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全身振动训练对小儿麻痹后遗症患者肌肉力量和步态表现的影响:一项初步研究。

No effects of whole-body vibration training on muscle strength and gait performance in persons with late effects of polio: a pilot study.

机构信息

Department of Rehabilitation Medicine, Skåne University Hospital, Lund, Sweden.

出版信息

Arch Phys Med Rehabil. 2010 Sep;91(9):1474-7. doi: 10.1016/j.apmr.2010.06.024.

Abstract

OBJECTIVE

To evaluate the feasibility and possible effects of whole-body vibration (WBV) training on muscle strength and gait performance in people with late effects of polio.

DESIGN

A case-controlled pilot study with assessments before and after training.

SETTING

A university hospital rehabilitation department.

PARTICIPANTS

People (N=5; 3 men, 2 women; mean age, 64+/-6.7y; range, 55-71y) with clinically and electrophysiologically verified late effects of polio.

INTERVENTIONS

All participants underwent 10 sessions of supervised WBV training (standing with knees flexed 40 degrees -55 degrees up to 60 seconds per repetition and 10 repetitions per session twice weekly for 5 weeks).

MAIN OUTCOME MEASURES

Isokinetic and isometric knee muscle strength (dynamometer), and gait performance (Timed Up & Go, Comfortable Gait Speed, Fast Gait Speed, and six-minute walk tests).

RESULTS

All participants completed the 5 weeks of WBV training, with no discernible discomfort. No significant changes in knee muscle strength or gait performance were found after the WBV training period.

CONCLUSIONS

This pilot study did not show any significant improvements in knee muscle strength and gait performance following a standard protocol of WBV training. Thus, the results do not lend support to WBV training for people with late effects of polio.

摘要

目的

评估全身振动(WBV)训练对小儿麻痹后遗症患者肌肉力量和步态表现的可行性和可能效果。

设计

一项训练前后评估的病例对照初步研究。

设置

一家大学医院康复科。

参与者

5 名(3 男 2 女;平均年龄 64+/-6.7 岁;年龄范围 55-71 岁)经临床和电生理证实患有小儿麻痹后遗症的患者。

干预措施

所有参与者均接受 10 次监督 WBV 训练(站立,膝关节弯曲 40 度-55 度,每次重复 60 秒,每次 10 次,每周 2 次,持续 5 周)。

主要观察指标

等速和等长膝关节肌肉力量(测力计)和步态表现(计时起立行走测试、舒适步行速度、快速步行速度和 6 分钟步行测试)。

结果

所有参与者均完成了 5 周的 WBV 训练,没有明显不适。WBV 训练后,膝关节肌肉力量和步态表现均无显著变化。

结论

本初步研究表明,在标准的 WBV 训练方案后,小儿麻痹后遗症患者的膝关节肌肉力量和步态表现没有显著改善。因此,结果不支持 WBV 训练用于小儿麻痹后遗症患者。

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