全身振动改善脑卒中患者肢体运动功能障碍：目前证据不足

摘要

BACKGROUND:Whole body vibration training, a recently developed method of neuromuscular training, is a useful method to improve muscle strength and postural control in the elderly. Recently, researchers attempt to explore whether whole body vibration training can reduce motor dysfunction for stroke patients. OBJECTIVE:To summarize clinical progress in whole body vibration treatment on stroke patients with limb motor dysfunction, including muscle strength of the affected limbs, muscle tension, balance and gait. METHODPubMed, EBSCO, Medline database were searched for articles relate to whole body vibration training intervention for stroke patients with motor dysfunction published from January 2002 to June 2014. Final y, 34 articles were included in result analysis. RESULTS AND CONCLUSION:Whole body vibration training is feasible and safe for stroke patients has the feasibility and safety. For therapeutic efficacy, we focus on the muscle strength, muscle tone, balance, posture control ability, but there is no sufficient evidence to support that the whole body vibration training can improve the motor dysfunction. There is also no recognized standard on specific intervention protocols, such as vibration type, treatment frequency, treatment amplitude, treatment time. Many researchers aim to observe the clinical curative effect at present, but rarely explore the intervention mechanism of the whole body vibration. Further large-sample, multi-center randomized control ed experiments are required to test the validity.%背景：全身振动训练作为新兴的神经肌肉训练方法，经研究发现能有效提高老年人肌力和姿势控制能力。近年来研究者将全身振动训练应用于脑卒中患者，探索其是否能减轻患者的运动功能障碍。　　目的：阐述全身振动对脑卒中患者患侧肢体肌力、肢体肌张力及平衡与步态的影响国内外研究的进展。　　方法：通过检索PubMed、EBSCO、Medline等数据库2002年1月至2014年6月与全身振动训练干预脑卒中患者肢体功能障碍的相关研究，选择34篇文献进行分别探讨。　　结果与结论：全身振动训练干预脑卒中患者具有较强的可行性和安全性。在疗效方面，研究主要关注肌力、肌张力、平衡功能、姿势控制能力，但目前全身振动训练改善脑卒中患者运动功能障碍的证据不足。在具体的振动干预方案方面，振动的类型、频率、振幅、时间暂无公认的标准，也待进一步研究。目前临床疗效观察研究较多，缺乏对全身振动训练影响机制的研究，其疗效有待更多大样本、多中心随机对照实验验证。