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:29
作者
张丽 [1 ]
瓮长水 [1 ]
赵占波 [2 ]
机构
[1] 解放军总医院南楼临床部康复医学科
[2] 北京大学软件与微电子学院
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;
D O I
暂无
中图分类号
R493 [医学康复(康复疗法)];
学科分类号
100232 [康复医学];
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、Pub Med、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。
引用
收藏
页码:1222 / 1228
页数:7
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