Prolonged immobilization from a critical illness can result in significant muscle atrophy. Whole-body vibration (WBV) could potentially attenuate the issue of muscle atrophy; however, there exists no device that could potentially provide WBV in supine position that is suitable for critically ill patients. Hence, the purpose of this study was to develop a new wearable suit, called therapeutic vibration device (TVD), that can provide WBV in supine position and test its effects on physiologic markers of physical activity including muscle activation, oxygen consumption (VO2), and regional hemoglobin oxygen saturation (rSO2). The prototype TVD delivered multi-frequency WBV axially to 19 healthy participants in supine position for 10 minutes simultaneously at 25 Hz/4.2 grms on the feet and 15 Hz/0.7 grms on the shoulders. Muscle activation was recorded by electromyography (EMG), VO2 was measured by indirect calorimetry and rSO2 was recorded by near-infrared spectroscopy. Recordings were collected from each participant from multiple body locations, on three separate days, at baseline and during the intervention. Acceleration was also recorded to gain insight into transmissibility and coherence. Repeated-measures ANOVA using Bonferroni correction revealed that the muscle activity significantly increased by 4% - 62% (p < 0.05), VO2 improved by 22.3% (p < 0.05) and rSO2 increased by 1.4% - 4.5% (p < 0.05) compared to baseline. WBV provided by the TVD is capable of producing physiologic responses consistent with mild physical activity. Such effects could potentially be valuable as an adjunct to physical therapy for early mobilization to prevent atrophy occurring from prolonged immobilization.
Keywords: Early mobilization; exoskeleton; muscle atrophy; post intensive care syndrome; rehabilitation; tonic vibration reflex.