全身振动对女大学生平路行走时趾角程度及其与膝关节骨关节炎指数相关性的影响：一项随机对照试验

Whole-Body Vibration Impacts on the Degree of Toe Angle and Its Correlation to the Knee Osteoarthritis Index during Level Walking among Female University Students: A Randomized Controlled Trial.

作者信息

Abd-Eltawab Amany E, Elbandrawy Asmaa M, Ghanem Heba B, Ebrahim Hasnaa A, El-Sherbiny Mohamed, Ibrahim Ateya Megahed, Eladl Mohamed Ahmed, Elsherbini Dalia Mahmoud Abdelmonem

机构信息

Physical Therapy and Health Rehabilitation Department, Faculty of Applied Medical Sciences, Jouf University, Sakaka P.O. Box 2014, Saudi Arabia.

Biomechanics Department, Faculty of Physical Therapy, Cairo University, Giza P.O. Box 12612, Egypt.

出版信息

J Clin Med. 2023 Sep 3;12(17):5735. doi: 10.3390/jcm12175735.

DOI:10.3390/jcm12175735

PMID:37685802

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10488986/

Abstract

Whole-body vibration (WBV) training is used for ankle rehabilitation as it stimulates muscle spindles to excite tonic vibration reflexes, and improves muscle strength, power, joint proprioception, balance, and flexibility. Thus, this study aims to determine the impact of whole-body vibration on the degree of the toe angle and the correlation between the toe angle and knee osteoarthritis index during level walking among female university students. A randomized controlled trial was conducted with 42 participants divided into two groups. The control group performed only home-based exercise (HBE) after education, and the study group received WBV with HBE. The functional status of participants to predict osteoarthritis was evaluated using the Western Ontario and McMaster osteoarthritis index (WOMAC), where the toe angle degree and WOMAC index were assessed before and six weeks after training. The results showed a significant improvement in the toe-in angle of HBE + WBV compared to the HBE group ( = 0.02), and in HBE + WBV, an improvement of the toe angle showed a 43% decrease in the WOMAC index ( = 0.001). In conclusion, WBV for the ankle and foot training program positively affected the degree of the toe angle, that directly affected the subtalar and ankle joint mechanics. Trial registration in the Pan African Clinical Trial Registry PACTR202304816093190 (registered retrospectively, date of registration: 18 April 2023).

摘要

全身振动（WBV）训练用于踝关节康复，因为它能刺激肌梭以激发紧张性振动反射，并提高肌肉力量、功率、关节本体感觉、平衡和灵活性。因此，本研究旨在确定全身振动对女大学生平步行走时脚趾角度程度的影响以及脚趾角度与膝关节骨关节炎指数之间的相关性。对42名参与者进行了一项随机对照试验，将其分为两组。对照组在接受教育后仅进行家庭锻炼（HBE），研究组则接受全身振动训练并结合家庭锻炼。使用西安大略和麦克马斯特大学骨关节炎指数（WOMAC）评估参与者预测骨关节炎的功能状态，在训练前和训练六周后评估脚趾角度度数和WOMAC指数。结果显示，与HBE组相比，HBE + WBV组的内收趾角度有显著改善（ = 0.02）；在HBE + WBV组中，脚趾角度的改善使WOMAC指数降低了43%（ = 0.001）。总之，踝关节和足部训练计划中的全身振动对脚趾角度程度有积极影响，这直接影响距下关节和踝关节力学。在泛非临床试验注册中心PACTR202304816093190进行试验注册（追溯注册，注册日期：2023年4月18日）。