Robinson Caroline Cabral, Barreto Rodrigo Py Gonçalves, Plentz Rodrigo Della Méa
Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Brazil.
J Musculoskelet Neuronal Interact. 2018 Sep 1;18(3):382-388.
Whole-body vibration (WBV) is an alternative intervention for patients with diabetic peripheral neuropathy (DPN) but its clinical efficacy is unclear.
To summarize the effects of WBV on important outcomes for patients with DPN.
Medline, PEDro, Cochrane CENTRAL and Google Scholar were searched up to July 2017. Search terms included diabetic neuropathies and WBV.
Interventional studies that utilized WBV for treating DPN outcomes with at least one-week follow-up were included.
Data were independently extracted by two reviewers using a standardized checklist.
Twenty-two registers were identified. Three studies (83 patients) satisfied the selection criteria. Studies assessed the effect of WBV on the glycemic profile, neuropathic pain, and balance. WBV presented positive effects on these outcomes, but a high risk of bias was identified in most studies. No study assessed plantar tactile sensitivity.
Most studies have a high level of bias. No pooling data was possible due to few studies included.
Very low-quality evidence suggests that WBV has a slight positive effect on glycemic control in patients with DPN, improving neuropathic pain and balance. Future studies may change the WBV estimated effect on DPN outcomes.
全身振动（WBV）是糖尿病周围神经病变（DPN）患者的一种替代干预措施，但其临床疗效尚不清楚。
总结WBV对DPN患者重要结局的影响。
检索截至2017年7月的Medline、PEDro、Cochrane CENTRAL和谷歌学术。检索词包括糖尿病神经病变和WBV。
纳入使用WBV治疗DPN结局且随访至少一周的干预性研究。
两名评价员使用标准化清单独立提取资料。
共识别出22项注册研究。三项研究（83例患者）符合选择标准。这些研究评估了WBV对血糖水平、神经性疼痛和平衡的影响。WBV对这些结局呈现出积极作用，但大多数研究存在较高的偏倚风险。没有研究评估足底触觉敏感性。
大多数研究存在高度偏倚。由于纳入研究较少，无法进行数据合并。
极低质量的证据表明，WBV对DPN患者的血糖控制有轻微积极作用，可改善神经性疼痛和平衡。未来的研究可能会改变WBV对DPN结局的估计效果。
