Article

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. Implication of rehabilitation Osteoporosis is the
leading underlying cause of fractures in postmenopausal women, whole body
vibration (WBV) has received much attention as a potential intervention for the
management of osteoporosis in recent years. Whole body vibration is beneficial
for enhancing maximal isometric knee extensor strength in women with
postmenopausal osteoporosis. Whole body vibration has no overall treatment effect
on bone mineral density, bone turnover markers, anthropometric parameters and
maximal isotonic knee extensor strength in women with postmenopausal
osteoporosis.

Langue : ANGLAIS