1 Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China.
2 Department of Rehabilitation Medicine, Shanghai Shangti Orthopaedic Hospital, Shanghai, China.
Clin Rehabil. 2019 Sep;33(9):1445-1457. doi: 10.1177/0269215519848076. Epub 2019 May 17.
To confirm the benefits of whole-body vibration exercise for pain intensity and functional disability in patients with non-specific chronic low back pain.
Single-blind randomized controlled trial.
Outpatient.
Eighty-nine patients with non-specific chronic low back pain met the inclusion criteria, they were randomly allocated to either the intervention group ( = 45) or the control group ( = 44).
The intervention group received whole-body vibration exercises three times a week for 12 weeks. The control group received general exercise protocol three times a week for 12 weeks.
The primary outcome measures were pain intensity and functional disability measured by the visual analog scale scores and Oswestry Disability Index. The secondary outcome measures included lumbar joint position sense, quality of life (Short Form Health Survey 36) and overall treatment effect (Global Perceived Effect).
A total of 84 subjects completed the 12-week study program. After 12 weeks, compared with the control group, the mean visual analog scale and Oswestry Disability Index scores decreased by additional 1 point (95% confidence interval (CI) = -1.22 to -0.78; < 0.001), 3.81 point (95% CI, -4.98, -2.63; < 0.001) based on adjusted analysis in the intervention group. And the intervention group provided additional beneficial effects for in terms of lumbar joint position sense ( < 0.05), quality of life ( < 0.05), and Global Perceived Effect ( = 0.012).
The study demonstrated that whole-body vibration exercise could provide more benefits than general exercise for relieving pain and improving functional disability in patients with non-specific chronic low back pain.
确证全身振动运动对非特异性慢性下腰痛患者疼痛强度和功能障碍的益处。
单盲随机对照试验。
门诊。
符合纳入标准的 89 例非特异性慢性下腰痛患者，被随机分配至干预组（n=45）或对照组（n=44）。
干预组接受每周 3 次全身振动运动，共 12 周。对照组接受每周 3 次常规运动方案，共 12 周。
主要结局指标为视觉模拟评分和 Oswestry 功能障碍指数评估的疼痛强度和功能障碍。次要结局指标包括腰椎关节位置觉、生活质量（健康调查简表 36）和整体治疗效果（总体感觉疗效）。
共有 84 例受试者完成了 12 周的研究计划。12 周后，与对照组相比，干预组的平均视觉模拟评分和 Oswestry 功能障碍指数评分分别额外降低 1 分（95%置信区间：-1.22 至-0.78； < 0.001）和 3.81 分（95%置信区间：-4.98，-2.63； < 0.001），调整分析显示差异有统计学意义。此外，在腰椎关节位置觉（ < 0.05）、生活质量（ < 0.05）和总体感觉疗效（ = 0.012）方面，干预组也提供了额外的有益效果。
本研究表明，与常规运动相比，全身振动运动可为非特异性慢性下腰痛患者缓解疼痛和改善功能障碍提供更多益处。
