High energy vibration platforms typically operate at higher amplitudes and produce greater acceleration forces from 1.0g to 15.0g. The standing surface of the platforms move in various planes; vertically, side to side alternating or triplane and are measured in millimeters. They are often marketed for athleticism, physical conditioning, and performance enhancement. These devices strongly stimulate muscle spindles and motor neurons, producing visible contractions and reflex muscle activation. This creates loading patterns closer to resistance-based exercise than to purely therapeutic stimulation.

Low energy vibration platforms deliver much smaller mechanical forces and operate at lower acceleration outputs in the range 0.2g to 0.4g. The surface platforms only displace vertically and are measured in microns with frequencies between 30 and 40 cycles per second (Hz). These systems aim to stimulate cellular signaling pathways and neuromuscular communication rather than generate force production. Research has shown that low energy vibration can influence bone and muscle physiology even at very low signal intensity levels.

In practice, low energy platforms are designed to deliver subtle but biologically meaningful signals while maintaining a higher margin of safety for fragile or post operative populations.