da Silva Gerson D, Lorenzi-Filho Geraldo, Lage Lais V
Rheumatology Division and Pulmonary Division, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
J Altern Complement Med. 2007 Dec;13(10):1107-13. doi: 10.1089/acm.2007.0615.
This study aimed to verify whether techniques of yoga with and without the addition of Tui Na might improve pain and the negative impact of fibromyalgia (FMS) on patients' daily life.
Forty (40) FMS women were randomized into two groups, Relaxing Yoga (RY) and Relaxing Yoga plus Touch (RYT), for eight weekly sessions of stretching, breathing, and relaxing yogic techniques. RYT patients were further submitted to manipulative techniques of Tui Na.
Outcome measures comprised the Fibromyalgia Impact Questionnaire (FIQ), pain threshold at the 18 FMS tender points, and a verbal graduation of pain assessed before treatment and on the followup. The visual analog scale (VAS) for pain was assessed before and after each session and on the follow-up.
Seventeen (17) RYT and 16 RY patients completed the study. Both RY and RYT groups showed improvement in the FIQ and VAS scores, which decreased on all sessions. The RYT group showed lower VAS and verbal scores for pain on the eighth session, but this difference was not maintained on the follow-up. Conversely, RY VAS and verbal scores were significantly lower just on the follow-up.
These study results showed that yogic techniques are valid therapeutic methods for FMS. Touch addition yielded greater improvement during the treatment. Over time, however, RY patients reported less pain than RYT. These results suggest that a passive therapy may possibly decrease control over FMS symptoms.
本研究旨在验证单纯瑜伽技术以及结合推拿的瑜伽技术是否能改善疼痛以及纤维肌痛（FMS）对患者日常生活的负面影响。
40名患有纤维肌痛的女性被随机分为两组，即放松瑜伽（RY）组和放松瑜伽加推拿（RYT）组，进行为期八周的伸展、呼吸和放松瑜伽技术训练。RYT组患者还接受了推拿手法治疗。
观察指标包括纤维肌痛影响问卷（FIQ）、18个纤维肌痛压痛点的疼痛阈值，以及治疗前和随访时评估的疼痛程度分级。在每次训练前、训练后及随访时评估疼痛视觉模拟量表（VAS）。
17名RYT组患者和16名RY组患者完成了研究。RY组和RYT组的FIQ和VAS评分均有所改善，在所有训练阶段均有所下降。RYT组在第八次训练时VAS和疼痛程度分级得分较低，但在随访时这种差异未持续存在。相反，RY组仅在随访时VAS和疼痛程度分级得分显著较低。
这些研究结果表明，瑜伽技术是治疗纤维肌痛的有效方法。结合推拿在治疗期间有更大改善。然而，随着时间推移，RY组患者报告的疼痛比RYT组少。这些结果表明，被动疗法可能会降低对纤维肌痛症状的控制。
