Journal
DISABILITY AND REHABILITATION
Volume 39, Issue 22, Pages 2315-2323Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1080/09638288.2016.1226417
Keywords
Whole body vibration; postmenopausal osteoporosis; bone metabolism; motor function; anthropometric parameter
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Funding
- National Natural Science Foundation of China [0040205401634, 81401858]
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Purpose: To review the research literature on the effectiveness of whole-body vibration (WBV) therapy in women with postmenopausal osteoporosis. Methods: A systematic review was conducted by two independent reviewers. Mean differences (MDs), standardized mean differences (SMDs), and 95% confidence intervals (CIs) were calculated, and heterogeneity was assessed with the I-2 test. The Cochrane risk of bias tool was used to assess the methodological quality of the selected studies. Results: Nine randomized controlled trials involving 625 patients met the inclusion criteria. No significant improvement was found in bone mineral density (BMD) (SMD = -0.06, 95% CI = -0.22-0.11, p = 0.50); bone turnover markers (MD = -0.25, 95% CI = -0.54-0.03, p = 0.08); anthropometric parameters, including muscle mass, fat mass, body mass index (BMI), and weight (SMD = 0.02, 95% CI = -0.16-0.21, p = 0.81); or maximal isotonic knee extensor strength (SMD = 0.16, 95% CI = -0.63-0.95, p = 0.69). However, maximal isometric knee extensor strength improved (SMD = 0.71, 95% CI = 0.34-1.08, p = 0.0002). Conclusions: WBV is beneficial for enhancing maximal isometric knee extensor strength, but it has no overall treatment effect on BMD, bone turnover markers, anthropometric parameters, or maximal isotonic knee extensor strength in women with postmenopausal osteoporosis.
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