Sá-Caputo Danúbia C, Costa-Cavalcanti Rebeca, Carvalho-Lima Rafaelle P, Arnóbio Adriano, Bernardo Raquel M, Ronikeile-Costa Pedro, Kutter Cristiane, Giehl Paula M, Asad Nasser R, Paiva Dulciane N, Pereira Heloisa V F S, Unger Marianne, Marin Pedro J, Bernardo-Filho Mario
a Mestrado Profissional em Saúde, Medicina Laboratorial e Tecnologia Forense, Universidade do Estado do Rio de Janeiro , Rio de Janeiro , RJ , Brasil .
b Departamento de Biofísica e Biometria , Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro , Rio de Janeiro , RJ , Brasil .
Dev Neurorehabil. 2016 Oct;19(5):327-33. doi: 10.3109/17518423.2014.994713. Epub 2015 Mar 31.
Whole body vibration (WBV) is increasingly being used to improve balance and motor function and reduce the secondary complications associated with cerebral palsy (CP). The purpose of this study was to systematically appraise published research regarding the effects of static and/or dynamic exercise performed on a vibrating platform on gait, strength, spasticity and bone mineral density (BMD) within this population.
Systematic searches of six electronic databases identified five studies that met our inclusion criteria (2 at Level II and 3 at Level III-2). Studies were analysed to determine: (a) participant characteristics; (b) optimal exercise and WBV treatment protocol; (c) effect on gait, strength, spasticity and BMD; and (d) the outcome measures used to evaluate effect. As data was not homogenous a meta-analysis was not possible.
Several design limitations were identified and intervention protocols are poorly described. The effects on strength, gait, spasticity and BMD in persons with CP remain inconclusive with weak evidence that WBV may improve selected muscle strength and gait parameters and that prolonged exposure may improve BMD; there is currently no evidence that WBV can reduce spasticity.
The evidence for exercise performed on a vibrating platform on mobility, strength, spasticity and BMD in CP remains scant and further larger scale investigations with controlled parameters to better understand the effects of WBV exercises in this population is recommended.
全身振动（WBV）越来越多地被用于改善平衡和运动功能，并减少与脑瘫（CP）相关的继发性并发症。本研究的目的是系统评价已发表的关于在振动平台上进行静态和/或动态运动对该人群步态、力量、痉挛和骨密度（BMD）影响的研究。
对六个电子数据库进行系统检索，确定了五项符合我们纳入标准的研究（2项为II级，3项为III - 2级）。对研究进行分析以确定：（a）参与者特征；（b）最佳运动和WBV治疗方案；（c）对步态、力量、痉挛和BMD的影响；以及（d）用于评估效果的结局指标。由于数据不具有同质性，无法进行荟萃分析。
确定了几个设计局限性，干预方案描述不佳。WBV对CP患者的力量、步态、痉挛和BMD的影响尚无定论，仅有微弱证据表明WBV可能改善选定的肌肉力量和步态参数，且长时间暴露可能改善BMD；目前没有证据表明WBV可以减轻痉挛。
关于在振动平台上进行的运动对CP患者的移动性、力量、痉挛和BMD的证据仍然不足，建议进行进一步的大规模研究，控制参数以更好地了解WBV运动对该人群的影响。
