全身振动对神经障碍患者运动功能障碍的影响：系统评价。
Effects of Whole-Body Vibration on Motor Impairments in Patients With Neurological Disorders: A Systematic Review.
机构信息
From the PhD School in Neuroscience, Faculty of Medicine and Surgery, University of Rome "Tor Vergata," Rome, Italy (ARA); Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, Rome, Italy (EP, GA); Department of Medicine Systems, University of Rome "Tor Vergata", Rome, Italy (GA); and Master of Science in "Physical Activity and Health Promotion," University of Rome "Tor Vergata", Rome, Italy (GA).
出版信息
Am J Phys Med Rehabil. 2019 Dec;98(12):1084-1098. doi: 10.1097/PHM.0000000000001252.
OBJECTIVE
This systematic review was conducted to examine the effects of whole-body vibration training on motor impairments among patients with neurological disorders and to investigate which the whole-body vibration training parameters induced improvement in motor impairments.
DESIGN
PubMed, SCOPUS, PEDro, REHABDATA, and Web of Science were searched for randomized controlled trials and pseudo-randomized controlled trials investigated the effect of whole-body vibration on motor impairments in patients with neurological disorders. The methodological quality was rated using the Cochrane Collaboration's tool.
RESULTS
Twenty studies were included in this systematic review. Four studies included patients with multiple sclerosis, cerebral palsy (n = 2), stroke (n = 9), Parkinson disease (n = 3), spinal cord injuries (n = 1), and spinocerebellar ataxia (n = 1). The results showed different evidence of benefits and nonbenefits for whole-body vibration training in motor impairments outcomes.
CONCLUSIONS
There is weak evidence for a positive effect of short-term whole-body vibration training on spasticity of lower limbs, mobility, balance, and postural control. Besides, positive effect of the long-term effect of whole-body vibration training on mobility in patients with neurological disorders. The optimal whole-body vibration training parameters in treating patients with neurological disorders remain unclear.
目的
本系统评价旨在考察全身振动训练对神经障碍患者运动障碍的影响，并探讨全身振动训练参数对运动障碍改善的作用。
设计
检索了 PubMed、SCOPUS、PEDro、REHABDATA 和 Web of Science 中的随机对照试验和伪随机对照试验，以调查全身振动对神经障碍患者运动障碍的影响。使用 Cochrane 协作工具对方法学质量进行了评分。
结果
本系统评价纳入了 20 项研究。其中 4 项研究纳入了多发性硬化症患者（n=2）、脑瘫患者（n=2）、脑卒中患者（n=9）、帕金森病患者（n=3）、脊髓损伤患者（n=1）和脊髓小脑共济失调患者（n=1）。结果表明，全身振动训练对下肢痉挛、移动性、平衡和姿势控制等运动障碍结局的有益和无益证据存在差异。
结论
短期全身振动训练对下肢痉挛、移动性、平衡和姿势控制有积极影响，但长期全身振动训练对神经障碍患者的移动性有积极影响。治疗神经障碍患者的最佳全身振动训练参数仍不清楚。
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