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Whole body vibration to attenuate reduction of explosive force in chronic kidney disease patients: a randomized controlled trial.

To investigate whether whole body vibration (WBV) training increases the explosive force of the knee extensors in chronic kidney disease (CKD) patients. Fourteen CKD patients undergoing hemodialysis were randomly allocated in WBV training or Sham group. Explosive force parameters (contractile impulse [CImp] and relative rate of force development [RFDr]) obtained in early (30 and 50 msec) and late phases (100 and 200 msec) of the knee extensors force/time curve. CImp and RFDr obtained at the early phase of force/time curve reduced after the intervention period, with a smaller decline for WBV (CImp at 50 msec [~-15% and -51%, P =0.038], RFDr at 30 msec [~-22% and -52%, P =0.044] and RFDr at 50 msec [~-11% and -54%; P =0.008]). In the late phase there was a lower decline for WBV group compared to Sham group, respectively: CImp: 100 msec (~-8% and -55%, P =0.025), 200 msec (~-3% and -46%, P = 0.025); RFDr 100 msec (~0.01% and -56%, P =0.033), 200 msec (~-5% and -36%, P =0.004). Three months of WBV training may attenuate the explosive force reduction in CKD patients.

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