EXOS Physical Therapy and Sports Medicine

Evidence-Based Support for Power Plate®

More than 200 research • Increase proprioception, balance, and stability
studies have been conducted
• Improve comfort for increased flexibility
on whole body vibration.
and range of motion
Our proprietary whole body • Improve postural control
vibration technology is
optimized to deliver a • Reduce or alleviate chronic pain
precise harmonic wave for • Increase neuromuscular activation to
the best neuromuscular improve activities of daily living – both
response. Power Plate has
proven benefits to many acutely and over time
clinical applications and can • Promote weight loss by increasing
help with the adjacent
metabolic demand
indications.
• Improve and increase circulation, and
improve the function of the cardiovascular system
 POWER PLATE AND EXOS /
The vibration technology behind Benefits to EXOS:
Power Plate allows patients to • Versatility
Improve their autonomy and daily • Rehabilitation
Living without exceeding their • Conditions related to proprioception, gait,
Tolerance for exertion or pain during balance, and neurological diseases
Therapy. • Supplements your current treatment protocols
• Warms up your clients quicker and with less pain
When used properly, Power Plate can • Therapeutic massage
Stimulate authentic stability and mobility • Shorten treatment times for some conditions
In a very short period of time throughout • Increases patient satisfaction
The entire body. With the goals of • Creates the opportunity to treat more patients
restoring alignment and correcting • Encourages patient compliance and retention;
dysfunction, Power Plate Precision people love using Power Plate
Harmonic Wave Technology helps re-
• Reimbursable as part of your current treatment
educate the neuromuscular system to plans
poroperly support the skeletal
• Supported by evidence-based research
system. The Tri-Planar Harmonic Wave
action of Power Plate allows you to • NEAT certification from the Mayo Clinic
provide that education.
 TYPICAL CPT CODES USED /
For patients with insurance, you
• 97110 Therapeutic exercise
can bill using CPT codes. Each CPT
code is based on a timed unit,
either a 15-minute block or a • 97112 Neuromuscular re-education
range from 8-23 minutes.* For
every 15 minutes, you can use two • 97116 Gait training
units (two different CPT codes or
two units of a single code). The
reimbursement per billing unit • 97124 Massage therapeutic
depends on the duration of the
intervention and the CPT code • 97140 Manual therapy techniques
used.

*The reimbursement per billing unit depends on the

duration of the intervention and the CPT code used (US
only). CPT codes vary by state.
 NEAT CERTIFICATION /
Power Plate is the only vibrating Mayo Clinic’s NEAT Certification
platform to be awarded NEAT NEAT = Non-Exercise Activity Thermogenesis
Certification
• Developed by Dr. James Levine, Director of
o Simply sitting or standing on Obesity Research, Mayo Clinic
Power Plate burns 10% or more Nonexercise Activity Thermogenesis, JA. Levine, American
calories than on the floor Journal of Physiology - Endocrinology and Metabolism, April
2004 Vol. 286 no. 5
o Perfect for patients immobilized
by age, wheelchair-bound, o Calories burned while performing daily
activities, such as sitting, working, fidgeting,
neurologically impaired, paralyzed housework
(with muscle tone) o Excludes calories burned while sleeping,
digesting and exercising
o NEAT calories greatly affect the development of
obesity
• Certification is awarded to products which
prove it burns 10% or more calories than sitting
at rest
 PRECISIONWAVE TECHNOLOGY™ /
Harmonic Vibration is described
by the frequency (Hz) and
amplitude (mm)

Amplitude
(mm)
• Tri-planar
• Predictable form, shape and
speed
• Comfortable Frequency (Hz)
• Consistent pattern of reflexive
muscle activation

With greater comfort for your clients,

Power Plate is easy to learn and
adopt.
Frequency: 35Hz – 50Hz
Amplitude: 1mm – 2mm
 KEY BENEFITS /
The body’s natural reflexes cause the nervous system to
rapidly respond and stimulate the following systems:

Neurological Proprioceptive Musculoskeletal Cardiovascular

Stimulates muscle memory (motor learning) at a rapid and reflexive level

Facilitating and enhancing functional activity.

 KEY BENEFITS /

Neurological Firing patterns and efficiency (motor learning)

Proprioceptive Reflexive stabilization, balance and position sense

Recruits small and powerful stabilizers for balance reactions

Musculoskeletal and core control Increases percentage of muscle fiber
recruitment to enhance functional performance

Cardiovascular Improves and increases circulation

FALL PREVENTION /
Effects of whole body vibration training on postural control in older individuals: A 1
year randomized controlled trial
Bogaerts, et. Al., Gait & Posture, 26 (2007), 309-316
Division of Musculoskeletal Rehabilitation, Department of Rehabilitation Sciences, Faculty of Kinesiology and Rehabilitation
Sciences, Katholieke Universiteit Leuven, Leuven, Belgium

220 healthy 67±.6 year old adults were randomly assigned to whole body vibration (n=94), a fitness group
(n=60) and a control group (n=66) and were evaluated using the following tests: Sensory Organization,
Motor Control and Adaptation

Results:
• Power Plate group’s equilibrium score “demonstrated reduced fall frequency in the most challenging
condition of the Sensory Organization Test”
• Power Plate’s group performed significantly better with rotations in the toes-down position, which is
“likely to be caused by the extensive sensory stimulation and a more efficient use of the proprioceptive
feedback loop due to vibration training.”
• All groups improved in the Motor Control Test
FALL PREVENTION /
Effects of bioDensity training and Power Plate Whole Body Vibration on Strength,
Balance and Functional Independence in Older Adults
Smith, et. al., Journal of Aging and Physical Activity, 2016, 24,139-148
Division of Kinesiology and Health, University of Wyoming, Laramie, WY

60 adults 82±.49 year old were randomly assigned to a control group or three 12-week intervention
groups : bioDensity, Power Plate or bD+PP. Primary outcome measures were strength, balance and FIM.

Results:
• Strength: increased significantly for both in bD and bD+PP (22-51%)
• Balance: improved significantly for PP and bD+PP
• FIM improved for all 3 intervention groups
FALL PREVENTION /
Controlled Whole Body Vibration to Decrease Fall Risk and Improve Health-Related
Quality of Life of Nursing Home Residents
Bruyere, et. al., Archives of Physical Medicine and Rehabilitation, 86, Feb 2005, 303-307
WHO Collaborating Center for Public Health Aspects of Osteoarticular Disorders, Department of Public Health, Epidemiology
and Health Economics, Bone and Cartilage Metabolism Unit, University of Liege, Belgium

42 82±.6.9 year old volunteer nursing home residents were randomly assigned to 6 weeks (3 times/week)
of wbv plus PT (n=22) or PT alone (n=20). Main outcome measures: gait and body balance, TUG and
HRQOL.

Results:
• WBV+PT group improved significantly on the gait score (+2.4 points), body balance (3.5 points), TUG (-
11 seconds)
• PT alone group: gait, no change; body balance, -0.3; TUG, +2.6 seconds; HRQOL, no change
 :15 min Program Sample
FALL PREVENTION / EXERCISE DESCRIPTION TIME REST
Left/Right Leg Hip Flexor
stretch Hip Flexor stretch leg supported 30 sec 10 sec
Right/Left Leg Hip Flexor
stretch Hip Flexor stretch standing 30 sec 10 sec
Right Leg Hamstring Stretch Hamstring Stretch - chest up and buttocks back 30 sec 10 sec
Left Leg Hamstring Stretch Hamstring Stretch - chest up and buttocks back 30 sec 10 sec
Right Adductor Stretch 3D Adductor Stretch 30 sec 10 sec
Left Adductor Stretch 3D Adductor Stretch 30 sec 10 sec
Squat Matrix Neutral Stance 30 sec 10 sec
Squat Matrix Feet turned slightly inward 5-10DEG 30 sec 10 sec
Squat Matrix Feet turned slightly outward 45DEG 30 sec 10 sec
Squat Matrix Feet Wide facing forward 30 sec 10 sec
Squat Matrix Feet Narrow facing forward 30 sec 10 sec
Dynamic Marching Left Foot Left Lateral lunge and arms Left Lateral 30 sec 10 sec
Dynamic Marching Right Foot Right Lateral lunge and arms Left Lateral 30 sec 10 sec
Dynamic Marching Left Foot Left Lateral lunge and arms Right Lateral 30 sec 10 sec
Dynamic Marching Right Foot Left Lateral lunge and arms Left Lateral 30 sec 10 sec
Dynamic Hip Movement Standing L leg pivot shift ant post 30 sec 10 sec
Dynamic Hip Movement Standing R leg pivot shift ant post 30 sec 10 sec
Standing L leg pivot shift R leg in front, to side, cross
Dynamic Hip Movement behind 30 sec 10 sec
Dynamic Hip Movement Standing R leg pivot shift L in front, to side, cross behind 30 sec 10 sec
Standing L leg,pelvis, chest and head turn in front -then
Dynamic Hip Movement open up rotating away. 30 sec 10 sec
Standing R leg,pelvis, chest and head turn in front -then
Dynamic Hip Movement open up rotating away. 30 sec 10 sec
R LE on platform maintain UE OH and gently twist head,
Dynamic Spine Rotation hips and torso R to L 30 sec 10 sec
L LE on platform maintain UE OH and gently twist head,
Dynamic Spine Rotation hips and torso R to L 30 sec 10 sec
MULTIPLE SCLEROSIS /
Is 8 weeks of side-alternating whole-body vibration a safe and acceptable
modality to improve functional performance in multiple sclerosis?
Mason, et. al., Disability & Rehabilitation, 2012; 34(8): 647-654
School of Sport and Exercise, Massey University, Palmerston North, New Zealand

15 patients with Multiple Sclerosis (EDSS scores between 2.0 and 5.5) participated in WBV 3 days/week
over 8 weeks. Qualtiy of life, TUG, functional reach, standing balance, and 10 minute walk tests were
performed.

Results:
• Timed up and go: significant improvement at 4 and 8 weeks and 2 weeks post training
• Standing balance: significant increase of 12%
• 10 minute walk: 10% increase at 8 weeks and 12% at 2 weeks post training
PARKINSON’S DISEASE /
The effects of random whole-body-vibration on motor symptoms in Parkinson’s
disease
Haas, et. al., Neuro Rehabilitation, 21 (2006) 29-36
WHO Collaborating Center for Public Health Aspects of Osteoarticular Disorders, Department of Public Health, Epidemiology
and Health Economics, Bone and Cartilage Metabolism Unit, University of Liege, Belgium

68 persons with Parkinson’s Disease randomized between WBV and control. Mean age was 65 ± 7.8 yrs.
Duration of disease was 5.9 ± 4.6 yrs. Cross-over design used. 5 x 1 minute sessions with 1 minute break
between sessions with WBV resulted in:

Results:
• 16.8% imrovement in UPDRS motor score
• 25% improvement in tremor scores
• 24% reduction in rigidity scores
• No return to baseline 120 min post testing
“Biomechanical analyses showed that the treatment improves postural control of PD patients, which might
ensure mobility and quality of life.”
NEUROMUSCULAR AND
HORMONAL RESPONSE /
Hormonal and Neuromuscular Responses to Mechanical Vibration Applied to
Upper Extremity Muscles
Di Giminiani, et. al., PLoS ONE 9(11): e111521
Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, L’Aquila Italy

Randomized, double-blind, controlled study of 30 males (24-26 yrs.) divided into three training groups:
High vibration, low vibration and control (no vibration) 20 x 10 seconds. This study measured for growth
hormone, testosterone, maximal voluntary isometric contraction, and EMG of pectoralis major, triceps
brachii, anterior deltoid, and flexor carpi radialis.

Results:
• Growth hormone increased significantly in the high vibration group
• Testosterone increased significantly in both vibration groups
• MVC decreased significantly in both vibration groups, suggesting muscle fatigue

Conclusions:
High vibration induced the greatest muscle activation, and in a parallel manner, caused an increased
release of GH. The concurrent increased EMG acitivity suggests an increased reflex activation, indicating
intesified afferent nerve signaling from the muscles as neural relfex mechanisms.
 :12 min Program Sample
NEURO DEGENERATION /
EXERCISE DESCRIPTION TIME REST
Right Leg Hamstring Stretch Hamstring Stretch - chest up and buttocks back 30 sec 10 sec
Left Leg Hamstring Stretch Hamstring Stretch - chest up and buttocks back 30 sec 10 sec
Left Leg Hip Flexor stretch Hip Flexor stretch leg supported 30 sec 10 sec
Right Leg Hip Flexor stretch Hip Flexor stretch standing 30 sec 10 sec
Fixed Lunge Position with
Arm Reach R fixed lunge bilat UE ant Reach at knee 30 sec 10 sec
Fixed Lunge Position with
Arm Reach L fixed lunge bilat UE ant Reach at knee 30 sec 10 sec
Pre Position an initial range squat with L overhand
grip and R underhand grip pushing your bottom back
Standing Pelvis and Arm and knees over toes. Gently slide push pelvis forward
Driver and back, pelvis side to side, and twist hips. 30 sec 10 sec
Squat Matrix Neutral Stance 45 sec 10 sec
Squat Matrix Feet turned slightly inward 5-10 DEG 45 sec 10 sec
Squat Matrix Feet turned slightly outward 45 DEG 45 sec 10 sec
Dynamic Arm Reach UE reaches: Bilat arm reach at waist height; 30 sec 10 sec
Dynamic Arm Reach Bilat arms R ant lat. 30 sec 10 sec
Dynamic Arm Reach Bilat arms L ant lat. 30 sec 10 sec
Dynamic Arm Reach Bilat UE OH R to L lateral 30 sec 10 sec
Dynamic Arm Reach Bilat UEs reach across R and L lateral rotation 30 sec 10 sec
STROKE /
One session of whole body vibration increases voluntary muscle strength
transiently in patients with stroke
Tihanyi, et. al., Clinical Rehabilitation 2007; 21: 782–793
Semmelweis University, Budapest, Hungary

Randomized, controlled study of 16 stroke patients, 27 days ±10.4 days after stroke. Intervention subjects
(n=8) stood on vibration platform for 6 x 1 minute, while control (n=8) stood on the platform with no
vibration.

Results:
• Isometric and eccentric knee extension torque: WBV increased 36.6% and 22.2%, respectively; control,
8.4% and 5.3%
• EMG amplitude: WBV, increased 44.9%; control, 10.6%
• Median frequency in vastus lateralis: WBV, increased 13.1%; control, 3.9%
• WBV increased improved the ability to generate mechanical work during eccentric contraction (17.5%)
• WBV reduced biceps femoris co-activation during isometric (8.4%) and eccentric (22.5%) contraction
 :15 min Program Sample
EXERCISE DESCRIPTION TIME REST
GAIT THERAPY /
Left Leg Hip Flexor stretch Hip Flexor stretch leg supported 30 sec 10 sec
Left Leg Hip Flexor stretch Hip Flexor stretch standing 30 sec 10 sec
Right Leg Hamstring Stretch Hamstring Stretch - chest up and buttocks back 30 sec 10 sec
Left Leg Hamstring Stretch Hamstring Stretch - chest up and buttocks back 30 sec 10 sec
Right Adductor Stretch 3D Adductor Stretch 30 sec 10 sec
Left Adductor Stretch 3D Adductor Stretch 30 sec 10 sec
Left Standing Piriformis Stretch Standing Piriformis 30 sec 10 sec
Right Standing Piriformis Stretch Standing Piriformis 30 sec 10 sec
Raise R leg onto platform; drive knee forward as your right hand
rotates backwards at shoulder height. reach overhead with
Thoracic Spine Matrix Type I your L UE while peforming R lunge 30 sec 10 sec
Raise L leg onto platform; drive knee forward as your left hand
rotates backwards at shoulder height. reach overhead with
Thoracic Spine Matrix Type I your R UE while peforming R lunge 30 sec 10 sec
Dynamic Hip Movement Standing L leg pivot shift ant post 30 sec 10 sec
Dynamic Hip Movement Standing R leg pivot shift ant post 30 sec 10 sec
Dynamic Hip Movement Standing L leg pivot shift R leg in front, to side, cross behind 30 sec 10 sec
Dynamic Hip Movement Standing R leg pivot shift L in front, to side, cross behind 30 sec 10 sec
Stepping in place alternating between neutral, wide, and
Dynamic Marching narrow feet position 30 sec 10 sec
Dynamic Marching Alternate marching with Right foot forward 30 sec 10 sec
Dynamic Marching Alternate marching with Left foot forward 30 sec 10 sec
Dynamic Lunge Dynamic L ant to post lunge 30 sec 10 sec
Dynamic Lunge Dynamic R ant to post lunge 30 sec 10 sec
Dynamic Lunge Dynamic Right Lateral to opp L lateral lunge 30 sec 10 sec
Dynamic Lunge Dynamic Left Lateral to opp R lateral luge 30 sec 10 sec
CIRCULATION /
The Effect of Whole Body Vibration on Lower Extremity Skin Blood Flow in Normal
Subjects
Loman III et al., Medical Science Monitor, 2007; 13(2): CR71-76
Department of Physical Therapy, Loma Linda University, Loma Linda, CA

45 subjects (18-43 yrs.) were split into 3 groups: vibration and exercise (n=15), exercise only (n=15), and vibration
only (n=15) to measure effects of vibration on skin blood flow. Measurements were taken from the right
gastrocnemius muscle after 10 minute’s rest.

Results:
• Skin blood flow in the vibration only group increased by approx., 250% post-test and 200% 10 min post-test

Clinical relevance:
• “Decreased microcirculation of the lower extremities and peripheral nerves has been reported as a
complication of the aging process and as a consequence of disease processes, such as diabetes mellitus.”
o “...any intervention that increases microcirculation may be clinically relevant.”
o Passive intervention of Power Plate “significantly increased skin blood flow...without taxing the cardiovascular or
musculoskeletal systems.”
 :18 min Program Sample
CIRCULATION /
EXERCISE DESCRIPTION TIME REST
Left Leg Hip Flexor stretch Hip Flexor stretch leg supported 30 sec 10 sec
Right Leg Hip Flexor stretch Hip Flexor stretch standing 30 sec 10 sec
Right Leg Hamstring Stretch Hamstring Stretch - chest up and buttocks back 30 sec 10 sec
Left Leg Hamstring Stretch Hamstring Stretch - chest up and buttocks back 30 sec 10 sec
Right Adductor Stretch 3D Adductor Stretch 30 sec 10 sec
Left Adductor Stretch 3D Adductor Stretch 30 sec 10 sec
Left Standing Piriformis Stretch Standing Piriformis 30 sec 10 sec
Right Standing Piriformis Stretch Standing Piriformis 30 sec 10 sec
Load from squat L arm cross body at shoulder reach transition to
Squat Matrix L arm L ss post rotational reach 45 sec 10 sec
Squat Matrix Static push with straps off plate in chair or wc 45 sec 10 sec
Squat Matrix Standing Push-up on plate 45 sec 10 sec
Squat Matrix Mid Range kneeling pushup to full range push up 45 sec 10 sec
Squat Matrix Neutral Stance 45 sec 10 sec
Squat Matrix Feet turned slightly inward 5-10DEG 45 sec 10 sec
Squat Matrix Feet turned slightly outward 45DEG 45 sec 10 sec
Dynamic Lunge Posterior Lunge and Posterior arm reach 30 sec 10 sec
Dynamic Lunge Posterior Lunge and Anterior arm reach 30 sec 10 sec
Dynamic Lunge Right Foot Right Lateral lunge and arms Right Lateral 30 sec 10 sec
Dynamic Lunge Left Foot Left Lateral lunge and arms Left Lateral 30 sec 10 sec
A Standing push-up on plate A Standing push-up on plate 30 sec 10 sec
Modified Push Up Mid range kneeling or full push up 30 sec 10 sec
Calf Massage Patient/Manual 45 sec 10 sec
Hamstring Massage Patient/Manual 45 sec 10 sec
Low Back Massage Patient/Manual 45 sec 10 sec
STRENGTH AND JUMPING /
Effects of Whole Body Vibration on Strength and Jumping in Volleyball and Beach
Volleyball Players
Perez-Turpin, et. al., Biology of Sport, 2014, 31 (3), 239-245
Olympic Studies Centre, Alicante, Spain

23 sub-elite male volleyball and beach volleyball players (18 -24 yrs.) were randomly split between WBV
training (n=12) and traditional strength training (n=11) over 6 weeks (3 x 1 hour/week).

Results:
• Power Plate significantly increased leg strength and jump performance versus traditional strength
training.
OBESITY AND ARTERIAL STIFFNESS /
Whole-body vibration training reduces arterial stiffness, blood pressure and
sympathovagal balance in young overweight/obese women
Figueroa, et. al., Hypertension Research, (2012), 35, 667-672
Department of Nutrition, Food and Exercise Sciences, The Florida State University, Tallahassee, FL

10 overweight/obese (BMI = 29.9 ± 0.8), normotensive (<140/90 mm Hg) women (18 -35 yrs.) were
randomized to a 6 week WBV training (3 days/week) or non-exercising control.

Results:
• Power Plate significantly improved systemic arterial stiffness, aortic hemodynamics, heart rate variability,
and muscle strength after 6 weeks of WBV training.
OSTEOARTHRITIS /
Effects of Whole Body Vibration on Pain, Stiffness and Physical Functions in
Patients with Knee Osteoarthritis: A Systemic Review and Meta-Analysis
Wang, et al., Clinical Rehabilitation, 2015, Vol., 29(10) 939-951
Rehabilitation Medicine Center, Sichuan University, Chengdu, People’s Republic of China

Meta-analysis began with 36 relevant studies, which were narrowed down to four 12 week studies,
involving 144 patients.

Results:
• Physical function: WBV has a significant treatment effect in improving walking and in improving balance
• Improvements in pain and stiffness were noted, but they were found to be statistically significant
FLEXIBILITY /
Vibration and Stretching Effects on Flexibility and Explosive Strength in Young Gymnasts
Kinser et al., Medicine & Science in Sports Exercise, 2007; 133-140-08
Sports Performance Enhancement Consortium, Leisure and Sports Science, East Tennessee State University, Johnson City, TN

44 young competitive female gymnasts (11.3 ± 2.6 yrs.) were split into simultaneous vibration and stretching
(n=22) and control groups. Flexibility control: stretching only (n=7) and vibration only (n=8); Explosive strength:
stretching only (n=8) and vibration only (n=7). Vibration was applied to 4 sites 4 x 10 seconds.
Results:
• Flexibility tests: “Vibration+stretching” and “vibration only” significanlty increased flexiblity, while “stretching
only” showed little improvement
o Right forward split: WBV significantly increased flexibility by 18.6% ± 10.4%; vibration only, 9.1% ± 6.9%; stretching only, 2% ± 4.8%
o Left forward split: WBV significantly increased flexibility by 18.5% ± 7.8%; vibration only, 10% ± 11.4%; stretching only, 1.9% ± 8.2%
o Favored leg: WBV significantly increased flexibility by 19.5% ± 9.5%; vibration only, 9.8% ± 11.7%; stretching only, 0.2% ± 7.8%
o Non-favored leg: WBV significantly increased flexibility by 17.6% ± 8.8%; vibration only, 9.4% ± 6.4%; stretching only, 0.3% ± 6.2%

“…it may be advantageous to change the stretch-vibration protocol to longer than 10 seconds, (which) could
produce greater gains in flexibility and/or result in an enhancement of explosiveness.”
FLEXIBILITY /
Flexibility Enhancement with Vibration: Acute and Long-Term
Sands et al., Medicine & Science in Sports Exercise, Vol 38, No. 4 pp. 720-725, 2006
Sports Science, U.S. Olympic Committee, Colorado Springs, CO

10 highly-trained male volunteer gymnasts were randomly split between a 4-week stretching with wbv
(N=5) and stretching with no vibration (N=5).

Results:
• Acute phase showed significant increases in forward split flexibility
• Long-term test showed significant increases in range of motion on the right real let split
 :8 min Program Sample
EXERCISE DESCRIPTION TIME REST
FLEXIBILITY /
Right Leg Hip Flexor stretch Hip Flexor stretch leg supported 30 sec 10 sec
Left Leg Hip Flexor stretch Hip Flexor stretch standing 30 sec 10 sec
Right Leg Hamstring Stretch Hamstring Stretch - chest up and buttocks back 30 sec 10 sec
Left Leg Hamstring Stretch Hamstring Stretch - chest up and buttocks back 30 sec 10 sec
Right Adductor Stretch 3D Adductor Stretch 30 sec 10 sec
Left Adductor Stretch 3D Adductor Stretch 30 sec 10 sec
Left Standing Piriformis Stretch Standing Piriformis 30 sec 10 sec
Right Standing Piriformis Stretch Standing Piriformis 30 sec 10 sec
Right Arm Clock Stretch UE and Chest Clock Stretch 30 sec 10 sec
Left Arm Clock Stretch UE and Chest Clock Stretch 30 sec 10 sec
Right Shoulder External Rotation
Stretch 3D Shld ER 30 sec 10 sec
Left Shoulder External Rotation
Stretch 3D Shld ER 30 sec 10 sec
Right Shoulder Internal Rotation
Stretch 3D Shld IR 30 sec 10 sec
Left Shoulder Internal Rotation
Stretch 3D Shld IR 30 sec 10 sec
KNEE STABILITY /
Effect of a Whole-Body Vibration Session on Knee Stability
Melnyk M et al., International Journal of Sports Medicine, published online (2008)
Department of Sport and Sports Science, University of Freiburg, Freiburg, Germany

23 healthy subjects (25±2.1 yrs.) were divided in to a control (n=10) and an intervention group (n=13).
Evoked stretch reflexes of the hamstring muscles by inducing an anterior tibial translation during standing
on WBV in 2 x 60 second sessions. Short (SLR) and medium latency responses (MLR) of the hamstring
muscles and maximum tibia translation were assessed using surface EMG and linear potentiometers.

Results:
• WBV significantly increased size of the lateral and medial hamstring SLR by 35% and 46%, respectively
• Maximum tibial translation was significantly decreased after WBV from 4.1mm ± 1.1mm to 3.6mm ±
1.3mm

“Our results suggest that single WBV exposure has a positive effect on knee joint stability as a short-term
adaptation on neuromuscular level. This appears to be directly associated with an increase of hamstring
SLR size in response to the anterior tibial movement, which may cause the decrease in anterior tibial
translation.”
ACL RECONSTRUCTION /
A Comparative Study of Whole Body Vibration Training and Conventional Training
on Knee Proprioception and Postural Stability after Anterior Cruciate Ligament
Reconstruction.
Azar Moezy, et. al, British Journal of Sports Medicine, published online 2008
Postgraduate Department, School of Rehabilitation, Medical Sciences/Tehran University. Tehran, Iran

20 competitive athletes with unilateral ACL reconstruction were randomly assigned to either WBV training
or conventional training. Subjects followed a physiotherapy program for 12 weeks post-surgery. Study
began 12 weeks post-surgery 3/week for 1 month.

Results:
• Power Plate:
• Postural stability was significantly improved versus conventional therapy
• Increases in all stability indices were significantly greater versus conventional therapy
• Significant improvements in absolute angular movement versus conventional therapy

“The principal finding in this investigation was the positive effects of (Power Plate) in improvement of
knee proprioception and postural balance. The results of this research showed that WBVT increased
postural stability and proprioceptive function in ACL reconstructed athletes…The most important effects of
vibration are stimulation of exteroceptive receptors on the sole of foot (and) stimulation of proprioceptive
receptors could initiate stretch and cutaneous reflexes and hence increase muscle strengths.
 :20 min Program Sample
EXERCISE DESCRIPTION TIME REST
Left Leg Hip Flexor stretch Hip Flexor stretch leg supported 30 sec 10 sec
Left Leg Hip Flexor stretch Hip Flexor stretch standing 30 sec 10 sec
Right Leg Hamstring Stretch Hamstring Stretch - chest up and buttocks back 30 sec 10 sec
Left Leg Hamstring Stretch Hamstring Stretch - chest up and buttocks back 30 sec 10 sec
Right Adductor Stretch 3D Adductor Stretch 30 sec 10 sec
Left Adductor Stretch 3D Adductor Stretch 30 sec 10 sec
Right Standing IT Band Stretch Standing ITB/Piriformis 30 sec 10 sec
Left Standing IT Band Stretch Standing ITB/Piriformis 30 sec 10 sec
KNEE /

Squat Matrix Load from squat L arm cross body at shoulder reach transition to L arm L 30 sec 10 sec
Squat Matrix Static push with straps off plate in chair or wc 30 sec 10 sec
Squat Matrix Standing Push-up on plate 30 sec 10 sec
Squat Matrix Mid Range kneeling pushup to full range push up 30 sec 10 sec
Squat Matrix Neutral Stance 30 sec 10 sec
Squat Matrix Feet turned slightly inward 5-10DEG 30 sec 10 sec
Squat Matrix Feet turned slightly outward 45DEG 30 sec 10 sec
Dynamic Lunge Dynamic L ant to post lunge 30 sec 10 sec
Dynamic Lunge Dynamic R ant to post lunge 30 sec 10 sec
Dynamic Lunge Dynamic Right Lateral to opp L lateral lunge 30 sec 10 sec
Dynamic Lunge Dynamic Left Lateral to opp R lateral luge 30 sec 10 sec
Dynamic Lunge with Arm Reach Anterior Lunge and Anterior arm Reach 30 sec 10 sec
Single Leg Reach Right leg reach anterior at 0DEG with alternating left knee bend 30 sec 10 sec
Single Leg Reach Right leg reach forward at 45DEG with alternating left knee bend. 30 sec 10 sec
Single Leg Reach Right leg reach sideways 90DEG (foot facing forward) w/alternating left 30 sec 10 sec
Single Leg Reach Right leg reach rotational (backwds) to tolerance approaching 135DEG. 30 sec 10 sec
Single Leg Reach Right leg reach straight backwards at 0DEG with alternating left knee . 30 sec 10 sec
Single Leg Reach Left leg reach forward at 0DEG with alternating left knee bend. 30 sec 10 sec
Single Leg Reach Left leg reach forward at 45DEG with alternating left knee bend. 30 sec 10 sec
Single Leg Reach Left leg reach sideways 90DEG (foot facing forward) w/alternating left 30 sec 10 sec
Single Leg Reach Left leg reach rotational (backwards) to tolerance approaching 135DEG . 30 sec 10 sec
Single Leg Reach Left leg reach straight backwards at 0DEG with alternating left knee . 30 sec 10 sec
 TRAINING PARAMETERS/

Keep a slight bend in the knees, hips and elbows to

minimize vibration travel (athletic ready position) /

Stay well hydrated and maintain individual nutritional

needs pre and post exercise /

Pressure over prominent bony structures, i.e. heels, knees,

elbows and spine, may cause vibration to travel. Use soft
cushion to minimize discomfort /
CERTIFIED MEDICAL DEVICE/
Must be cleared for weight bearing strength and
cardio-respiratory exercise /

Acute disease / condition / injury requires

medical clearance /

No proven / apparent interference or risk

with pacemakers or defibrillators /
CERTIFIED MEDICAL DEVICE/
Power Plate branded products have received the
Class II A MDD Certification in Europe. /

It is one of the few medical/fitness devices that

have been awarded this certification. /

Power Plate has become the only device of

its kind to achieve Non-Exercise Activity
Thermogenesis (NEAT) certification from the
Mayo Clinic. /