Whole-Body Vibration Impacts on the Degree of Toe Angle and Its Correlation to the Knee Osteoarthritis Index during Level Walking among Female University Students: A Randomized Controlled Trial

Author:

Abd-Eltawab Amany E.12,Elbandrawy Asmaa M.34,Ghanem Heba B.56,Ebrahim Hasnaa A.7ORCID,El-Sherbiny Mohamed89ORCID,Ibrahim Ateya Megahed1011ORCID,Eladl Mohamed Ahmed12ORCID,Elsherbini Dalia Mahmoud Abdelmonem59ORCID

Affiliation:

1. Physical Therapy and Health Rehabilitation Department, Faculty of Applied Medical Sciences, Jouf University, Sakaka P.O. Box 2014, Saudi Arabia

2. Biomechanics Department, Faculty of Physical Therapy, Cairo University, Giza P.O. Box 12612, Egypt

3. Department of Physical Therapy for Women’s Health, Faculty of Physical Therapy, Cairo University, Giza P.O. Box 12612, Egypt

4. Department of Physical Therapy for Women’s Health, Faculty of Physical Therapy, Al-Salam University, Tanta P.O. Box 31527, Egypt

5. Department of Clinical Laboratory Sciences, College of Applied Medical Sciences, Jouf University, Sakaka P.O. Box 2014, Saudi Arabia

6. Medical Biochemistry Department, Faculty of Medicine, Tanta University, Tanta P.O. Box 31511, Egypt

7. Department of Basic Medical Sciences, College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh P.O. Box 84428, Saudi Arabia

8. Department of Basic Medical Sciences, College of Medicine, AlMaarefa University, Riyadh P.O. Box 71666, Saudi Arabia

9. Department of Anatomy, Faculty of Medicine, Mansoura University, Mansoura P.O. Box 35516, Egypt

10. Department of Nursing, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj P.O. Box 11942, Saudi Arabia

11. Department of Family and Community Health Nursing, Faculty of Nursing, Port Said University, Port Said P.O. Box 42526, Egypt

12. Department of Basic Medical Sciences, College of Medicine, University of Sharjah, Sharjah P.O. Box 27272, United Arab Emirates

Abstract

Whole-body vibration (WBV) training is used for ankle rehabilitation as it stimulates muscle spindles to excite tonic vibration reflexes, and improves muscle strength, power, joint proprioception, balance, and flexibility. Thus, this study aims to determine the impact of whole-body vibration on the degree of the toe angle and the correlation between the toe angle and knee osteoarthritis index during level walking among female university students. A randomized controlled trial was conducted with 42 participants divided into two groups. The control group performed only home-based exercise (HBE) after education, and the study group received WBV with HBE. The functional status of participants to predict osteoarthritis was evaluated using the Western Ontario and McMaster osteoarthritis index (WOMAC), where the toe angle degree and WOMAC index were assessed before and six weeks after training. The results showed a significant improvement in the toe-in angle of HBE + WBV compared to the HBE group (p = 0.02), and in HBE + WBV, an improvement of the toe angle showed a 43% decrease in the WOMAC index (p = 0.001). In conclusion, WBV for the ankle and foot training program positively affected the degree of the toe angle, that directly affected the subtalar and ankle joint mechanics. Trial registration in the Pan African Clinical Trial Registry PACTR202304816093190 (registered retrospectively, date of registration: 18 April 2023).

Funder

Princess Nourah bint Abdulrahman University

Prince Sattam bin Abdulaziz University

AlMaarefa University

Publisher

MDPI AG

Subject

General Medicine

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