School of Health Sciences (Physiotherapy), University of South Australia, Adelaide, South Australia.
Physiother Theory Pract. 2010 Aug;26(6):374-84. doi: 10.3109/09593980903147384.
The aim of this study was to examine the effectiveness of regular whole body vibration (WBV) training on lower limb muscle strength and functional mobility in individuals with multiple sclerosis. A single subject experimental design was replicated on three subjects. Phases included a 4-week baseline phase without intervention, 6 weeks of twice weekly WBV intervention on a VibroGym apparatus, and a 4-week baseline phase without intervention. During all phases, strength of the ankle plantarflexors and knee extensors was assessed twice weekly with the Nicholas Manual Muscle tester and functional mobility with the Timed Up and Go test. All subjects improved significantly in plantarflexor strength (p<0.05). One subject improved significantly in knee extensor strength bilaterally and one subject in the weaker leg. Two subjects improved significantly in functional mobility. These improvements in strength and mobility were maintained in the final baseline phase. In conclusion, regular WBV training can improve lower limb strength and mobility in some individuals with multiple sclerosis. Individuals who do not perform any other exercise, are in a moderate stage of disease progression, and have a more intensive exercise protocol in conjunction with WBV seem to benefit most. However, further high-quality studies are needed.
本研究旨在探讨常规全身振动(WBV)训练对多发性硬化症患者下肢肌肉力量和功能活动能力的影响。采用单例实验设计对 3 名受试者进行重复实验。实验分为 4 周的无干预基线期、6 周每周两次的 VibroGym 仪器 WBV 干预期和 4 周的无干预基线期。在所有阶段,使用 Nicholas 手动肌肉测试器每周两次评估踝关节跖屈肌和膝关节伸肌的力量,使用计时起立行走测试评估功能活动能力。所有受试者的跖屈肌力量均显著提高(p<0.05)。1 名受试者双侧膝关节伸肌力量显著提高,1 名受试者较弱的腿部力量显著提高。2 名受试者的功能活动能力显著提高。这些力量和活动能力的改善在最后一个基线期得以维持。总之,常规 WBV 训练可以改善多发性硬化症患者的下肢力量和活动能力。那些不进行任何其他运动、处于疾病进展中度阶段、且与 WBV 相结合进行更密集运动方案的患者似乎受益最大。然而,还需要更多高质量的研究。
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