一项关于运动对纤维肌痛患者情绪和身体功能影响的随机对照试验
Effect of a randomized, controlled trial of exercise on mood and physical function in individuals with fibromyalgia.
作者信息
Gowans S E, deHueck A, Voss S, Silaj A, Abbey S E, Reynolds W J
机构信息
Department of Rehabilitation Services, University Health Network, Toronto General Hospital, Ontario, Canada.
出版信息
Arthritis Rheum. 2001 Dec;45(6):519-29. doi: 10.1002/1529-0131(200112)45:6<519::aid-art377>3.0.co;2-3.
OBJECTIVE
To evaluate the effect of exercise on mood and physical function in individuals with fibromyalgia.
METHODS
Subjects were randomly assigned to an exercise (EX) or control (CTL) group. EX subjects participated in 3 30-minute exercise classes per week for 23 weeks. Subjects were tested at entry and at 6, 12, and 23 weeks. Tests included the Beck Depression Inventory (BDI), 6-minute walk, State-Trait Anxiety Inventory (STAI), Mental Health Inventory (MHI), Fibromyalgia Impact Questionnaire (FIQ), Arthritis Self-Efficacy Scale (ASES), and a measure of tender points and knee strength.
RESULTS
Fifty subjects (27 EX, 23 CTL) completed the study, and 31 (15 EX, 16 CTL) met criteria for efficacy analyses. In efficacy analyses, significant improvements were seen for EX subjects in 6-minute walk distances, BDI (total, cognitive/ affective), STAI, FIQ, ASES, and MHI (3 of 5 subscales) scores. These effects were reduced but remained during intent-to-treat analyses.
CONCLUSION
Exercise can improve the mood and physical function of individuals with fibromyalgia.
目的
评估运动对纤维肌痛患者情绪和身体功能的影响。
方法
将受试者随机分为运动组（EX）或对照组（CTL）。运动组受试者每周参加3次30分钟的运动课程，共持续23周。在入组时以及第6、12和23周对受试者进行测试。测试包括贝克抑郁量表（BDI）、6分钟步行测试、状态-特质焦虑量表（STAI）、心理健康量表（MHI）、纤维肌痛影响问卷（FIQ）、关节炎自我效能量表（ASES）以及压痛点和膝关节力量测量。
结果
50名受试者（27名运动组，23名对照组）完成了研究，31名（15名运动组，16名对照组）符合疗效分析标准。在疗效分析中，运动组受试者在6分钟步行距离、BDI（总分、认知/情感）、STAI、FIQ、ASES和MHI（5个分量表中的3个）得分方面有显著改善。在意向性分析中，这些效果有所降低但仍然存在。
结论
运动可以改善纤维肌痛患者的情绪和身体功能。
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