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全身振动对肾移植受者肌肉力量、股四头肌厚度和功能能力的影响:一项随机对照试验。

Effects of whole-body vibration on muscle strength, quadriceps muscle thickness and functional capacity in kidney transplant recipients: A randomized controlled trial.

作者信息

Marinho Patrícia E M, Rocha Lívia G, Araújo Filho José C, Araújo Anna Xênya P, Andrade Maria do Amparo, Taiar Redha, Paiva Dulciane N, Dornelas de Andrade Arméle

机构信息

Post Graduate Program in Physical Therapy, Universidade Federal de Pernambuco, Recife, PE, Brazil.

Post Graduate Program in Physical Therapy, Universidade Federal de Pernambuco, Recife, PE, Brazil.

出版信息

J Bodyw Mov Ther. 2021 Apr;26:101-107. doi: 10.1016/j.jbmt.2020.10.005. Epub 2020 Oct 24.

Abstract

BACKGROUND

Whole-body vibration (WBV) may be an alternative of physical training for kidney transplant recipients.

OBJECTIVE

To evaluate the effect of a training program on quadriceps muscle strength and thickness, distance walked in the 6-min walking test (6MWT), respiratory muscle strength and quality of life in adult kidney transplant recipients.

DESIGN

Randomized controlled clinical trial.

METHOD

Twelve kidney transplant recipients of both genders who underwent WBV training (35 Hz) twice a week for 12 weeks on alternate days (WBVG), and training with a Sham Group (SG) were evaluated before and after intervention.

RESULTS

No difference was observed in quadriceps muscle strength and thickness between groups, however a large (d = 0.81) and a small (d = 0.44) effect size were observed after the training, respectively. Both groups improved the execution time of Sit-to-Stand Test before and after analysis, but this effect did not show superiority between them, however there was a large effect size provided by training (d = 1.11). No changes were observed between groups in relation to inspiratory muscle strength, but training effects could be observed by the effect size after the study period (d = 0.59). No changes were observed regarding the distance walked in the 6MWT and the effect size was small (d = 0.31).

CONCLUSION

WBV program would induce physiological responses that must be taken into consideration in adults' kidney transplant recipients. Our results show considerable effect sizes were observed for muscle strength and quadriceps thickness, inspiratory muscle strength, and 6MWT walking distance, although no difference was observed between groups at the end of the study.

摘要

背景

全身振动(WBV)可能是肾移植受者体育锻炼的一种替代方式。

目的

评估一项训练计划对成年肾移植受者股四头肌力量和厚度、6分钟步行试验(6MWT)中的步行距离、呼吸肌力量及生活质量的影响。

设计

随机对照临床试验。

方法

选取12名接受全身振动训练(35赫兹)的肾移植受者,男女不限,每周进行两次,隔天训练,共12周(WBVG组),并与假手术组(SG组)在干预前后进行评估。

结果

两组之间股四头肌力量和厚度无差异,但训练后分别观察到较大(d = 0.81)和较小(d = 0.44)的效应量。两组在分析前后的坐立试验执行时间均有所改善,但两组之间未显示出优势,不过训练提供了较大的效应量(d = 1.11)。两组在吸气肌力量方面无变化,但在研究期后通过效应量可观察到训练效果(d = 0.59)。6MWT中的步行距离无变化,效应量较小(d = 0.31)。

结论

全身振动计划会引发生理反应,成年肾移植受者必须予以考虑。我们的结果显示,尽管在研究结束时两组之间未观察到差异,但在肌肉力量和股四头肌厚度、吸气肌力量以及6MWT步行距离方面观察到了相当大的效应量。

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