Zafar Hamayun, Alghadir Ahmad, Anwer Shahnawaz, Al-Eisa Einas
Department of Rehabilitation Sciences, College of Applied Medical Sciences King Saud University, Riyadh, Saudi Arabia; Department of Odontology, Clinical Oral Physiology, Umea University, Umea, Sweden.
Rehabilitation Research Chair, Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
Arch Phys Med Rehabil. 2015 Aug;96(8):1525-32. doi: 10.1016/j.apmr.2015.03.010. Epub 2015 Mar 28.
To examine the current evidence regarding the effects of whole-body vibration (WBV) training in individuals with knee osteoarthritis (OA).
We searched PubMed, CINAHL, Embase, Scopus, Physiotherapy Evidence Database (PEDro), and Science Citation Index for research articles published prior to January 2015 using the keywords whole body vibration, vibration training, and vibratory exercise in combination with the Medical Subject Heading osteoarthritis knee.
This meta-analysis was restricted to randomized controlled trials published in the English language. The quality of the selected studies was assessed by the PEDro Scale. The risk of bias was assessed using the Cochrane collaboration's tool in the domain-based evaluation. We also evaluated the quality of each study based on the criteria given by the International Society of Musculoskeletal and Neuronal Interactions for reporting WBV intervention studies, consisting of 13 factors.
Descriptive data regarding subjects, design, intervention, WBV parameters, outcomes, and conclusions were collected from each study by 2 independent evaluators. The mean and SD of the baseline and final endpoint scores for pain, stiffness, and function were extracted from the included studies.
A total of 83 studies were found in the search. Of these, 5 studies met the inclusion criteria and were further analyzed. Four of these 5 studies reached high methodologic quality on the PEDro Scale. Overall, studies demonstrated mixed results in favor of additive effects of WBV for reducing pain and improving function in knee OA. There was considerable variation in the parameters of the WBV included in this systematic review.
WBV training reduces pain and improves function in individuals with knee OA.
探讨全身振动（WBV）训练对膝骨关节炎（OA）患者影响的现有证据。
我们检索了PubMed、CINAHL、Embase、Scopus、物理治疗证据数据库（PEDro）和科学引文索引，以查找2015年1月之前发表的研究文章，使用的关键词为全身振动、振动训练和振动运动，并结合医学主题词膝骨关节炎。
本荟萃分析仅限于以英文发表的随机对照试验。所选研究的质量通过PEDro量表进行评估。使用Cochrane协作网的工具在基于领域的评估中评估偏倚风险。我们还根据国际肌肉骨骼和神经相互作用学会给出的报告WBV干预研究的标准（包括13个因素）评估每项研究的质量。
由2名独立评估人员从每项研究中收集有关受试者、设计、干预、WBV参数、结果和结论的描述性数据。从纳入研究中提取疼痛、僵硬和功能的基线和最终终点评分的平均值和标准差。
检索共找到83项研究。其中，5项研究符合纳入标准并进行了进一步分析。这5项研究中有4项在PEDro量表上达到了较高的方法学质量。总体而言，研究结果不一，表明WBV对减轻膝OA疼痛和改善功能有累加效应。本系统评价中纳入的WBV参数存在相当大的差异。
WBV训练可减轻膝OA患者的疼痛并改善其功能。
