Objective:To systematically evaluate the clinical efficacy of whole body vibration training(WBV)on fall risk after stroke.Methods:Meta analysis was performed with RevMan 5.4 software to retrieve published randomized controlled trials on the risk of falls after stroke treated with whole body vibration training.Results:A total of 21 literatures were included in the study,with a total of 1 093 patients.Meta analysis showed that compared with the traditional rehabilitation group,whole body vibration training could improve the timed up-and-go test(TUGT)[WMD=-1.77,95%CI(-2.69,-0.86),P=0.000 1]and the modified Ashworth scale(MAS)[WMD=-0.33,95%CI(-0.41,-0.25),P<0.000 1].There was no effect on the specific activity balance confidence scale(ABC)[WMD=1.14,95%CI(-1.99,4.27),P=0.48].Subgroup analysis showed that WBV could significantly improve the MAS score in subacute phase after stroke[WMD=-0.38,95%CI(-0.47,-0.30),P＜0.000 01],but there was no significant improvement in sequelae phase[WMD=-0.08,95%CI(-0.26,0.10),P=0.36].Conclusion:Whole body vibration training has positive effect on TUGT and MAS after stroke,which helps to reduce the risk of falls.There is no significant effect on the ABC.Whole-body vibration training in the subacute phase may better improve spasticity in patients after stroke.
关键词
全身振动训练/脑卒中/偏瘫/跌倒风险/Meta分析
Key words
Whole body vibration training/Stroke/Hemiplegia/Fall risk/Meta analysis
维普
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