全身振动训练对老年人下肢肌肉力量及功能干预效果的Meta分析被引量：17

Effects of Whole-Body Vibration Training on Low Extremity Muscle Strength and Mobility in the Elderly: A Meta-Analysis

下载PDF

导出

摘要目的评价全身振动（WBV）训练对老年人下肢肌肉力量及运动功能的干预效果。方法通过搜索Cochrane图书馆临床对照试验资料库、PubMed、EMbase、Elsevier、Web of Science、中国生物医学文献数据库（CBMdisc）、万方数据库、CNKI等数据库及追溯参考文献,收集研究WBV训练对中老年人下肢肌肉力量及功能进行干预的临床随机对照试验,按入选标准筛选文献后,提取其中的数据进行Meta分析。结果共纳入15篇文献,其中3篇文献得分为5分,5篇文献得分为4分,7篇文献得分为3分。Meta分析结果显示,WBV训练组的下肢肌肉力量增加程度高于未进行任何运动训练的对照组,其中肌肉收缩力量测试结果显示MD=10.11,95%CI 0.46-19.76,力矩测试结果显示MD=7.98,95%CI 2.60-13.36,差异具有统计学意义（P〈0.05）;WBV训练组老年人起立-行走测试（MD=1.39,95%CI 0.73-2.04）和5次起坐测试（MD=1.62,95%CI 0.25-2.98）的完成时间低于对照组（P〈0.05）;WBV训练组老年人步行速度（MD=0.02,95%CI-0.06-0.10）和平衡与步态功能（MD=1.19,95%CI-0.62-3.00）改善程度略优于对照组,但其差异未见统计学意义（P〉0.05）。结论 WBV训练能够有效改善老年人的下肢肌肉力量,增强其下肢运动功能。 Objective To evaluate the effects of whole-body vibration（WBV） training on low extremity muscle strength and mobility in older adults by a meta- analysis. Methods Articles were searched from Cochrane Central Register of Controlled Trials, Pub Med, EMbase,Elsevier, CBMdisc, Wanfang database and CNKI database, and the reference list of each eligible article were also included. Randomized controlled trials which investigated the effect of WBV on mobility and low extremity muscle strength were included in this article. The methodological quality of each selected article was rated by the Jadad Scale. The data on patients＇ characteristics, type of WBV intervention and outcomes were extracted. A meta-analysis was then performed. Results 15 randomized controlled trials involving 803 subjects were included finally. 8 were considered to have good or excellent methodological quality and the rest was rated as fair. Meta- analyses revealed that WBV had a significant treatment effect on leg extension isometric strength（MD=10.11, 95% CI 0.46- 19.76）, knee extension dynamic strength（MD=7.98, 95%CI 2.60-13.36）, and functional measures of mobility such as performance in Timed-Up-and-Go test（MD=1.39, 95%CI 0.73-2.04）, and performance in five times sit to stand test（MD=1.62, 95%CI 0.25-2.98）（P〈0.05）, whereas no significant treatment effect on walk speed（MD=0.02, 95%CI-0.06-0.10） and Tinetti Performance Oriented Mobility Assessment（MD=1.19, 95%CI-0.62-3.00）（P〉0.05）, among older adults compared with the control group. Conclusion WBV may be effective on improving the low extremity muscle strength and mobility among older adults.

作者张丽瓮长水赵占波

机构地区解放军总医院南楼临床部康复医学科北京大学软件与微电子学院

出处《中国康复理论与实践》 CSCD 北大核心 2015年第10期1222-1228,共7页 Chinese Journal of Rehabilitation Theory and Practice

基金解放军总医院临床科研扶持基金项目(No.2013FC-TSYS-3009) 解放军总医院保健适宜技术创新项目(No.2014BJ-JSCX-2004) 全军医药卫生科研基金课题(No.11BJZ14)

关键词全身振动训练肌肉力量运动功能下肢老年人 META分析随机对照试验 whole-body vibration muscle strength mobility low extremity elderly Meta-analysis randomized controlled trials

分类号 R493 [医药卫生—康复医学]

引文网络
相关文献

参考文献30

1王兴泽.振动负荷训练研究进展[J].中国运动医学杂志,2012,31(7):648-653. 被引量：36
2Wysocki A, Butler M, Shamliyan T, et al. Whole-body vibra- tion therapy for osteoporosis: state of the science [J]. Ann In- tern Med, 2011, 155(10): 680-686, W206-W213.
3van Nes IJ, Geurts AC, Hendricks HT, et al. Short-term effects of whole-body vibration on postural control in unilateral chron- ic stroke patients: preliminary evidence [J]. Am J Phys Med Re- habil, 2004, 83(11): 867-873.
4Cochrane D J, Stannard SR. Acute whole body vibration train- ing increases vertical jump and flexibility performance in elite female field hockey players [J]. Br J Sports Med, 2005, 39(11): 860-865.
5Lain FM, Lau RW, Chung RC, et al. The effect of whole body vibration on balance, mobility and falls in older adults: a sys- tematic review and recta-analysis [J]. Maturitas, 2012, 72(3): 206-213.
6Verschueren SM, Bogaerts A, Delecluse C, et al. The effects of whole-body vibration training and vitamin D supplementation on muscle strength, muscle mass, and bone density in institu- tionalized elderly women: a 6-month randomized, controlled trial [J]. J Bone Miner Res, 2011, 26(1): 42-49.
7Nordlund MM, Thorstensson A. Strength training effects of whole-body vibration? [J]. Stand J Med Sci Sports, 2007, 17 (1): 12-17.
8Moher D, Jadad AR, Tugwell E Assessing the quality of ran- domized controlled trials. Current issues and future direc- tions [J]. Int J Technol Assess Health Care, 1996, 12(2): 195-208.
9Beaudart C, Maquet D, Mannarino M, et al. Effects of 3 months of short sessions of controlled whole body vibrations on the risk of falls among nursing home residents [J]. BMC Geriatr, 2013, 13: 42.
10Bogaerts AC, Delecluse C, Claessens AL, et al. Effects of whole body vibration training on cardiorespiratory fitness and muscle strength in older individuals (a 1-year randomised con- trolled trial) [J]. Age Ageing, 2009, 38(4): 448-454.