中国组织工程研究 ›› 2026, Vol. 30 ›› Issue (10): 2569-2575.doi: 10.12307/2026.634

• 组织构建循证医学 evidence-based medicine in tissue construction • 上一篇    下一篇

全身振动对中老年骨质疏松患者腰椎骨密度、疼痛以及跌倒影响的Meta分析

任鹏博1,李婷文2,蔡  峰3,张  健2   

  1. 1常州大学怀德学院,江苏省靖江市  214500;2闽南师范大学体育学院,福建省漳州市  363000;3西北师范大学体育学院,甘肃省兰州市  730070
  • 收稿日期:2025-04-03 接受日期:2025-06-14 出版日期:2026-04-08 发布日期:2025-08-30
  • 通讯作者: 张健,博士,副教授,硕士生导师,福建省高层次人才,“龙江计划”优青人才,闽南师范大学体育学院,福建省漳州市 363000
  • 作者简介:任鹏博,男,1988年生,2019年南京师范大学毕业,硕士,讲师,主要从事运动评估与健康促进研究。
  • 基金资助:
    国家社会科学基金项目(17BTY117),项目参与人:张健;教育部人文社会科学研究基金项目(23YJCZH293),项目负责人:张健

Meta-analysis of lumbar bone mineral density, pain score and fall incidence in middle-aged and elderly osteoporosis patients undergoing whole-body vibration training

Ren Pengbo1, Li Tingwen2, Cai Feng3, Zhang Jian2   

  1. 1Changzhou University Huaide College, Jingjiang 214500, Jiangsu Province, China; 2School of Physical Education, Minnan Normal University, Zhangzhou 363000, Fujian Province, China; 3School of Physical Ehucation, Northwest Normal University, Lanzhou 730070, Gansu Province, China
  • Received:2025-04-03 Accepted:2025-06-14 Online:2026-04-08 Published:2025-08-30
  • Contact: Zhang Jian, PhD, Associate professor, Master’s supervisor, School of Physical Education, Minnan Normal University, Zhangzhou 363000, Fujian Province, China
  • About author:Ren Pengbo, MS, Lecturer, Changzhou University Huaide College, Jingjiang 214500, Jiangsu Province, China
  • Supported by:
    the National Social Science Foundation of China, No. 17BTY117 (to ZJ [project participant]); Humanities and Social Sciences Research Fund of the Ministry of Education, No. 23YJCZH293 (to ZJ)

摘要:


文题释义:
全身振动训练:在此文中,全身振动训练指通过专业振动平台产生机械振动波,以周期性刺激作用于人体骨骼肌肉系统的非药物干预手段,其核心机制是通过振动刺激激活肌肉的牵张反射,增强神经肌肉兴奋性,进而改善骨代谢与功能状态。
骨质疏松:是一种以骨强度下降(包括骨密度降低和骨质量恶化)和骨微结构破坏为特征的全身性骨骼疾病,导致骨骼脆性增加,从而显著升高骨折风险。前期研究指出,中老年群体骨质疏松患病率与生活方式及压力相关,表现为骨微结构退化、骨强度下降,导致骨折风险升高及生活质量受损。此文聚焦于中老年(> 40岁)骨质疏松患者,纳入标准为腰椎、桡骨松质骨骨体积和胫骨松质骨骨体积骨密度T      值≤-2.5,且排除继发性病因(如恶性肿瘤、甲状腺功能亢进)。

目的:目前已有众多研究证实全身振动训练对骨质疏松症患者具有明确的治疗效果,能够有效改善其平衡功能,提升预后质量。此文旨在系统评价全身振动训练对骨质疏松患者腰椎骨密度、疼痛评分以及跌倒发生率的影响。
方法:计算机检索PubMed、EMBASE、ScienceDirect、Cochrane Library、中国期刊全文数据库、维普全文数据库、万方数据库和中国生物医学文献数据库,筛选出接受全身振动训练干预的中老年骨质疏松患者的随机对照试验,试验组接受全身振动干预,对照组仅接受附加治疗或不加干预;文献检索以自由词+主题词方式检索,检索词包括全身振动训练,中老年,骨质疏松,振动疗法,机械振动,疼痛评分,跌倒率;whole-body vibration training,quinquagenarian,osteoporosis,vibration therapy,mechanical vibration,visual analogue scale score,fall incidence rates等,检索时限从各数据库建库至2024年12月。并采用RevMan 5.3统计软件进行Meta分析。
结果:①此次Meta分析共纳入10篇随机对照试验研究,共计656例患者;②分析结果显示,试验组与对照组干预后腰椎骨密度[MD=0.01,95%CI:-0.01-0.04,P=0.22]、桡骨松质骨体积骨密度[MD=-0.87,95%CI:-2.93-1.20,P=0.41]和胫骨松质骨体积骨密度[MD=0.34,95%CI:-0.69-1.38,P=0.52]相比差异无显著性意义;而试验组目测类比评分[MD=-1.48,95%CI:-2.91至-0.05,P=0.04]和跌倒发生率均低于对照组[OR=0.52,95%CI:0.29-0.92,P=0.03]。
结论:全身振动训练对中老年骨质疏松患者的疼痛具有显著改善作用,并能降低跌倒发生率,但对腰椎骨密度的提升效果尚不明显;后续需要更多具有较高方法学质量、更长干预时间的研究和随访,进一步验证全身振动训练对中老年骨质疏松患者腰椎骨密度的干预效果。
https://orcid.org/0000-0001-9247-3929(张健)

中国组织工程研究杂志出版内容重点:干细胞;骨髓干细胞;造血干细胞;脂肪干细胞;肿瘤干细胞;胚胎干细胞;脐带脐血干细胞;干细胞诱导;干细胞分化;组织工程

关键词: 全身振动训练, 骨质疏松, 中老年, 振动疗法, 机械振动, 疼痛, 跌倒率, 系统评价

Abstract: OBJECTIVE: Numerous studies have confirmed that whole-body vibration training has a definite therapeutic effect on osteoporosis, effectively improving balance function and enhancing prognostic quality in such patients. Herein, we systematically evaluate the effects of whole-body vibration training on lumbar bone density, pain scores, and fall incidence rates in patients with osteoporosis.
METHODS: The databases of PubMed, EMBASE, ScienceDirect, Cochrane Library, CNKI, VIP and WanFang Data, and China Biology Medicine (CBM) were searched by computer to screen out randomized controlled trials of middle-aged and elderly patients with osteoporosis who underwent whole-body vibration training. The trial group received whole-body vibration training, and the control group received only additional treatment or no intervention. The literature search was conducted using a combination of free terms and subject headings, and the search terms included “whole-body vibration training,” “middle-aged and elderly,” “quinquagenarian,” “osteoporosis,” “vibration therapy,” “mechanical vibration,” “visual analogue scale score,” and “fall incidence rates.” The retrieval period covered from the inception of each database to December 2024. Meta-analysis was performed using RevMan 5.3 statistical software.
RESULTS: This meta-analysis included 10 randomized controlled trials with a total of 656 patients. The analysis results showed no statistically significant differences in lumbar bone mineral density [mean difference (MD)=0.01, 95% confidence interval (CI): -0.01 to 0.04, P=0.22], radial trabecular volumetric bone mineral density [MD=-0.87, 95% CI: -2.93 to 1.20, P=0.41], and tibial trabecular volumetric bone mineral density [MD=0.34, 95% CI: -0.69 to 1.38, P=0.52] between the two groups. However, the whole-body vibration training group had a significantly lower visual analog scale score [MD=-1.48, 95% CI: -2.91 to -0.05, P=0.04] and a lower fall incidence rate compared to the control group [odds ratio=0.52, 95% CI: 0.29 to 0.92, P=0.03].
CONCLUSION: Whole-body vibration training can significantly alleviate pain and reduce the incidence of falls in middle-aged and elderly patients, but the effect of improving lumbar bone mineral density is not obvious, and more research and follow-up with higher quality and longer intervention time are needed to further verify the conclusion.

Key words: whole-body vibration training, osteoporosis, middle-aged and elderly, vibration therapy, mechanical vibration, pain, fall incidence, systematic evaluation

中图分类号: