Chair of Complementary Medicine, Center of Internal Medicine, Rostock University Medicine, Ernst-Heydemann-Straße 6, 18057 Rostock, Germany.
Evid Based Complement Alternat Med. 2013;2013:679248. doi: 10.1155/2013/679248. Epub 2013 Oct 3.
The objective of this study is to assess the safety of treatment with vibration massage using a deep oscillation device and the effects on symptom severity and quality of life in patients with primary fibromyalgia syndrome (FMS). Outpatients with FMS performed an observational prospective study with visits 2-4 weeks after the last treatment (control) and after further 2 months (follow-up). Patients were treated with 10 sessions of 45 min deep oscillation massage, 2/week. Primary outcome parameters were safety and tolerability (5-level Likert scale (1 = very good)) (after each treatment session and at control visit). Secondary outcome parameters were symptom severity (Fibromyalgia Impact Questionnaire (FIQ), pain) and quality of life (SF-36). Seventy patients (97.1% females) were included. At control visit, 41 patients (58.6%) reported 63 mild and short-lasting adverse events, mainly worsening of prevalent symptoms such as pain and fatigue. Tolerability was rated as 1.8 (95% confidence interval: 1.53; 2.07). Symptoms and quality of life were significantly improved at both control and follow-up visits (at least P < 0.01). In conclusion, deep oscillation massage is safe and well tolerated in patients with FMS and might improve symptoms and quality of life rather sustained.
本研究旨在评估使用深层振动按摩设备进行振动按摩治疗的安全性,并观察其对原发性纤维肌痛综合征(FMS)患者症状严重程度和生活质量的影响。门诊 FMS 患者进行了一项观察性前瞻性研究,在最后一次治疗(对照)后 2-4 周以及进一步 2 个月(随访)时进行访视。患者接受了 10 次 45 分钟深层振动按摩治疗,每周 2 次。主要结局参数是安全性和耐受性(5 级李克特量表(1=非常好))(每次治疗后和对照访视时)。次要结局参数为症状严重程度(纤维肌痛影响问卷(FIQ)、疼痛)和生活质量(SF-36)。70 例患者(97.1%为女性)入选。在对照访视时,41 例患者(58.6%)报告了 63 例轻度和短暂的不良事件,主要是疼痛和疲劳等常见症状加重。耐受性评分为 1.8(95%置信区间:1.53;2.07)。症状和生活质量在对照和随访访视时均显著改善(至少 P<0.01)。总之,深层振动按摩在 FMS 患者中安全且耐受性良好,可能会改善症状和生活质量,且改善效果持续。