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Copyright © 2021 Ana Carolina Coelho-Oliveira 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/

Abstract

Objective. Rheumatoid arthritis (RA) causes progressive changes in the musculoskeletal system compromising neuromuscular control especially in the hands. Whole-body vibration (WBV) could be an alternative for the rehabilitation in this population. This study investigated the immediate effect of WBV while in the modified push-up position on neural ratio (NR) in a single session during handgrip strength (HS) in women with stable RA. Methods. Twenty-one women with RA (diagnosis of disease: ±8 years, erythrocyte sedimentation rate: ±24.8, age: 54± 11 years, BMI: 28±4kg·m-2) received three experimental interventions for five minutes in a randomized and balanced cross-over order: (1) control—seated with hands at rest, (2) sham—push-up position with hands on the vibration platform that remained disconnected, and (3) vibration—push-up position with hands on the vibration platform turned on (45 Hz, 2 mm, 159.73 m·s-2). At the baseline and immediately after the three experimental interventions, the HS, the electromyographic records (EMGrms), and range of motion (ROM) of the dominant hand were measured. The NR, i.e., the ratio between EMGrms of the flexor digitorum superficialis (FDS) muscle and HS, was also determined. The lower NR represented the greater neuromuscular efficiency (NE). Results. The NR was similar at baseline in the three experimental interventions. Despite the nonsignificance of within-interventions (p=0.0611) and interaction effect (p=0.1907), WBV exercise reduced the NR compared with the sham and control (p=0.0003, F=8.86, η2=0.85, power=1.00). Conclusion. Acute WBV exercise under the hands promotes neuromuscular modifications during the handgrip of women with stable RA. Thus, acute WBV exercise may be used as a preparatory exercise for the rehabilitation of the hands in this population. This trial is registered with trial registration 2.544.850 (ReBEC-RBR-2n932c).

Details

Title
Acute Whole-Body Vibration Exercise Promotes Favorable Handgrip Neuromuscular Modifications in Rheumatoid Arthritis: A Cross-Over Randomized Clinical
Author
Coelho-Oliveira, Ana Carolina 1   VIAFID ORCID Logo  ; Rodrigues Lacerda, Ana Cristina 2   VIAFID ORCID Logo  ; Ana Lúcia Cristino de Souza 3   VIAFID ORCID Logo  ; Luciana Martins de Mello Santos 2   VIAFID ORCID Logo  ; Sueli Ferreira da Fonseca 4   VIAFID ORCID Logo  ; Jousielle Márcia dos Santos 4   VIAFID ORCID Logo  ; Vanessa Gonçalves César Ribeiro 4   VIAFID ORCID Logo  ; Hércules Ribeiro Leite 2   VIAFID ORCID Logo  ; Pedro Henrique Scheidt Figueiredo 2   VIAFID ORCID Logo  ; José Sebastião Cunha Fernandes 5   VIAFID ORCID Logo  ; Martins, Fábio 2   VIAFID ORCID Logo  ; Renato Guilherme Trede Filho 2   VIAFID ORCID Logo  ; Bernardo-Filho, Mario 6   VIAFID ORCID Logo  ; Danúbia da Cunha de Sá-Caputo 6   VIAFID ORCID Logo  ; Sartorio, Alessandro 7   VIAFID ORCID Logo  ; Cochrane, Darryl 8   VIAFID ORCID Logo  ; Vanessa Pereira Lima 2   VIAFID ORCID Logo  ; Henrique Silveira Costa 2   VIAFID ORCID Logo  ; Vanessa Amaral Mendonça 2   VIAFID ORCID Logo  ; Taiar, Redha 9   VIAFID ORCID Logo 

 Centro Integrado de Pós-Graduação e Pesquisa em Saúde (CIPq-Saúde), Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Minas Gerais, Brazil; Programa de Pós-Graduação em Reabilitação e Desempenho Funcional (PPGReab), Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Minas Gerais, Brazil; Faculdade de Ciências Biológicas e da Saúde, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Minas Gerais, Brazil; Laboratório de Vibrações Mecânicas e Práticas Integrativas, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcântara Gomes e Policlínica Américo Piquet Carneiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil 
 Centro Integrado de Pós-Graduação e Pesquisa em Saúde (CIPq-Saúde), Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Minas Gerais, Brazil; Programa de Pós-Graduação em Reabilitação e Desempenho Funcional (PPGReab), Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Minas Gerais, Brazil; Faculdade de Ciências Biológicas e da Saúde, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Minas Gerais, Brazil 
 Centro Integrado de Pós-Graduação e Pesquisa em Saúde (CIPq-Saúde), Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Minas Gerais, Brazil 
 Centro Integrado de Pós-Graduação e Pesquisa em Saúde (CIPq-Saúde), Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Minas Gerais, Brazil; Faculdade de Ciências Biológicas e da Saúde, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Minas Gerais, Brazil 
 Faculdade de Ciências Agrárias, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Minas Gerais, Brazil 
 Laboratório de Vibrações Mecânicas e Práticas Integrativas, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcântara Gomes e Policlínica Américo Piquet Carneiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil 
 Istituto Auxologico Italiano, IRCCS, Division of Auxology and Metabolic Diseases, Verbania, Italy 
 School of Sport, Exercise & Nutrition, Massey University, New Zealand 
 MATIM, Moulin de la Housse, Université de Reims Champagne Ardenne, Reims Cedex 2 51687, France 
Editor
Changho Song
Publication year
2021
Publication date
2021
Publisher
John Wiley & Sons, Inc.
ISSN
23146133
e-ISSN
23146141
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2609151763
Copyright
Copyright © 2021 Ana Carolina Coelho-Oliveira 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/