Ayan C, Alvarez M J, Alonso-Cortés B, Barrientos M J, Valencia M, Martín V
Department of Preventive Medicine, University of Leon, Spain.
J Back Musculoskelet Rehabil. 2009;22(2):99-105. doi: 10.3233/BMR-2009-0222.
The objective of this study was to assess the long- and short-term effects of a multimodal program, specifically designed to be carried out by fibromyalgia syndrome (FMS) patients themselves, after a 12-week period of learning. Thirty female FMS patients volunteered for the study. The learning phase consisted on twelve weekly sessions of an hour, combining muscular resistance and flexibility exercises with techniques of breathing and relaxing, plus a half-hour incentive physiotherapy session. Flexibility, illness impact and pain were assessed at the beginning of the study, at the end of the learning phase and six months afterwards (follow-up). Twenty-one patients completed the programme. At the end of the learning phase, the improvement in the patients' physical condition was significant, as was the impact of the illness. Thirty-three percent of the patients continued training during the follow-up period and kept up the improvements achieved. The self-controlled multimodal programme was efficient in improving flexibility and reducing the impact of the illness in women fibromyalgia patients. However, adherence was poor when patients had to exercise on their own.
本研究的目的是评估一个多模式项目在为期12周的学习期后产生的长期和短期效果，该项目是专门为纤维肌痛综合征（FMS）患者自行实施而设计的。30名女性FMS患者自愿参与本研究。学习阶段包括每周1次、每次1小时的12次课程，将肌肉抗阻和柔韧性练习与呼吸及放松技巧相结合，外加一次半小时的激励性物理治疗课程。在研究开始时、学习阶段结束时以及6个月后（随访）评估柔韧性、疾病影响和疼痛情况。21名患者完成了该项目。在学习阶段结束时，患者的身体状况有显著改善，疾病影响也是如此。33%的患者在随访期间继续训练并保持了所取得的改善。自我控制的多模式项目在改善女性纤维肌痛患者的柔韧性和减少疾病影响方面是有效的。然而，当患者必须自行锻炼时，依从性较差。
