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应用全身振动训练于常见神经系统疾病患者:系统文献回顾。

Using whole-body vibration training in patients affected with common neurological diseases: a systematic literature review.

机构信息

Physical Education Department, University of Seville, Seville, Spain.

出版信息

J Altern Complement Med. 2012 Jan;18(1):29-41. doi: 10.1089/acm.2010.0691. Epub 2012 Jan 10.

DOI:10.1089/acm.2010.0691
PMID:22233167
Abstract

OBJECTIVES

This systematic review critically evaluates the effects of whole body vibration (WBV) exercises on gait, balance, proprioception, strength, and health-related quality of life in patients with common neurological diseases. It specifically focuses on assessing the quality of reported studies and comparing quantitative results.

DESIGN

This is a systematic literature review.

RESULTS

A specific search strategy of 11 databases identified 13 published articles (5 studies of patients with Parkinson disease, 2 with cerebral palsy, 3 with multiple sclerosis, and 3 with stroke) that fulfilled the selection criteria. The quality of the articles was evaluated using a Physiotherapy Evidence Database scale and Dutch Institute for Healthcare Improvement guidelines.

CONCLUSIONS

There is moderate evidence that one session of WBV has positive effects on strength, whereas there is a weak level of evidence that WBV could improve proprioception and health-related quality of life measures in neurological patients. With respect to long-term effects of WBV, there is minor evidence from the studies with the best methodological quality that WBV improves strength, proprioception, gait, and balance. Further research on the intervention is strongly needed.

摘要

目的

本系统评价批判性地评估全身振动(WBV)锻炼对常见神经疾病患者步态、平衡、本体感觉、力量和健康相关生活质量的影响。它特别关注报告研究的质量并比较定量结果。

设计

这是一项系统的文献综述。

结果

通过 11 个数据库的特定搜索策略,确定了 13 篇符合选择标准的已发表文章(5 篇关于帕金森病患者的研究,2 篇关于脑瘫患者的研究,3 篇关于多发性硬化症患者的研究,3 篇关于中风患者的研究)。使用物理治疗证据数据库量表和荷兰医疗保健改进研究所指南评估文章的质量。

结论

有中等证据表明,一次 WBV 治疗对力量有积极影响,而 WBV 可能改善神经患者的本体感觉和健康相关生活质量测量,证据水平较弱。关于 WBV 的长期效果,来自方法学质量最佳的研究的证据表明,WBV 可以改善力量、本体感觉、步态和平衡。强烈需要进一步研究该干预措施。

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