Vibration as an exercise modality: how it may work, and what its potential might be

Whilst exposure to vibration is traditionally regarded as perilous, recent research has focussed on potential benefits. Here, the physical principles of forced oscillations are discussed in relation to vibration as an exercise modality. Acute physiological responses to isolated tendon and muscle vibration and to whole body vibration exercise are reviewed, as well as the training effects upon the musculature, bone mineral density and posture. Possible applications in sports and medicine are discussed. Evidence suggests that acute vibration exercise seems to elicit a specific warm-up effect, and that vibration training seems to improve muscle power, although the potential benefits over traditional forms of resistive exercise are still unclear. Vibration training also seems to improve balance in sub-populations prone to fall, such as frail elderly people. Moreover, literature suggests that vibration is beneficial to reduce chronic lower back pain and other types of pain. Other future indications are perceivable

Vibration and bone – an option for long-term space missions?

Bone is lost during sojourns in microgravity. In order to prevent fractures in future manned inter-planetary missions, efforts are currently being made to develop effective countermeasures. Bones adapt to mechanical stimuli, and biomechanical analysis suggests that muscle forces play an important role. Thus, resistance training is advocated as a first option for a countermeasure modality. In addition, vibration has certain characteristics (well controllable, rapid stretch-shortening and large number of contractions) that could be of interest. Studies in the past decade have shown that conventional resistive exercise may be sufficient to maintain bone when performed on a daily basis, but not when performed only every other day. Whole body vibration without additional load seems to be ineffective, but it shows good potential, and probably will have a genuine effect upon bone when combined with additional loads in the order of twice the body weight. There is now accumulating evidence to suggest that effective exercises exist to counteract microgravity-related bone loss. At least for bed rest, forceful muscle contractions seem to be a prerequisite. They may be fortified, but probably not replaced, by vibration exposure

Assessment of vertical treadmill running under different levels of simulated gravity, using a vertical treadmill facility with a subject loading system (Avatar)

Introduction: Prolonged exposure to microgravity during spaceflights leads to severe deconditioning in the physical performance of astronauts that affects dangerously crew health and safety during mission critical maneuvers. To understand the effectiveness of the existing inflight daily countermeasures, treadmill running in simulated microgravity under different levels of adjusted g-load is compared to usual treadmill running on earth. Methods: For purposes of exercise planning onboard the ISS, the objective of this study was to assess the oxygen uptake under using spiroergometric assessment of men and women (n=26, 8 female and 6 male 20- 30 years; 6 male and 6 female 50-60 years) during running on an horizontal treadmill and on a vertical treadmill under different levels of simulated gravity with the Vertical Treadmill Facility (VTF) and Subject loading system (SLS) from the European Space Agency (ESA) and took place in the Physiology Laboratory of the institute of Aerospace Medicine at the Department of Space physiology at the German Space Center (DLR) in Cologne, Germany. After assessing the maximum oxygen uptake using the Bruce-protocol on the horizontal treadmill, an incremental running protocol on both the vertical and horizontal treadmill was performed in randomized order, starting at a speed of 4 kph and increasing every 4 min by 2.5 kph to a maximum of 19 kph. The runs on the vertical treadmill are performed under 0.3g, 0.6g and 1 g of body weight. Results: 26 Subjects were included with a total of 93 runs (9 of 102 runs excluded). The maximum speed was greater for 0.3g and for 0.6g on the vertical treadmill (P < 0.001, see Table above) than on the horizontal treadmill. By contrast, peak oxygen uptake was greater for the horizontal treadmill than for all conditions on the vertical treadmill (P < 0.001), and so was maximal heart rate (P < 0.05). Conclusion: The reduction in peak oxygen uptake on the vertical treadmill was strikingly similar across the three simulated gravity conditions and cannot be explained by inability to run faster. Rather, gravity-related impediment of gas exchange, or impediment of perfusion in horizontal position can be suspected. If this should be the case, then this would constitute a substantial limitation to exercise in space

Calcium Isotopes in Human Urine as a Diagnostic Tool for Bone Loss: Additional Evidence for Time Delays in Bone Response to Experimental Bed Rest

The calcium (Ca) isotopic composition in urine during bed rest has been demonstrated to be systematically light, indicating a negative bone mineral balance (i.e., bone loss). Here we present new Ca isotope data on urine during the “nutritional countermeasures” (NUC) bed rest study. We analyzed the Ca isotopic composition of 24 h pooled urine samples from seven healthy male subjects during baseline data collection (BDC), head-down-tilt bed rest and recovery. Additionally, we analyzed urine from two follow-up examinations after the regeneration phase. We observed a change in Ca isotopic composition during the bed rest phase, indicative of bone loss with a time delay of 10 to 21 days. We also observe that the Ca isotopic composition of urine is strongly dependent on the individual Ca metabolism and varies between subjects. We relate this individuality in Ca metabolism to differences in the amounts of Ca being recycled in the kidneys. Previous studies have shown that the more Ca is reabsorbed in the kidneys the more enriched the urine becomes in heavy isotopes of calcium. The Ca isotopic composition of urine is thus modified by more than one process and cannot be used in a straightforward manner to monitor net bone mineral balance. To overcome this problem, we propose a new baseline approach for using Ca isotopes, which effectively cancels out the effects of individual renal Ca reabsorption. This allows us to detect bone loss in patients without ambiguity by combining measurements of the Ca isotopic composition of urine and daily Ca excretion rate and comparing these to data collected on healthy individuals with a normal steady-state bone balance

Dissociation of bone resorption and formation in spaceflight and simulated microgravity: Potential role of myokines and osteokines?

The dissociation of bone formation and resorption is an important physiological process during spaceflight. It also occurs during local skeletal unloading or immobilization, such as in people with neuromuscular disorders or those who are on bed rest. Under these conditions, the physiological systems of the human body are perturbed down to the cellular level. Through the absence of mechanical stimuli, the musculoskeletal system and, predominantly, the postural skeletal muscles are largely affected. Despite in-flight exercise countermeasures, muscle wasting and bone loss occur, which are associated with spaceflight duration. Nevertheless, countermeasures can be effective, especially by preventing muscle wasting to rescue both postural and dynamic as well as muscle performance. Thus far, it is largely unknown how changes in bone microarchitecture evolve over the long term in the absence of a gravity vector and whether bone loss incurred in space or following the return to the Earth fully recovers or partly persists. In this review, we highlight the different mechanisms and factors that regulate the humoral crosstalk between the muscle and the bone. Further we focus on the interplay between currently known myokines and osteokines and their mutual regulation

A Comparison of Squatting Exercise on a Centrifuge and With Earth Gravity

Purpose: Long-duration space missions require countermeasures against the muscular wasting and cardiovascular deconditioning associated with microgravity. Replacing gravitational acceleration by means of centrifugation is a promising alternative as it challenges all physiological systems at once. The aim of this study is to examine the metabolic energy costs of squatting on a centrifuge in comparison with squatting in an upright standing posture under natural gravity.Methods: 24 subjects (11 male, 13 female) performed continuous squatting exercise for 9 min with increasing cadence (10, 12, and 15 squats min-1). This was done under three conditions: Upright under natural gravity and lying supine on a centrifuge at two radii (2.5 and 3.5 m) at 1 g of centrifugal acceleration at the subject’s average center of mass during the exercise.Results: Generally, subjects did not suffer from motion sickness. Exercise under natural gravity led to a higher Δ V’O2/body mass (7.1 ± 2.0, ml min-1 kg-1, mean ± SD) compared with exercise on the centrifuge (6.1 ± 1.6, ml min-1 kg-1, mean ± SD). Exercise efficiency was also reduced under natural 1 g at 28.2 ± 1.0% compared to 40.4 ± 1.5% on the centrifuge. As expected, oxygen consumption increased with increasing cadences. The Coriolis effect had a negligible impact as there was no significant difference in V’O2 between the two radii. However, during centrifugation and upward movement the right leg was more loaded than the leg left and vice versa during downward movement (centrifuge running clockwise looking down, so to the subjects’ right).Conclusion: The lower V’O2 on the centrifuge may be attributed to the unloading of trunk muscles while subjects were lying on the sled, which in the upright condition leaning against the sled were still working to stabilize the torso. Subjects tolerated high rotational rates combined with exercise very well

High impact activity is related to lean but not fat mass:findings from a population-based study in adolescents

Background Objective measures of physical activity calibrated against energy expenditure may have limited utility in studying relationships with musculoskeletal phenotypes. We wished to assess an alternative approach using an accelerometer calibrated according to impact loading. Methods Of the 17-year olds from the Avon Longitudinal Study of Parents and Children (ALSPAC), 732 wore Newtest accelerometers while performing day-to-day activities for a mean of 5.8 days. Outputs were categorized as light, moderate, high and very high impact, based on the thresholds identified in 22 adolescents during graded activities. In subsequent regression analyses, activity data and fat mass were normalized by log transformation. Results The number of counts relating to high impact activity was ∼2% that of light impact activity, and 33% greater in boys when compared with girls. High impact activity was more strongly related to lean mass [light: 0.033 (95% CI −0.023 to 0.089), moderate: 0.035 (95% CI −0.010 to 0.080) and high: 0.044 (95% CI 0.010 to 0.078)] (β = SD change in outcome per doubling in activity, height adjusted, boys and girls combined). In contrast, lower impact activity was more strongly related to fat mass [light: −0.069 (95% CI −0.127 to −0.011), moderate: −0.060 (95% CI −0.107 to −0.014) and high: −0.033 (95% CI −0.069 to 0.003)]. In a more fully adjusted model including other activity types and fat/lean mass, lean mass was related to only high activity (boys and girls combined), whereas fat mass was related to only moderate activity (girls only). Conclusions Using an accelerometer calibrated according to impact loading revealed that high impact activity is related to lean but not fat mass

Femoral anteversion (FNA) in individuals with X-linked hypophosphatemia (XLH)

Background/Introduction: XLH is a rare genetic condition which affects phosphate metabolism, resulting in osteomalacia. Individuals with XLH are also at risk of lower limb deformities and early onset of hip osteoarthritis. These two factors may be linked, as abnormal FNA (femoral torsion) is a risk factor for hip osteoarthritis. The contributions of regional femoral torsion e.g. intertrochanteric torsion (ITT), shaft torsion (ST) and condylar torsion(CT) to FNA differ between clinical groups and are important when planning femoral osteotomies to correct FNA. Purpose: This study aimed to compare FNA and regional femoral torsion of the femur between adults with XLH and controls. Methods: 13 individuals with XLH (5 male, age 49±9y) and 12 age, sex and weight-matched control participants (7 male, age 49±8y) were recruited following ethical approval and informed consent. Magnetic resonance imaging (MRI) scans of the femur were obtained, from which FNA, ITT, ST and CT were measured. Data were normally distributed, therefore group differences were assessed using t-tests. Results: FNA was 29° lower in individuals with XLH than controls (pb0.005). This resulted mainly from lower ITT (pb0.001) and in part CT (pb0.05) whereas ST was similar in the two groups (Fig. 1). Conclusion(s): We observed differences in FNA and regionspecific femoral torsion in individuals with XLH compared to controls. These differences may contribute to clinical problems such as hip osteoarthritis common in XLH. Information on region-specific differences may be useful in planning corrective surgeries. Future work should examine how pharmacological and other interventions in this group affect FNA

Age-related Slowing of Contractile Properties Differs between Power-, Endurance- and non-athletes; a Tensiomyographic Assessment.

Although master athletes maintain high levels of physical activity, they also suffer from an age-related decline in skeletal muscle function. There are indications of disproportional age- and physical inactivity-induced muscle wasting between muscles. Tensiomyography is a non-invasive tool that has been used to study the effects of a variety of sports on the contraction time (Tc) in different skeletal muscles. The aim of this cross-sectional study was to assess age-related changes in the Tc of the vastus lateralis, gastrocnemius medialis and biceps femoris muscles with Tensiomyography in older non-athletes (age = 62.1±12.7 years; NMALES = 133; NFEMALES = 246), and power (age = 56.9±13.5 years; NMALES = 100; NFEMALES = 78) and endurance master athletes (age = 56.5±14.5 years; NMALES = 76; NFEMALES = 73). We found an age-related slowing in all muscles, irrespective of discipline, where endurance master athletes had the longest and power master athletes had the shortest Tc. The longer Tc in endurance master athletes than in non-athletes suggests that regular endurance sport activity aggravates slowing of skeletal muscles during ageing

The Importance of Impact Loading and the Stretch Shortening Cycle for Spaceflight Countermeasures

Pronounced muscle and bone losses indicate that the musculoskeletal system suffers substantially from prolonged microgravity. A likely reason for these detrimental adaptations in the lower extremity is the lack of impact loading and the difficulty to apply large loading forces on the human body in microgravity. The human body is well adapted to ambulating in Earth’s gravitational field. A key principle herein is the periodic conversion of kinetic to elastic energy and vice versa. Predominantly tendons and to a lesser extent muscles, bones and other tissues contribute to this storage and release of energy, which is most efficient when organized in the stretch-shortening cycle (SSC). During SSC, muscles, especially those encompassing the ankle, knee, and hip joints, are activated in a specific manner, thereby enabling the production of high muscle forces and elastic energy storage. In consequence, the high forces acting throughout the body deform the viscoelastic biological structures sensed by mechanoreceptors and feedback in order to regulate the resilience of these structures and keep strains and strain rates in an uncritical range. Recent results from our lab indicate, notably, that SSC can engender a magnitude of tissue strains that cannot be achieved by other types of exercise. The present review provides an overview of the physiology and mechanics of the natural SSC as well as the possibility to mimic it by the application of whole-body vibration. We then report the evidence from bed rest studies on effectiveness and efficiency of plyometric and resistive vibration exercise as a countermeasure. Finally, implications and applications of both training modalities for human spaceflight operations and terrestrial spin-offs are discussed