全身振动治疗绝经后骨质疏松症的疗效：系统评价和荟萃分析。
Therapeutic effects of whole-body vibration on postmenopausal women with osteoporosis: a systematic review and meta-analysis.
机构信息
Department of Rehabilitation Medicine, Zibo Central Hospital, Zibo, Shandong, China.
Department of Rehabilitation Medicine, the Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.
出版信息
Braz J Med Biol Res. 2024 Nov 4;57:e13996. doi: 10.1590/1414-431X2024e13996. eCollection 2024.
The objective of this study was to assess the efficacy of whole-body vibration (WBV) on bone mineral density (BMD), pain levels, and body composition in postmenopausal women with osteoporosis (PMOP). Relevant studies were retrieved from the PubMed, EMBASE, Web of science, CENTRAL, and PEDro databases. Thirteen randomized controlled trials with 783 patients were enrolled. The meta-analysis results showed that WBV can significantly increase lumbar spine BMD (WMD=0.018; 95%CI: 0.004 to 0.032; P=0.011), femoral neck BMD (WMD=0.005, 95%CI: 0.001 to 0.011, P=0.0493), and reduce pain degree (WMD=-0.786; 95%CI: -1.300 to -0.272; P=0.0027) in PMOP, but has no significant effect on patients' muscle mass (WMD=0.547; 95%CI: -1.104 to 2.199; P=0.5158) as well as fat mass (WMD=0.530; 95%CI: -2.389 to 3.448; P=0.7222). To conclude, WBV showed the potential to provide positive benefits in improving BMD and relieving pain of PMOP.
本研究旨在评估全身振动（WBV）对骨质疏松症（PMOP）绝经后妇女骨密度（BMD）、疼痛水平和身体成分的疗效。从 PubMed、EMBASE、Web of Science、CENTRAL 和 PEDro 数据库中检索到相关研究。共纳入 13 项随机对照试验，共 783 例患者。荟萃分析结果表明，WBV 可显著增加腰椎骨密度（WMD=0.018；95%CI：0.004 至 0.032；P=0.011）、股骨颈骨密度（WMD=0.005，95%CI：0.001 至 0.011，P=0.0493），降低疼痛程度（WMD=-0.786；95%CI：-1.300 至 -0.272；P=0.0027），但对患者的肌肉质量（WMD=0.547；95%CI：-1.104 至 2.199；P=0.5158）和脂肪质量（WMD=0.530；95%CI：-2.389 至 3.448；P=0.7222）无显著影响。综上所述，WBV 在改善 PMOP 患者的 BMD 和缓解疼痛方面具有潜在的益处。
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