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題名:全身性震動訓練對骨質密度的影響
書刊名:大專體育
作者:劉宗翰梁玉秋江政凌林志隆
作者(外文):Liu, Tsung-hanLiang, Yu-chiouChiang, Cheng-linLin, Chih-lung
出版日期:2011
卷期:114
頁次:頁85-91
主題關鍵詞:反射收縮物理治療骨質疏鬆症骨重塑作用阻力訓練Reflex contractionPhysical therapyOsteoporosisBone remodelingResistance training
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(4) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:4
  • 共同引用共同引用:0
  • 點閱點閱:55
全身性震動訓練(whole-body vibration, WBV)為新興而安全的物理治療介入,震動刺激可藉由力學傳遞路徑(mechanotransduction)增進局部骨質密度,隨著傳導距離越遠效果則消失,骨骼肌反射收縮(reflex contraction)亦可刺激骨骼合成作用(bone formation),但對震動強度則呈非劑量依賴性反應,且相同刺激對年輕、骨質密度(bone mineral density, BMD)低或體重輕者反應較顯著。此外,震動刺激亦可調節全身性骨代謝荷爾蒙,提高骨合成作用,並抑制骨吸收作用(bone resorption),且不同對象及震動頻率則有不同的骨重塑作用(bone remodeling)。在震動平臺上進行動態或靜態的阻力訓練動作,可增加更年期女性、高齡男性及殘疾病童的骨質密度(BMD),而對年輕成年人效果則不一致。因此需針對特定對象探討震動頻率、強度對局部及全身骨骼可能的影響,並進一步研究影響骨細胞作用可能的分子機轉。
Whole-body vibration (WBV) is a new and safe approach of physical therapy. Stimulation of WBV activates mechanotransduction in bone and stimulates bone formation to increase local bone mineral density (BMD). However, this effect seems to diminish depending on vibrating distance. WBV-induced reflex contraction via the muscle spindle can also produce sufficient physical stimulation to elicit osteogenesis. The vibrating intensity is a non-dose-dependent response. WBV-induced increase in BMD occurs in lower BMD, lighter weight or young subjects. However, the positive effect of WBV on BMD in young adults is still inconclusive. Moreover, WBV can also regulate systemic bone remodeling through hormones that regulates bone formation and resorption. The users perform simply static and/or dynamic actions of resistant exercise on the vibrating platform. It has been reported that WBV can ameliorate BMD and prevent bone fractures in elderly, menopausal women and disabled children. Previous studies have shown in different populations that various vibrating frequencies may mediate the different response of bone remodeling. Thus, further research is warranted with various vibrating parameters on local and systemic BMD in specific population and on its molecular mechanism of bone metabolism.
期刊論文
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12.Davis, R.、Sanborn, C.、Nichols, D.、Bazett-Jones, D. M.、Dugan, E. L.(2010)。The effects of whole body vibration on bone mineral density for a person with a spinal cord injury: A case study。Adapted Physical Activity Quarterly,27(1),60-72。  new window
13.Hansen, M. A.、Overgaard, K.、Christiansen, C.(1995)。Spontaneous postmenopausal bone loss in different skeletal areas -- Followed up for 15 years。Journal of Bone and Mineral Research,10(2),205-210。  new window
14.Rubin, C.、Recker, R.、Cullen, D.、Ryaby, J.、McCabe, J.、McLeod, K.(2004)。Prevention of postmenopausal bone loss by a low-magnitude, high-frequency mechanical stimuli: A clinical trial assessing compliance, efficacy, and safety。Journal of Bone and Mineral Research,19(3),343-351。  new window
15.Ruck, J.、Chabot, G.、Rauch, F.(2010)。Vibration treatment in cerebral palsy: A randomized controlled pilot study。Journal of Musculoskeletal and Neuronal Interactions,10(1),77-83。  new window
16.Xie, L.、Jacobson, J. M.、Choi, E. S.、Busa, B.、Donahue, L. R.、Miller, L. M.(2006)。Low-level mechanical vibrations can influence bone resorption and bone formation in the growing skeleton。Bone,39(5),1059-1066。  new window
17.Russo, C. R.、Lauretani, F.、Bandinelli, S.、Bartali, B.、Cavazzini, C.、Guralnik, J. M.(2003)。Highfrequency vibration training increases muscle power in postmenopausal women。Archives of Physical Medicine and Rehabilitation,84(12),1854-1857。  new window
18.Sehmisch, S.、Galal, R.、Kolios, L.、Tezval, M.、Dullin, C.、Zimmer, S.(2009)。Effects of low-magnitude, high-frequency mechanical stimulation in the rat osteopenia model。Osteoporosis International,20(12),1999-2008。  new window
19.Christiansen, B. A.、Silva, M. J.(2006)。The effect of varying magnitudes of whole-body vibration on several skeletal sites in mice。Annals of Biomedical Engineering,34(7),1149-1156。  new window
20.Corrie, H.、Brooke-Wavell, K.、Mansfield, N.、D’Souza, O.、Griffiths, V.、Morris, R.(2007)。Effect of whole body vibration on bone formation and resorption in older patients: A randomised controlled trial。Osteoporosis International,18(Suppl. 3),S285。  new window
21.Iwamoto, J.、Takeda, T.、Sato, Y.、Uzawa, M.(2005)。Effect of whole-body vibration exercise on lumbar bone mineral density, bone turnover, and chronic back pain in post-menopausal osteoporotic women treated with alendronate。Aging Clinical and Experimental Research,17(2),157-163。  new window
22.Lynch, M. A.、Brodt, M. D.、Silva, M. J.(2010)。Skeletal effects of whole-body vibration in adult and aged mice。Journal of Orthopaedic Research,28(2),241-247。  new window
23.Pitukcheewanont, P.、Safani, D.(2006)。Extremely low-level, short-term mechanical stimulation increases cancellous and cortical bone density and muscle mass of children with low bone density: A pilot study。Endocrinologist,16(3),128-132。  new window
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25.Oxlund, B. S.、Ortoft, G.、Andreassen, T. T.、Oxlund, H.(2003)。Low-intensity, high-frequency vibration appears to prevent the decrease in strength of the femur and tibia associated with ovariectomy of adult rats。Bone,32(1),69-77。  new window
26.Von Stengel, S.、Kemmler, W.、Mayer, S.、Engelke, K.、Klarner, A.、Kalender, W. A.(2009)。Effect of whole body vibration exercise on osteoporotic risk factors。Deutsche Medizinische Wochenschrift,134(30),1511-1516。  new window
27.Ward, K.、Alsop, C.、Caulton, J.、Rubin, C.、Adams, J.、Mughal, Z.(2004)。Low magnitude mechanical loading is osteogenic in children with disabling conditions。Journal of Bone and Mineral Research,19(3),360-369。  new window
會議論文
1.Ezenwa, B.、Burns, E.、Wilson, C.(2008)。Multiple vibration intensities and frequencies for bone mineral density improvement。Vancouver, Canada。  new window
 
 
 
 
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