Centre on Behavioral Health, The University of Hong Kong, Hong Kong, China.
J Altern Complement Med. 2012 Jul;18(7):641-6. doi: 10.1089/acm.2011.0347. Epub 2012 Jul 3.
The study objective was to summarize and critically assess the evidence available from randomized controlled trials (RCTs) of qigong exercise for patients with fibromyalgia (FM).
Thirteen (13) databases were searched up to February 2011. RCTs testing the effects of qigong exercise among patients with FM were included. For each included study, data were extracted and study quality was evaluated using the Jadad Scale.
Four (4) RCTs met the inclusion criteria. One (1) RCT demonstrated beneficial effects of qigong exercise for FM. Two (2) RCTs testing the effectiveness of qigong as a part of a treatment package compared with group education or daily activities failed to show favorable effects of qigong exercise for adult patients with FM. Another RCT comparing qigong with aerobic exercise among children with FM showed effects in favor of aerobic exercise.
Given methodological flaws in the included studies, it is still too early to draw a conclusion about the effectiveness of qigong exercise for FM. Further rigorously designed RCTs are warranted.
本研究旨在总结和批判性评估随机对照试验(RCT)中气功锻炼治疗纤维肌痛(FM)患者的证据。
检索了截至 2011 年 2 月的 13 个数据库。纳入了测试气功锻炼对 FM 患者影响的 RCT 研究。对每个纳入的研究,采用 Jadad 量表提取数据并评估研究质量。
符合纳入标准的 RCT 有 4 项。1 项 RCT 显示气功锻炼对 FM 有益。2 项 RCT 测试了气功作为治疗方案的一部分与团体教育或日常活动的有效性,未能显示气功锻炼对成年 FM 患者的有利影响。另一项比较 FM 患儿气功与有氧运动的 RCT 显示,有氧运动的效果更为有利。
鉴于纳入研究的方法学缺陷,目前还不能对气功锻炼治疗 FM 的有效性下结论。需要进一步进行严格设计的 RCT 研究。