Fracture Clinical Trial
Official title:
Acute Bone Response to Vibration in Boys Who Have a History of Fracture
Boys aged 9-12 years, with a history of facture will be asked to stand on one of two vibrating platforms for 10 minutes on 5 consecutive days. The investigators will take blood samples before and after the vibration to measure changes in the bone cells.
Fractures in children are common, accounting for 10% of attendances in Accident and Emergency
Departments. Research into risk factors for fracture has found that children who have
narrower bones and a low bone mass are more likely to fracture than children with larger
bones. Studies in postmenopausal women, young women with low bone mass and children with
disabling conditions such as cerebral palsy, have shown that up to 10 minutes a day stood on
a vibrating platform can significantly increase bone mass.
However little is known of the immediate response of bone to whole body vibration (WBV). The
investigators previously investigated the acute bone response in healthy pre-pubertal boys to
standing on one of two vibrating platforms for 10 minutes on 1, 3 or 5 consecutive days. This
showed a platform dependent reduction in the bone resorption marker CTx pre to post
vibration, with an increase in the bone formation marker P1NP over the 8 day study. The
investigators would like to look at the response of bone to WBV in pre-pubertal boys who have
a history of fracture(s). The investigators will compare this to the investigator's previous
data to determine if bone in boys who have previously fractured responds in the same way as
bone in boys who have not.
The investigators plan to recruit 24 boys aged 9-12 years who have had a previous fracture to
stand on one of two vibrating platforms for 10 minutes on 5 consecutive days. Before and
after the period of vibration on days 1, 3, 5, and on days 8 and 12 the investigators will
take a blood sample to measure changes in the bone cells. The boys will be asked about the
amount of exercise they have participated in over the previous seven days. The findings of
this study will be used to direct further research.
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