Gloeckl Rainer, Heinzelmann Inga, Kenn Klaus
Department of Respiratory Medicine and Pulmonary Rehabilitation, Schoen Klinik Berchtesgadener Land, Schoenau am Koenigssee, Germany
Department of Respiratory Medicine and Pulmonary Rehabilitation, Schoen Klinik Berchtesgadener Land, Schoenau am Koenigssee, Germany.
Chron Respir Dis. 2015 Aug;12(3):212-21. doi: 10.1177/1479972315583049. Epub 2015 Apr 22.
In recent years, several studies have shown that whole body vibration training (WBVT) may be a beneficial training mode in a variety of chronic diseases and conditions such as osteoporosis, fibromyalgia, multiple sclerosis, or chronic low back pain. However, a systematic review on the effects of WBVT in patients with chronic obstructive pulmonary disease (COPD) has not been performed yet. An extensive literature search was performed using various electronic databases (PubMed, Embase, LILACS, and PEDro). They were searched from inception until September 20, 2014, using key words like "COPD" and "whole body vibration training." A total of 91 studies could be identified and were screened for relevance by two independent reviewers. Six studies were included in a qualitative analysis. Trials studied either the effects of WBVT versus an inactive control group, versus sham WBVT, during an acute COPD exacerbation or as a modality on top of conventional endurance and strength training. All randomized trials reported a significantly superior benefit on exercise capacity (6-minute walking distance) in favor of the WBVT group. Although there are only few studies available, there is some preliminary evidence that WBVT may be an effective exercise modality to improve functional exercise capacity in patients with COPD.
近年来，多项研究表明，全身振动训练（WBVT）在多种慢性疾病和病症中可能是一种有益的训练方式，如骨质疏松症、纤维肌痛、多发性硬化症或慢性下腰痛。然而，尚未对全身振动训练对慢性阻塞性肺疾病（COPD）患者的影响进行系统评价。我们使用了各种电子数据库（PubMed、Embase、LILACS和PEDro）进行了广泛的文献检索。从数据库建立到2014年9月20日进行检索，使用了“慢性阻塞性肺疾病”和“全身振动训练”等关键词。共识别出91项研究，并由两名独立评审员筛选其相关性。六项研究纳入了定性分析。这些试验研究了全身振动训练与非活动对照组、与假全身振动训练相比，在慢性阻塞性肺疾病急性加重期间的效果，或作为传统耐力和力量训练之外的一种训练方式的效果。所有随机试验均报告，全身振动训练组在运动能力（6分钟步行距离）方面有显著更好的益处。虽然现有研究较少，但有一些初步证据表明，全身振动训练可能是提高慢性阻塞性肺疾病患者功能性运动能力的一种有效运动方式。
