目的总结研究结果,评价振动疗法在神经系统疾病康复中的作用。
我们系统地研究PubMed,Scopus,Embase,物理治疗证据数据库(PEDro),WebofScience,和Cochrane图书馆数据库从开始到2020年11月。我们纳入了将全身振动(WBV)或局灶性肌肉振动(FMV)与安慰剂进行比较的研究,sham,或另一种形式的运动在神经系统疾病的儿童和成人的康复,导致运动障碍和残疾。
我们纳入了16篇系统综述,使用JoannaBriggsInstituteUmbrellaReviewAssessment和ReviewofInformation评价工具进行了评价,评价了良好的方法学质量。在中风患者中,WBV似乎在改善步态和平衡方面发挥作用,而FMV在减少痉挛方面更有效。在多发性硬化症和脑瘫中,没有证据表明振动治疗可提高部分患者的预后.
WBV和FMV似乎在减少痉挛和改善步态方面发挥了相当大的作用,balance,中风患者的运动功能。相比之下,振动疗法似乎无法减轻多发性硬化症和脑瘫的痉挛。此外,无法确定该疗法的正确使用参数.对康复的影响基于越来越多的系统评价,这篇综述旨在总结这些发现,并评估振动疗法在神经系统疾病康复中的作用。全身振动和局灶性肌肉振动似乎在减轻痉挛和改善步态中起着相当大的作用,balance,中风患者的运动功能。如果将局灶性肌肉振动应用于非痉挛拮抗剂肌肉,对中风患者的痉挛肌肉具有相互抑制作用,则似乎更有用。振动疗法似乎不能减轻多发性硬化症和脑瘫的痉挛。
To summarize the findings and evaluate the role of vibratory therapy in the rehabilitation of neurological diseases.
We systematically research PubMed, Scopus, Embase, Physiotherapy Evidence Database (PEDro), Web of Science, and Cochrane library databases from the inception until November 2020. We included studies that compared whole-body vibration (WBV) or focal muscle vibration (FMV) with placebo, sham, or another form of exercise in neurological disease rehabilitation in children and adults that result in motor impairments and disability.
We included 16 systematic reviews with good methodological quality evaluated using the Joanna Briggs Institute Umbrella
Review Assessment and
Review of Information appraisal tool. In stroke patients, WBV appears to play a role in improving gait and balance, while FMV is more effective in reducing spasticity. In multiple sclerosis and cerebral palsy, no evidence suggested that vibration therapy increases some patient outcomes.
WBV and FMV appear to play a considerable role in reducing spasticity and improving gait, balance, and motor function in stroke patients. By contrast, vibration therapy seems to be unable to reduce spasticity in multiple sclerosis and cerebral palsy. Also, correct use parameters for this therapy could not be defined.IMPLICATIONS FOR REHABILITATIONBased on the growing number of systematic reviews, this umbrella
review aimed to summarize the findings and evaluate the role of vibration therapy in the rehabilitation of neurological diseases.Whole-body vibration and focal muscle vibration appear to play a considerable role in reducing spasticity and improving gait, balance, and motor function in patients affected by stroke.Focal muscle vibration appears to be more useful if applied to non-spastic antagonist muscles with reciprocal inhibitory action on spastic muscles in subjects affected by stroke.Vibration therapy seems not to be able to reduce spasticity in multiple sclerosis and cerebral palsy.