FREQUENCY-DEPENDENT SOLEUS REFLEX MODULATION DURING WHOLE-BODY VIBRATION

NCT07408570 | Enrolling By Invitation

• 1 other identifier: 2025-78
• Study Type: interventional
• Target: 27
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Healthy Adult; Whole Body Vibration

Keywords

bone myoregulation reflex

Outcome Measures

Primary Outcomes (1)

• 1. WBV-evoked soleus reflex latency (ms)

  Reflex latency will be defined as the time interval between the onset of whole-body vibration and the onset of the reflex-related EMG response in the soleus muscle. EMG onset will be identified as the point at which the rectified EMG signal exceeds the mean baseline activity by more than two standard deviations and remains above this threshold for at least 10 ms. This measure will be used as an index of the temporal dynamics of load-sensitive mechanotransduction, consistent with the poroelastic bone-BMR framework.

  195 seconds

Other Outcomes (1)

• 2. WBV-evoked soleus reflex amplitude (%MVC)

  195 seconds

Study Arms (1)

experimental group

EXPERIMENTAL

experimental group

Other: whole body vibration

Interventions

whole body vibration OTHER

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).

experimental group

Eligibility Criteria

• Age: 20 Years - 45 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

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

You may not qualify if:

• 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.

Sponsors & Collaborators

• Istanbul Physical Medicine Rehabilitation Training and Research Hospital: lead

Study Sites (1)

Istanbul Pmr Training Hospital

Bahçelievler, Istanbul, 34197, Turkey (Türkiye)

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SCREENING
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: CHIEF ASISTANT, PHYSIATRIST

Model Details: * 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.

Study Record Dates

• First Submitted: January 26, 2026
• First Posted: February 13, 2026
• Study Start: November 30, 2025
• Primary Completion: February 26, 2026
• Study Completion (Estimated): June 30, 2026
• Last Updated: February 13, 2026

Record last verified: 2026-02

Locations

TU (1)