Bailey A, Starr L, Alderson M, Moreland J
Physiotherapy Department, St. Joseph's Hospital, Hamilton, Ontario, Canada.
Arthritis Care Res. 1999 Oct;12(5):336-40. doi: 10.1002/1529-0131(199910)12:5<336::aid-art5>3.0.co;2-e.
To compare an evidence-based clinical fibromyalgia program, referred to as Fibro-Fit, with results of controlled clinical trials.
An interdisciplinary group education and exercise program with 36 sessions over 12 weeks was used. Demographic, clinical, and outcome variables were collected on 149 participants, of whom 71% completed the program. Outcomes included measures of self-efficacy, pain, physical fitness, function, and coping skills.
Results of the prospective before-after evaluation showed statistically significant (P < 0.005) improvements in all outcomes except for grip strength. These results were comparable with controlled clinical trials found in the literature. Data suggest that smoking, fibromyalgia support groups, and medications may be important modifiable factors.
Results suggest that Fibro-Fit was effective in improving physical impairments and function. Further investigation is required to refine the effective components of these programs and determine how modifiable factors can be used to improve outcomes.
将一项循证临床纤维肌痛项目（称为Fibro-Fit）与对照临床试验结果进行比较。
采用一个为期12周、共36节课程的跨学科小组教育与锻炼项目。收集了149名参与者的人口统计学、临床和结果变量，其中71%完成了该项目。结果包括自我效能感、疼痛、身体素质、功能和应对技能的测量指标。
前瞻性前后评估结果显示，除握力外，所有结果均有统计学显著改善（P < 0.005）。这些结果与文献中对照临床试验的结果相当。数据表明，吸烟、纤维肌痛支持小组和药物可能是重要的可改变因素。
结果表明，Fibro-Fit在改善身体损伤和功能方面有效。需要进一步研究以完善这些项目的有效组成部分，并确定如何利用可改变因素来改善结果。
