| 郭红杰,常万鹏,刘帅,黄艳.全身振动训练在脑性瘫痪中应用及治疗机制的研究进展[J].中国康复,2026,41(2):112-117 |
| 全身振动训练在脑性瘫痪中应用及治疗机制的研究进展 |
| Research progress on application and therapeutic mechanism of whole-body vibration training in cerebral palsy |
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| DOI：10.3870/zgkf.2026.02.009 |
| 中文关键词: 全身振动训练 脑性瘫痪 治疗机制 康复 |
| 英文关键词: whole body vibration training cerebral palsy therapeutic mechanism rehabilitation |
| 基金项目:山东省儿童健康与疾病临床医学研究中心（SDPRC011);济南市医疗卫生行业高层次人才工程（202412） |
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| 中文摘要: |
| 脑性瘫痪（CP）是儿童期常见的中枢性运动障碍疾病，常伴随痉挛、骨密度降低及肌肉无力等问题，严重影响患儿生活质量。全身振动（WBV）作为一种无创、易操作及高依从性的康复治疗手段，已在临床中广泛应用。大量临床研究证实了WBV治疗的有效性，但其治疗机制尚未完全阐明。本文旨在系统综述WBV对CP患儿痉挛、骨密度、肌力、平衡及步行能力等方面的临床疗效，并深入探讨其潜在的治疗机制，以期为WBV在CP患儿康复中的应用提供更加科学的理论指导。检索PubMed、Web of Science、CNKI等数据库有关WBV对CP患儿康复治疗或治疗机制的中英文文献，检索时限自建库至2025年。结果表明，WBV可有效改善CP患儿的痉挛、提升骨密度和肌力及增强其平衡控制与步行能力，其作用机制涉及振动悖论与突触前抑制等神经调节，骨形成与骨吸收平衡的调节，振动刺激所诱发的肌肉反射以及肌肉适应性改变，以及本体感觉输入和步行效率的增强。可见，WBV是CP患儿康复中安全有效的辅助治疗手段，未来仍需开展更多研究，进一步明确其机制路径及最佳WBV参数组合方案。 |
| 英文摘要: |
| Cerebral palsy (CP) is a common central motor disorder in children, often accompanied by spasticity, reduced bone density, and muscle weakness, which significantly compromise the children’s quality of life. Whole-body vibration (WBV), as a non-invasive, easy-to-administer, and well-tolerated rehabilitation approach, has been widely adopted in clinical practice. Although numerous clinical studies have confirmed the effectiveness of WBV therapy, its underlying mechanisms remain incompletely understood. This review aims to systematically summarize the clinical effects of WBV on spasticity, bone density, muscle strength, balance, and walking ability in children with CP, and to explore its potential therapeutic mechanisms, providing a more scientific theoretical basis for the application of WBV in CP rehabilitation. Relevant studies were retrieved from databases including PubMed, Web of Science, and CNKI, covering literature published from the inception of each database up to 2025. The search focused on articles examining the rehabilitative effects or mechanisms of WBV in children with CP, in both Chinese and English. WBV can effectively reduce spasticity, improve bone density and muscle strength, and enhance balance control and walking ability in children with CP. The mechanisms involve neuroregulation such as the vibration paradox and presynaptic inhibition, modulation of the bone formation-resorption balance, vibration-induced muscle reflexes and muscular adaptations, as well as improved proprioceptive input and walking efficiency. WBV is a safe and effective adjunctive therapy in the rehabilitation of children with CP. Further research is needed to clarify its mechanistic pathways and to determine the optimal combination of WBV parameters. |
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