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全身振动、电刺激和磁刺激在肌肉萎缩症患者中的应用:一项范围综述

The Use of Whole-Body Vibration, Electrical Stimulation, and Magnetic Stimulation in Muscle Dystrophy Patients: A Scoping Review.

作者信息

Venieri Aikaterini, Sarabon Nejc

机构信息

Faculty of Health Sciences, University of Primorska, Koper, SVN.

Sports Excellence/1st Department of Orthopedics, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.

出版信息

Cureus. 2024 Aug 17;16(8):e67051. doi: 10.7759/cureus.67051. eCollection 2024 Aug.

DOI:10.7759/cureus.67051
PMID:39286699
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11403332/
Abstract

The purpose of this scoping review was to report the effects of vibration therapy, electrical stimulation, and transcranial magnetic stimulation on patients with muscle dystrophies. The outcome measures were muscle strength, body composition, balance, and functional mobility of these patients. We used the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines and the Arksey and O'Malley framework. The literature review was conducted on PubMed. We included studies that were written in English, were peer-reviewed, without regard to the publication date, and implemented a form of "vibration therapy" or "electrical stimulation" or "magnetic stimulation" as an intervention program of any duration. Overall, 14 studies were retrieved. Most of the studies applied whole-body vibration (WBV) therapy or electrical stimulation and only one was found that implemented transcranial magnetic stimulation. The interventions were reported but there was a variety in duration or the frequency of the program, as well as in the disease progression of the patients. It seems that WBV, electrical stimulation, and magnetic stimulation have positive outcomes, but these vary depending on the muscle deficits and limitations of the patients with muscle dystrophy. It is recommended that future studies should be conducted in order to determine the ideal prescription of each intervention, so as to be as beneficial as possible.

摘要

本范围综述的目的是报告振动疗法、电刺激和经颅磁刺激对肌肉萎缩症患者的影响。结局指标为这些患者的肌肉力量、身体成分、平衡能力和功能活动能力。我们采用了系统评价与Meta分析的首选报告项目(PRISMA)指南以及阿克西和奥马利框架。在PubMed上进行了文献综述。我们纳入了用英文撰写、经过同行评审、不考虑发表日期且实施了任何时长的“振动疗法”或“电刺激”或“磁刺激”作为干预方案的研究。总体而言,共检索到14项研究。大多数研究应用了全身振动(WBV)疗法或电刺激,仅发现一项实施了经颅磁刺激。报告了干预措施,但方案的时长或频率以及患者的疾病进展存在差异。似乎WBV、电刺激和磁刺激均有积极效果,但这些效果因肌肉萎缩症患者的肌肉缺陷和限制而有所不同。建议开展未来研究以确定每种干预的理想处方,从而尽可能有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3bc/11403332/d6c4d46ca29d/cureus-0016-00000067051-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3bc/11403332/d6c4d46ca29d/cureus-0016-00000067051-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3bc/11403332/d6c4d46ca29d/cureus-0016-00000067051-i01.jpg

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JBMR Plus. 2022 Oct 18;6(11):e10685. doi: 10.1002/jbm4.10685. eCollection 2022 Nov.
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Duchenne muscular dystophy: A short review and treatment update.杜氏肌营养不良症:简短综述与治疗进展
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Exercise Training in Duchenne Muscular Dystrophy: A Systematic Review and Meta-Analysis.
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J Rehabil Med. 2022 Jan 11;54:jrm00250. doi: 10.2340/jrm.v53.985.
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Multifocal Noninvasive Magnetic Stimulation of the Primary Motor Cortex in Type 1 Myotonic Dystrophy -A Proof of Concept Pilot Study.1 型强直性肌营养不良症的初级运动皮层多灶性无创性磁刺激 - 概念验证性初步研究。
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Muscle Nerve. 2021 Aug;64(2):190-198. doi: 10.1002/mus.27323. Epub 2021 Jun 9.
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