Hoveidaei Amir Human, Hashemi Seyedeh Melika, Pazoki Shayan, Nakhostin-Ansari Amin, Maleki Ghorbani Zahra, Eghdami Shayan, Bahari Hossein, Sarzaeim Mojdeh, Forogh Bijan
Neuromusculoskeletal Research Center, Department of Physical Medicine and Rehabilitation, School of Medicine, Iran University of Medical Sciences.
Sports Medicine Research Center, Neuroscience Institute.
Ann Med Surg (Lond). 2023 Nov 21;86(1):401-411. doi: 10.1097/MS9.0000000000001510. eCollection 2024 Jan.
BACKGROUND AND OBJECTIVE: Chronic ankle instability (CAI) is one of the most common sports injuries, and whole-body vibration (WBV) training has been used lately as a potential rehabilitation modality for these patients. The authors conducted a systematic review and meta-analysis to assess whether WBV training positively affects patients with CAI. MATERIALS AND METHODS: The authors systematically searched four databases, including MEDLINE (PubMed), Scopus, Web of Science, and Cochrane Central Register of Controlled Trials, for randomized and non-randomized trials evaluating the effects of WBV on individuals with CAI. The authors used Cochrane RoB2 to assess the risk of bias in randomized trials. A meta-analysis was conducted if three or more studies measured the same outcome. Effect estimates were pooled using a random-effects model. RESULTS: Results were retrieved from seven articles encompassing 288 participants who had CAI. The reach distance of the Star Excursion Balance Test (SEBT) was regarded as the study's main finding. The authors saw a significant training effect on certain planes of motion on dynamic balance. The findings showed that the post-intervention measurements in the WBV group compared to control groups showed improvements in the posterolateral, posteromedial, and medial directions, respectively. There were also promising results on improvements in muscle activity, strength, and proprioception sense measurements with a great diversity in the reported parameters. CONCLUSION: The authors observed a significant WBV training effect on dynamic balance over posterolateral, posteromedial, and medial reach distances. These findings suggest future studies on the effects of WBV on muscle activity, strength, and proprioception in addition to dynamic and static balance.
背景与目的:慢性踝关节不稳(CAI)是最常见的运动损伤之一,全身振动(WBV)训练近来已被用作这些患者的一种潜在康复方式。作者进行了一项系统评价和荟萃分析,以评估WBV训练是否对CAI患者有积极影响。 材料与方法:作者系统检索了四个数据库,包括MEDLINE(PubMed)、Scopus、科学网和Cochrane对照试验中心注册库,以查找评估WBV对CAI个体影响的随机和非随机试验。作者使用Cochrane RoB2评估随机试验中的偏倚风险。如果有三项或更多研究测量了相同的结局,则进行荟萃分析。效应估计值采用随机效应模型合并。 结果:从七篇文章中检索到结果,这些文章涵盖了288名患有CAI的参与者。星标偏移平衡测试(SEBT)的伸展距离被视为该研究的主要发现。作者发现对动态平衡的某些运动平面有显著的训练效果。研究结果表明,与对照组相比,WBV组干预后的测量结果分别在体后外侧、体后内侧和内侧方向有改善。在肌肉活动、力量和本体感觉测量的改善方面也有令人鼓舞的结果,报告的参数差异很大。 结论:作者观察到WBV训练对体后外侧、体后内侧和内侧伸展距离的动态平衡有显著影响。这些发现表明,未来除了研究WBV对动态和静态平衡的影响外,还应研究其对肌肉活动、力量和本体感觉的影响。
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