Does Whole Body Vibration have Clinically Significant Neurophysiological and Neurovascular Implications?

Whole body vibration has received much attention as an innovative approach to exercise, leading to constantly increasing attention from the scientific community. Previous research considering occupational vibration has illustrated the risks associated with high levels of exposure to vibration; however during vibration exercise the exposure duration is much shorter and therefore the potential complications must be reconsidered. This review brings together research from various aspects of occupational vibration, clinical research and vibration exercise to address issues within the context of health and safety with a particular focus on neurophysiological and neurovascular responses. The results indicate that peripheral nerve and blood vessels are exposed to risks such as compression, shear stress and altered function as a response to vibration. However, correct planning and implementation of exercise protocols should effectively control these risks. By summarising the areas that have received attention an overview of potential complications will be achieved; with an understanding of which factors prevent participation and those that simply require an amended approach to vibration exercise.