Mannerkorpi K, Nyberg B, Ahlmén M, Ekdahl C
Department of Physical Therapy, Sahlgrenska University Hospital, Göteborg, Sweden.
J Rheumatol. 2000 Oct;27(10):2473-81.
To evaluate the effects of 6 months of pool exercise combined with a 6 session education program for patients with fibromyalgia syndrome (FM).
The study population comprised 58 patients, randomized to a treatment or a control group. Patients were instructed to match the pool exercises to their threshold of pain and fatigue. The education focused on strategies for coping with symptoms and encouragement of physical activity. The primary outcome measurements were the total score of the Fibromyalgia Impact Questionnaire (FIQ) and the 6 min walk test, recorded at study start and after 6 mo. Several other tests and instruments assessing functional limitations, severity of symptoms, disabilities, and quality of life were also applied.
Significant differences between the treatment group and the control group were found for the FIQ total score (p = 0.017) and the 6 min walk test (p < 0.0001). Significant differences were also found for physical function, grip strength, pain severity, social functioning, psychological distress, and quality of life.
The results suggest that a 6 month program of exercises in a temperate pool combined with education will improve the consequences of FM.
评估为期6个月的泳池锻炼结合6次教育课程对纤维肌痛综合征（FM）患者的影响。
研究人群包括58名患者，随机分为治疗组和对照组。指导患者根据自身疼痛和疲劳阈值进行泳池锻炼。教育内容侧重于应对症状的策略以及鼓励身体活动。主要结局指标为纤维肌痛影响问卷（FIQ）总分和6分钟步行试验，在研究开始时和6个月后记录。还应用了其他几种评估功能受限、症状严重程度、残疾情况和生活质量的测试及工具。
治疗组和对照组在FIQ总分（p = 0.017）和6分钟步行试验（p < 0.0001）方面存在显著差异。在身体功能、握力、疼痛严重程度、社会功能、心理困扰和生活质量方面也发现了显著差异。
结果表明，为期6个月的温水泳池锻炼结合教育项目将改善纤维肌痛综合征的后果。
