Ray Juliet J, Alvarez Angel D, Ulbrich Sondra L, Lessner-Eisenberg Sharon, Satahoo Shevonne S, Meizoso Jonathan P, Karcutskie Charles A, Mundra Leela S, Namias Nicholas, Pizano Louis R, Schulman Carl I
From the *DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Florida; †Department of Occupational Therapy, Jackson Memorial Hospital. Miami, Florida; and ‡Department of Physical Therapy, Jackson Memorial Hospital. Miami, Florida.
J Burn Care Res. 2017 Jul/Aug;38(4):e756-e764. doi: 10.1097/BCR.0000000000000481.
Whole body vibration (WBV) has been shown to improve strength in extremities with healed burn wounds. We hypothesize that WBV reduces pain during rehabilitation compared to standard therapy alone. Patients with ≥1% TBSA burn to one or more extremities from October 2014 to December 2015 were randomized to vibration (VIBE) or control. Each burned extremity was tested separately within the assigned group. Patients underwent one to three therapy sessions (S1, S2, S3) consisting of five upper and/or lower extremity exercises with or without WBV. Pain was assessed pre-, mid-, and postsession on a scale of 1 to 10. Mean pain scores at S1 to S3 were compared between groups with paired samples t-tests. An independent t-test was used to compare differences in pain scores between groups. Continuous variables were compared using a t-test or Mann-Whitney U test, and categorical variables were compared using a χ or Fisher's exact test, as appropriate. Forty-eight randomized test extremities (VIBE = 26, control = 22) were analyzed from a total of 31 subjects. There were no significant differences between groups in age, gender, overall TBSA, TBSA in the test extremity, pain medication use before therapy session, or skin grafting before therapy session. At S1, S2, and S3, there was a statistically significant decrease in mid- and postsession pain compared to presession pain in VIBE vs controls. Exposure to WBV decreased pain during and after physical therapy. This modality may be applicable to a variety of soft tissue injuries and warrants additional investigation.
全身振动（WBV）已被证明可增强烧伤创面愈合的肢体力量。我们假设，与单纯标准治疗相比，WBV可减轻康复期间的疼痛。2014年10月至2015年12月期间，烧伤总面积（TBSA）≥1%的一个或多个肢体烧伤患者被随机分为振动组（VIBE）或对照组。在指定组内分别对每个烧伤肢体进行测试。患者接受一至三次治疗疗程（S1、S2、S3），包括五项上肢和/或下肢运动，运动时可使用或不使用WBV。在疗程前、疗程中及疗程后采用1至10分的量表评估疼痛程度。采用配对样本t检验比较S1至S3时两组的平均疼痛评分。采用独立t检验比较两组之间疼痛评分的差异。连续变量采用t检验或Mann-Whitney U检验进行比较，分类变量则根据情况采用χ检验或Fisher精确检验进行比较。对总共31名受试者的48个随机测试肢体（VIBE组 = 26个，对照组 = 22个）进行了分析。两组在年龄、性别、总体TBSA、测试肢体的TBSA、疗程前使用的止痛药物或疗程前的植皮情况方面均无显著差异。在S1、S2和S3时，与对照组相比，VIBE组在疗程中和疗程后的疼痛与疗程前相比有统计学意义的降低。接触WBV可减轻物理治疗期间及治疗后的疼痛。这种方法可能适用于多种软组织损伤，值得进一步研究。
