文章摘要
牛芯蕊,李永杰,樊梦豪.全身振动训练对延迟性肌肉酸痛影响的Meta分析[J].中国康复,2021,36(1):38-44
全身振动训练对延迟性肌肉酸痛影响的Meta分析
Effects of whole-body vibration training on Delayed Onset Muscle Soreness: A Meta-analysis
  
DOI:
中文关键词: 全身振动训练  延迟性肌肉酸痛  Meta分析  运动能力
英文关键词: whole body vibration training  delayed onset muscle soreness  Meta analysis  motor ability
基金项目:
作者单位
牛芯蕊 天津中医药大学研究生院天津 301617 
李永杰 武汉体育学院武汉 430079 
樊梦豪 山西省中西医结合医院太原 030013 
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中文摘要:
  目的:系统评价全身振动训练(WBVT)对延迟性肌肉酸痛(DOMS)的临床疗效。方法:系统检索Scoups、Springer link、Web of Science 、ProQuest等中英文数据库,搜索关于全身振动训练治疗延迟性肌肉酸痛的随机对照试验(RCT)。根据Cochrane手册对纳入文献进行风险偏倚评价,并在数据提取后使用RevMan5.3软件进行统计学分析。结果:共9项RCT纳入Meta分析,共263例患者。结果显示,①在缓解主观疼痛方面,WBVT组在运动后24h、48h、72h时的改善均显著优于对照组(运动后24h:SMD=-1.65,P=0.002;48h:SMD=-2.21,P<0.001;72h:SMD=-1.63,P=0.009);在增强肌肉压痛阈值方面,WBVT组在运动后24h、48h、72h时的改善均显著优于对照组(运动后24h:SMD=0.78,P<0.001;运动后48h:SMD=1.21,P<0.001;运动后72h:SMD=1.51,P<0.001);②在降低血清CK方面,全身振动训练在运动后的24h、48h内均优于对照组(运动后24h:WMD=-106.55,P<0.001;48h:WMD=-103.39,P<0.001);③在促进肌力恢复方面,运动后24h、48h的60°等速力矩指标均优于对照组(运动后24h:WMD=10.71,P<0.001;48h:WMD=8.22,P<0.001);④在改善关节活动度方面,WBVT各时间点的膝关节主动活动度与对照组相比,差异均无统计学意义。结论:WBVT可有效缓解DOMS后的主观疼痛程度,提高肌肉压痛阈值,促进肌力恢复,改善肌肉微损伤。另外,对于WBVT改善DOMS后膝关节主动活动度的效果尚需进一步研究。
英文摘要:
  Objective: To systematically evaluate the clinical effect of whole body vibration training (WBVT) on delayed onset muscle soreness (DOMS). Methods: The random controlled trials (RCTs) about the effect of whole body vibration training (WBVT) on delayed onset muscle soreness were searched from Scoups, Springer link, Web of Science, ProQuest, etc. The included literature was evaluated for risk bias according to the Cochrane Handbook, and statistical analysis was performed using RevMan5.3 software after data extraction. Results: A total of 9 RCTs were included in the meta analysis, with a total of 263 patients. The results showed that: (1) In terms of relieving subjective pain, the improvement in the WBVT group at 24h, 48h, and 72h after exercise was significantly better than that in the control group (24h after exercise: SMD=-1.65, P=0.002; 48h: SMD=-2.21, P<0.001; 72h: SMD=-1.63, P=0.009). In terms of enhancing pressure pain threshold, the improvement in the WBVT group at 24h, 48h, and 72h after exercise was significantly better than in the control group (24h after exercise: SMD=0.78, P<0.001; 48h after exercise: SMD=1.21, P<0.001; 72h after exercise: SMD=1.51, P<0.001); (2) In terms of reducing serum CK, WBVT was excellent within 24 h and 48h after exercise in the control group (24h after exercise: WMD=-106.55, P<0.001; 48h: WMD=-103.39, P<0.001); (3) In terms of promoting muscle recovery, the 60° isokinetic torque index at 24h and 48 h after exercise was better than that in the control group (WMD=10.71, P<0.001; WMD=8.22, P<0.001 at 48h); (4) There was no significant difference in the active knee joint activity between the WBVT group and control group. Conclusion: WBVT can effectively relieve the degree of subjective pain after DOMS, increase the muscle tenderness threshold, promote muscle strength recovery,and improve muscle microinjury.In addition,the effect of WBVT on improving the active degree of knee joint after DOMS needs further study.
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