- Research article
- Open Access
Intermittent whole-body vibration attenuates a reduction in the number of the capillaries in unloaded rat skeletal muscle
BMC Musculoskeletal Disorders volume 15, Article number: 315 (2014)
Whole-body vibration has been suggested for the prevention of muscle mass loss and muscle wasting as an attractive measure for disuse atrophy. This study examined the effects of daily intermittent whole-body vibration and weight bearing during hindlimb suspension on capillary number and muscle atrophy in rat skeletal muscles.
Sixty male Wistar rats were randomly divided into four groups: control (CONT), hindlimb suspension (HS), HS + weight bearing (WB), and HS + whole-body vibration (VIB) (n = 15 each). Hindlimb suspension was applied for 2 weeks in HS, HS + WB, and HS + VIB groups. During suspension, rats in HS + VIB group were placed daily on a vibrating whole-body vibration platform for 20 min. In HS + WB group, suspension was interrupted for 20 min/day, allowing weight bearing. Untreated rats were used as controls.
Soleus muscle wet weights and muscle fiber cross-sectional areas (CSA) significantly decreased in HS, HS + WB, and HS + VIB groups compared with CONT group. Both muscle weights and CSA were significantly greater in HS + WB and HS + VIB groups compared with HS group. Capillary numbers (represented by capillary-to-muscle fiber ratio) were significantly smaller in all hindlimb suspension-treated groups compared with CONT group. However, a reduction in capillary number by unloading hindlimbs was partially prevented by whole-body vibration. These findings were supported by examining mRNA for angiogenic-related factors. Expression levels of a pro-angiogenic factor, vascular endothelial growth factor-A mRNA, were significantly lower in all hindlimb suspension-treated groups compared with CONT group. There were no differences among hindlimb suspension-treated groups. Expression levels of an anti-angiogenic factor, CD36 (receptor for thrombospondin-1) mRNA, were significantly higher in all hindlimb suspension-treated groups compared with CONT group. Among the hindlimb suspension-treated groups, expression of CD36 mRNA in HS + VIB group tended to be suppressed (less than half the HS group).
Our results suggest that weight bearing with or without vibration is effective for disuse-derived disturbance by preventing muscle atrophy, and whole-body vibration exercise has an additional benefit of maintaining microcirculation of skeletal muscle.
It is well known that muscle unloading, such as prolonged bed rest [1, 2], spaceflight , or rat hindlimb suspension , induces muscle atrophy, which is characterized by decreased muscle wet weight and muscle cross-sectional areas (CSA). Concomitant changes in muscle vascularity have been reported, seen as a reduction in capillary number (capillary-to-muscle fiber ratio; C/F ratio) [5–8] and blood vessel diameter [8, 9] in skeletal muscles. Muscle dysfunction in the lower extremities from lack of use (during disuse conditions) could be derived from muscle atrophy  as well as impaired blood flow .
Avoiding excessive bed rest and maintaining appropriate amounts of daily activity during disuse conditions can suppress the development of muscle atrophy. Other interventions, such as medication [11, 12], electrical stimulation , and static or repetitive stretching [14, 15], have been tested to see whether they are capable of counteracting muscle atrophy, and have been shown to be effective to some extent [11–15].
In recent years, short durations of resistive exercise using whole-body vibration has been suggested for the prevention of muscle mass loss and muscle wasting [1, 2], and is considered an attractive countermeasure for disuse atrophy. During whole-body vibration, muscle contractions are evoked via stretch reflexes without voluntary movements in the standing position , making whole-body vibration an easy exercise option for frail elderly patients, the poorly motivated, or patients suffering dementia. However, preventive effects of vibration against disuse muscle atrophy is still controversial: vibration on Achilles tendon partially prevented muscle atrophy of unloaded muscles , whole-body vibration alone was not as effective at suppressing muscle atrophy as weight bearing , or daily intermittent whole-body vibration for 6 weeks caused a reduction in capillary number in mouse soleus muscle  .
In this study, whether whole-body vibration with weight bearing are more effective in preventing disuse muscle atrophy than weight bearing alone was examined in the aspects of muscle volume and muscular vascularization using real-time PCR and histological techniques on disuse-induced atrophied muscle. We hypothesized that intermittent whole-body vibration during hindlimb suspension more effectively prevents muscle atrophy than weight bearing alone, but with some disturbance in development of muscular vasucularization.
Eight-week-old male Wistar rats were used. Rats were randomly divided into four groups (n = 15/group): untreated control (CONT); hindlimb suspension (HS); hindlimb suspension + weight-bearing for 20 min/day (HS + WB); and hindlimb suspension + whole-body vibration for 20 min/day (HS + VIB). All experimental procedures were approved by the committee on animal experimentation of Hiroshima International University.
Hindlimb suspension was performed for 2 weeks to induce disuse in HS, HS + WB, and HS + VIB groups according to the method described by Morey-Holton and Globus . Briefly, under anesthesia with an intraperitoneal injection of somnopentyl (0.5 mL/kg body weight), the tail of the rat was loosely wrapped with an adhesive bandage. One end of string was wrapped around the bandage and fixed to the tail, and the other end was attached to a swivel suspended from the top of a cylindrical cage (height 36 cm, diameter 32 cm). Rats were elevated to prevent any contact between the hindlimb and the floor, with the forelimb maintaining contact with the floor and being allowed to move rotationally 360°. Rats in the CONT group were housed in normal cages. Rats were housed on a 12-h light–dark cycle at room temperature (20–25°C) and maintained on a diet of rodent chow and water ad libitum.
Whole-body vibration and weight bearing interventions
From one day after the start of hindlimb suspension, whole-body vibration intervention was applied for 14 days in the HS + VIB group. For whole-body vibration treatment, rats were placed on a whole-body vibration platform (JET-VIBE; YKC, Tokyo, Japan) with all four limbs attached (with weight bearing). Vibration intervention at 55-Hz frequency consisted of four 4-min cycles, with an amplitude of 0.55–1.2 mm. Vibration frequency was set at 55 Hz as a maximal value of the whole-body vibration platform, because lower-limb muscle activities increased depending on the increase of vibration frequency [21, 22]. Only the first cycle on the first day was set at a low frequency (35 Hz) to accustom the rats to vibration. After each 4-min vibration exercise, rats were given a 1-min rest standing on the whole-body vibration platform. In total, HS + VIB rats received 16 min of vibration plus weight bearing and 4 min of weight bearing per day. Total of 20 min of weight bearing time per day may be insufficient according to the previous report , but we chose this length to test the synergic effects of concomitant vibration for 16 min.
Weight bearing intervention was applied from one day after the start of hindlimb suspension in the HS + WB group. Intermittent weight bearing intervention was conducted by interrupting the suspension, allowing rats’ fore and hindlimbs to touch the floor for 20 min per day during the 14-day intervention period. Interventions were performed during the light cycle, during which rats were almost inactive.
At the end of the experimental period, body weight was measured, and all rats were killed by exsanguination under anesthesia. The soleus muscles of hindlimbs were immediately removed and weighed. The ratios of soleus muscle wet weight to body weight (relative muscle weight) were calculated and used as an index of muscle atrophy. The right soleus muscles were transversely cut at the mid-belly portion, placed on tragacanth gum jelly on a styrene foam board, and rapidly frozen in isopentane cooled by liquid nitrogen for histological study. The left soleus muscles were immediately minced and immersed in RNAlater reagent (Qiagen, Hilden, Germany) for real-time polymerase chain reaction (PCR) analysis. All samples were stored at -25°C until further examination.
Transverse sections (10 μm thick) of soleus muscles were cut with a cryostat microtome at -20°C. Sections were stained with hematoxylin and eosin (HE) for measurement of muscle fiber CSA. HE sections were photographed using a DS-Fi1 digital camera (Nikon, Tokyo, Japan) at × 10 magnification, and CSA of more than 100 muscle fibers in each muscle were manually measured using Image J software (National Institutes of Health, Bethesda, MD, USA).
Immunohistochemistry was performed to visualize capillaries in soleus muscles. Sections were air dried, fixed in acetone for 10 min, and rehydrated in 0.01 M phosphate-buffered saline (PBS; pH 7.4) twice for 5 min each time. To quench endogenous peroxidase activity, sections were incubated with methanol containing 3% H2O2 for 20 min. After two 5-min rinses with PBS, sections were incubated with blocking solution (PBS containing 1% normal horse serum) for 20 min, before being incubated overnight at 4°C with anti-platelet endothelial cell adhesion molecule-1 (PECAM-1) antibody (clone TLD 3A12, 1:250 dilution; Becton Dickinson Bioscience, San Jose, CA, USA). After two 5-min rinses with PBS, sections were incubated with the secondary antibody (horse biotinylated anti-mouse IgG, 1:250 dilution; BA-2001, Vector Laboratories, Burlingame, CA, USA) for 30 min. After two 5-min rinses with PBS, sections were incubated with a streptavidin-biotin complex (1:50 dilution; Elite ABC, Vector Laboratories) for 30 min. After rinsing, immunoreactivity was visualized with a Dako EnVision + kit/HRP (DAB) (Dako Japan, Tokyo, Japan). Sections were then washed with distilled water, dehydrated, and mounted.
Determination of skeletal muscle vascularity
The capillary-to-muscle fiber (C/F) ratio was determined as a global representation of the capillary supply to skeletal muscle. Immunostained PECAM-1 sections were used to count the number of capillaries. One field of each section was randomly photographed at × 10 magnification. Digital images were displayed on a computer, and the number of muscle fibers and capillaries (determined by elimination of vessels with a lumen diameter >10 μm from all vessels ) were manually counted according to the method described by Ichinose et al.. Briefly, muscle fibers and capillaries showing their entire boundary within the microscopic field were counted as 1, and fibers and capillaries for which the entire cell boundary was not included within the field were counted as 0.5. The total capillary number per area was divided by the total fiber number per area and expressed as the mean C/F ratio for each muscle. Capillary density (number of capillaries/muscle CSA) was not employed as a structural index of blood/oxygen supply to muscle in this study, because capillary density indices may inappropriately indicate increased vascularity in disused skeletal muscle .
RNAlater reagent-immersed muscles were homogenized in TRIzol reagent (Invitrogen, Grand Island, NY, USA) using a PT-3100 Polytron homogenizer (Kinematica AG, Luzern, Switzerland). Chloroform was then added to each tube and the tubes were vigorously shaken. Samples were centrifuged at 9,600 × g for 25 min at 4 °C. The aqueous phase was transferred to fresh tubes, and 70% ethanol was added. Using an RNeasy mini kit (Qiagen), total mRNA was extracted according to the manufacturer’s instructions. The optical density at 260/280 nm was measured to determine the concentration and purity (ratio >1.6). RNA quality was further confirmed by electrophoresis. Samples were supplemented with 1% RNasin ribonuclease inhibitor (Promega, Madison, WI, USA) and stored at -80 °C until further analysis.
Using total mRNA and the SuperScript III First-strand synthesis system (Invitrogen), cDNA was prepared by reverse transcription according to the manufacturer’s instructions. cDNA samples were stored at -20°C until used for real-time PCR.
Real-time PCR for quantifying tissue mRNA
The 7300 Real Time PCR System (Applied Biosystems, Foster City, CA, US) was used to perform TaqMan probe-based real-time PCR reactions. TaqMan primer and probe sets for vascular endothelial growth factor-A (VEGF-A) (Rn00582935_m1), vascular endothelial growth factor-receptor 2 (VEGF-R2) (Rn00564986_m1), transforming growth factor-β1 (TGF-β1) (Rn00572010_m1), thrombospondin-1 (TSP-1) (Rn01513693_m1), CD36 (Rn01442639_m1), and S18 (Rn01428913_gH) were designed and synthesized by Applied Biosystems. S18 was used as an internal control. Amplification reactions contained 10 μL Master mix, 1 μL TaqMan probe, 1 μL cDNA sample, and 8 μL ultrapure water. Amplification was performed using the following thermal cycling profile: initial denaturation at 95°C for 10 min, followed by 40 cycles of 95°C for 15 s, and 60°C for 1 min. If data were not within mean ± 2 standard deviations (SDs), these data were excluded from analysis.
All data are expressed as mean ± SD. For all data, the Shapiro–Wilk test of normality was applied. For body weight, relative muscle weight, and gene expression of VEGF-R2, one-way analysis of variance (ANOVA) and the Tukey’s post-hoc test were applied. For C/F ratio and gene expressions of VEGF-A, TGF-β1, and TSP-1 which assumption of homoscedasticity was not met for data, ANOVA and the Dunnett’s T3 test were alternatively applied. For CSA and gene expression of CD36, the Kruskal–Wallis test was applied, followed by a Mann–Whitney U test with Bonferroni adjustment. All statistical analyses were performed using Dr. SPSS II for Windows (SPSS Japan Inc., Tokyo, Japan).
Muscle wet weight and muscle fiber CSA
Muscle wet weight-to-body weight (relative muscle weight) ratios of control and unloaded soleus muscles were calculated (Table 1). Compared with the CONT group, the relative weights of soleus muscles in HS, HS + WB, and HS + VIB groups were significantly reduced by 46%, 37%, and 37%, respectively. The relative weights of soleus muscles in the HS + WB and HS + VIB groups were significantly greater than those in the HS group. There was no significant difference between HS + WB and HS + VIB groups.
Muscle fiber CSA in HS, HS + WB, and HS + VIB groups were significantly smaller than those in the CONT group (39%, 58%, and 51% of CONT, respectively). CSA in HS + WB and HS + VIB groups were significantly greater than those in the HS group. There was no significant difference in CSA between HS + WB and HS + VIB groups (Table 1 and Figure 1).
Capillary-to-muscle fiber ratio
C/F ratios were significantly smaller in HS (1.75 ± 0.10, 77%), HS + WB (1.83 ± 0.15, 81%), and HS + VIB (1.97 ± 0.13, 87%) groups compared with the CONT group (2.27 ± 0.19). Compared with the HS group, the C/F ratio in the HS + VIB group was significantly greater. There was no significant difference between HS and HS + WB groups (Figures 1 and 2).
Angiogenic-related factor gene expression
Expression levels of VEGF-A mRNA in HS, HS + WB, and HS + VIB groups significantly decreased compared with the CONT group (31%, 40%, and 40% of the CONT, respectively). There were no significant differences in expression levels of VEGF-A mRNA among the HS-treated groups (Figure 3A).Expression levels of VEGF-R2 mRNA in HS, HS + WB, and HS + VIB groups were 56%, 67%, and 81% of the CONT group, respectively. Although VEGF-R2 mRNA expression in the HS group tended to show a decrease compared with the CONT group, there was no significant difference between the groups (Figure 3B).Expression levels of TGF-β1 mRNA in HS, HS + WB, and HS + VIB groups were 108%, 112%, and 159% of the CONT group, respectively. There were no significant differences among the groups (Figure 3C).
Expression levels of TSP-1 mRNA were 58%, 70%, and 137% of the CONT group in HS, HS + WB, and HS + VIB groups, respectively. There were no significant differences among the groups, although mean TSP-1 mRNA expression in the HS + VIB group was more than 2-fold that of the HS group (Figure 4A).Compared with the CONT group, the expression levels of CD36 mRNA in HS, HS + WB, and HS + VIB groups dramatically increased (62-, 39-, and 28-fold that of the CONT group, respectively). There were no significant differences among the HS-treated groups. The expression level of CD36 mRNA in the HS + VIB group was less than half the HS group (Figure 4B).
Capillary reduction by hindlimb suspension
Vascularization adapts to an altered functional demand in skeletal muscle. Exercise increases capillary numbers [26, 27], and disuse condition reduces capillary numbers in human and rat muscles [5–8]. Angiogenesis is known to be stimulated by hypoxia, and stretch and shear stress on vascular endothelial cells in muscle tissue, which are enhanced by exercise [28, 29]. With such stimulation, hypoxia does not appear to occur with hindlimb suspension intervention, because gene expression of hypoxia-inducible factor-1α in muscle was reported not to be altered after 2 weeks of hindlimb suspension . Stretch, an angiogenic stimulation, seems to decrease in hindlimb suspension condition, because soleus muscles shorten in the plantar flexion position in hindlimb suspension . Blood flow, another angiogenic stimulation that induces shear stress in capillaries, was significantly lower in soleus muscle of the hindlimb suspended rat compared with muscle in the quiescent standing state . Therefore, capillary reduction may be a consequence of the absence or a decrease in pro-angiogenic stimuli, such as hypoxia, stretch and shear stress in muscle and capillaries of the hindlimb suspended rat. In the current study, it was demonstrated that angiogenic-relatated factors, such as VEGF-A and CD36 was considered to be involved in capillary reduction in HS group.
Angiogenesis is regulated by a balance between pro- and anti-angiogenic factors . With regard to pro-angiogenic factors, Roudier et al. reported that VEGF-A protein levels were unaffected after 9 days of hindlimb suspension. However, Fujino et al. reported that both VEGF-A mRNA and VEGF protein levels significantly decreased after 2 weeks of hindlimb suspension. The data of the current study aligned with the findings of Fujino et al. With regard to the VEGF receptor, it was reported that VEGF-R2 protein significantly decreased in soleus muscles after 9 days of hindlimb suspension . Our result also showed a tendency for VEGF-R2 mRNA to decrease in HS group, but there was no significant difference in VEGF-R2 mRNA expression between HS and CONT groups. Another pro-angiogenic regulator, TGF-β1 mRNA, examined in this study was unaffected by 2 weeks of hindlimb suspension. This finding is consistent with a previous report that showed no alteration in expression of TGF-β1 protein at 14 days after the hindlimb suspension . Taken together, these results suggest that attenuation of VEGF-A/VEGF-R2 signaling contributed to the reduction in capillary number induced by hindlimb suspension in this study.
TSP-1 protein was reported to increase in unloaded muscles, coinciding with a reduction in capillary number . TSP-1 is generally recognized as an anti-angiogenic factor, and is activated by interaction with the CD36 receptor [34, 35]. Inhibition of endothelial cell proliferation by TSP-1 was completely blocked by the administration of receptor CD36 antibody . Binding of TSP-1 to CD36 induced apoptosis in endothelial cells . Therefore, enhanced TSP-1/CD36 signaling leads to a reduction in capillary number. However, our data showed no significant increase of TSP-1 mRNA in HS group. Conversely, the expression level of CD36 mRNA dramatically increased (62-fold compared with the CONT group) after 2 weeks of hindlimb suspension in this study. To the best of our knowledge, this is the first study to report on the upregulation of CD36 mRNA in disused skeletal muscle. From this study, therefore, it may be suggested that increased TSP-1/CD36 signaling leading to a reduction in capillary distribution was established mainly by CD36 mRNA upregulation but not by TSP-1.
Effect of whole-body vibration intervention on muscle angiogenesis during hindlimb suspension
Two weeks of hindlimb suspension induced muscle atrophy and significantly reduced capillary numbers in rat muscles. Our results suggest that both daily intermittent weight bearing and whole-body vibration could partially prevent hindlimb suspension-induced muscle atrophy, and capillary numbers were maintained at lower levels in hindlimb suspension-treated groups compared with the CONT group (Table 1 and Figure 2). It should, however, be noted that whole-body vibration partially prevented the development of capillary reduction as the C/F ratio was greater than that of HS group (Figure 2).
The mechanism for the preventive effect on capillary reduction by whole-body vibration is probably suppression of anti-angiogenic factors as well as enhancement of pro-angiogenic factors. The former mechanism may be indicated by the graded decrease in the expression of CD36 mRNA among the hindlimb suspension-treated groups (Figure 4), although the difference was not statistically significant. The latter mechanism seems not to be responsible for whole-body vibration capillary-maintaining effects, because no pro-angiogenic factor was enhanced by whole-body vibration (Figure 3). However, whole-body vibration induced TSP-1 expression by more than 2-fold compared with HS group, although with no statistical significance (Figure 4). An increase in TSP-1 bound to CD36 normally suppresses angiogenesis, yet several studies have demonstrated the pro-angiogenic effects of TSP-1 [37, 38]. The non-binding form of TSP-1 may act as a pro-angiogenic molecule, as the N-terminal domain of TSP-1 has a pro-angiogenic effect [34, 39], which is mediated by α3β1  and α9β1  integrin. TSP-1-stimulated angiogenesis was demonstrated by Bongrazio et al., in which shear stress-driven angiogenesis in prazosin-treated mice was accompanied by reduced expression of CD36 protein in endothelial cell fractions and increased expression of TSP-1 protein in whole muscle homogenates. In human, whole-body vibration causes increase in lower-limb blood flow velocity [42, 43] which augments shear stress. Therefore, the same mechanism may be involved in our whole-body vibration-mediated angiogenesis during hindlimb suspension.
In contrast to the current study, a previous study reported that 6 weeks of daily intermittent whole-body vibration induced a reduction in capillary number in mouse soleus muscle . To explain this discrepancy, we propose two possibilities. First, alteration of endothelial cell function by hindlimb suspension  might be involved in difference in the sensitivity of lower limb vascularization to whole-body vibration. Second, differences of stimulus condition (e.g., vibration frequency and amplitude) might affect the outcomes of vascularization, because changes in both vibration frequency and amplitude affect human leg blood flow velocity . Therefore, optimal stimulus condition should be investigated in further studies.
In this study, skeletal muscle atrophy, characterized by a reduction in relative wet weight and CSA, was partially prevented by both intermittent whole-body vibration and weight bearing.
Some pathogenic mechanisms specific to hindlimb suspension may be involved in the muscle atrophy observed in this study. For example, muscle atrophy induced by immobilization is more severe at the shortened muscle position than at the normal length . With hindlimb suspension, the ankle joint is kept at the plantar flexion angle, which makes the soleus muscle shorter . Thus, it seemed that decreases in stretch stimulation in shortened muscle should be one factor of hindlimb suspension-induced atrophy. Consistently, intermittent short-term stretch stimulation during a disuse period was reported to suppress muscle atrophy [14, 15]. During weight bearing, ankle joints were passively dorsiflexed, which provides stretch stimulation to the soleus muscles. Interestingly, muscle atrophy induced by hindlimb suspension could be attenuated solely by contact with the sole of the foot [46, 47]. The mechanism was suggested to be soleus muscle activation mediated by proprioceptive reflex .
A previous study indicated that intermittent weight bearing intervention on unloaded hindlimb prevents muscle atrophy in a time-dependent manner . Therefore, prolongation of both whole-body vibration and weight bearing intervention time (>20 min/day) would lead to better outcome. Further studies are necessary to confirm the hypothesis.
Whole-body vibration evokes leg muscle contraction via stretch reflexes . Six weeks of daily whole-body vibration induced soleus muscle hypertrophy in adolescent mice . Therefore, we expected that whole-body vibration would be more effective than weight bearing as a countermeasure for muscle atrophy; the intervention applied for whole-body vibration in this study was actually composed of weight bearing and vibration. However, we could not recognize a synergistic interaction between weight bearing and vibration. This unexpected result may be because of impaired function of muscle spindles under hindlimb suspension conditions . Accordingly, it has been reported that the Achilles tendon reflex was strongly inhibited in muscles of hindlimb suspended rat . Similar observations were made by Zange et al., who reported that, compared with weight bearing, whole-body vibration was not sufficient to prevent muscle loss caused by 2 weeks of bed rest.
We investigated the effects of daily intermittent intervention by short duration weight bearing and whole-body vibration during 2 weeks of hindlimb suspension on capillary distribution and muscle volume in rat soleus muscles. Two weeks of hindlimb suspension caused muscle atrophy and a reduction in capillary number. Both daily weight bearing and whole-body vibration partially prevented muscle atrophy. Importantly, capillary reduction was partially attenuated by whole-body vibration during hindlimb suspension. These results suggest that daily whole-body vibration during disuse conditions may be able to prevent muscle dysfunctions, such as muscle wasting and reduction in fatigue resistance, by partially maintaining both volume and microcirculation of skeletal muscle.
Capillary to muscle fiber
Hematoxylin and eosin
Platelet endothelial cell adhesion molecule-1
Vascular endothelial growth factor-A
Vascular endothelial growth factor-receptor 2
Transforming growth factor-β1
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The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2474/15/315/prepub
Financial support of this study was provided by the Department of Rehabilitation, Faculty of Rehabilitation, Hiroshima International University. We also acknowledge the technical assistance of Manami Murata, Yoko Nonomura, Chika Tani, and Yasuko Yamato.
The authors declare that they have no competing interests.
AK and JO contributed to the study design and the analysis and interpretation of data. AK, JO, SK, and TK contributed to the acquisition of data. AK, JO, and KY contributed to the manuscript preparation. All authors read and approved the final manuscript.
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Kaneguchi, A., Ozawa, J., Kawamata, S. et al. Intermittent whole-body vibration attenuates a reduction in the number of the capillaries in unloaded rat skeletal muscle. BMC Musculoskelet Disord 15, 315 (2014). https://doi.org/10.1186/1471-2474-15-315
- Hindlimb suspension
- Skeletal muscle
- Angiogenic factor
- Muscle atrophy
- Whole-body vibration
- Weight bearing