全身振動結合阻力運動對於高血壓患者之效用探討

The effect of whole-body vibration combined with resistance exercise on hypertensive patients

目前研究顯示振動儀結合阻力運動能降低高血壓患者的血壓和動脈僵硬度，甚至比單一阻力運動更有效改善血壓。因此，本研究將探討振動儀結合阻力運動對血管功能之可能機轉，並提供高血壓患者參考和應用。經文獻統整後，振動儀結合阻力運動改善血管功能可能與振動刺激肌群面積範圍有關，以及下肢肌肉血流灌注產生血管擴張因子（如一氧化氮），或是規律性振動過程產生肌肉幫浦維持心輸出量平衡等因素。此外，WBVT (whole body vibration training, WBVT) 結合阻力運動可應用於高血壓患者，未來可以針對WBVT 結合不同阻力運動方案探討不同時間點的血流動力學、血液相關指標之變化，但是必須注意振動強度以及主觀感受，確保高血壓患者在WBVT 過程之安全性。

Current research shown that the vibrator combined with resistance exercise could reduce blood pressure and arterial stiffness in hypertensive patients, and even more effectively improve blood pressure than resistance exercise alone. Therefore, this study explored the possible mechanism of vibrator combined with resistance exercise on vascular function, and provide reference and application for hypertensive patients. After reviewed the literature, the improved of vascular function by the vibrator combined with resistance exercise may be related to the range of muscle groups stimulated by vibration and the production of vasodilatory factors (e.g., nitric oxide) by lower extremity muscle perfusion, and regular vibrational processes that generate muscle pump to maintain the balance of cardiac output. In addition, WBVT (whole body vibration training, WBVT) combined with resistance exercise could be applied to hypertensive patients. In the future, the changes in hemodynamics and blood parameters at different time points can be explored for WBVT combined with different resistance exercise programs. However, attention must be paid to the vibration intensity and subjective feeling to ensure high safety of hypertensive patients during WBVT.