Ruck J, Chabot G, Rauch F
Shriners Hospital for Children, Montreal, Qc, Canada.
J Musculoskelet Neuronal Interact. 2010 Mar;10(1):77-83.
In this 6-month trial, twenty children with cerebral palsy (age 6.2 to 12.3 years; 6 girls) were randomized to either continue their school physiotherapy program unchanged or to receive 9 minutes of side-alternating whole-body vibration (WBV; Vibraflex Home Edition II, Orthometrix Inc) per school day in addition to their school physiotherapy program. Patients who had received vibration therapy increased the average walking speed in the 10 m walk test by a median of 0.18 ms(-1) (from a baseline of 0.47 ms(-1)), whereas there was no change in the control group (P=0.03 for the group difference in walking speed change). No significant group differences were detected for changes in areal bone mineral density (aBMD) at the lumbar spine, but at the distal femoral diaphysis aBMD increased in controls and decreased in the WBV group (P=0.03 for the group difference in aBMD change). About 1% of the WBV treatment sessions were interrupted because the child complained of fatigue or pain. In conclusion, the WBV protocol used in this study appears to be safe in children with cerebral palsy and may improve mobility function but we did not detect a positive treatment effect on bone.
在这项为期6个月的试验中,20名脑瘫患儿(年龄6.2至12.3岁;6名女孩)被随机分组,一组继续维持原有的学校物理治疗方案不变,另一组除接受学校物理治疗方案外,每天还接受9分钟的侧方交替全身振动(WBV;Vibraflex Home Edition II,Orthometrix公司)。接受振动治疗的患者在10米步行测试中的平均步行速度中位数提高了0.18米/秒(从基线的0.47米/秒),而对照组没有变化(步行速度变化的组间差异P=0.03)。腰椎的骨矿物质密度(aBMD)变化在两组间未检测到显著差异,但在股骨远端骨干,对照组的aBMD增加,而WBV组降低(aBMD变化的组间差异P=0.03)。约1%的WBV治疗疗程因患儿抱怨疲劳或疼痛而中断。总之,本研究中使用的WBV方案对脑瘫患儿似乎是安全的,可能改善运动功能,但我们未检测到对骨骼的积极治疗效果。