Gonçalves de Oliveira Raphael, Coutinho Heloísa Maria Elaine Licha, Martins Maiara Naldi Mansano, Bernardo-Filho Mario, de Sá-Caputo Danúbia da Cunha, Campos de Oliveira Laís, Taiar Redha
Postgraduate Program in Human Movement Sciences, Universidade Estadual do Norte do Paraná, Jacarezinho 86400-000, PR, Brazil.
Postgraduate Program in Physical Exercise in Health Promotion, Universidade Norte do Paraná, Londrina 86041-120, PR, Brazil.
J Clin Med. 2023 Jul 3;12(13):4467. doi: 10.3390/jcm12134467.
Randomized clinical trials (RCTs) were conducted to identify the effectiveness of whole-body vibration (WBV) on strength, power, and muscular endurance in older adults. However, the results of different studies are contradictory.
To verify the impacts of the WBV on strength, power, and muscular endurance in older adults.
The search was carried out in PubMed, Embase, CENTRAL, CINAHL, SPORTDiscus, Web of Science, LILACS and PEDro databases. Methodological quality was assessed using the PEdro scale. Meta-analysis calculations were performed using the standardized mean difference, comparing WBV with control groups and WBV with other types of exercise.
Thirty-four studies were included in the current systematic review. Most studies (56%) had low methodological quality (PEDro score < 6). WBV, compared with control groups, has significant effects on muscle strength of knee extensors and flexors, lower limb extensors, and ankle plantar flexors. There were no differences between WBV and other types of exercise. Subgroup analyzes demonstrated that, in general, the significant results observed in the primary analyzes were not dependent on body position during vibration, kind of vibration, cumulative dose or magnitude of WBV.
WBV was effective in increasing lower limb muscle strength. However, no significant results were observed for upper limb strength, lower limb power, and lower and upper limb muscle endurance in older adults. However, more studies are needed to better understand the physiological impacts of WBV in older.
开展了随机临床试验（RCT），以确定全身振动（WBV）对老年人力量、功率和肌肉耐力的有效性。然而，不同研究的结果相互矛盾。
验证WBV对老年人力量、功率和肌肉耐力的影响。
在PubMed、Embase、CENTRAL、CINAHL、SPORTDiscus、科学网、LILACS和PEDro数据库中进行检索。使用PEDro量表评估方法学质量。采用标准化均数差值进行Meta分析计算，比较WBV与对照组以及WBV与其他类型运动。
本系统评价纳入了34项研究。大多数研究（56%）的方法学质量较低（PEDro评分<6）。与对照组相比，WBV对膝伸肌和屈肌、下肢伸肌以及踝跖屈肌的肌肉力量有显著影响。WBV与其他类型运动之间没有差异。亚组分析表明，总体而言，在主要分析中观察到的显著结果不依赖于振动期间的身体姿势、振动类型、累积剂量或WBV的幅度。
WBV在增加老年人下肢肌肉力量方面有效。然而，在老年人上肢力量、下肢功率以及上下肢肌肉耐力方面未观察到显著结果。然而，需要更多研究来更好地了解WBV对老年人的生理影响。
