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DOI: 10.1055/a-1023-4582
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
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-analysisPublication History
Received: 11 June 2019
Accepted: 17 September 2019
Article published online:
23 January 2020
© Georg Thieme Verlag KG
Stuttgart · New York
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