CAJ | 학술논문

背景：全身振动训练作为新兴的神经肌肉训练方法，经研究发现能有效提高老年人肌力和姿势控制能力。近年来研究者将全身振动训练应用于脑卒中患者，探索其是否能减轻患者的运动功能障碍。 　　目的：阐述全身振动对脑卒中患者患侧肢体肌力、肢体肌张力及平衡与步态的影响国内外研究的进展。 　　方法：通过检索PubMed、EBSCO、Medline等数据库2002年1月至2014年6月与全身振动训练干预脑卒中患者肢体功能障碍的相关研究，选择34篇文献进行分别探讨。 　　结果与结论：全身振动训练干预脑卒中患者具有较强的可行性和安全性。在疗效方面，研究主要关注肌力、肌张力、平衡功能、姿势控制能力，但目前全身振动训练改善脑卒中患者运动功能障碍的证据不足。在具体的振动干预方案方面，振动的类型、频率、振幅、时间暂无公认的标准，也待进一步研究。目前临床疗效观察研究较多，缺乏对全身振动训练影响机制的研究，其疗效有待更多大样本、多中心随机对照实验验证。
배경：전신진동훈련작위신흥적신경기육훈련방법，경연구발현능유효제고노년인기력화자세공제능력。근년래연구자장전신진동훈련응용우뇌졸중환자，탐색기시부능감경환자적운동공능장애。 　　목적：천술전신진동대뇌졸중환자환측지체기력、지체기장력급평형여보태적영향국내외연구적진전。 　　방법：통과검색PubMed、EBSCO、Medline등수거고2002년1월지2014년6월여전신진동훈련간예뇌졸중환자지체공능장애적상관연구，선택34편문헌진행분별탐토。 　　결과여결론：전신진동훈련간예뇌졸중환자구유교강적가행성화안전성。재료효방면，연구주요관주기력、기장력、평형공능、자세공제능력，단목전전신진동훈련개선뇌졸중환자운동공능장애적증거불족。재구체적진동간예방안방면，진동적류형、빈솔、진폭、시간잠무공인적표준，야대진일보연구。목전림상료효관찰연구교다，결핍대전신진동훈련영향궤제적연구，기료효유대경다대양본、다중심수궤대조실험험증。
BACKGROUND:Whole body vibration training, a recently developed method of neuromuscular training, is a useful method to improve muscle strength and postural control in the elderly. Recently, researchers attempt to explore whether whole body vibration training can reduce motor dysfunction for stroke patients. OBJECTIVE:To summarize clinical progress in whole body vibration treatment on stroke patients with limb motor dysfunction, including muscle strength of the affected limbs, muscle tension, balance and gait. METHODPubMed, EBSCO, Medline database were searched for articles relate to whole body vibration training intervention for stroke patients with motor dysfunction published from January 2002 to June 2014. Final y, 34 articles were included in result analysis. RESULTS AND CONCLUSION:Whole body vibration training is feasible and safe for stroke patients has the feasibility and safety. For therapeutic efficacy, we focus on the muscle strength, muscle tone, balance, posture control ability, but there is no sufficient evidence to support that the whole body vibration training can improve the motor dysfunction. There is also no recognized standard on specific intervention protocols, such as vibration type, treatment frequency, treatment amplitude, treatment time. Many researchers aim to observe the clinical curative effect at present, but rarely explore the intervention mechanism of the whole body vibration. Further large-sample, multi-center randomized control ed experiments are required to test the validity.