The effect of whole-body vibration on lower extremity function in children with cerebral palsy: A meta-analysis

被引:5
|
作者
Cai, Xiaoye [1 ]
Qian, Guoping [2 ]
Cai, Siyuan [3 ]
Wang, Feng [4 ]
Da, Yingjuan [1 ]
Ossowski, Zbigniew [2 ]
机构
[1] Shanghai Normal Univ, Tianhua Coll, Shanghai, Peoples R China
[2] Gdansk Univ Phys Educ & Sport, Gdansk, Poland
[3] Victoria Univ Wellington, Wellington, New Zealand
[4] Shanghai Ocean Univ, Shanghai, Peoples R China
来源
PLOS ONE | 2023年 / 18卷 / 03期
关键词
GROSS MOTOR FUNCTION; WALKING ABILITY; MUSCLE TONE; GAIT; BALANCE; PERFORMANCE; STRENGTH; IMPROVEMENTS; KINEMATICS; SPASTICITY;
D O I
10.1371/journal.pone.0282604
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
ObjectiveThe aim of this meta-analysis was to evaluate the effect of whole-body vibration training on lower limb motor function in children with cerebral palsy in randomized-controlled trials (RCTs). MethodsTwo independent reviewers systematically searched the records of nine databases (PubMed, Cochrane, Web of Science, EMBASE, CNKI, etc.) from inception to December 2022. Tools from the Cochrane Collaboration were used to assess risk of bias. Standard meta-analyses were performed using Stata 16.0 and Revman 5.3. For continuous variables, the arms difference was calculated as the weighted mean difference (WMD) between the values before and after the intervention and its 95% confidence interval (95% CI). ResultsOf the 472 studies identified, 13 (total sample size 451 participants) met the inclusion criteria. Meta-analysis showed that WBV training could effectively improve GMFM88-D [WMD = 2.46, 95% CI (1.26, 3.67), P<0.01] and GMFM88-E [WMD = 3.44, 95% CI (1.21, 5.68), P = 0.003], TUG [WMD = -3.17, 95% CI (-5.11, -1.24), P = 0.001], BBS [WMD = 4.00,95% CI (3.29, 4.71), P<0. 01] and the range of motion of ankle joint and the angle of ankle joint during muscle reaction in children with cerebral palsy. The effect of WBV training on 6MWT walking speed [WMD = 47.64, 95% CI (-25.57, 120.85), p = 0.20] in children with cerebral palsy was not significantly improved. ConclusionWBV training is more effective than other types of conventional physical therapy in improving the lower limb motor function of children with cerebral palsy. The results of this meta-analysis strengthen the evidence of previous individual studies, which can be applied to the clinical practice and decision-making of WBV training and rehabilitation in children with cerebral palsy.
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页数:18
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