title: The Effect of Whole Body Vibration on Ankle Range of Motion and the H-reflex.
abstract: OBJECTIVE
  Limited research suggests that an effect of whole body vibration (WBV) on the central nervous system (CNS) is suppression. An indirect measure used to assess CNS level of activation is the Soleus H-reflex. If true suppression does occur, other factors such as range of motion may be impacted. The purpose of this study was to examine the impact of WBV on H-reflex amplitude and passive ankle dorsiflexion.
  
  
  METHODS
  Twenty-seven healthy volunteers between the ages of 21-41 participated. Subjects were randomly assigned to a control group (n=13) or WBV group (n=14). H-reflex and ankle dorsiflexion measures were assessed before and after a three minute WBV perturbation (40 μHz, amplitude 2-4 mm). These measurements were repeated every five minutes up to twenty minutes following the intervention.
  
  
  RESULTS
  The H-reflex amplitude showed a significant decrease (p<.05) between pre-test and initial post-test for both groups. The H-reflex returned to baseline within five minutes following the intervention. The dorsiflexion range of motion showed significant interaction (p<.05). All changes were less than 5 degrees; therefore, no clear clinical impact was evident.
  
  
  CONCLUSIONS
  The observed decrease in H-reflex amplitude immediately following WBV agreed with previous research indicating a lower level of CNS activation. However, since the control group also showed this change, WBV does not appear to be a key cause of suppression. Range of motion was not clinically significant for either group.
authors.affiliation: Belmont University School of Physical Therapy, Nashville, TN.
authors.forename: Stacey
authors.initials: S
authors.lastname: Apple
authors.forename: Kelly
authors.initials: K
authors.lastname: Ehlert
authors.forename: Pam
authors.initials: P
authors.lastname: Hysinger
authors.forename: Cara
authors.initials: C
authors.lastname: Nash
authors.forename: Michael
authors.initials: M
authors.lastname: Voight
authors.forename: Pat
authors.initials: P
authors.lastname: Sells