Lynch Mary, Sawynok Jana, Hiew Chok, Marcon Dana
Arthritis Res Ther. 2012 Aug 3;14(4):R178. doi: 10.1186/ar3931.
Fibromyalgia is difficult to treat and requires the use of multiple approaches. This study is a randomized controlled trial of qigong compared with a wait-list control group in fibromyalgia.
One hundred participants were randomly assigned to immediate or delayed practice groups, with the delayed group receiving training at the end of the control period. Qigong training (level 1 Chaoyi Fanhuan Qigong, CFQ), given over three half-days, was followed by weekly review/practice sessions for eight weeks; participants were also asked to practice at home for 45 to 60 minutes per day for this interval. Outcomes were pain, impact, sleep, physical function and mental function, and these were recorded at baseline, eight weeks, four months and six months. Immediate and delayed practice groups were analyzed individually compared to the control group, and as a combination group.
In both the immediate and delayed treatment groups, CFQ demonstrated significant improvements in pain, impact, sleep, physical function and mental function when compared to the wait-list/usual care control group at eight weeks, with benefits extending beyond this time. Analysis of combined data indicated significant changes for all measures at all times for six months, with only one exception. Post-hoc analysis based on self-reported practice times indicated greater benefit with the per protocol group compared to minimal practice.
This study demonstrates that CFQ, a particular form of qigong, provides long-term benefits in several core domains in fibromyalgia. CFQ may be a useful adjuvant self-care treatment for fibromyalgia.
clinicaltrials.gov NCT00938834.
纤维肌痛难以治疗，需要采用多种方法。本研究是一项关于气功与纤维肌痛等待名单对照组的随机对照试验。
100名参与者被随机分配到即时练习组或延迟练习组，延迟组在对照期结束时接受训练。气功训练（一级朝易返环气功，CFQ）为期三个半天，之后是为期八周的每周复习/练习课程；在此期间，还要求参与者每天在家练习45至60分钟。观察指标包括疼痛、影响、睡眠、身体功能和心理功能，并在基线、八周、四个月和六个月时记录。将即时和延迟练习组分别与对照组进行分析，并作为一个组合组进行分析。
与等待名单/常规护理对照组相比，即时和延迟治疗组在八周时CFQ在疼痛、影响、睡眠、身体功能和心理功能方面均有显著改善，且这种益处持续超过该时间。合并数据分析表明，六个月内所有指标在所有时间均有显著变化，只有一个例外。基于自我报告练习时间的事后分析表明，与最少练习组相比，符合方案组的益处更大。
本研究表明，CFQ这种特定形式的气功在纤维肌痛的几个核心领域具有长期益处。CFQ可能是纤维肌痛一种有用的辅助自我护理治疗方法。
clinicaltrials.gov NCT00938834。
