全身振动治疗改善脑瘫患者步行能力的Meta分析

目的:探究全身振动疗法(WBV)对于脑瘫患者的步行能力的疗效以及相关的作用机理分析。方法:本文检索的文献均来源于PUBMED、Google Scholar、EMBASE以及The Cochrane Library上,检索近十年来的文献报道,截止2016年12月,由2位评价员独立检索、筛选文献,对符合纳入标准的文献进行方法学质量评估并对各被研究患者的基本特征、干预措施、疗效观察指标等治疗进行提取和统计分析。结果:共纳入7个随机对照试验,Meta分析结果显示,WBV能够有效显著改善患者步行速度。结论:基于现有的荟萃分析结果,WBV能够改善脑瘫患者步行能力,应纳入常规的脑瘫患者物理治疗的参考治疗方法之一。

Meta-analysis of walking ability in children with cerebral palsy treated by whole body vibration therapy

Objective: To systematically review the effect of the whole body vibration (WBV) on walking abilities of the cerebral palsy children as well as the mechanism. Method: Electronic database such as PUBMED, Google Scholar, EMBASE as well as the Cochrane Library was searched (from Dec. 2006 to Dec. 2016) for randomized controlled trials (RCTs), and studies were independently searched and chosen by two reviewers. The methodological quality of literatures meeting the inclusion criteria was assessed and the basic characteristics, interventions, efficacy indicators, etc., were extracted and analyzed. Result: Seven RCTs were included in the Meta-analysis. The gait speed was significantly increased. On the other hand, the difference of the muscle tone evaluated by Modified Ashworth Scale (MAS) and the muscle strength evaluated by handheld dynamometer showed no statistical significance. Conclusion: Based on the available Meta-analysis results, we argue that WBV can improve the walking ability of children with cerebral palsy and it should be included as part of the conventional physical treatment of children with cerebral palsy.