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

Abstract

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

CLC Number:

R684.7

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.

Figures/Tables 15

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

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Effects of whole body vibration training on postural stability in chronic ankle instability: a meta-analysis

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[6]	WANG Yunting, SONG Beibei, ZHAO Di, BAI Kaixiang. Health and functional outcome of whole body vibration for children and adolescents with cerebral palsy: a systematic review using WHO-FICs [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(1): 55-63.
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