Department of Physical Medicine and Rehabilitation, University of Uludag, Bursa, Turkey.
Arch Phys Med Rehabil. 2009 Dec;90(12):1983-8. doi: 10.1016/j.apmr.2009.06.021.
Altan L, Korkmaz N, Bingol U, Gunay B. Effect of Pilates training on people with fibromyalgia syndrome: a pilot study.
To investigate the effects of Pilates on pain, functional status, and quality of life in fibromyalgia, which is known to be a chronic musculoskeletal disorder.
Randomized, prospective, controlled, and single-blind trial.
Physical medicine and rehabilitation department.
Women (N=50) who had a diagnosis of fibromyalgia syndrome (FMS) according to the American College of Rheumatology criteria.
The participants were randomly assigned into 2 groups. In group 1, a Pilates exercise program of 1 hour was given by a certified trainer to 25 participants 3 times a week for 12 weeks. In group 2, which was designed as the control group, 25 participants were given a home exercise (relaxation/stretching) program. In both groups, pre- (week 0) and posttreatment (week 12 and week 24) evaluation was performed by one of the authors, who was blind to the group allocation.
Primary outcome measures were pain (visual analog scale) and Fibromyalgia Impact Questionnaire (FIQ). Exploratory outcome measures were number of tender points, algometric score, chair test, and Nottingham Health Profile.
Twenty-five Pilates exercise and 24 relaxation/stretching exercise participants completed the study. In group 1, significant improvement was observed in both pain and FIQ at week 12 but only in FIQ at 24 weeks. In group 2, no significant improvement was obtained in pain and FIQ at week 12 and week 24. Comparison of the 2 groups showed significantly superior improvement in pain and FIQ in group 1 at week 12 but no difference between the 2 groups at week 24.
We suggest Pilates as an effective and safe method for people with FMS. Our study is the first clinical study designed to investigate the role of the Pilates method in FMS treatment. We believe that further research with more participants and longer follow-up periods could help assess the therapeutic value of this popular physical exercise method.
探讨普拉提训练对纤维肌痛综合征（一种已知的慢性肌肉骨骼疾病）患者疼痛、功能状态和生活质量的影响。
随机、前瞻性、对照、单盲试验。
物理医学与康复科。
根据美国风湿病学会标准诊断为纤维肌痛综合征（FMS）的女性（N=50）。
将参与者随机分为 2 组。第 1 组中，由认证培训师每周 3 次为 25 名参与者提供 1 小时的普拉提运动方案，持续 12 周。在第 2 组（对照组）中，为 25 名参与者设计了家庭运动（放松/伸展）方案。在两组中，由一位作者在治疗前（第 0 周）和治疗后（第 12 周和第 24 周）进行评估，作者对分组情况不知情。
主要观察指标为疼痛（视觉模拟评分）和纤维肌痛影响问卷（FIQ）。探索性观察指标包括压痛点数、压痛计评分、椅子测试和诺丁汉健康量表。
25 名参与者完成了普拉提运动，24 名参与者完成了放松/伸展运动。第 1 组在第 12 周时疼痛和 FIQ 均显著改善，但仅在第 24 周时 FIQ 改善。第 2 组在第 12 周和第 24 周时疼痛和 FIQ 均无显著改善。两组比较，第 12 周时第 1 组疼痛和 FIQ 改善明显优于第 2 组，但第 24 周时两组无差异。
我们认为普拉提是治疗纤维肌痛综合征的有效且安全的方法。我们的研究是第一项旨在探讨普拉提方法在纤维肌痛综合征治疗中的作用的临床研究。我们相信，进一步的研究可以帮助评估这种流行的身体运动方法的治疗价值，研究对象可增加，并延长随访时间。
