Sá-Caputo Danúbia, Paineiras-Domingos Laisa, Carvalho-Lima Rafaelle, Dias-Costa Glenda, de Paiva Patrícia de Castro, de Azeredo Claudia Figueiredo, Carmo Roberto Carlos Resende, Dionello Carla F, Moreira-Marconi Eloá, Frederico Éric Heleno F F, Sousa-Gonçalves Cintia Renata, Morel Danielle S, Paiva Dulciane N, Avelar Núbia C P, Lacerda Ana C, Magalhães Carlos E V, Castro Leonardo S, Presta Giuseppe A, de Paoli Severo, Sañudo Borja, Bernardo-Filho Mario
Programa de Pós-graduação em Fisiopatologia Clínica e Experimental, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Laboratório de Vibrações Mecânicas e Práticas Integrativas e Complementares, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro, RJ, Brazil.
Afr J Tradit Complement Altern Med. 2017 Jul 7;14(4 Suppl):41-51. doi: 10.21010/ajtcam.v14i4S.6. eCollection 2017.
The ability to control skin blood flow decreases with advancing age and some clinical disorders, as in diabetes and in rheumatologic diseases. Feasible clinical strategies such as whole-body vibration exercise (WBVE) are being used without a clear understanding of its effects. The aim of the present study is to review the effects of the WBVE on blood flow kinetics and its feasibility in different populations.
The level of evidence (LE) of selected papers in PubMed and/or PEDRo databases was determined. We selected randomized, controlled trials in English to be evaluated.
Six studies had LE II, one had LE III-2 and one III-3 according to the NHMRC. A great variability among the protocols was observed but also in the assessment devices; therefore, more research about this topic is warranted.
Despite the limitations, it is can be concluded that the use of WBVE has proven to be a safe and useful strategy to improve blood flow. However, more studies with greater methodological quality are needed to clearly define the more suitable protocols.
控制皮肤血流的能力会随着年龄增长以及一些临床疾病（如糖尿病和风湿性疾病）而下降。诸如全身振动锻炼（WBVE）等可行的临床策略正在被使用，但人们对其效果尚无清晰认识。本研究的目的是综述WBVE对血流动力学的影响及其在不同人群中的可行性。
确定了PubMed和/或PEDRo数据库中所选论文的证据水平（LE）。我们选择了英文的随机对照试验进行评估。
根据澳大利亚国家卫生与医学研究委员会（NHMRC）的标准，六项研究的证据水平为II级，一项为III - 2级，一项为III - 3级。在研究方案以及评估设备方面均观察到很大差异；因此，有必要对该主题开展更多研究。
尽管存在局限性，但可以得出结论，WBVE已被证明是改善血流的一种安全且有用的策略。然而，需要更多方法学质量更高的研究来明确界定更合适的方案。
