Pu Wang1, Xiaotian Yang1, Yonghong Yang1, Lin Yang1, Yujing Zhou1, Chuan Liu1, Jan D Reinhardt2, Chengqi He3. 1. Rehabilitation Medicine Center, Sichuan University, Chengdu, People's Republic of China Key Laboratory of Rehabilitation Medicine in Sichuan, Chengdu, People's Republic of China. 2. Institute for Disaster Management and Reconstruction, Sichuan University and Hong Kong Polytechnic University, Chengdu, People's Republic of China Swiss Paraplegic Research, Lucerne, Switzerland Department of Health Sciences and Health Policy, University of Lucerne, Lucerne, Switzerland. 3. Rehabilitation Medicine Center, Sichuan University, Chengdu, People's Republic of China Key Laboratory of Rehabilitation Medicine in Sichuan, Chengdu, People's Republic of China hxkfhcq@163.com.
Abstract
OBJECTIVE: To assess the effects of whole body vibration for pain, stiffness and physical functions in patients with knee osteoarthritis. DATA SOURCES: We searched the Cochrane Central Register of Controlled Trials, MEDLINE, Physiotherapy Evidence Database (PEDro) and EMBASE (up to October 2014) to identify relevant randomized controlled trials. The outcome measures were pain, stiffness and physical functions. REVIEW METHODS: Two investigators identified eligible studies and extracted data independently. The PEDro score was used to evaluate the methodological quality of the selected studies. Standard mean differences (SMDs) and 95% confidence intervals (CIs) were calculated, and heterogeneity was assessed using the I(2) test. RESULTS: A total of five randomized controlled trials involving 170 patients with knee osteoarthritis met the inclusion criteria. Only four studies involving 144 patients were deemed to be good quality trials (PEDro score = 6-7). Meta-analysis revealed that whole body vibration has a significant treatment effect in Western Ontario and McMaster Universities index physical function score (SMD = -0.72 points, 95% CI = -1.14 to -0.30, P = 0.0008), 12 weeks whole body vibration improved the 6-minute walk test (SMD 1.15 m, 95% CI 0.50 to 1.80, P = 0.0006) and balance (SMD = -0.78 points, 95% CI -1.40 to -0.16, P = 0.01). Whole body vibration was not associated with a significant reduction in Western Ontario and McMaster Universities index pain and stiffness score. CONCLUSION: Eight-week and 12-week whole body vibration is beneficial for improving physical functions in patients with knee osteoarthritis and could be included in rehabilitation programs.
OBJECTIVE: To assess the effects of whole body vibration for pain, stiffness and physical functions in patients with knee osteoarthritis. DATA SOURCES: We searched the Cochrane Central Register of Controlled Trials, MEDLINE, Physiotherapy Evidence Database (PEDro) and EMBASE (up to October 2014) to identify relevant randomized controlled trials. The outcome measures were pain, stiffness and physical functions. REVIEW METHODS: Two investigators identified eligible studies and extracted data independently. The PEDro score was used to evaluate the methodological quality of the selected studies. Standard mean differences (SMDs) and 95% confidence intervals (CIs) were calculated, and heterogeneity was assessed using the I(2) test. RESULTS: A total of five randomized controlled trials involving 170 patients with knee osteoarthritis met the inclusion criteria. Only four studies involving 144 patients were deemed to be good quality trials (PEDro score = 6-7). Meta-analysis revealed that whole body vibration has a significant treatment effect in Western Ontario and McMaster Universities index physical function score (SMD = -0.72 points, 95% CI = -1.14 to -0.30, P = 0.0008), 12 weeks whole body vibration improved the 6-minute walk test (SMD 1.15 m, 95% CI 0.50 to 1.80, P = 0.0006) and balance (SMD = -0.78 points, 95% CI -1.40 to -0.16, P = 0.01). Whole body vibration was not associated with a significant reduction in Western Ontario and McMaster Universities index pain and stiffness score. CONCLUSION: Eight-week and 12-week whole body vibration is beneficial for improving physical functions in patients with knee osteoarthritis and could be included in rehabilitation programs.
Authors: Arnaud Delafontaine; Thomas Vialleron; Matthieu Fischer; Guillaume Laffaye; Laurence Chèze; Romain Artico; François Genêt; Paul Christian Fourcade; Eric Yiou Journal: Front Neurol Date: 2019-09-24 Impact factor: 4.003