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| ID | Type | Description | Link |
|---|---|---|---|
| 2017.124.IRB2.038 | Other Identifier | Koç University IRB |
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This study aims to investigate how the magnitude of mechanical loading affects reflex latency patterns induced by whole-body vibration (WBV). WBV can trigger two types of reflexes: the tonic vibration reflex (TVR) and the bone myoregulation reflex (BMR), which may be influenced by load-bearing condition. The study will include healthy adult volunteers aged 20-50 years. Reflex responses will be recorded from the soleus muscle using surface EMG during both WBV. Different conditions of mechanical loading (i.e., standing on one foot, both feet) and vibration frequencies (30-36 Hz) will be tested. The main outcome will be the latency of the reflex responses, which will help distinguish between TVR and BMR activation. The goal is to better understand how mechanical load modifies reflex response timing and to characterize the underlying afferent pathways. This knowledge may contribute to optimizing vibration-based rehabilitation strategies.
This study investigates how the magnitude of mechanical loading alters reflex latency patterns during whole-body vibration (WBV), focusing specifically on the tonic vibration reflex (TVR) and the bone myoregulation reflex (BMR). Experimental data suggest that WBV may activate different reflex mechanisms depending on the level of postural loading, frequency, and amplitude of the vibration. Previous studies have shown that low-amplitude WBV tends to activate TVR under voluntary contraction, while higher mechanical loads and neutral standing posture are more likely to induce BMR.
Surface electromyography (sEMG) recordings will be obtained from the soleus muscle during vibration stimuli applied at different frequencies (30, 32, 34, and 36 Hz). Recordings will be taken under multiple loading conditions: standing on both feet, standing on one foot. Reflex latency will be calculated using cumulative averaging techniques, and data will be analyzed offline using Spike2 software.
Findings from this study may contribute to a deeper understanding of reflex integration during vibratory stimulation and inform future neurorehabilitation protocols that utilize WBV as a therapeutic modality.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Whole-Body Vibration in Healthy Volunteers | Experimental | Participants will receive whole-body vibration (WBV) under mechanical loading conditions. Surface EMG recordings from the soleus muscle will be used to evaluate reflex latency at vibration frequencies of 30, 32, 34, and 36 Hz. All interventions will be applied in a single-session experimental design in healthy adult volunteers. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Whole-Body Vibration | Device | Participants will receive whole-body vibration (WBV) at 30-36 Hz under different mechanical loading conditions (e.g., standing on one foot, both feet,). Vibration-induced reflex responses will be recorded from the soleus muscle using surface electromyography. The intervention is designed to evaluate latency differences between tonic vibration reflex (TVR) and bone myoregulation reflex (BMR) under controlled biomechanical scenarios. |
| Measure | Description | Time Frame |
|---|---|---|
| Reflex latency (milliseconds) in the soleus muscle during vibration stimulation | Reflex latency will be calculated based on surface EMG recordings from the soleus muscle during whole-body vibration at frequencies of 30-36 Hz. Latency will be analyzed using cumulative averaging techniques and expressed in milliseconds. | Day 1 (single-session, during each experimental condition) |
| Measure | Description | Time Frame |
|---|---|---|
| EMG amplitude of reflex response in the soleus muscle during vibration stimulation | The magnitude of EMG response during whole-body vibration will be recorded from the soleus muscle. Reflex amplitude differences will be analyzed across various postural loading conditions to evaluate suppression or facilitation effects. | Day 1 (single-session, during each experimental condition) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Selim Sezikli, MD | Istanbul Physical Medicine and Rehabilitation Training and Research Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istanbul Physical Medicine and Rehabilitation Training and Research Hospital | Istanbul | Istanbul | 34186 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39119811 | Result | Karacan I, Turker KS. Exploring neuronal mechanisms of osteosarcopenia in older adults. J Physiol. 2026 Jan;604(2):672-688. doi: 10.1113/JP285666. Epub 2024 Aug 9. | |
| 27485766 | Result | Karacan I, Cidem M, Yilmaz G, Sebik O, Cakar HI, Turker KS. Tendon reflex is suppressed during whole-body vibration. J Electromyogr Kinesiol. 2016 Oct;30:191-5. doi: 10.1016/j.jelekin.2016.07.008. Epub 2016 Jul 25. |
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Following publication of the main study results, de-identified individual participant data (IPD) and relevant supporting documents will be made available to qualified researchers upon submission of a valid research proposal. Data will be provided exclusively for research purposes and under a formal data sharing agreement.
Data will be available beginning 6 months after the primary publication and will remain accessible for 5 years. Access will be granted on a case-by-case basis following review of a research proposal and execution of a formal data-sharing agreement.
Access will be limited to qualified researchers who submit a request for a research project that has received prior ethical approval and who agree to comply with the study's confidentiality principles. Data access will be granted through a formal data-sharing agreement executed between the requesting researcher and the study sponsor or relevant institution. The agreement will specify the intended purpose of data use, the duration of access, and the confidentiality obligations. Shared data will consist of de-identified individual participant data (IPD), with all potentially identifying information removed. Supporting documents such as the study protocol, statistical analysis plan, and analytic code will also be provided to promote research transparency.
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All participants receive the same sequence of whole-body vibration under different loading conditions. There is no randomization or control group. This is a single-arm, within-subject experimental design evaluating reflex latency under multiple biomechanical scenarios.
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| Reflex type classification (TVR vs BMR) based on latency and mechanical load | Reflex responses will be categorized as tonic vibration reflex (TVR) or bone myoregulation reflex (BMR) based on latency values and mechanical loading condition. Classification will be supported by comparisons of reflex latency and EMG suppression patterns across experimental conditions. | Day 1 (single-session, during each experimental condition) |
| Reflex latency variability under different mechanical loading conditions | Variability in reflex latency will be assessed across different postural load conditions (e.g., single-leg, double-leg, prone) to determine how load magnitude influences the consistency of reflex timing. Standard deviation and coefficient of variation will be calculated for each condition. | Day 1 (single-session, during each experimental condition) |
| Effect of vibration frequency on reflex latency and amplitude | Reflex latency and EMG amplitude will be compared across vibration frequencies (30, 32, 34, and 36 Hz) to investigate frequency-dependent modulation of neuromuscular responses in the soleus muscle. | Day 1 (single-session, during each experimental condition) |
| 28457998 | Result | Karacan I, Cidem M, Cidem M, Turker KS. Whole-body vibration induces distinct reflex patterns in human soleus muscle. J Electromyogr Kinesiol. 2017 Jun;34:93-101. doi: 10.1016/j.jelekin.2017.04.007. Epub 2017 Apr 24. |