Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
Maturitas. 2012 Jul;72(3):206-13. doi: 10.1016/j.maturitas.2012.04.009. Epub 2012 May 18.
This systematic review aimed to examine the effect of WBV on balance, mobility and falls among older adults. The databases used included MEDLINE, the Excerpta Medica database, the Cumulative Index to Nursing and Allied Health Literature, the Cochrane Library Databases of Systematic Reviews, Physiotherapy Evidence Database (PEDro), PubMed, and Science Citation Index (last search in October 2011). Randomized controlled trials that investigated the effect of WBV on balance, mobility or falls in older adults were included in this review. The PEDro score was used to examine the methodological quality of the selected studies. The effect of WBV on balance, mobility and fall-related outcomes were extracted. The data extraction and rating were performed by a researcher and the results were confirmed by the principal investigator. Meta-analysis was done if 3 or more studies measured the same outcome of interest. Among 920 articles screened, fifteen articles (thirteen trials) satisfied the criteria and were included in this review. Methodological quality was good for six of the studies (PEDro score=6-7). Meta-analysis revealed that WBV has a significant treatment effect in Tinetti Total Score (p<0.001), Tinetti Body Balance Score (p=0.010) and Timed-Up-and-Go test (p=0.004). No significant improvement was noted in Tinetti Gait Score after WBV training (p=0.120). The effect of WBV on other balance/mobility outcomes and fall rate remains inconclusive. To conclude, WBV may be effective in improving relatively basic balance ability and mobility among older adults, particularly frailer ones. More good-quality WBV trials are required.
本系统评价旨在研究全身振动训练对老年人平衡、移动能力和跌倒的影响。使用的数据库包括 MEDLINE、Excerpta Medica 数据库、护理学和联合健康文献累积索引、Cochrane 图书馆系统评价数据库、物理治疗证据数据库（PEDro）、PubMed 和科学引文索引（2011 年 10 月最后检索）。本评价纳入了研究全身振动训练对老年人平衡、移动能力或跌倒影响的随机对照试验。采用 PEDro 评分评估纳入研究的方法学质量。提取全身振动训练对平衡、移动能力和跌倒相关结局的影响。数据提取和评分由一名研究人员进行，结果由主要研究者确认。如果 3 项或 3 项以上研究测量了相同的感兴趣结局，则进行荟萃分析。在筛选的 920 篇文章中，有 15 篇文章（13 项试验）符合纳入标准，被纳入本评价。其中 6 项研究的方法学质量较好（PEDro 评分=6-7）。荟萃分析显示，全身振动训练在 Tinetti 总评分（p<0.001）、Tinetti 身体平衡评分（p=0.010）和计时起立行走测试（p=0.004）方面具有显著的治疗效果。全身振动训练后 Tinetti 步态评分无显著改善（p=0.120）。全身振动训练对其他平衡/移动能力结局和跌倒率的影响仍不确定。总之，全身振动训练可能有效改善老年人的基本平衡能力和移动能力，尤其是较虚弱的老年人。需要更多高质量的全身振动训练试验。
