Busch Angela J, Thille Patty, Barber Karen A R, Schachter Candice L, Bidonde Julia, Collacott Brenda K
School of Physical Therapy, University of Saskatchewan, Saskatoon, SK, Canada.
Physiother Theory Pract. 2008 May-Jun;24(3):151-66. doi: 10.1080/09593980701686872.
Fibromyalgia (FM) is a serious and debilitating condition, encompassing a wide range of symptoms. Physical therapists often advocate the incorporation of leisure time physical activity (exercise training or recreational physical activity) as an important management strategy for individuals with FM. Decisions about physical activity prescription in clinical practice are informed by a variety of sources. This topical review considers physical activity prescription using the E-Model as a framework for best practice decision making. We examine findings from randomized trials, published experts, and qualitative studies through the lens of the model's five Es: 1) evidence, 2) expectations, 3) environment, 4) ethics, and 5) experience. This approach provides a robust foundation from which to make best practice decisions. Application of this model also facilitates the identification of gaps and discrepancies in the literature, future opportunities for knowledge exchange and translation, and future research.
纤维肌痛（FM）是一种严重且使人衰弱的病症，症状多种多样。物理治疗师通常主张将休闲时间的体育活动（运动训练或娱乐性体育活动）纳入其中，作为纤维肌痛患者的一项重要管理策略。临床实践中有关体育活动处方的决策受到多种因素的影响。本专题综述以E模型为最佳实践决策框架，探讨体育活动处方。我们通过该模型的五个E来审视随机试验、权威专家发表的观点以及定性研究的结果：1）证据，2）期望，3）环境，4）伦理，5）经验。这种方法为做出最佳实践决策提供了坚实的基础。应用该模型还有助于发现文献中的差距和差异、知识交流与转化的未来机会以及未来的研究方向。
