全身振动训练对老年人平衡能力效果的Meta分析

doi:10.3761/j.issn.0254-1769.2020.02.015

摘要/Abstract

摘要：

目的系统评价全身振动训练对改善老年人平衡能力的效果。方法检索PubMed、Embase、Web of Science、CINAHL、PEDro、Cochrane Library、中国生物医学数据库、中国知网、万方和维普数据库中关于全身振动训练在老年人中应用的随机对照试验。检索时限为建库至2019年3月。采用RevMan 5.3软件进行Meta分析。结果最终纳入25篇文献,共1 763名老年人。Meta分析结果显示,全身振动训练能够改善老年人的动态、静态与功能性平衡能力,降低老年人跌倒的发生率（P<0.05）,但在提高老年人的身体健康与心理健康水平方面,差异无统计学意义（P>0.05）。结论全身振动训练有助于改善老年人的动态、静态和功能性平衡能力,降低跌倒发生率,但在改善身体健康和心理健康方面效果不显著。

关键词: 全身振动, 老年人, 平衡能力, Meta分析, 老年护理学

Abstract:

Objective To systematically evaluate the effectiveness of whole-body vibration（WBV） training on balance ability of the elderly. Methods We searched databases including PubMed,Embase,Web of Science,CINAHL,PEDro,Cochrane Library,CBM,CNKI,Wanfang,and VIP and selected all randomized controlled trials（RCTs） that reported the effects of WBV in the elderly. Meta-analysis was performed by RevMan 5.3. The retrieval time is from the establishment of the database to March 2019. Results A total of 25 RCTs involving 1 763 old people were finally included. Meta-analysis results showed that WBV improved dynamic balance,static balance and functional balance of the elderly,and reduced the rate of falls（P<0.05）,but there was no statistically significant difference in improving the physical health and mental health of the elderly（P>0.05）. Conclusion WBV was effective in improving dynamic balance,static balance and functional balance of the elderly,as well as reducing the incidence of falls,but the effect is not significant in improving physical health and mental health.

Key words: Whole-body Vibration, Aged, Balance Ability, Meta-analysis, Geriatric Nursing

颜航, 镇雪婷, 黄青青, 杨金丽, 陈肖敏. 全身振动训练对老年人平衡能力效果的Meta分析[J]. 中华护理杂志, 2020, 55(2): 243-249.

YAN Hang, ZHEN Xueting, HUANG Qingqing, YANG Jinli, CHEN Xiaomin. Effectiveness of whole-body vibration training on balance ability of the elderly:a meta-analysis[J]. Chinese Journal of Nursing, 2020, 55(2): 243-249.

图/表 7

表1 纳入文献的基本特征

表2 纳入文献的方法学质量评价

图1 全身振动训练对老年人动态平衡能力的影响

图2 全身振动训练对老年人静态平衡能力的影响

图3 全身振动训练对老年人功能性平衡能力的影响

图4 全身振动训练对老年人功能性平衡能力的影响

图5 全身振动训练对老年人跌倒发生率的影响

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