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每周进行 8 周的交替全身振动是否安全且可接受,可改善多发性硬化症患者的功能表现?

Is 8 weeks of side-alternating whole-body vibration a safe and acceptable modality to improve functional performance in multiple sclerosis?

机构信息

School of Sport and Exercise, Massey University, Palmerston North, New Zealand.

出版信息

Disabil Rehabil. 2012;34(8):647-54. doi: 10.3109/09638288.2011.615370. Epub 2011 Oct 12.

Abstract

PURPOSE

To examine whether an 8-week period of side-alternating whole-body vibration (WBV) exercise is an acceptable and effective exercise intervention to improve and maintain functional performance in multiple sclerosis people.

METHODS

A total of 15 participants with MS (11 women [mean age 50.2 ± 6.9 years; body mass 65.7 ± 19.2 kg; height 165.3 ± 6.1 cm; EDSS 3.5 ± 0.9] and 4 males [mean age 50.5 ± 5.2 years; body mass 85.3 ± 16.0 kg; height 175.3 ± 3.2 cm; EDSS 3.4 ± 0.5]) were selected for this study. Quality of life, timed up-and-go, functional reach, standing balance and 10-m walk test were performed prior to and after 4 and 8 weeks of vibration exercise, and 2 weeks after cessation of vibration exercise.

RESULTS

There was no evidence of vibration exercise producing any anxiety or discomfort. Compared with baseline measurements, the 10-m walk test showed significant improvements in 2, 8 and 10 m times at 8 week (p < 0.05) and 2 week post-vibration (p < 0.05). Timed up-and-go demonstrated a significant and positive time effect (p < 0.05). Standing balance showed significant improvements from baseline, at 4- (p < 0.05) and 2-weeks post-vibration (p < 0.05).

CONCLUSION

This is the first study to investigate side-alternating WBV as an exercise training modality for MS people. From an active MS population, this study has shown that WBV training not only improved the standing balance and walking time but there were also no adverse effects from using this modality.

摘要

目的

研究为期 8 周的交替侧位全身振动(WBV)运动是否是一种可接受且有效的锻炼干预措施,以改善和维持多发性硬化症患者的功能表现。

方法

本研究共纳入 15 名多发性硬化症患者(11 名女性[平均年龄 50.2±6.9 岁;体重 65.7±19.2kg;身高 165.3±6.1cm;EDSS 3.5±0.9]和 4 名男性[平均年龄 50.5±5.2 岁;体重 85.3±16.0kg;身高 175.3±3.2cm;EDSS 3.4±0.5])。在进行振动运动前、4 周后、8 周后以及振动运动停止后 2 周,分别进行生活质量、计时起立行走、功能性伸手距离、站立平衡和 10m 步行测试。

结果

没有证据表明振动运动产生任何焦虑或不适。与基线测量相比,10m 步行测试在 8 周(p<0.05)和振动后 2 周(p<0.05)时 2m、8m 和 10m 时间均显示出显著改善。计时起立行走测试显示出显著的积极时间效应(p<0.05)。站立平衡在 4 周(p<0.05)和振动后 2 周(p<0.05)时与基线相比均有显著改善。

结论

这是第一项研究交替侧位全身振动作为多发性硬化症患者的运动训练方式。从活跃的多发性硬化症患者中,本研究表明 WBV 训练不仅改善了站立平衡和行走时间,而且使用这种方式没有不良反应。

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