Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
Clin Rehabil. 2017 Oct;31(10):1313-1321. doi: 10.1177/0269215517698835. Epub 2017 Mar 20.
OBJECTIVE: To determine whether frequency and exposure time to whole body vibration influenced its effects on physical performance in seniors with sarcopenia. DESIGN: Randomized controlled trial Setting: A university sports training laboratory. SUBJECTS: Eighty community dwelling seniors with sarcopenia were recruited. INTERVENTIONS: Participants were randomly divided into 4 groups, namely, low-frequency (LG: 20Hz x 720s), medium-frequency (MG: 40Hz x 360s), high-frequency (HG: 60Hz x 240s) and control (CG: no extra training) for 12 weeks of whole body vibration training and 12 weeks of follow-up. MAIN MEASURES: Assessments were done at baseline, mid-intervention, post-intervention, mid-follow-up, and final follow-up for five-repetition sit-to-stand, 10-meter walking test with self-preferred speed and timed-up-and-go test. RESULTS: There was significant time × group interaction effect in timed-up-and-go test (F = 3.333, effect size = 0.116, p < 0.001). Between-group differences in percentage change from baseline were significant between medium-frequency group and control group on all outcome variables after 12-week whole body vibration training (Five-repetition sit-to-stand test: 10.46 ± 2.28 (-16.12%), p = 0.008; 10-meter walking test: 1.05 ± 0.16 (11.18%), p = 0.04; Timed-up-and-go test: 11.32 ± 1.72 (-15.08%), p = 0.001). CONCLUSION: With the total number of vibrations controlled, the combination of 40Hz and 360s of whole body vibration has the best outcome on physical performance of people with sarcopenia.
目的:确定全身振动的频率和暴露时间是否会影响其对患有肌少症的老年人身体机能的影响。 设计:随机对照试验 设置:大学体育训练实验室。 受试者:招募了 80 名社区居住的患有肌少症的老年人。 干预:参与者被随机分为 4 组,即低频(LG:20Hz x 720s)、中频(MG:40Hz x 360s)、高频(HG:60Hz x 240s)和对照组(CG:无额外训练),进行为期 12 周的全身振动训练和 12 周的随访。 主要观察指标:在基线、干预中期、干预后、随访中期和随访结束时进行 5 次重复坐立试验、10 米步行测试(自我偏好速度)和计时起立行走测试。 结果:计时起立行走测试中存在显著的时间×组间交互效应(F = 3.333,效应大小 = 0.116,p < 0.001)。在 12 周全身振动训练后,中频组与对照组在所有结局变量上的百分比变化存在组间差异(5 次重复坐立试验:10.46 ± 2.28(-16.12%),p = 0.008;10 米步行测试:1.05 ± 0.16(11.18%),p = 0.04;计时起立行走测试:11.32 ± 1.72(-15.08%),p = 0.001)。 结论:在控制总振动次数的情况下,40Hz 和 360s 的全身振动组合对肌少症患者的身体机能具有最佳效果。
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