject>Biomedical research</subject><subject>Care and treatment</subject><subject>Electromyography</subject><subject>Identification and classification</subject><subject>Knee</subject><subject>Methods</subject><subject>Muscle contraction</subject><subject>Muscle function</subject><subject>Muscle strength</subject><subject>Muscles</subject><subject>Osteoarthritis</subject><subject>Pain</subject><subject>Parameters</subject><subject>Physiological aspects</subject><subject>Rehabilitation</subject><subject>Software</subject><subject>Strength training</subject><subject>Strengthening exercises</subject><subject>Synergistic effect</subject><subject>Training</subject><subject>Variance analysis</subject><subject>Vibration</subject><subject>Vibration tests</subject><issn>2314-6133</issn><issn>2314-6141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kktvEzEUhS0EolXojjUaiQ0SDPX7sUEKVYGKom4KLC2Px5NxNbFb25Oq_x5HCeGxqDf3SufTuT72BeAlgu8RYuwUQ4xOOReIKPgEHGOCaMsRRU8PPSFH4CTnG1iPRBwq_hwcESIZg0IeA3c-DM6WJg7NzzFOrv0Y-4fmh--SKT6G5joZH3xYNbX_Nmc7uWZpi9_s1CGm5iL0fuP72Uy5ufdlbL4G55qrXFw0qYzJF59fgGdD1d3Jvi7A90_n12df2surzxdny8vWMkhLKyTmhggjLUewxxJihq1Vg5CKkL4XnVCkx4yrWjvHqEOdIKIzg-QS9kqQBfiw872du7XrrQslmUnfJr826UFH4_W_SvCjXsWNlhApImk1eLM3SPFudrnotc_WTZMJLs5ZY4YIphzWCyzA6__QmzinUONVCtYkDCn6h1qZyWkfhljn2q2pXnLFFYWCoscpSTFTEm4nvttRNsWckxsOwRDU23XQ23XQ-3Wo-Ku_H-MA__78CrzdAaMPvbn3j9v9Att9udk</recordid><startdate>2021</startdate><enddate>2021</enddate><creator>Zhang, Juan</creator><creator>Wang, Rui</creator><creator>Zheng, Yili</creator><creator>Xu, Jiao</creator><creator>Wu, Ya</creator><creator>Wang, Xueqiang</creator><general>Hindawi</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7QO</scope><scope>7T7</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PIMPY</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-6500-174X</orcidid><orcidid>https://orcid.org/0000-0001-9303-5445</orcidid><orcidid>https://orcid.org/0000-0002-3440-1326</orcidid><orcidid>https://orcid.org/0000-0001-8919-7206</orcidid><orcidid>https://orcid.org/0000-0003-3154-9568</orcidid><orcidid>https://orcid.org/0000-0001-5577-5231</orcidid></search><sort><creationdate>2021</creationdate><title>Effect of Whole-Body Vibration Training on Muscle Activation for Individuals with Knee Osteoarthritis</title><author>Zhang, Juan ; Wang, Rui ; Zheng, Yili ; Xu, Jiao ; Wu, Ya ; Wang, Xueqiang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c504t-7826a37a8c610d280252cc9f78933dd7b793d2569793be54e1b737baf8680d973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Analysis</topic><topic>Analysis of variance</topic><topic>Arthritis</topic><topic>Biomedical materials</topic><topic>Biomedical research</topic><topic>Care and treatment</topic><topic>Electromyography</topic><topic>Identification and classification</topic><topic>Knee</topic><topic>Methods</topic><topic>Muscle contraction</topic><topic>Muscle function</topic><topic>Muscle strength</topic><topic>Muscles</topic><topic>Osteoarthritis</topic><topic>Pain</topic><topic>Parameters</topic><topic>Physiological aspects</topic><topic>Rehabilitation</topic><topic>Software</topic><topic>Strength training</topic><topic>Strengthening exercises</topic><topic>Synergistic effect</topic><topic>Training</topic><topic>Variance analysis</topic><topic>Vibration</topic><topic>Vibration tests</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Juan</creatorcontrib><creatorcontrib>Wang, Rui</creatorcontrib><creatorcontrib>Zheng, Yili</creatorcontrib><creatorcontrib>Xu, Jiao</creatorcontrib><creatorcontrib>Wu, Ya</creatorcontrib><creatorcontrib>Wang, Xueqiang</creatorcontrib><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection (ProQuest)</collection><collection>Natural Science Collection (ProQuest)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Middle East & Africa Database</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Applied & Life Sciences</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BioMed research international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Juan</au><au>Wang, Rui</au><au>Zheng, Yili</au><au>Xu, Jiao</au><au>Wu, Ya</au><au>Wang, Xueqiang</au><au>Lee, Du-Hyeong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of Whole-Body Vibration Training on Muscle Activation for Individuals with Knee Osteoarthritis</atitle><jtitle>BioMed research international</jtitle><addtitle>Biomed Res Int</addtitle><date>2021</date><risdate>2021</risdate><volume>2021</volume><issue>1</issue><spage>6671390</spage><epage>6671390</epage><pages>6671390-6671390</pages><issn>2314-6133</issn><eissn>2314-6141</eissn><abstract>Whole-body vibration (WBV) training may improve the strength of lower extremity muscles in patients with knee osteoarthritis (KOA), but the inconsistency in vibration parameters leads to differences in findings. This cross-sectional study is aimed at observing the effects of different vibration frequencies and knee flexion angles on the activation of lower extremity muscles in patients with KOA. Enrolled participants received WBV training at 0, 30, and 60° knee flexion angles with vibration frequencies of 0, 5, 10, and 20 Hz. Activation rates for vastus medialis, vastus lateralis, rectus femoris, biceps femoris, and semitendinosus in different combinations were collected through surface electromyography. The effects of frequency and angle on muscle activation rate were quantified by repeated measures ANOVA. Individual and synergistic effects of frequency and angle were also analysed. Twenty-six participants with KOA were included. Muscle activation increased with the vibration frequency in 0–20 Hz range and with knee flexion angle in 0–60° range. WBV training at 20 Hz was the most effective for knee muscle activation, and static squatting at 60° was the most suitable for WBV training. Therefore, WBV training can increase the activation rate of knee flexor and extensor muscles in patients with KOA, and the most efficient combination was 20 Hz vibration frequency and 60° knee flexion. When applying WBV to patients with KOA, individual differences and rehabilitation purposes should be considered in selecting vibration parameters and knee angle to effectively increase neuromuscular activity.</abstract><cop>United States</cop><pub>Hindawi</pub><pmid>33855078</pmid><doi>10.1155/2021/6671390</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-6500-174X</orcidid><orcidid>https://orcid.org/0000-0001-9303-5445</orcidid><orcidid>https://orcid.org/0000-0002-3440-1326</orcidid><orcidid>https://orcid.org/0000-0001-8919-7206</orcidid><orcidid>https://orcid.org/0000-0003-3154-9568</orcidid><orcidid>https://orcid.org/0000-0001-5577-5231</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 2314-6133 |
ispartof | BioMed research international, 2021, Vol.2021 (1), p.6671390-6671390 |
issn | 2314-6133 2314-6141 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8019384 |
source | Wiley Online Library Open Access; PubMed Central; Alma/SFX Local Collection; PubMed Central Open Access |
subjects | Analysis Analysis of variance Arthritis Biomedical materials Biomedical research Care and treatment Electromyography Identification and classification Knee Methods Muscle contraction Muscle function Muscle strength Muscles Osteoarthritis Pain Parameters Physiological aspects Rehabilitation Software Strength training Strengthening exercises Synergistic effect Training Variance analysis Vibration Vibration tests |
title | Effect of Whole-Body Vibration Training on Muscle Activation for Individuals with Knee Osteoarthritis |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-21T15%3A48%3A12IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Effect%20of%20Whole-Body%20Vibration%20Training%20on%20Muscle%20Activation%20for%20Individuals%20with%20Knee%20Osteoarthritis&rft.jtitle=BioMed%20research%20international&rft.au=Zhang,%20Juan&rft.date=2021&rft.volume=2021&rft.issue=1&rft.spage=6671390&rft.epage=6671390&rft.pages=6671390-6671390&rft.issn=2314-6133&rft.eissn=2314-6141&rft_id=info:doi/10.1155/2021/6671390&rft_dat=%3Cgale_pubme%3EA696940741%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2508265194&rft_id=info:pmid/33855078&rft_galeid=A696940741&rfr_iscdi=true |