全身振动训练——更好地护理慢性阻塞性肺疾病患者:一项系统评价与荟萃分析

Whole-body vibration training - better care for COPD patients: a systematic review and meta-analysis.

作者信息

Zhou Jian, Pang Long, Chen Nan, Wang Zihuai, Wang Chengdi, Hai Yang, Lyu Mengyuan, Lai Hongjin, Lin Feng

机构信息

Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, People's Republic of China,

West China School of Medicine, Sichuan University, Chengdu, People's Republic of China.

出版信息

Int J Chron Obstruct Pulmon Dis. 2018 Oct 10;13:3243-3254. doi: 10.2147/COPD.S176229. eCollection 2018.

Abstract

PURPOSE

Whole-body vibrating training (WBVT) is a modality aiming to improve neuromuscular performance of patients with COPD. However, a consensus on the effects of WBVT has not been reached. We aimed to clarify the effects of WBVT on functional exercise capacity, pulmonary function, and quality of life in COPD patients.

PATIENTS AND METHODS

PubMed, Web of Science, and EMBASE were searched through April 5, 2018. We calculated the pooled weight mean difference (WMD) using a random-effects model. Quality assessment and publication bias analyses were also performed.

RESULTS

We included eight randomized control trials involving 365 patients. Compared with control group, WBVT increased 6-minute walking distance (6-MWD) (WMD: 62.14 m; 95% CI: 48.12-76.16; <0.001), the change of 6-MWD (Δ6-MWD) (WMD: 42.33 m; 95% CI: 15.21-69.45; =0.002), the change of the time to finish five repeated sit-to-stand tests (WMD: -2.07 seconds; 95% CI: -4.00 to -0.05; =0.04), and decreased the change of St George's Respiratory Questionnaire score (WMD: -6.65 points; 95% CI: -10.52 to -2.78; <0.001). However, no significant difference was found between the two groups regarding forced expired volume in 1 second (FEV) (% predicated), change of FEV (% predicated), sit-to-stand test, 6-MWD (% predicated), change of 6-MWD (% predicated), St George's Respiratory Questionnaire score, COPD Assessment Test score, and change of COPD Assessment Test score.

CONCLUSION

WBVT has beneficial effects on functional exercise capacity for COPD patients.

摘要

目的

全身振动训练(WBVT)是一种旨在改善慢性阻塞性肺疾病(COPD)患者神经肌肉功能的训练方式。然而,对于WBVT的效果尚未达成共识。我们旨在阐明WBVT对COPD患者功能运动能力、肺功能和生活质量的影响。

患者与方法

检索了截至2018年4月5日的PubMed、科学网和EMBASE。我们使用随机效应模型计算合并加权均数差(WMD)。还进行了质量评估和发表偏倚分析。

结果

我们纳入了八项随机对照试验,共365例患者。与对照组相比,WBVT增加了6分钟步行距离(6-MWD)(WMD:62.14米;95%置信区间:48.12-76.16;P<0.001)、6-MWD的变化量(Δ6-MWD)(WMD:42.33米;95%置信区间:15.21-69.45;P=0.002)、完成五次重复坐立试验时间的变化量(WMD:-2.07秒;95%置信区间:-4.00至-0.05;P=0.04),并降低了圣乔治呼吸问卷评分的变化量(WMD:-6.65分;95%置信区间:-10.52至-2.78;P<0.001)。然而,两组在1秒用力呼气容积(FEV)(预测值%)、FEV变化量(预测值%)、坐立试验、6-MWD(预测值%)、6-MWD变化量(预测值%)、圣乔治呼吸问卷评分、慢性阻塞性肺疾病评估测试评分以及慢性阻塞性肺疾病评估测试评分变化量方面未发现显著差异。

结论

WBVT对COPD患者的功能运动能力有有益影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cbf/6188203/6a5a912e7939/copd-13-3243Fig1.jpg

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