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Title: Cardiovascular stress induced by whole-body vibration exercise in individuals with chronic stroke
Authors: Liao, LR 
Ng, GYF 
Jones, AYM
Pang, MYC 
Issue Date: 1-Jul-2015
Source: Physical therapy, 1 July 2015, v. 95, no. 7, p. 966-977
Abstract: Background. Although whole-body vibration (WBV) has sparked tremendous research interest in neurorehabilitation, the cardiovascular responses to WBV in people with stroke remain unknown.
Objective. The aim of this study was to determine the acute effects of different WBV protocols on oxygen consumption (V˙O2), heart rate (HR), rate of perceived exertion (RPE), blood pressure (BP), and rate-pressure product (RPP) during the performance of 6 different exercises among people with chronic stroke (time since onset 6 months).
Design. A repeated-measures design was used.
Methods. Each of the 48 participants experienced all 3 WBV protocols in separate sessions: (1) no WBV, (2) low-intensity WBV (peak acceleration 0.96 unit of gravity of Earth [g]), and (3) high-intensity WBV (1.61g). The order in which they encoun-tered the WBV protocols was randomized, as was the order of exercises performed during each session. Oxygen consumption, HR, and RPE were measured throughout the study. Blood pressure and RPP were measured before and after each session.
Results. Low-intensity and high-intensity WBV induced significantly higher O2 by an average of 0.69 and 0.79 mL/kg/min, respectively, compared with the control condition. These protocols also increased HR by an average of 4 bpm. The 2 WBV protocols induced higher RPE than the control condition during static standing exercise only. Although the diastolic and systolic BP and RPP were increased at the end of each exercise session, the addition of WBV had no significant effect on these variables.
Limitations. The results are generalizable only to ambulatory and community-dwelling people with chronic stroke.
Conclusions. Addition of high- and low-intensity WBV significantly increased the VO2 and HR, but the increase was modest. Thus, WBV should not pose any substantial cardiovascular hazard in people with chronic stroke.
Publisher: Oxford University Press
Journal: Physical therapy 
ISSN: 0031-9023
EISSN: 1538-6724
DOI: 10.2522/ptj.20140295
Rights: © 2015 American Physical Therapy Association
This is a pre-copyedited, author-produced version of an article accepted for publication in Physical Therapy following peer review. The version of record Lin-Rong Liao, Gabriel Y.F. Ng, Alice Y.M. Jones, Marco Y.C. Pang, Cardiovascular Stress Induced by Whole-Body Vibration Exercise in Individuals With Chronic Stroke, Physical Therapy, Volume 95, Issue 7, 1 July 2015, Pages 966–977 is available online at:
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