Department of Rehabilitation Sciences, 74615Wuhan Polytechnic University, Hubei, China.
Clin Rehabil. 2022 Mar;36(3):342-349. doi: 10.1177/02692155211050564. Epub 2021 Nov 19.
OBJECTIVE: To explore the optimal frequency of whole-body vibration training for improving the balance and physical performance in older people with chronic stroke. DESIGN: a single-blind randomized controlled trial. SETTING: Two rehabilitation units in the Wuhan Brain Hospital in China. PARTICIPANTS: A total of 78 seniors with chronic stroke. INTERVENTIONS: Low-frequency group (13 Hz), high-frequency group (26 Hz), and zero-frequency group (Standing on the vibration platform with 0 Hz) for 10 sessions of side-alternating WBV training. MAIN MEASURES: The timed-up-and-go test, five-repetition sit-to-stand test, 10-metre walking test, and Berg balance scale were assessed pre- and post-intervention. RESULTS: Significant time × group interaction effects in five-repetition sit-to-stand test (p = 0.014) and timed-up-and-go test at self-preferred speed (p = 0.028) were observed. The high-frequency group outperformed the zero-frequency group in both five-repetition sit-to-stand test (p = 0.039) and timed-up-and-go test at self-preferred speed (p = 0.024) after 10-sessions training. The low-frequency group displayed only a significant improvement in five-repetition sit-to-stand test after training (p = 0.028). No significant within- or between-group changes were observed in the Berg balance scale and walking speed (p > 0.05). No significant group-difference were found between low-frequency and high-frequency groups. No adverse events were reported during study. CONCLUSIONS: Compared with 13 Hz, 26 Hz had no more benefits on balance and physical performance in older people with chronic stroke.
目的:探索全身振动训练改善慢性脑卒中老年人平衡和身体机能的最佳频率。 设计:单盲随机对照试验。 地点:中国武汉脑科医院的两个康复单元。 参与者:共 78 名患有慢性脑卒中的老年人。 干预措施:低频组(13 Hz)、高频组(26 Hz)和零频组(站在 0 Hz 的振动平台上),进行 10 次交替侧位全身振动训练。 主要观察指标:干预前后采用计时起立行走测试、五次重复坐立测试、10 米步行测试和 Berg 平衡量表进行评估。 结果:五次重复坐立测试(p=0.014)和自主选择速度计时起立行走测试(p=0.028)中观察到时间与分组的显著交互作用。高频组在五次重复坐立测试(p=0.039)和自主选择速度计时起立行走测试(p=0.024)中均优于零频组。10 次训练后低频组仅在五次重复坐立测试中显示出显著改善(p=0.028)。Berg 平衡量表和步行速度在组内和组间均无显著变化(p>0.05)。低频组和高频组之间未发现显著的组间差异。研究过程中未报告任何不良事件。 结论:与 13 Hz 相比,26 Hz 对慢性脑卒中老年人的平衡和身体机能没有更多益处。
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