Effects Of Whole-body Training On Low Extremity Function In The People With Stroke

Objective:To explore the effect of whole-body vibration on lower-limb function after stroke,in order to provide more effective basis for the clinical application and community promotion of whole-body vibration training.Methods:Randomized controlled trials(RCT)about the effectiveness of whole-body vibration on lower-limb function after stroke were retrieved from were searched from Pub Med、The Cochrane Library、EMBASE、The web of science、CINAHL、CBM、CNKI、Wanfang Data and VIP,from inception to October,2020.The two researchers searched in the database,screened and evaluated articles,extracted literature information and original data and checked them.In case of disagreement,the senior supervisor of the research group was consulted or consulted.Rev Man 5.3 software was used for Meta-analysis,and descriptive analysis of combined data could not be conducted.Results:A total of 4573 literatures were retrieved,including 1317 literatures in Chinese and3256 literatures in English.Finally,19 randomized controlled studies involving 892 patients were included,there were 466 cases in the experimental group and 426 cases in the control group.Compared to regular rehabilitation exercises,whole body vibration training improved the scores of the fugl-meyer assessment-lower extremity,muscle tone,berg balance scale knee hyperextension,walking,step length and cadencehad statistically significant(P<0.05).However,in improved the scores of the lower limb extensor muscle,lower limb flexor muscle strength,mini-BESTest,single support,activities specific balance confidence,timed-up-and-go,10 meters walking test,6 minutes walk test and Functional Ambulation Categories had no statistically significant(P>0.05).Conclusion:Compared with regular rehabilitation exercise,whole-body vibration training can effectively improve the lower limb function of stroke patients.However,due to the few included studies and small sample size of some indicators in this study,the test efficiency is low.Some of the results were heterogeneous.In the future,more rigorous multi-center and large-sample RCT experiments are needed to further explore the effect of WBV training on low extremity function in the people with stroke.