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Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 2020; 30(04): 199-205
DOI: 10.1055/a-1023-4582
Review

The Efficacy of Whole-Body Vibration for Functional Improvement of Stroke Patients: A Meta-Analysis of Randomized Controlled Trials

Die Wirksamkeit von Ganzkörpervibrationen auf die Funktionsverbesserung bei Schlaganfallpatienten: eine Meta-Analyse von randomisierten kontrollierten Studien
Lin Yue
1   Department of Emergency, Wenzhou People’s Hospital, The Wenzhou Third Clinical Institute Affiliated To Wenzhou Medical University, Wenzhou Maternal and Child Health Care Hospital, Wenzhou, Zhejiang, P. R. China
,
Linglong Chen
1   Department of Emergency, Wenzhou People’s Hospital, The Wenzhou Third Clinical Institute Affiliated To Wenzhou Medical University, Wenzhou Maternal and Child Health Care Hospital, Wenzhou, Zhejiang, P. R. China
,
Rongrong Zhou
2   Medical Skill Training Center, Wenzhou People’s Hospital, The Wenzhou Third Clinical Institute Affiliated To Wenzhou Medical University, Wenzhou Maternal and Child Health Care Hospital, Wenzhou, Zhejiang, P. R. China
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Abstract

The efficacy of whole-body vibration for functional improvement in stroke patients remains controversial. We conduct a systematic review and meta-analysis to explore the influence of whole-body vibration on functional improvement in stroke patients.

We search PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases through June 2018 for randomized controlled trials (RCTs) assessing the effect of whole-body vibration on functional improvement in stroke patients. This meta-analysis is performed using the random-effect model.

Eight RCTs are included in the meta-analysis. Overall, compared with control group for stroke patients, whole-body vibration has no positive impact on 6 min walk test (6MWT) distance (standard mean difference (Std. MD)=−0.28; 95% confidence interval (CI)=−0.66 to 0.11; P=0.16), timed-up-and-go (TUG) test (Std. MD=0.15; 95% CI=−0.54 to 0.84; P=0.67), Fugl-Meyer assessment (Std. MD=0.33; 95% CI=−0.23 to 0.89; P=0.25), Berg Balance Scale (Std. MD=0.19; 95% CI=−0.43 to 0.80; P=0.55), and activities specific balance (ABC) scale (Std. MD=−0.22; 95% CI=−0.62 to 0.17; P=0.26).

Whole-body vibration shows no notable influence on 6MWT distance, TUG test, Fugl-Meyer assessment, Berg Balance Scale, and ABC scale in stroke patients.

Zusammenfassung

Die Wirksamkeit von Ganzkörpervibrationen auf die Funktionsverbesserung bei Schlaganfallpatienten bleibt umstritten. Wir führen eine systematische Literaturübersicht und Meta-Analyse durch, um die Wirkung von Ganzkörpervibrationen auf die Funktionsverbesserung bei Schlaganfallpatienten zu untersuchen. Die Recherche wurde im Juni 2018 in PubMed, Embase, Web of science, EBSCO, und den Cochrane library Datenbanken durchgeführt. Eingeschlossen waren insgesamt acht randomisierte kontrollierte Studien (RCT), in denen die Wirkung von Ganzkörpervibrationen auf die Funktionsverbesserung bei Schlaganfallpatienten untersucht wurden. Diese Meta-Analyse wurde unter Anwendung des random-effect Modells durchgeführt. Insgesamt haben Ganzkörpervibrationen im Vergleich zur Kontrollgruppe bei Schlaganfallpatienten keine positive Wirkung auf den 6-Minuten-Gehtest (6MWT), die Distanz (standard mean difference (Std. MD)=-0,28; 95% Konfidenzintervall (CI)=-0,66 bis 0,11; P=0,16), den timed-up-and-go (TUG) Test (Std. MD=0,15; 95% CI=-0,54 bis 0,84; P=0,67), das Fugl-Meyer-Assessment (Std. MD=0,33; 95% CI=-0,23 bis 0,89; P=0,25), die Berg-Balance-Skala (Std. MD=0,19; 95% CI=-0,43 bis 0,80; P=0,55), und die Activities-Specific Balance Confidence (ABC) Skala (Std. MD=- 0,22; 95% CI=-0,62 bis 0,17; P=0,26). Ganzkörpervibrationen zeigten keinen nennenswerten Einfluss auf den 6-Minuten-Gehtest, TUG test, Fugl-Meyer-Assessment, Berg-Balance-Skala, and ABC-Skala bei Schlaganfallpatienten.

Key words

whole-body vibration - functional improvement - stroke - randomized controlled trials - meta-analysis

Schlüsselwörter

Therapie - systematischer Überblick - Rehabilitation


Publikationsverlauf

Eingereicht: 11. Juni 2019

Angenommen: 17. September 2019

Artikel online veröffentlicht:
23. Januar 2020

© Georg Thieme Verlag KG
Stuttgart · New York

 

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