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全身振动对慢性病患者健康相关生活质量的影响:系统评价。

The effect of whole body vibration on health-related quality of life in patients with chronic conditions: a systematic review.

机构信息

School of Nursing, Jilin University, No. 965 Xinjiang Street, Changchun, 130021, Jilin, China.

The First Hospital of Jilin University, No. 71 Xinmin Street, Changchun, 130021, Jilin, China.

出版信息

Qual Life Res. 2019 Nov;28(11):2859-2870. doi: 10.1007/s11136-019-02274-x. Epub 2019 Aug 30.

Abstract

PURPOSE

To identify the effects of whole body vibration (WBV) on health-related quality of life (HRQOL) in patients with chronic conditions.

METHODS

Five databases (the Cochrane Library, PubMed, Medline, EBSCO, and Web of science) were searched (from inception until April 30, 2019) for original articles. All studies were randomized controlled trials reporting the effects of WBV on HRQOL. Two independent reviewers extracted trial data and assessed the risk of bias using the risk of bias tool recommended by the Cochrane Back Review Group.

RESULTS

Of the 349 articles that were screened, 17 articles, including 763 participants with various chronic conditions, met the inclusion criteria. Six studies reported significant improvements in HRQOL. No evidence was observed to suggest that WBV was more effective than other types of exercises. The study participants, exercise protocols, HRQOL instruments, study duration, and frequency as well as amplitude of WBV varied across the studies. Meta-analysis was not conducted due to the heterogeneity of study designs and outcome measures.

CONCLUSIONS

This study has demonstrated that WBV may improve HRQOL in patients with chronic conditions. However, the evidence was not strong enough to warrant recommendation and thus further high-quality studies with larger sample sizes and longer intervention durations are needed.

摘要

目的

确定全身振动(WBV)对慢性病患者健康相关生活质量(HRQOL)的影响。

方法

从建库至 2019 年 4 月 30 日,我们在五个数据库(Cochrane 图书馆、PubMed、Medline、EBSCO 和 Web of science)中搜索了原始文章。所有研究均为报告 WBV 对 HRQOL 影响的随机对照试验。两位独立的综述作者提取试验数据,并使用 Cochrane 偏倚风险评估工具评估偏倚风险。

结果

在筛选出的 349 篇文章中,有 17 篇文章,包括 763 名患有各种慢性病的患者,符合纳入标准。六项研究报告 HRQOL 有显著改善。没有证据表明 WBV 比其他类型的运动更有效。研究参与者、运动方案、HRQOL 工具、研究持续时间和频率以及 WBV 的幅度在研究之间存在差异。由于研究设计和结果测量的异质性,未进行荟萃分析。

结论

本研究表明 WBV 可能改善慢性病患者的 HRQOL。然而,证据还不够强,不足以推荐,因此需要进一步开展高质量的研究,样本量更大,干预时间更长。

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