FREQUENCY-DEPENDENT SOLEUS REFLEX MODULATION DURING WHOLE-BODY VIBRATION

Official title

FREQUENCY- DEPENDENT MODULATION OF SOLEUS REFLEX RESPONSES DURING WHOLE BODY- VIBRATION IMPLICATIONS FOR PORPELASTIC BOBE MYOREGULATION UNDER GRAVITATIONAL LOADING

Overview

Exposure to microgravity leads to pronounced impairments in neuromuscular control, postural stability, and spinal reflex regulation that cannot be attributed to muscle atrophy alone. Rather, these deficits point to a disruption of load-dependent sensorimotor mechanisms and highlight the essential role of gravitational loading of the skeleton as a critical source of sensory input for spinal motor control. Spinal reflex behavior during upright stance has traditionally been explained primarily by muscle spindle-mediated pathways. However, this framework does not fully account for the reflex alterations observed under conditions of altered mechanical loading, including microgravity, prolonged unloading, or exposure to vibration. In parallel, advances in bone biology have identified osteocytes within the lacuno-canalicular system as highly sensitive mechanosensors that preferentially respond to dynamic loading and changes in strain rate. This insight has given rise to the concept of bone myoregulation, in which bone-derived mechanosensory signals contribute to the modulation of spinal excitability. A defining characteristic of this process is the poroelastic nature of bone tissue. As a fluid-saturated porous medium, bone exhibits frequency-dependent mechanical behavior, such that oscillatory loading modifies both the temporal profile and magnitude of interstitial fluid flow within the lacuno-canalicular network. As a result, loading frequency is expected to influence not only the timing of reflex responses but also their amplitude. Whole-body vibration offers a controlled experimental paradigm to probe these frequency-dependent, load-sensitive mechanisms in humans. Accordingly, the aim of the present study was to identify the whole-body vibration frequency band that most effectively induces soleus reflex responses during quiet standing, considering both reflex latency and response amplitude. Investigators hypothesized that these responses would display frequency-dependent behavior consistent with poroelastic bone-mediated myoregulation and would be modulated by individual anthropometric characteristics, with potential implications for vibration-based countermeasures under altered gravitational loading.

Detailed description

Experimental Procedure At the beginning of the experiment, participants will perform three repetitions of maximal voluntary plantarflexion (heel-rise) to determine maximal electromyographic (EMG) activity of the soleus muscle. These recordings will be used for normalization and reference purposes.

Subsequently, whole-body vibration will be applied at 13 different frequencies ranging from 25 to 49 Hz (25, 27, 29, 31, 33, 35, 37, 39, 41, 43, 45, 47, and 49 Hz). The order of vibration frequencies will be randomized for each participant to minimize order effects.

Whole-Body Vibration Protocol Participants will stand upright in an anatomically neutral position on the vibration platform and will be allowed to lightly hold the device's handrail to maintain balance without providing mechanical support. Vibration amplitude will be set at 2 mm. Each frequency condition will be applied for 15 s, with a 10 s rest period between trials. All WBV applications will be delivered using a Power Plate Pro5 device (Power Plate International Ltd., UK).

Surface Electromyography Recording Surface electromyography (sEMG) will be recorded from the left soleus muscle using bipolar Ag/AgCl electrodes (Redline®, Istanbul, Türkiye; 10-mm diameter, 4-cm interelectrode distance) aligned with the muscle fibers following appropriate skin preparation (impedance \<10 kΩ). The electrodes will be placed over the lateral belly of the soleus muscle, with the ground electrode positioned on the right lateral malleolus. The sEMG signals will be amplified (×1000), band-pass filtered between 10 and 1,000 Hz, and sampled at 5,000 Hz.

EMG signals will be acquired using a CED 1902 Quad System MKIII amplifier and a CED Power 1401 MKII A/D converter and will be recorded with Spike2 software (version 7.20; Cambridge Electronic Design, UK). Signals will be stored for offline analysis. Frequency-domain analysis will be performed using fast Fourier transform (FFT) algorithms implemented in Spike2.

Interventions

• Other whole body vibration
  Whole-Body Vibration Protocol Participants will stand upright in an anatomically neutral position on the vibration platform and will be allowed to lightly hold the device's handrail to maintain balance without providing mechanical support. Vibration amplitude will be set at 2 mm. Each frequency condition will be applied for 15 s, with a 10 s rest period between trials. All WBV applications will be delivered using a Power Plate Pro5 device (Power Plate International Ltd., UK).

Primary outcome measures

• 1. WBV-evoked soleus reflex latency (ms) [Time frame: 195 seconds]

Eligibility criteria

Inclusion criteria

• Healthy adults aged between 20 and 45 years,
• Absence of regular exposure to whole-body vibration (WBV) training.

Exclusion criteria

• A history of intolerance to whole-body vibration,
• Vertigo history,
• Any medical or neurological condition that could be exacerbated by vibratory stimulation.

All participants will provide written informed consent prior to participation.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: Yes

Study design

Allocation

N/A

Model

Single group

Masking

Open label

Primary purpose

Screening

Study locations

Turkey (Türkiye) · 1 center

• Istanbul Pmr Training Hospital — Bahçelievler

Identifiers

NCT: NCT07408570 · 2025-78

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗