Gustafsson Monika, Ekholm Jan, Broman Lisbet
Department of Rehabilitation Medicine, Karolinska Institutet, Stockholm, Sweden.
J Rehabil Med. 2002 May;34(3):119-27. doi: 10.1080/165019702753714147.
The present study sought to evaluate the efficacy of a 12-week multidisciplinary rehabilitation programme mainly emphasizing physiotherapy, for patients with either fibromyalgia syndrome or chronic, widespread pain. Forty-three non-randomized female patients with fibromyalgia syndrome or chronic, widespread pain were assigned to the programme or served as waiting-list controls. The outcome was assessed with the Body Awareness Scale-Health, the Multidimensional Pain Inventory, the Quality of Life Scale, the Visual Analogue Scale and a pain drawing. Both groups were reassessed after 3 and 6 months, the treatment group also after 1 year. The treatment group improved in quality of movement and in vegetative disturbances according to the Body Awareness Scale-Health after the programme. At the 3-month and 1-year follow-ups the improvements were partly sustained. The control group showed deterioration after 3 and 6 months in three of the main scales of the Body Awareness Scale-Health. This clinical trial of a rehabilitation programme, proved beneficial for improving quality of movement and reducing the experience of vegetative disturbances.
本研究旨在评估一项为期12周、主要强调物理治疗的多学科康复计划对纤维肌痛综合征患者或慢性广泛性疼痛患者的疗效。43名患有纤维肌痛综合征或慢性广泛性疼痛的非随机女性患者被分配到该计划中或作为候补对照。通过身体意识健康量表、多维疼痛量表、生活质量量表、视觉模拟量表和疼痛绘图来评估结果。两组在3个月和6个月后重新评估,治疗组在1年后也进行了重新评估。根据身体意识健康量表,治疗组在该计划后运动质量和植物神经功能紊乱方面有所改善。在3个月和1年的随访中,这些改善部分得以维持。候补对照组在3个月和6个月后,在身体意识健康量表的三个主要量表上显示出恶化。这项康复计划的临床试验证明,它有利于改善运动质量和减少植物神经功能紊乱的体验。