Christiansen Blaine A, Silva Matthew J
Department of Orthopaedic Surgery, University in St. Louis, 1 Barnes-Jewish Hospital Plaza Campus Box 8233, St. Louis, MO 63110, USA.
Ann Biomed Eng. 2006 Jul;34(7):1149-56. doi: 10.1007/s10439-006-9133-5. Epub 2006 Jun 20.
It has been reported that whole-body vibration (WBV) is anabolic to trabecular bone in animal models and humans. It is likely that this anabolic response does not occur uniformly throughout the entire body. Two factors that may affect the observed anabolic response are vibration magnitude and skeletal site of interest. In this study, mice were loaded with WBV of varying magnitudes. After five weeks of loading, bone marrow was flushed from tibias in order to quantify osteoprogenitor cells. Staining with alizarin red (an indicator of mineralization) showed a significant decrease in percent stained area in the 0.3 g loaded group compared to the control group and the 1.0 g group. MicroCT analysis was performed at five skeletal sites: the proximal tibial metaphysis, femoral condyles, distal femoral metaphysis, proximal femur, and L5 vertebral body. Increasing magnitudes of WBV were associated with a non-dose-dependent increase in trabecular bone volume (BV/TV) at the proximal tibial metaphysis, although other sites were unresponsive. There were statistically significant increases in BV/TV in the 0.1 g group (32% increase) and 1.0 g group (43% increase) compared to control (p < 0.05). The 0.1 g and 1.0 g groups also had higher BV/TV than the 0.3 g loaded group. If this non-dose-dependent phenomenon is verified by future studies, it suggests that a range of magnitudes should be examined for each application of WBV.
据报道,在动物模型和人体中,全身振动(WBV)对小梁骨具有合成代谢作用。这种合成代谢反应可能并非在全身均匀发生。可能影响所观察到的合成代谢反应的两个因素是振动幅度和感兴趣的骨骼部位。在本研究中,给小鼠施加不同幅度的WBV。加载五周后,冲洗胫骨骨髓以量化骨祖细胞。用茜素红染色(矿化指标)显示,与对照组和1.0 g组相比,0.3 g加载组的染色面积百分比显著降低。在五个骨骼部位进行了显微CT分析:胫骨近端干骺端、股骨髁、股骨远端干骺端、股骨近端和L5椎体。尽管其他部位无反应,但在胫骨近端干骺端,WBV幅度增加与小梁骨体积(BV/TV)的非剂量依赖性增加相关。与对照组相比,0.1 g组(增加32%)和1.0 g组(增加43%)的BV/TV有统计学显著增加(p < 0.05)。0.1 g组和1.0 g组的BV/TV也高于0.3 g加载组。如果这种非剂量依赖性现象在未来研究中得到证实,则表明对于每次WBV应用,应检查一系列幅度。