The effect of whole-body vibration training on the lower extremity muscles' electromyographic activities in patients with knee osteoarthritis.

Whole-Body Vibration Training (WBVT) is a novel neuromuscular training method that has been recently developed as a rehabilitation tool. The purpose of this study was to determine whether WBVT is effective on electromyographic activity of the muscles of the lower limbs in patients with knee osteoarthritis. The study was designed as a single blinded randomized clinical trial (IRCT201601171637N5), 45 patients with knee osteoarthritis were randomly assigned to three groups; WBVT (n = 15) receiving 12 sessions vibration therapy, control group (n =15) doing two exercise in the home and placebo (n =15) doing exercise like WBVT group on-off vibration system. Electromyographic activities of vastus lateralis and vastus medialis, semitendinosus, gastrocnemius and soleus were evaluated pre and post intervention. The pairedsamples t-test and ANOVA were applied respectively to determine the differences in each group and among the groups (P≤0.05). The RMS value of vastus medialis in semi squat position in placebo group (p=0.024), vastus lateralis in SLR position in WBVT group (p=0.037), soleus in knee flexion in WBVT group (p=0.018), semitendinosus in knee flexion in WBVT group (p=0.007) and RMS response of Semitendinosus in ankle plantar flexion in control group (p=0.047) were revealed significant differences between the pre- and post- intervention. The ANOVA test confirmed the significant differences between the studied groups according to the EMG activity of vastus medialis in semi squat position (p=0.045), semitendinosus in semi squat position (p=0.046) and in plantar flexion position (p=0.015) and also soleus in plantar flexion position (p=0.003). The findings of this study showed the beneficial effects of WBVT in the improvement of the muscles RMS values in the patients with knee OA especially muscles' progression rates in a four-week period.