PTSystematic ReviewJournal of physical therapy science2016

The effect of whole body vibration therapy on the physical function of people with type II diabetes mellitus: a systematic review.

Jiaqi Zhang BSc, Hongyue Zhang, Laidi Kan and 2 others

PMID 27799718

WHAT IT FOUND

The evidence is inconclusive.

Some trials of whole-body vibration plus exercise reported better balance, strength and walking endurance, but Timed Up and Go results were inconsistent.

Key findings

01The meta-analysis found a significant treatment effect for the Timed Up and Go test in favour of whole-body vibration groups.

02That pooled result had strong statistical heterogeneity, and the review concluded the evidence for whole-body vibration in type 2 diabetes is inconclusive.

03In trials where whole-body vibration was given together with exercise or balance training, the contribution of whole-body vibration alone cannot be separated.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

Only five articles from four studies were included, so the review cannot settle the question. Only one study was considered good quality on the PEDro scale, and the rest were fair. The studies did not blind subjects or therapists, and only some had blind assessors. None of the studies used intention-to-treat analysis. The vibration settings, exercise programmes and participant groups varied widely, so more quantitative analyses could not be performed. The Timed Up and Go result had strong heterogeneity, so it does not give a clear estimate of effect. The review excluded non-English studies and some missing or unpublished data, which may have biased the result. The review did not find evidence for long-term effects.

The easy way to misread this

Do not conclude that whole-body vibration alone improves physical function in type 2 diabetes. Several trials gave vibration together with exercise or balance training, and the review says the evidence is inconclusive.

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