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Whole-body vibration training – better care for COPD patients: a systematic review and meta-analysis

Authors Zhou J, Pang L, Chen N, Wang Z, Wang C, Hai Y, Lyu M, Lai H, Lin F

Received 4 June 2018

Accepted for publication 15 August 2018

Published 10 October 2018 Volume 2018:13 Pages 3243—3254

DOI https://doi.org/10.2147/COPD.S176229

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Prof. Dr. Chunxue Bai


Jian Zhou,1,2,* Long Pang,2,* Nan Chen,1,2 Zihuai Wang,1,2 Chengdi Wang,3 Yang Hai,1,2 Mengyuan Lyu,2,4 Hongjin Lai,2 Feng Lin1,5

1Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, People’s Republic of China; 2West China School of Medicine, Sichuan University, Chengdu, People’s Republic of China; 3Department of Respiratory Medicine, Sichuan University, Chengdu, People’s Republic of China; 4Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, People’s Republic of China; 5Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu, People’s Republic of China

*These authors contributed equally to this work

Purpose:
Whole-body vibrating training (WBVT) is a modality aiming to improve neuromuscular performance of patients with COPD. However, a consensus on the effects of WBVT has not been reached. We aimed to clarify the effects of WBVT on functional exercise capacity, pulmonary function, and quality of life in COPD patients.
Patients and methods: PubMed, Web of Science, and EMBASE were searched through April 5, 2018. We calculated the pooled weight mean difference (WMD) using a random-effects model. Quality assessment and publication bias analyses were also performed.
Results: We included eight randomized control trials involving 365 patients. Compared with control group, WBVT increased 6-minute walking distance (6-MWD) (WMD: 62.14 m; 95% CI: 48.12–76.16; P<0.001), the change of 6-MWD (Δ6-MWD) (WMD: 42.33 m; 95% CI: 15.21–69.45; P=0.002), the change of the time to finish five repeated sit-to-stand tests (WMD: -2.07 seconds; 95% CI: -4.00 to -0.05; P=0.04), and decreased the change of St George’s Respiratory Questionnaire score (WMD: -6.65 points; 95% CI: -10.52 to -2.78; P<0.001). However, no significant difference was found between the two groups regarding forced expired volume in 1 second (FEV1) (% predicated), change of FEV1 (% predicated), sit-to-stand test, 6-MWD (% predicated), change of 6-MWD (% predicated), St George’s Respiratory Questionnaire score, COPD Assessment Test score, and change of COPD Assessment Test score.
Conclusion: WBVT has beneficial effects on functional exercise capacity for COPD patients.

Keywords:
COPD, whole-body vibration training, functional capacity, pulmonary rehabilitation

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