全身振动训练对老年人肌肉反应及跌倒风险的影响：一项系统综述
Effects of Whole-Body Vibration Exercises on Muscle Responses and on Risk of Falls in Elderly Individuals: A Systematic Review.
作者信息
De Meirelles Alexandre Gonçalves, Moreira-Marconi Eloá, Teixeira-Silva Ygor, Gomes Santos Aline Cristina, Da Silva Caiado Vanessa, Jaques-Albuquerque Luelia Teles, Coelho-Oliveira Ana Carolina, Moura-Fernandes Marcia Cristina, Paineiras-Domingos Laisa Liane, Amadeu Thaís Porto, Sonza Anelise, De Oliveira Liszt Palmeira, Seixas Adérito, Bernardo-Filho Mario, De Sá-Caputo Danúbia Da Cunha
机构信息
Master Program in Health, Laboratory Medicine and Forensic Technology, Department of Biophysics and Biometry, Institute of Biology Roberto Alcântara Gomes and Polyclinic Piquet Carneiro, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
Laboratory of Mechanical Vibrations and Integrative Practices-LAVIMPI, Department of Biophysics and Biometry, Institute of Biology Roberto Alcântara Gomes and Polyclinic Piquet Carneiro, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
出版信息
Iran J Public Health. 2024 Jun;53(6):1213-1223.
BACKGROUND
This systematic review was conducted to assess the effects of whole-body vibration (WBV) exercises on muscles responses and on risk of falls in elderly individuals.
METHODS
Searches were conducted in MEDLINE/PubMed, Physiotherapy Evidence Database (PEDro), Web of Science, CINAHL and Scopus databases in Feb 2023 to identify studies with the potential to be included according to the eligibility criteria. Relevant data from included studies were extracted. The methodological quality was evaluated for each study included by PEDro scale, risk of bias (Cochrane Collaboration's tool), and the level of evidence by National Health and Medical Research Council (NHMRC).
RESULTS
Six randomized clinical trial (RCT) were included. In respect of the level of evidence, all studies were classified as Level II (NHMRC) and regarding to the methodological quality (PEDro scale), four studies were considered 'high' and two were 'fair'. Two publications presented low risk of bias, three with high risk of bias and one unclear. All the selected studies reported positive effects and improvements on risk of falls and muscle response after WBV exercise.
CONCLUSION
WBV exercise may contribute to reduce the risk of falls and improve muscle responses in the elderly individuals.
背景
本系统评价旨在评估全身振动（WBV）运动对老年人肌肉反应和跌倒风险的影响。
方法
2023年2月在MEDLINE/PubMed、物理治疗证据数据库（PEDro）、科学网、CINAHL和Scopus数据库中进行检索，以识别根据纳入标准可能纳入的研究。提取纳入研究的相关数据。采用PEDro量表、偏倚风险（Cochrane协作工具）和国家卫生与医学研究委员会（NHMRC）的证据水平对每个纳入研究的方法学质量进行评估。
结果
纳入六项随机临床试验（RCT）。就证据水平而言，所有研究均被归类为II级（NHMRC）；就方法学质量（PEDro量表）而言，四项研究被认为“高”，两项为“中等”。两篇出版物的偏倚风险较低，三篇偏倚风险较高，一篇不明确。所有选定的研究均报告了WBV运动后跌倒风险和肌肉反应的积极影响和改善。
结论
WBV运动可能有助于降低老年人的跌倒风险并改善肌肉反应。
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