Luo Xiaotian, Zhang Jifeng, Zhang Chi, He Chengqi, Wang Pu
a Rehabilitation Medicine Center, Sichuan University, West China Hospital , Chengdu , Sichuan , PR China.
b Key Laboratory of Rehabilitation Medicine in Sichuan , Chengdu , Sichuan , PR China.
Disabil Rehabil. 2017 Nov;39(22):2315-2323. doi: 10.1080/09638288.2016.1226417. Epub 2016 Oct 10.
To review the research literature on the effectiveness of whole-body vibration (WBV) therapy in women with postmenopausal osteoporosis.
A systematic review was conducted by two independent reviewers. Mean differences (MDs), standardized mean differences (SMDs), and 95% confidence intervals (CIs) were calculated, and heterogeneity was assessed with the I test. The Cochrane risk of bias tool was used to assess the methodological quality of the selected studies.
Nine randomized controlled trials involving 625 patients met the inclusion criteria. No significant improvement was found in bone mineral density (BMD) (SMD = -0.06, 95%CI= -0.22-0.11, p = 0.50); bone turnover markers (MD = -0.25, 95%CI= -0.54-0.03, p = 0.08); anthropometric parameters, including muscle mass, fat mass, body mass index (BMI), and weight (SMD = 0.02, 95%CI= -0.16-0.21, p = 0.81); or maximal isotonic knee extensor strength (SMD = 0.16, 95%CI= -0.63-0.95, p = 0.69). However, maximal isometric knee extensor strength improved (SMD = 0.71, 95%CI = 0.34-1.08, p = 0.0002).
WBV is beneficial for enhancing maximal isometric knee extensor strength, but it has no overall treatment effect on BMD, bone turnover markers, anthropometric parameters, or maximal isotonic knee extensor strength in women with postmenopausal osteoporosis. Implication of rehabilitation Osteoporosis is the leading underlying cause of fractures in postmenopausal women, whole body vibration (WBV) has received much attention as a potential intervention for the management of osteoporosis in recent years. Whole body vibration is beneficial for enhancing maximal isometric knee extensor strength in women with postmenopausal osteoporosis. Whole body vibration has no overall treatment effect on bone mineral density, bone turnover markers, anthropometric parameters and maximal isotonic knee extensor strength in women with postmenopausal osteoporosis.
回顾关于全身振动（WBV）疗法对绝经后骨质疏松症女性有效性的研究文献。
由两名独立审阅者进行系统评价。计算平均差（MDs）、标准化平均差（SMDs）和95%置信区间（CIs），并使用I检验评估异质性。采用Cochrane偏倚风险工具评估所选研究的方法学质量。
9项涉及625例患者的随机对照试验符合纳入标准。骨密度（BMD）未发现显著改善（SMD = -0.06，95%CI = -0.22 - 0.11，p = 0.50）；骨转换标志物（MD = -0.25，95%CI = -0.54 - 0.03，p = 0.08）；人体测量参数，包括肌肉量、脂肪量、体重指数（BMI）和体重（SMD = 0.02，95%CI = -0.16 - 0.21，p = 0.81）；或最大等张膝关节伸肌力量（SMD = 0.16，95%CI = -0.63 - 0.95，p = 0.69）。然而，最大等长膝关节伸肌力量有所改善（SMD = 0.71，95%CI = 0.34 - 1.08，p = 0.0002）。
全身振动有利于增强最大等长膝关节伸肌力量，但对绝经后骨质疏松症女性的骨密度、骨转换标志物、人体测量参数或最大等张膝关节伸肌力量没有整体治疗效果。康复意义 骨质疏松症是绝经后女性骨折的主要潜在原因，近年来，全身振动（WBV）作为一种潜在的骨质疏松症管理干预措施受到了广泛关注。全身振动有利于增强绝经后骨质疏松症女性的最大等长膝关节伸肌力量。全身振动对绝经后骨质疏松症女性的骨密度、骨转换标志物、人体测量参数和最大等张膝关节伸肌力量没有整体治疗效果。
