Alentorn-Geli Eduard, Padilla Jaume, Moras Gerard, Lázaro Haro Cristina, Fernández-Solà Joaquim
Laboratory of Biomechanics, INEF-Exercise and Sport Sciences School, University of Barcelona, Spain.
J Altern Complement Med. 2008 Oct;14(8):975-81. doi: 10.1089/acm.2008.0050.
The aim of this study was to investigate the effectiveness of a 6-week traditional exercise program with supplementary whole-body vibration (WBV) in improving health status, physical functioning, and main symptoms of fibromyalgia (FM) in women with FM.
Thirty-six (36) women with FM (mean +/- standard error of the mean age 55.97 +/- 1.55) were randomized into 3 treatment groups: exercise and vibration (EVG), exercise (EG), and control (CG). Exercise therapy, consisting of aerobic activities, stretching, and relaxation techniques, was performed twice a week (90 min/day). Following each exercise session, the EVG underwent a protocol with WBV, whereas the EG performed the same protocol without vibratory stimulus. The Fibromyalgia Impact Questionnaire (FIQ) was administered at baseline and 6 weeks following the initiation of the treatments. Estimates of pain, fatigue, stiffness, and depression were also reported using the visual analogue scale.
A significant 3 x 2 (group x time)-repeated measures analysis of variance interaction was found for pain (p = 0.018) and fatigue (p = 0.002) but not for FIQ (p = 0.069), stiffness (p = 0.142), or depression (p = 0.654). Pain and fatigue scores were significantly reduced from baseline in the EVG, but not in the EG or CG. In addition, the EVG showed significantly lower pain and fatigue scores at week 6 compared to the CG, whereas no significant differences were found between the EG and CG (p > 0.05).
Results suggest that a 6-week traditional exercise program with supplementary WBV safely reduces pain and fatigue, whereas exercise alone fails to induce improvements.
本研究旨在调查一项为期6周的传统运动计划结合全身振动(WBV)对改善纤维肌痛(FM)女性患者的健康状况、身体功能及FM主要症状的有效性。
36名FM女性患者(平均年龄±平均年龄标准误为55.97±1.55)被随机分为3个治疗组:运动加振动组(EVG)、运动组(EG)和对照组(CG)。运动疗法包括有氧运动、拉伸和放松技巧,每周进行两次(每次90分钟)。每次运动训练后,EVG组接受WBV方案,而EG组在无振动刺激的情况下执行相同方案。在基线时以及治疗开始6周后进行纤维肌痛影响问卷(FIQ)评估。还使用视觉模拟量表报告疼痛、疲劳、僵硬和抑郁的评估结果。
发现疼痛(p = 0.018)和疲劳(p = 0.002)存在显著的3×2(组×时间)重复测量方差分析交互作用,但FIQ(p = 0.069)、僵硬(p = 0.142)或抑郁(p = 0.654)不存在。EVG组的疼痛和疲劳评分较基线显著降低,而EG组和CG组未降低。此外,与CG组相比,EVG组在第6周时的疼痛和疲劳评分显著更低,而EG组和CG组之间未发现显著差异(p > 0.05)。
结果表明,一项为期6周的传统运动计划结合WBV可安全减轻疼痛和疲劳,而单独运动则无法带来改善。