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“身体运动与感知”方法治疗纤维肌痛综合征的疗效:一项开放性初步研究。

Efficacy of the "body movement and perception" method in the treatment of fibromyalgia syndrome: an open pilot study.

机构信息

Department of BioMedicine, Division of Rheumatology, University of Florence, and AMuRR, Rehabilitative Medicine and Assistive Devices Centre, Careggi Hospital, Florence, Italy.

出版信息

Clin Exp Rheumatol. 2011 Nov-Dec;29(6 Suppl 69):S12-8. Epub 2012 Jan 3.

Abstract

OBJECTIVES

Group exercises may be useful in fibromyalgia syndrome (FMS). The 'Body movement and perception' (BMP) method is based on low impact exercises, awareness of body perception and relaxation, aimed at treating small groups of patients following the Resseguier method (RM) and integrating RM with exercises derived from soft gymnastics. We assessed the effects of BMP method on FMS.

METHODS

40 women with FMS (age and disease duration: 51.7±7.2 and 4.9±3.8 years) participated in an open pilot study. BMP sessions were performer twice a week (50 minutes each) for 8 weeks. Patients were assessed at enrolment (T0) and at the end of the study (T1) by a self-administered questionnaire (temporal characteristics of pain, pain interference in working and recreational activities and in night-time rest, awareness of pain, fatigue, irritability, well-being, quality of movement, ability to focus on perception and to perceive whole body, postural selfcontrol, ability to relax) and a clinical evaluation (tender points, assumption of analgesics/NSAIDs, distribution of pain, pain in sitting and standing position, pain during postural passages and gait, postural body alignment, muscular contractures).

RESULTS

At T1, FMS patients significantly improved with respect to T0 in pain, fatigue, irritability, well-being, quality of movement, postural self-control, ability to relax mind and body, movement perception, tender point scores, assumption of analgesic/NSAIDs, body alignment and muscle contractures (p<0.05 for all the comparisons T1 versus T0).

CONCLUSIONS

In FMS patients, rehabilitation with BMP improves pain and well being, reduces the number of tender points and muscle contractures, thus it is useful in FMS management.

摘要

目的

团体运动在纤维肌痛综合征(fibromyalgia syndrome,FMS)中可能有用。“身体运动与感知”(body movement and perception,BMP)方法基于低冲击运动、身体感知和放松意识,旨在根据雷塞吉耶(Resseguier)方法(RM)治疗小患者群体,并将 RM 与源自柔软体操的运动相结合。我们评估了 BMP 方法对 FMS 的影响。

方法

40 名 FMS 女性(年龄和疾病持续时间:51.7±7.2 岁和 4.9±3.8 年)参加了一项开放的试点研究。BMP 课程每周进行两次(每次 50 分钟),共 8 周。患者在入组时(T0)和研究结束时(T1)通过自我管理问卷(疼痛的时间特征、疼痛对工作和娱乐活动及夜间休息的干扰、疼痛意识、疲劳、易怒、幸福感、运动质量、专注于感知和感知整个身体的能力、姿势自我控制、放松能力)和临床评估(压痛点、镇痛药/非甾体抗炎药的使用、疼痛分布、坐姿和站姿疼痛、姿势过渡和步态疼痛、姿势身体对齐、肌肉挛缩)进行评估。

结果

与 T0 相比,T1 时 FMS 患者的疼痛、疲劳、易怒、幸福感、运动质量、姿势自我控制、放松身心、运动感知、压痛点评分、镇痛药/非甾体抗炎药使用、身体对齐和肌肉挛缩均显著改善(所有比较 T1 与 T0,p<0.05)。

结论

在 FMS 患者中,BMP 康复可改善疼痛和幸福感,减少压痛点和肌肉挛缩的数量,因此对 FMS 管理有用。

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