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热疗联合桑拿浴和水下运动治疗纤维肌痛症的效果。

Effects of thermal therapy combining sauna therapy and underwater exercise in patients with fibromyalgia.

机构信息

Department of Rehabilitation and Physical Medicine, Graduate school of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan.

出版信息

Complement Ther Clin Pract. 2011 Aug;17(3):162-6. doi: 10.1016/j.ctcp.2010.08.004. Epub 2010 Sep 25.

DOI:10.1016/j.ctcp.2010.08.004
PMID:21742283
Abstract

Fibromyalgia syndrome (FMS) is a chronic disorder that is characterized by widespread pain with localized tenderness. We aimed to investigate whether thermal therapy combining sauna therapy and underwater exercise improved pain, symptoms, and quality of life (QOL) in FMS patients. Forty-four female FMS patients who fulfilled the American College of Rheumatology (ACR) criteria received 12-week thermal therapy program comprising sauna therapy once daily for 3 days/week and underwater exercise once daily for 2 days/week. Pain, symptoms, and QOL were assessed using a pain visual analog scale (VAS), a fibromyalgia impact questionnaire (FIQ), and a short form 36-item questionnaire (SF-36), respectively. All of the patients reported significant reductions in pain and symptoms of 31-77% after the 12-week thermal therapy program, which remained relatively stable (28-68%) during the 6-month follow-up period (that is, the thermal therapy program improved both the short-term and the long-term VAS and FIQ scores). Improvements were also observed in the SF-36 score. Thermal therapy combining sauna therapy and underwater exercise improved the QOL as well as the pain and symptoms of FMS patients.

摘要

纤维肌痛综合征(FMS)是一种慢性疾病,其特征是广泛疼痛伴局部压痛。我们旨在研究桑拿浴和水下运动相结合的热疗是否能改善 FMS 患者的疼痛、症状和生活质量(QOL)。44 名符合美国风湿病学会(ACR)标准的女性 FMS 患者接受了为期 12 周的热疗方案,包括每周 3 天每天进行一次桑拿浴和每周 2 天每天进行一次水下运动。使用疼痛视觉模拟量表(VAS)、纤维肌痛影响问卷(FIQ)和 36 项简短健康调查问卷(SF-36)分别评估疼痛、症状和 QOL。所有患者在 12 周的热疗方案后报告疼痛和症状均有 31%-77%的显著减轻,并且在 6 个月的随访期间相对稳定(即热疗方案改善了短期和长期的 VAS 和 FIQ 评分)。SF-36 评分也有所改善。桑拿浴和水下运动相结合的热疗改善了 FMS 患者的生活质量以及疼痛和症状。

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