Department of Pharmacology, Dalhousie University, P.O. Box 15000, Halifax, NS, Canada B3H 4R2.
Departments of Anesthesia, Psychiatry, and Pharmacology, Dickson Centre, QEII Health Sciences Centre, 5820 University Avenue, Halifax, NS, Canada B3H 1V7.
Evid Based Complement Alternat Med. 2014;2014:379715. doi: 10.1155/2014/379715. Epub 2014 Nov 12.
Introduction. Qigong is currently considered as meditative movement, mindful exercise, or complementary exercise and is being explored for relief of symptoms in fibromyalgia. Aim. This narrative review summarizes randomized controlled trials, as well as additional studies, of qigong published to the end of 2013 and discusses relevant methodological issues. Results. Controlled trials indicate regular qigong practice (daily, 6-8 weeks) produces improvements in core domains for fibromyalgia (pain, sleep, impact, and physical and mental function) that are maintained at 4-6 months compared to wait-list subjects or baselines. Comparisons with active controls show little difference, but compared to baseline there are significant and comparable effects in both groups. Open-label studies provide information that supports benefit but remain exploratory. An extension trial and case studies involving extended practice (daily, 6-12 months) indicate marked benefits but are limited by the number of participants. Benefit appears to be related to amount of practice. Conclusions. There is considerable potential for qigong to be a useful complementary practice for the management of fibromyalgia. However, there are unique methodological challenges, and exploration of its clinical potential will need to focus on pragmatic issues and consider a spectrum of trial designs. Mechanistic considerations need to consider both system-wide and more specific effects.
简介。气功目前被认为是冥想运动、正念练习或补充性运动，正在探索其对纤维肌痛症状的缓解作用。目的。本文对截至 2013 年底发表的气功随机对照试验和其他研究进行了综述，并讨论了相关的方法学问题。结果。对照试验表明，规律的气功练习（每天，6-8 周）可改善纤维肌痛的核心领域（疼痛、睡眠、影响以及身心功能），与等待名单组或基线相比，在 4-6 个月时仍能保持改善。与活性对照组相比，差异不大，但与基线相比，两组均有显著且相当的效果。开放性研究提供了支持获益的信息，但仍处于探索阶段。一项扩展试验和涉及长期练习（每天，6-12 个月）的病例研究表明，有明显的获益，但参与者人数有限。获益似乎与练习量有关。结论。气功作为纤维肌痛管理的一种有用的补充性实践，具有很大的潜力。然而，它存在独特的方法学挑战，对其临床潜力的探索需要关注实用问题，并考虑一系列试验设计。机制考虑需要同时考虑全身性和更具体的影响。
