全身振动训练对慢性踝关节不稳姿势稳定性影响的Meta分析

doi:10.3969/j.issn.1006-9771.2023.04.008

摘要/Abstract

摘要：

目的对全身振动训练干预慢性踝关节不稳(CAI)患者姿势稳定性的效果进行Meta分析。
方法检索PubMed、Cochrane Library、Web of Science、物理治疗证据数据库(PEDro)、中国知网和万方数据库中全身振动训练干预CAI患者姿势稳定性相关的随机对照试验(RCT)，时间范围自建库至2022年11月。同时追溯纳入研究的参考文献，补充相关文献。由两名研究人员独立检索、筛选，并提取相关数据。采用PEDro量表进行质量评价，采用Cochrane手册独立评估偏倚风险。采用Review Manager 5.3进行Meta分析，采用Stata 15.0进行Egger检验来判断发表偏倚。
结果最终纳入RCT 12篇，共440例受试者。与其他运动或者无干预相比，全身振动训练能够改善压力中心偏移面积(MD = -0.70, 95% CI -0.97~-0.43, P < 0.001)和星形偏移平衡测试的前向(MD = 6.16, 95% CI 3.88~8.44, P < 0.001)、后内向(MD = 6.22, 95% CI 3.68~8.76, P < 0.001)、后外向(MD = 6.68, 95% CI 4.28~9.08, P < 0.001)、前内向(MD = 8.78, 95% CI 6.71~10.85, P < 0.001)、内向(MD = 4.16, 95% CI 1.46~6.86, P = 0.002)、后向(MD = 6.69, 95% CI 3.81~9.58, P < 0.001)、外向(MD = 12.37, 95% CI 8.09~16.65, P < 0.001)和前外向(MD = 5.29, 95% CI 1.44~9.13, P = 0.007)距离。但两组间总体稳定指数(MD = 0.02, 95% CI -0.05~0.09, P = 0.643)和跳跃试验(MD = 6.24, 95% CI -8.80~21.28, P = 0.416)比较无显著性差异。
结论全身振动训练能够提高CAI患者星形偏移平衡测试各个方向的可达距离，而对于压力中心偏移面积的改善需更多研究来确定。

关键词: 慢性踝关节不稳, 全身振动训练, 姿势稳定性, Meta分析

Abstract:

Objective To investigate the effects of whole body vibration training on postural stability in patients with chronic ankle instability (CAI) using meta-analysis.
Methods Randomized controlled trials about whole body vibration training on patients with CAI in relation to postural stability were retrieved from PubMed, Cochrane Library, Web of Science, Physiotherapy Evidence Database (PEDro) scale, CNKI and WanFang data from inception to November, 2022. Reference lists of included studies were also traced to supplement the relevant literature. Two researchers independently searched the literature, and extracted relevant data. The PEDro scale was used to assess the quality, and the Cochrane Handbook was used to assess the risk of bias. The meta-analysis was conducted using Review Manager 5.3. And Stata 15.0 was used to conduct the Egger's test to assess publication bias.
Results Twelve randomized controlled trials involving 440 individuals were included. Compared with the other exercises or no exercise, whole body vibration training could improve the center of pressure-area (MD = -0.70, 95% CI -0.97 to -0.43, P < 0.001) and the Star Excursion Balance Test in the direction of anterior (MD = 6.16, 95% CI 3.88 to 8.44, P < 0.001), posteromedial (MD = 6.22, 95% CI 3.68 to 8.76, P < 0.001), posterolateral (MD = 6.68, 95% CI 4.28 to 9.08, P < 0.001), anteromedial (MD = 8.78, 95% CI 6.71 to 10.85, P < 0.001), medial (MD = 4.16, 95% CI 1.46 to 6.86, P = 0.002), posterior (MD = 6.69, 95% CI 3.81 to 9.58, P < 0.001), lateral (MD =12.37, 95% CI 8.09 to 16.65, P < 0.001) and anterolateral (MD = 5.29, 95% CI 1.44 to 9.13, P = 0.007). However, there was no significant difference in the overall stability index (MD = 0.02, 95% CI -0.05 to 0.09, P = 0.643) and hop-test (MD = 6.24, 95% CI -8.80 to 21.28, P = 0.416) between whole body vibration training and other exercises or no exercise.
Conclusion Whole body vibration training can improve the range of all directions of the Star Excursion Balance Test in individuals with CAI. However, more studies are needed to determine the improvement of center of pressure-area.

Key words: chronic ankle instability, whole body vibration training, postural stability, meta-analysis

中图分类号:

R684.7

于歌, 王璐, 陈亚平. 全身振动训练对慢性踝关节不稳姿势稳定性影响的Meta分析[J]. 《中国康复理论与实践》, 2023, 29(4): 423-432.

YU Ge, WANG Lu, CHEN Yaping. Effects of whole body vibration training on postural stability in chronic ankle instability: a meta-analysis[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(4): 423-432.

图/表 15

图1

表1

纳入文献的基本特征"

纳入研究	n(对照组/试验组)	年龄(对照组/试验组)/岁	干预方式		干预频率、时长	干预周期	结局指标	PEDro评分
纳入研究	n(对照组/试验组)	年龄(对照组/试验组)/岁	对照组	试验组	干预频率、时长	干预周期	结局指标	PEDro评分
Cloak等^[28](2010)	19/19	19±1.3/ 19±0.8	无干预	全身振动训练	30~40 Hz，每次10~14 min	每周2次，共6周	COP、SEBT	5
张晓亚^[29](2016)	19/21	20.7±1.9/ 22.1±2.0	本体感觉训练	全身振动训练	30~40 Hz，每次8~15 min	每周2次，共6周	mSEBT	5
黄鹏等^[30](2016)	12/12	19.8±2.0/ 20.1±1.8	平衡训练	全身振动训练	30 Hz，每次21 min	每周3次，共8周	OSI	5
汤晨曦^[31](2017)	15/15	22.0±1.9/ 21.9±2.5	力量和平衡训练	全身振动训练	30~36 Hz，每次6 min	每周3次，共8周	OSI	5
徐珊珊^[32](2018)	12/12	20.0±2.0/ 19.8±2.1	力量和本体感觉训练	全身振动训练	40 Hz，每次6 min	每周3次，共8周	OSI、SEBT	5
Sierra-Guzmán等^[15](2018)	17/17/16	23.6±3.4/ 22.4±2.6/ 21.8±2.1	无干预	全身振动训练/平衡训练	30~40 Hz，每次63 min	每周3次，共6周	OSI、SEBT	7
Chang等^[14](2021)	21/21/21	21.23±1.47/ 20.31±1.28/ 20.43±1.25	无干预	全身振动训练/ 平衡训练	5 Hz，每次20 min	每周3次，共6周	SEBT	5
Shamseddini Sofla等^[16](2021)	10/12/12	38.40±10.49/ 40.58±8.76/ 35.83±12.08	无干预	全身振动训练+不平稳鞋底/全身振动训练	30~40 Hz，每次13~18 min	每周3次，共3周	mSEBT、跳跃试验	7
常梦悦^[33](2021)	15/15/15	22.53±1.69/ 22.31±1.65/ 22.40±1.64	平衡训练	全身振动训练+平衡训练/全身振动训练	30~45 Hz，每次20 min	每周3次，共6周	mSEBT、OSI	5
Jeong等^[34](2017)	15/15	22.51±2.62/ 21.94±2.54	神经肌肉训练	全身振动训练	5~25 Hz，每次30 min	每周3次，共6周	COP	5
高晓娟等^[35](2020)	12/14	20±0.7/ 19±1.1	力量和本体感觉训练	全身振动训练	30~45 Hz，每次54 min	每周2次，共8周	跳跃试验	5
Kruatiwa等^[36](2021)	12/12/12	20.83±1.58/ 20.06±0.94/ 19.66±3.28	无干预	全身振动训练/本体感觉训练	30~50 Hz，每次30 min	每周3次，共6周	mSEBT	6

表1

图2

图3

图4

图5

图6

图7

图8

图9

图10

图11

图12

图13

图14

参考文献 72

[1]	GRIBBLE P A, DELAHUNT E, BLEAKLEY C M, et al. Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the International Ankle Consortium[J]. J Athl Train, 2014, 49(1): 121-127. doi: 10.4085/1062-6050-49.1.14
[2]	LIN C I, HOUTENBOS S, LU Y H, et al. The epidemiology of chronic ankle instability with perceived ankle instability: a systematic review[J]. J Foot Ankle Res, 2021, 14(1): 41. doi: 10.1186/s13047-021-00480-w
[3]	HERTEL J, CORBETT R O. An updated model of chronic ankle instability[J]. J Athl Train, 2019, 54(6): 572-588. doi: 10.4085/1062-6050-344-18
[4]	CHO B K, PARK J K. Correlation between joint-position sense, peroneal strength, postural control, and functional performance ability in patients with chronic lateral ankle instability[J]. Foot Ankle Int, 2019, 40(8): 961-968. doi: 10.1177/1071100719846114
[5]	GRIBBLE P A, BLEAKLEY C M, CAULFIELD B M, et al. Evidence review for the 2016 International Ankle Consortium consensus statement on the prevalence, impact and long-term consequences of lateral ankle sprains[J]. Br J Sports Med, 2016, 50(24): 1496-1505. doi: 10.1136/bjsports-2016-096189
[6]	ARNOLD B L, DE LA MOTTE S, LINENS S, et al. Ankle instability is associated with balance impairments: a meta-analysis[J]. Med Sci Sports Exerc, 2009, 41(5):1048-1062. doi: 10.1249/MSS.0b013e318192d044
[7]	DOHERTY C, BLEAKLEY C, HERTEL J, et al. Dynamic balance deficits in individuals with chronic ankle instability compared to ankle sprain copers 1 year after a first-time lateral ankle sprain injury[J]. Knee Surg Sports Traumatol Arthrosc, 2016, 24(4): 1086-1095. doi: 10.1007/s00167-015-3744-z
[8]	XUE X, MA T, LI Q, et al. Chronic ankle instability is associated with proprioception deficits: a systematic review and meta-analysis[J]. J Sport Health Sci, 2021, 10(2): 182-191. doi: 10.1016/j.jshs.2020.09.014 pmid: 33017672
[9]	HERZOG M M, KERR Z Y, MARSHALL S W, et al. Epidemiology of ankle sprains and chronic ankle instability[J]. J Athl Train, 2019, 54(6): 603-610. doi: 10.4085/1062-6050-447-17
[10]	AL MAHROUQI M M, MACDONALD D A, VICENZINO B, et al. Quality of life, function and disability in individuals with chronic ankle symptoms: a cross-sectional online survey[J]. J Foot Ankle Res, 2020, 13(1): 67. doi: 10.1186/s13047-020-00432-w pmid: 33198773
[11]	KOSIK K B, JOHNSON N F, TERADA M, et al. Health-related quality of life among middle-aged adults with chronic ankle instability, copers, and uninjured controls[J]. J Athl Train, 2020, 55(7): 733-738. doi: 10.4085/1062-6050-190-19
[12]	HADADI M, HEGHIGHAT F, HOSSEIN I. Comparison of health-related quality of life in different types of chronic ankle instability[J]. Phys Med Rehabil Kuror, 2020, 30(4): 230-236.
[13]	DONOVAN L, HETZEL S, LAUFENBERG C R, et al. Prevalence and impact of chronic ankle instability in adolescent athletes[J]. Orthop J Sports Med, 2020, 8(2): 2325967119900962.
[14]	CHANG W D, CHEN S, TSOU Y A. Effects of whole-body vibration and balance training on female athletes with chronic ankle instability[J]. J Clin Med, 2021, 10(11): 2380. doi: 10.3390/jcm10112380
[15]	SIERRA-GUZMÁN R, JIMÉNEZ-DIAZ F, RAMÍREZ C, et al. Whole-body-vibration training and balance in recreational athletes with chronic ankle instability[J]. J Athl Train, 2018, 53(4): 355-363. doi: 10.4085/1062-6050-547-16
[16]	SHAMSEDDINI SOFLA F, HADADI M, REZAEi I, et al. The effect of the combination of whole body vibration and shoe with an unstable surface in chronic ankle instability treatment: a randomized clinical trial[J]. BMC Sports Sci Med Rehabil, 2021, 13(1): 28. doi: 10.1186/s13102-021-00256-6 pmid: 33741051
[17]	TOHIDAST S A, BAGHERI R, SAFAVI-FAROKHI Z, et al. The effects of acute and long-term whole-body vibration training on the postural control during cognitive task in patients with chronic ankle instability[J]. J Sport Rehabil, 2021, 30(8): 1121-1128. doi: 10.1123/jsr.2021-0034
[18]	耿治中, 汪冕, 陈建, 等. 全身振动训练治疗慢性踝关节不稳的研究进展[J]. 中国康复理论与实践, 2019, 25(8): 903-907. doi: 10.3969/j.issn.1006-9771.2019.08.005
	GENG Z Z, WANG M, CHEN J, et al. Advances in whole body vibration training for chronic ankle instability (review)[J]. Chin J Rehabil Theory Pract, 2019, 25(8): 903-907.
[19]	刘羽多, 万祥林. 本体感觉神经肌肉促进法和全身振动训练对功能性踝关节不稳干预效果的比较[J]. 中国康复理论与实践, 2022, 28(7): 776-782. doi: 10.3969/j.issn.1006-9771.2022.07.006
	LIU Y D, WAN X L. Comparison of effects of proprioceptive neuromuscular facilitation and whole body vibration training on functional ankle instability[J]. Chin J Rehabil Theory Pract, 2022, 28(7): 776-782.
[20]	CARDINALE M, BOSCO C. The use of vibration as an exercise intervention[J]. Exerc Sport Sci Rev, 2003, 31(1): 3-7. doi: 10.1097/00003677-200301000-00002 pmid: 12562163
[21]	HUANG M, LIAO L R, PANG M Y. Effects of whole body vibration on muscle spasticity for people with central nervous system disorders: a systematic review[J]. Clin Rehabil, 2017, 31(1): 23-33. doi: 10.1177/0269215515621117 pmid: 26658333
[22]	MARÍN P J, GARCÍA-GUTIÉRREZ M T, DA SILVA-GRIGOLETTO M E, et al. The addition of synchronous whole-body vibration to battling rope exercise increases skeletal muscle activity[J]. J Musculoskelet Neuronal Interact, 2015, 15(3): 240-248.
[23]	POLLOCK R D, WOLEDGE R C, MARTIN F C, et al. Effects of whole body vibration on motor unit recruitment and threshold[J]. J Appl Physiol, 2012, 112(3): 388-395. doi: 10.1152/japplphysiol.01223.2010 pmid: 22096119
[24]	刘俏, 扈盛, 李永杰, 等. 全身振动训练对慢性踝关节不稳影响的Meta分析[J]. 中国康复, 2020, 35(10): 535-540.
	LIU Q, HU S, LI Y J, et al. Influence of whole body vibration training on chronic ankle instability: a meta-analysis[J]. Chin J Rehabil, 2020, 35(10): 535-540.
[25]	TAN J, WU X, CLARK C C T, et al. The effect of whole body vibration on sensorimotor deficits in people with chronic ankle instability: a systematic review and meta-analysis[J]. Clin Rehabil, 2022, 36(8): 1016-1031. doi: 10.1177/02692155221095651
[26]	HIGGINS J P, THOMAS J, CHANDLER J, et al. Cochrane handbook for systematic reviews of interventions[M]. 2nd ed. Chichester, UK: John Wiley & Sons, 2019.
[27]	EGGER M, DAVEY SMITH G, SCHNEIDER M, et al. Bias in meta-analysis detected by a simple, graphical test[J]. BMJ, 1997, 315(7109): 629-634. doi: 10.1136/bmj.315.7109.629 pmid: 9310563
[28]	CLOAK R, NEVILL A M, CLARKE F, et al. Vibration training improves balance in unstable ankles[J]. Int J Sports Med, 2010, 31(12): 894-900. doi: 10.1055/s-0030-1265151 pmid: 21072738
[29]	张晓亚. 振动训练对功能性踝关节不稳患者的康复训练效果研究[D]. 北京: 北京体育大学, 2016: 1-68.
	ZHANG X Y. The effect of vibration training in functional ankle instability populations' rehabilitation[D]. Beijing: Beijing Sport University, 2016: 1-68.
[30]	黄鹏, 吕倩楠, 陈子嫣, 等. 下肢振动训练对功能性踝关节不稳的影响研究[J]. 运动人体科学, 2016, 6(1): 10-14.
	HUANG P, LÜ Q N, CHEN Z Y, et al. Research on influence of functional ankle instability with the vibration training to lower limb[J]. Contemp Sports Sci, 2016, 6(1): 10-14.
[31]	汤晨曦. 同振幅递进频率全身振动训练对功能性踝关节不稳的影响[D]. 成都: 成都体育学院, 2017.
	TANG C X. Effects of whole body vibration training with the same amplitude progressive frequency on the functional ankle instability[D]. Chengdu: Chengdu Sport University, 2017.
[32]	徐珊珊. 机械振动结合短时间小强度康复训练对功能性踝关节不稳的影响[D]. 武汉: 武汉体育学院, 2018.
	XU S S. Effect of mechanical vibration combined with short-time and low-intensity rehabilitation training on functional ankle instability[D]. Wuhan: Wuhan Sport University, 2018.
[33]	常梦悦. 全身振动联合平衡训练对功能性踝关节不稳患者的疗效研究[D]. 西安: 西安体育学院, 2021.
	CHANG M Y. The effects of whole-body vibration combined with balance training on patients with functional ankle instability[D]. Xi'an: Xi'an Sport University, 2021.
[34]	JEONG Y S, KIM J H. Effects of whole body vibration exercise on lower extremity muscle activity and balance ability in football player with chronic ankle instability[J]. J Korean Phys Soc, 2017, 29: 293-298.
[35]	高晓娟, 储照伟, 李文言, 等. 变频振动训练对功能性踝关节不稳的影响[J]. 医用生物力学, 2020, 35(6): 685-691.
	GAO X J, CHU Z W, LI W Y, et al. Effects of vibration training with adjusted frequency on functional ankle instability[J]. J Med Biomech, 2020, 35(6): 685-691.
[36]	KRUATIWA N, YIMLAMAI T. Effects of two rehabilitation programs on dynamic balance in athletes with functional ankle instability[J]. J Exerc Physiol Online, 2021, 24(4): 109-120.
[37]	SIERRA-GUZMÁN R, JIMÉNEZ J F, RAMÍREZ C, et al. Effects of synchronous whole body vibration training on a soft, unstable surface in athletes with chronic ankle instability[J]. Int J Sports Med, 2017, 38(6): 447-455. doi: 10.1055/s-0043-102571
[38]	YOUNG S, WALLMANN H W, QUIAMBAO K L, et al. The effects of whole body vibration on the limits of stability in adults with subacute ankle injury[J]. Int J Sports Phys Ther, 2021, 16(3): 749. doi: 10.26603/001c.24250 pmid: 34123528
[39]	RENDOS N K, JUN H P, PICKETT N M, et al. Acute effects of whole body vibration on balance in persons with and without chronic ankle instability[J]. Res Sports Med, 2017, 25(4): 391-407. doi: 10.1080/15438627.2017.1365299 pmid: 28799810
[40]	TOHIDAST S A, BAGHERI R, SAFAVI-FAROKHI Z, et al. The effects of acute and long-term whole-body vibration training on the postural control during cognitive task in patients with chronic ankle instability[J]. J Sport Rehabil, 2021, 30(8):1121-1128. doi: 10.1123/jsr.2021-0034
[41]	ABERCROMBY A F, AMONETTE W E, LAYNE C S, et al. Vibration exposure and biodynamic responses during whole-body vibration training[J]. Med Sci Sports Exerc, 2007, 39(10): 1794. doi: 10.1249/mss.0b013e3181238a0f
[42]	RITTWEGER J. Vibration as an exercise modality: how it may work, and what its potential might be[J]. Eur J Appl Physiol, 2010, 108(5): 877-904. doi: 10.1007/s00421-009-1303-3 pmid: 20012646
[43]	BRINGMAN C L, SHIELDS R K, DEJONG S L. Corticospinal modulation of vibration-induced H-reflex depression[J]. Exp Brain Res, 2022, 240(3): 803-812. doi: 10.1007/s00221-022-06306-w
[44]	DEFOREST B A, BOHORQUEZ J, PEREZ M A. Vibration attenuates spasm‐like activity in humans with spinal cord injury[J]. J Physiol, 2020, 598(13): 2703-2717. doi: 10.1113/tjp.v598.13
[45]	RITZMANN R, KRAMER A, GOLLHOFER A, et al. The effect of whole body vibration on the H‐reflex, the stretch reflex, and the short‐latency response during hopping[J]. Scand J Med Sci Sports, 2013, 23(3): 331-339. doi: 10.1111/sms.2013.23.issue-3
[46]	BOGAERTS A, VERSCHUEREN S, DELECLUSE C, et al. Effects of whole body vibration training on postural control in older individuals: a 1 year randomized controlled trial[J]. Gait Posture, 2007, 26(2): 309-316. doi: 10.1016/j.gaitpost.2006.09.078 pmid: 17074485
[47]	KARACAN I, CIDEM M, CIDEM M, et al. Whole-body vibration induces distinct reflex patterns in human soleus muscle[J]. J Electromyogr Kinesiol, 2017, 34: 93-101. doi: 10.1016/j.jelekin.2017.04.007
[48]	SANDLER E B, CONDON K, FIELD-FOTE E C. Efficacy of transcutaneous spinal stimulation versus whole body vibration for spasticity reduction in persons with spinal cord injury[J]. J Clin Med, 2021, 10(15): 3267. doi: 10.3390/jcm10153267
[49]	NEUROMUSCULAR G A A, SPORTMED W-BVDZ. Acute neuromuscular modulation enhances postural control after whole-body vibration[J]. Dtsch Z Sportmed, 2019, 70: 5-13.
[50]	DELECLUSE C, ROELANTS M, VERSCHUEREN S. Strength increase after whole-body vibration compared with resistance training[J]. Med Sci Sports Exerc, 2003, 35(6): 1033-1041. doi: 10.1249/01.MSS.0000069752.96438.B0
[51]	GANDEVIA S C. Spinal and supraspinal factors in human muscle fatigue[J]. Physiol Rev, 2001, 81(4): 1725-1789. doi: 10.1152/physrev.2001.81.4.1725 pmid: 11581501
[52]	IBRAHIM Z M, ALI O I, MOAWD S A, et al. Low vibrational training as an additional intervention for postural balance, balance confidence and functional mobility in type 2 diabetic patients with lower limb burn injury: a randomized clinical trial[J]. Diabet Metab Synd Obes, 2021, 14: 3617.
[53]	CARDINALE M, LIM J. Electromyography activity of vastus lateralis muscle during whole-body vibrations of different frequencies[J]. J Strength Cond Res, 2003, 17(3): 621-624. doi: 10.1519/1533-4287(2003)017<0621:eaovlm>2.0.co;2 pmid: 12930196
[54]	ALAM M M, KHAN A A, FAROOQ M. Effect of whole-body vibration on neuromuscular performance: a literature review[J]. Work, 2018, 59(4): 571-583. doi: 10.3233/WOR-182699 pmid: 29733043
[55]	GOUDARZIAN M, GHAVI S, SHARIAT A, et al. Effects of whole body vibration training and mental training on mobility, neuromuscular performance, and muscle strength in older men[J]. J Exerc Rehabil, 2017, 13(5): 573-580. doi: 10.12965/jer.1735024.512 pmid: 29114533
[56]	JEONG Y S, KIM J H. Effects of whole body vibration exercise on lower extremity muscle activity and balance ability in football player with chronic ankle instability[J]. J Korean Phys Soc, 2017, 29(6): 293-298.
[57]	KARATRANTOU K, BILIOS P, BOGDANIS G C, et al. Effects of whole-body vibration training frequency on neuromuscular performance: a randomized controlled study[J]. Biol Sport, 2019, 36(3): 273-282. doi: 10.5114/biolsport.2019.87049 pmid: 31624422
[58]	MARÍN P J, BUNKER D, RHEA M R, et al. Neuromuscular activity during whole-body vibration of different amplitudes and footwear conditions: implications for prescription of vibratory stimulation[J]. J Strength Cond Res, 2009, 23(8): 2311-2316. doi: 10.1519/JSC.0b013e3181b8d637 pmid: 19826294
[59]	MANAFI H, AMINIANFAR A. Effect of whole body vibration on ankle joint proprioception and balance in patients with diabetic neuropathy[J]. Koomesh, 2022, 24(3): 347-357.
[60]	BONANNI R, CARIATI I, ROMAGNOLI C, et al. Whole body vibration: a valid alternative strategy to exercise?[J]. J Funct Morphol Kinesiol, 2022, 7(4): 99.
[61]	BERSCHIN G, SOMMER B, BEHRENS A, et al. Whole body vibration exercise protocol versus a standard exercise protocol after ACL reconstruction: a clinical randomized controlled trial with short term follow-up[J]. J Sports Sci Med, 2014, 13(3): 580.
[62]	WANG Z, WEI Z, LI X, et al. Effect of whole-body vibration on neuromuscular activation and explosive power of lower limb: a systematic review and meta-analysis[J]. PLoS One, 2022, 17(12): e0278637. doi: 10.1371/journal.pone.0278637
[63]	LAI Z, LEE S, CHEN Y, et al. Comparison of whole-body vibration training and quadriceps strength training on physical function and neuromuscular function of individuals with knee osteoarthritis: a randomised clinical trial[J]. J Exerc Sci Fit, 2021, 19(3): 150-157. doi: 10.1016/j.jesf.2021.01.003 pmid: 33680003
[64]	CLOAK R, NEVILL A, DAY S, et al. Six-week combined vibration and wobble board training on balance and stability in footballers with functional ankle instability[J]. Clin J Sport Med, 2013, 23(5): 384-391. doi: 10.1097/JSM.0b013e318291d22d pmid: 23657122
[65]	STOŠIĆ D, UZUNOVIĆ S, PANTELIĆ S, et al. Effects of exercise program on coordination and explosive power in university dance students[J]. Facta Univ Phys Educ Sport, 2020: 579-589.
[66]	KIRKLAND M C, WADDEN K P, PLOUGHMAN M. Bipedal hopping as a new measure to detect subtle sensorimotor impairment in people with multiple sclerosis[J]. Disabil Rehabil, 2022, 44(8): 1544-1555. doi: 10.1080/09638288.2020.1820585
[67]	WADE L, LICHTWARK G A, FARRIS D J. Joint and muscle-tendon coordination strategies during submaximal jumping[J]. J Appl Physiol, 2020, 128(3): 596-603. doi: 10.1152/japplphysiol.00293.2019 pmid: 32078467
[68]	CLEATHER D J, CUSHION E J. Muscular coordination during vertical jumping[J]. J Hum Perform Health, 2019, 1: a1-a10.
[69]	MARÍN P J, RHEA M R. Effects of vibration training on muscle strength: a meta-analysis[J]. J Strength Cond Res, 2010, 24(2): 548-556. doi: 10.1519/JSC.0b013e3181c09d22 pmid: 20072044
[70]	BONGIOVANNI L G, HAGBARTH K E. Tonic vibration reflexes elicited during fatigue from maximal voluntary contractions in man[J]. J Physiol, 1990, 423: 1-14.
[71]	POLLOCK R D, WOLEDGE R C, MARTIN F C, et al. Effects of whole body vibration on motor unit recruitment and threshold[J]. J Appl Physiol (Bethesda, Md: 1985), 2012, 112(3): 388-395. doi: 10.1152/japplphysiol.01223.2010
[72]	CELICHOWSKI J, KRUTKI P. Motor units and muscle receptors[M]//ZOLADZ J A. Muscle and exercise physiology. Elsevier: Academic Press, 2018.