Department of Kinesiology & Physical Education, Wilfrid Laurier University , Waterloo ON Canada.
School of Rehabilitation Science, McMaster University , Hamilton ON Canada.
J Sports Sci Med. 2002 Dec 1;1(4):122-7. eCollection 2002 Dec.
This field study examined the influence of moderate intensity training on gait patterns and work capacity of individuals with fibromyalgia syndrome (FS). FS is a chronic condition of unknown etiology, characterized by muscle tenderness, pain and stiffness and often accompanied by depression and fatigue which seems to occur primarily in middle aged females. There is no known cure for FS but treatment often includes a prescription of mild exercise. Few studies have evaluated the effectiveness of mild exercise on work capacity and gait patterns in FS patients. Participants were 14 females (age 47.0 ± 7.6 y) who participated in a 10 wk community based aerobic, strength and stretching program designed for FS individuals. Subjects were evaluated pre- and post-program and at a 2 month follow up. Work capacity was estimated by a sub-maximal PWC 170 cycle ergometer test and a Borg perceived exertion scale. Gait was assessed using OptoTrack three dimensional kinematics with 16 channel analogue data acquisition system. Trunk flexibility was also assessed. No significant change in estimated work capacity or flexibility was seen between pre- post- and follow up times. Nevertheless, a significant increase in self selected walking speed (p < 0.05) and a trend toward a more normal gait pattern that was sustained in the follow up testing was noted. We had previously also reported a significant improvement in muscle pain and other fibromyalgia symptoms in this population consequent to the training program. It was concluded that mild exercise training that does not influence work capacity or trunk flexibility can nevertheless positively influence gait mechanics and fibromyalgia symptoms in female FS patients.
这项现场研究考察了中等强度训练对纤维肌痛综合征（FS）患者步态模式和工作能力的影响。FS 是一种病因不明的慢性疾病，其特征是肌肉压痛、疼痛和僵硬，常伴有抑郁和疲劳，似乎主要发生在中年女性中。目前尚无 FS 的治愈方法，但治疗通常包括轻度运动处方。很少有研究评估轻度运动对 FS 患者工作能力和步态模式的有效性。参与者为 14 名女性（年龄 47.0 ± 7.6 岁），她们参加了一项为期 10 周的社区有氧、力量和伸展计划，专为 FS 患者设计。受试者在计划前、计划中和 2 个月随访时进行评估。工作能力通过亚最大 PWC 170 测功计测试和 Borg 感知用力量表来估计。步态使用 OptoTrack 三维运动学和 16 通道模拟数据采集系统进行评估。还评估了躯干灵活性。在计划前、计划中和随访期间，估计的工作能力或灵活性没有明显变化。然而，自我选择的步行速度显著增加（p < 0.05），并且观察到更正常的步态模式趋势，这种趋势在随访测试中得以维持。我们之前还报告过，在该人群中，由于训练计划，肌肉疼痛和其他纤维肌痛症状显著改善。结论是，不会影响工作能力或躯干灵活性的轻度运动训练，但可以积极影响女性 FS 患者的步态力学和纤维肌痛症状。
