Meeus Mira, Nijs Jo, Vanderheiden Tanja, Baert Isabel, Descheemaeker Filip, Struyf Filip
Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Belgium Pain in Motion Research Group, Belgium
Pain in Motion Research Group, Belgium Departments of Human Physiology and Rehabilitation Sciences, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Belgium.
Clin Rehabil. 2015 Mar;29(3):221-33. doi: 10.1177/0269215514542635. Epub 2014 Sep 8.
To establish the effects of relaxation therapy on autonomic function, pain, fatigue and daily functioning in patients with chronic fatigue syndrome or fibromyalgia.
A systematic literature study was performed. Using specific keywords related to fibromyalgia or chronic fatigue syndrome and relaxation therapy, the electronic databases PubMed and Web of Science were searched. Included articles were assessed for their risk of bias and relevant information regarding relaxation was extracted. The review was conducted and reported according to the PRISMA-statement.
Thirteen randomized clinical trials of sufficient quality were included, resulting in a total of 650 fibromyalgia patients (11 studies) and 88 chronic fatigue syndrome patients (3 studies). None of the studies reported effects on autonomic function. Six studies reported the effect of guided imagery on pain and daily functioning in fibromyalgia. The acute effect of a single session of guided imagery was studied in two studies and seems beneficial for pain relief. For other relaxation techniques (eg. muscle relaxation, autogenic training) no conclusive evidence was found for the effect on pain and functioning in fibromyalgia patients comparison to multimodal treatment programs. For fatigue a multimodal approach seemed better than relaxation, as shown in the sole three studies on chronic fatigue syndrome patients.
There is moderate evidence for the acute effect of guided imagery on pain, although the content of the visualization is a matter of debate. Other relaxation formats and the effects on functionality and autonomic function require further study.
确定放松疗法对慢性疲劳综合征或纤维肌痛患者自主神经功能、疼痛、疲劳及日常功能的影响。
进行了一项系统的文献研究。使用与纤维肌痛或慢性疲劳综合征及放松疗法相关的特定关键词，检索了电子数据库PubMed和科学网。对纳入的文章进行偏倚风险评估，并提取有关放松的相关信息。根据PRISMA声明进行综述并报告。
纳入了13项质量足够的随机临床试验，共有650例纤维肌痛患者（11项研究）和88例慢性疲劳综合征患者（3项研究）。没有研究报告对自主神经功能的影响。6项研究报告了引导式意象对纤维肌痛患者疼痛和日常功能的影响。两项研究对单次引导式意象的急性效果进行了研究，似乎对缓解疼痛有益。对于其他放松技术（如肌肉放松、自生训练），与多模式治疗方案相比，没有确凿证据表明对纤维肌痛患者的疼痛和功能有影响。对于疲劳，如仅有的三项针对慢性疲劳综合征患者的研究所显示，多模式方法似乎比放松更好。
有中等证据表明引导式意象对疼痛有急性效果，尽管视觉化的内容存在争议。其他放松形式以及对功能和自主神经功能的影响需要进一步研究。
