探讨 20 周全身振动训练方案对多发性硬化症患者腿部肌肉性能和功能的影响。

Exploring the effects of a 20-week whole-body vibration training programme on leg muscle performance and function in persons with multiple sclerosis.

机构信息

REVAL Rehabilitation & Healthcare Research Center, Department Healthcare, PHL-University College, Diepenbeek, Belgium.

出版信息

J Rehabil Med. 2010 Oct;42(9):866-72. doi: 10.2340/16501977-0609.

Abstract

OBJECTIVE

To investigate the acute effects of long-term whole-body vibration on leg muscle performance and functional capacity in persons with multiple sclerosis.

DESIGN

A randomized controlled trial.

SUBJECTS

Twenty-five patients with multiple sclerosis (mean age 47.9 ± 1.9 years; Expanded Disability Status Scale 4.3 ± 0.2) were assigned randomly to whole-body vibration training (n = 11) or to a control group (n = 14).

METHODS

The whole-body vibration group performed static and dynamic leg squats and lunges on a vibration platform (25-45 Hz, 2.5 mm amplitude) during a 20-week training period (5 training sessions per 2-week cycle), and the control group maintained their usual lifestyle. PRE-, MID- (10 weeks) and POST- (20 weeks) knee-muscle maximal isometric and dynamic strength, strength endurance and speed of movement were measured using isokinetic dynamometry. Function was determined through the Berg Balance Scale, Timed Up and Go, Two-minute Walk Test and the Timed 25-Foot Walk Test.

RESULTS

Leg muscle performance and functional capacity were not altered following 10 or 20 weeks of whole-body vibration.

CONCLUSION

Under the conditions of the present study, the applied 20-week whole-body vibration exercise protocol did not improve leg muscle performance or functional capacity in mild- to moderately impaired persons with multiple sclerosis during and immediately after the training programme.

摘要

目的

研究长期全身振动对多发性硬化症患者腿部肌肉性能和功能能力的急性影响。

设计

随机对照试验。

受试者

25 名多发性硬化症患者(平均年龄 47.9 ± 1.9 岁;扩展残疾状况量表 4.3 ± 0.2)被随机分配到全身振动训练组(n = 11)或对照组(n = 14)。

方法

全身振动组在振动平台上进行静态和动态腿部深蹲和弓步(25-45 Hz,2.5 mm 振幅),在 20 周的训练期间(每 2 周周期进行 5 次训练),对照组保持他们的日常生活方式。使用等速测力法测量 PRE、MID(10 周)和 POST(20 周)膝关节肌肉最大等长和动态力量、力量耐力和运动速度。通过 Berg 平衡量表、计时起立行走测试、两分钟步行测试和计时 25 英尺步行测试来确定功能。

结果

全身振动 10 或 20 周后,腿部肌肉性能和功能能力没有改变。

结论

在本研究条件下,应用的 20 周全身振动运动方案在训练期间和训练后不久,并未改善轻度至中度多发性硬化症患者的腿部肌肉性能或功能能力。

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