Ekici Gamze, Bakar Yesim, Akbayrak Turkan, Yuksel Inci
School of Physical Therapy and Rehabilitation, Ahi Evran University, Kirsehir, Turkey.
J Manipulative Physiol Ther. 2009 Feb;32(2):127-33. doi: 10.1016/j.jmpt.2008.12.001.
This study analyzed and compared the effects of manual lymph drainage therapy (MLDT) and connective tissue massage (CTM) in women with primary fibromyalgia (PFM).
The study design was a randomized controlled trial. Fifty women with PFM completed the study. The patients were divided randomly into 2 groups. Whereas 25 of them received MLDT, the other 25 underwent CTM. The treatment program was carried out 5 times a week for 3 weeks in each group. Pain was evaluated by a visual analogue scale and algometry. The Fibromyalgia Impact Questionnaire (FIQ) and Nottingham Health Profile were used to describe health status and health-related quality of life (HRQoL). Wilcoxon signed rank test and Mann-Whitney U test were used to analyze the data.
In both groups, significant improvements were found regarding pain intensity, pain pressure threshold, and HRQoL (P < .05). However, the scores of FIQ-7 (P = .006), FIQ-9 (P = .006), and FIQ-total (P = .010) were significantly lower in the MLDT group than they were in the CTM group at the end of treatment.
For this particular group of patients, both MLDT and CTM appear to yield improvements in terms of pain, health status, and HRQoL. The results indicate that these manual therapy techniques might be used in the treatment of PFM. However, MLDT was found to be more effective than CTM according to some subitems of FIQ (morning tiredness and anxiety) and FIQ total score. Manual lymph drainage therapy might be preferred; however, further long-term follow-up studies are needed.
本研究分析并比较了手法淋巴引流疗法（MLDT）和结缔组织按摩（CTM）对原发性纤维肌痛（PFM）女性患者的影响。
本研究设计为随机对照试验。50例PFM女性患者完成了研究。患者被随机分为2组。其中25例接受MLDT，另外25例接受CTM。每组每周进行5次治疗，共3周。通过视觉模拟评分法和压力测定法评估疼痛。使用纤维肌痛影响问卷（FIQ）和诺丁汉健康量表来描述健康状况和健康相关生活质量（HRQoL）。采用Wilcoxon符号秩检验和Mann-Whitney U检验分析数据。
两组在疼痛强度、疼痛压力阈值和HRQoL方面均有显著改善（P <.05）。然而，在治疗结束时，MLDT组的FIQ-7（P =.006）、FIQ-9（P =.006）和FIQ总分（P =.010）得分显著低于CTM组。
对于这一特定患者群体，MLDT和CTM在疼痛、健康状况和HRQoL方面似乎都有改善。结果表明，这些手法治疗技术可能用于PFM的治疗。然而，根据FIQ的一些子项目（晨起疲劳和焦虑）和FIQ总分，发现MLDT比CTM更有效。可能更倾向于手法淋巴引流疗法；然而，需要进一步的长期随访研究。
