Weber Augusto, Werneck Lineu, Paiva Eduardo, Gans Paulo
1 Department of Internal Medicine and Health Sciences Post Graduate Program, Hospital de Clínicas da Universidade Federal do Paraná , Curitiba, Brazil .
J Altern Complement Med. 2015 Feb;21(2):77-82. doi: 10.1089/acm.2014.0199. Epub 2015 Jan 30.
Fibromyalgia (FM) is a disease that causes widespread pain and increased sensitivity to pain because of a dysfunction in the central nervous system. This study investigated the effect of music combined with vibration on acupuncture points for the treatment of FM.
A total of 120 patients with FM were allocated randomly to four groups (30 patients each). One group listened to a sequence of Bach's compositions. The second group was subjected to vibratory stimuli on a combination of acupuncture points on the skin. The third group (complete) underwent both procedures in a simultaneous and synchronized manner, with inclusion of binaural beats. The fourth group (control) received no stimulation. The participants underwent the experimental procedure during five sessions performed on alternate days. They were assessed by the Fibromyalgia Impact Questionnaire (FIQ) and the Health Assessment Questionnaire (HAQ) before the first session and after the last session (20 days).
All groups showed a significant improvement in FIQ and HAQ scores at the evaluation after the intervention. The complete group exhibited the best result on both the FIQ and HAQ (p<0.001), and the improvement in HAQ score was significant (p<0.004).
The results suggest that the placebo effect in FM may be substantial. However, comparison between groups revealed that the complete group had the greatest reduction in both FIQ and HAQ, with a significant improvement in HAQ, suggesting that the combined use of music and vibration exerts a greater effect on FM symptoms.
纤维肌痛(FM)是一种由于中枢神经系统功能障碍而导致全身疼痛和疼痛敏感性增加的疾病。本研究调查了音乐结合穴位振动对纤维肌痛治疗的效果。
总共120例纤维肌痛患者被随机分为四组(每组30例)。一组聆听一系列巴赫的作品。第二组在皮肤上的一组穴位上接受振动刺激。第三组(完整组)同时同步进行这两种操作,并加入双耳节拍。第四组(对照组)不接受任何刺激。参与者在每隔一天进行的五次疗程中接受实验程序。在第一次疗程前和最后一次疗程后(20天),通过纤维肌痛影响问卷(FIQ)和健康评估问卷(HAQ)对他们进行评估。
在干预后的评估中,所有组的FIQ和HAQ评分均有显著改善。完整组在FIQ和HAQ上均表现出最佳结果(p<0.001),并且HAQ评分的改善具有显著性(p<0.004)。
结果表明纤维肌痛中的安慰剂效应可能很大。然而,组间比较显示完整组在FIQ和HAQ上的降低幅度最大,HAQ有显著改善,这表明音乐和振动的联合使用对纤维肌痛症状产生了更大的影响。