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全身振动控制训练对改善多发性硬化症患者跌倒风险因素的影响:一项初步研究。

Effects of controlled whole-body vibration training in improving fall risk factors among individuals with multiple sclerosis: A pilot study.

作者信息

Yang Feng, Finlayson Marcia, Bethoux Francois, Su Xiaogang, Dillon Loretta, Maldonado Hector M

机构信息

a Department of Kinesiology , University of Texas at El Paso , El Paso , TX , USA.

b School of Rehabilitation Therapy , Faculty of Health Sciences, Queen's University , Kingston , Canada.

出版信息

Disabil Rehabil. 2018 Mar;40(5):553-560. doi: 10.1080/09638288.2016.1262466. Epub 2016 Dec 15.

Abstract

PURPOSE

The purpose of this study was to systematically examine the effect of an 8-week controlled whole-body vibration training on improving fall risk factors and the bone mineral density among people with multiple sclerosis (PwMS).

METHODS

This study adopted a single group pre-test-post-test design. Twenty-five PwMS (50.3 years SD 14.1) received vibration training on a side-alternating vibration platform. Each training session was repeated three times every week for 8 weeks. Prior to and following the 8-week training course, a battery of fall risk factors were evaluated: the body balance, functional mobility, muscle strength, range of motion, and fear of falling. Bone density at both calcanei was also assessed.

RESULTS

Twenty-two participants completed the study. Compared with pre-test, almost all fall risk factors and the bone density measurement were significantly improved at post-test, with moderate to large effect sizes varying between 0.571 and 1.007.

CONCLUSIONS

The 8-week vibration training was well accepted by PwMS and improved their fall risk factors. The important findings of this study were that vibration training may increase the range of motion of ankle joints on the sagittal plane, lower the fear of falling, and improve bone density. IMPLICATIONS FOR REHABILITATION An 8-week vibration training course could be well-accepted by people with multiple sclerosis (MS). Vibration training improves the risk factors of falls in people living with MS. Vibration training could be a promising rehabilitation intervention in individuals with MS.

摘要

目的

本研究旨在系统考察为期8周的全身振动控制训练对改善多发性硬化症患者(PwMS)跌倒风险因素及骨密度的影响。

方法

本研究采用单组前后测设计。25名PwMS患者(平均年龄50.3岁,标准差14.1)在侧交替振动平台上接受振动训练。每次训练每周重复3次,共8周。在为期8周的训练课程前后,对一系列跌倒风险因素进行评估:身体平衡、功能活动能力、肌肉力量、关节活动范围和跌倒恐惧。同时还评估了双侧跟骨的骨密度。

结果

22名参与者完成了研究。与前测相比,几乎所有跌倒风险因素及骨密度测量值在测试后均有显著改善,效应量从中度到较大,介于0.571至1.007之间。

结论

为期8周的振动训练被PwMS患者很好地接受,并改善了他们的跌倒风险因素。本研究的重要发现是,振动训练可能会增加踝关节矢状面的活动范围,降低跌倒恐惧,并提高骨密度。康复意义:为期8周的振动训练课程可以被多发性硬化症(MS)患者很好地接受。振动训练可改善MS患者的跌倒风险因素。振动训练可能是MS患者一种有前景的康复干预措施。

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