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全身振动运动对骨质疏松症绝经后妇女的功率谱和骨密度的影响:一项随机对照试验。

Effect of Whole-Body Vibration Exercise on Power Profile and Bone Mineral Density in Postmenopausal Women With Osteoporosis: A Randomized Controlled Trial.

机构信息

Department of Physical Therapy for Women's Health, Cairo University, Giza, Egypt.

Department of Biomechanics, Cairo University, Giza, Egypt.

出版信息

J Manipulative Physiol Ther. 2020 May;43(4):384-393. doi: 10.1016/j.jmpt.2019.12.003. Epub 2020 Aug 28.

Abstract

OBJECTIVE

The purpose of this study was to investigate the effect of whole-body vibration (WBV) on muscle work and bone mineral density (BMD) of the lumbar vertebrae and femur in postmenopausal women.

METHODS

Forty-three postmenopausal women with low BMD were randomly assigned to WBV and control groups. Both groups received calcium and vitamin D supplementations once daily, while the WBV group additionally received WBV exercise (twice/wk) for 24 successive weeks. Qualisys gait analysis system was used to measure hip power generation by hip extensors (H1S) and flexors (H3S), hip power absorption by hip flexors (H2S), knee power absorption by quadriceps during loading response (K1S) and preswing (K3S), knee power absorption by hamstring (K4S), knee power generation by quadriceps (K2S), ankle power absorption by dorsiflexors (A1S) and plantar flexors (A2S), and ankle power generation by plantar flexors (A3S). Also, dual-energy X-ray absorptiometry was used to measure BMD of the lumbar vertebrae and femur before and after the intervention.

RESULTS

There were significant increases (P < .05) in the hip muscle work (H1S, H2S, and H3S), knee muscle work (K1S, K2S, K3S, and K4S), ankle muscle work (A1S, A2S, and A3S) during gait, and BMD of the lumbar vertebrae and femur of the WBV group. However, there were no significant changes (P > .05) in the control group. The posttreatment values of the hip, knee, and ankle muscle work and BMD of the WBV group were significantly (P < .05) higher than the posttreatment values of the control group.

CONCLUSION

Whole-body vibration training improved the leg muscle work and lumbar and femoral BMD in postmenopausal women with low BMD.

摘要

目的

本研究旨在探讨全身振动(WBV)对绝经后妇女腰椎和股骨骨密度(BMD)及肌肉做功的影响。

方法

将 43 例低 BMD 的绝经后妇女随机分为 WBV 组和对照组。两组均每日补充钙和维生素 D,同时 WBV 组还接受 WBV 运动(每周 2 次),共 24 周。采用 Qualisys 步态分析系统测量髋关节伸肌(H1S)和屈肌(H3S)产生的髋部功率、髋关节屈肌(H2S)吸收的髋部功率、负荷反应期(K1S)和预摆期(K3S)股四头肌吸收的膝关节功率、腘绳肌吸收的膝关节功率(K4S)、股四头肌产生的膝关节功率(K2S)、背屈肌(A1S)和跖屈肌(A2S)吸收的踝关节功率、跖屈肌(A3S)产生的踝关节功率。同时,采用双能 X 线吸收法测量干预前后腰椎和股骨的 BMD。

结果

与对照组相比,WBV 组在步态期间髋关节肌肉做功(H1S、H2S 和 H3S)、膝关节肌肉做功(K1S、K2S、K3S 和 K4S)、踝关节肌肉做功(A1S、A2S 和 A3S)以及腰椎和股骨 BMD 均显著增加(P<0.05)。而对照组各项指标均无明显变化(P>0.05)。治疗后,WBV 组髋关节、膝关节和踝关节肌肉做功及腰椎和股骨 BMD 明显高于对照组(P<0.05)。

结论

全身振动训练可提高低 BMD 绝经后妇女的下肢肌肉做功和腰椎及股骨 BMD。

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