Does Whole Body Vibration have Clinically Significant Neurophysiological and Neurovascular Implications?

Abstract

Whole body vibration has received much attention as an innovative approach to exercise, lead ing to constantly increasing attention fro m the scientific co mmunity. Previous research considering occupational vibration has illustrated the risks associated with high levels of exposure to vibration; however during vibrat ion exercise the exposure duration is much shorter and therefore the potential comp licat ions must be reconsidered. This review brings together research from various aspects of occupational vibrat ion, clin ical research and vib ration exercise to address issues within the context o f health and safety with a part icular focus on neurophysiological and neurovascular responses. The results indicate that peripheral nerve and blood vessels are exposed to risks such as compression, shear stress and altered function as a response to vibration. However, correct planning and implementation of exercise protocols should effectively control these risks. By summarising the areas that have received attention an overview of potential co mplications will be achieved; with an understanding of which factors prevent participation and those that simp ly require an amended approach to vibration exercise.