Duruturk Neslihan, Tuzun Emine Handan, Culhaoglu Belde
Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Baskent University, Ankara, Turkey,
Rheumatol Int. 2015 May;35(5):845-54. doi: 10.1007/s00296-014-3159-z. Epub 2014 Oct 22.
The aim was to compare the effect of aerobic and balance exercises on pain severity, myalgic score, quality of life, exercise capacity and balance in fibromyalgia syndrome (FMS). A total of 33 females diagnosed with FMS by the American College of Rheumatology criteria were recruited in this randomised controlled study and allocated to aerobic exercise (AE) or balance exercise (BE) groups. Exercises were performed three times a week, for 6 weeks on a treadmill or with a Tetrax interactive balance system (TIBS). Outcome measures were characterised by myalgic score, visual analogue scale, Fibromyalgia Impact Questionnaire (FIQ), exercise testing, Timed Up-Go (TUG) and TIBS measurements. Comparisons from baseline to 6 weeks were evaluated using Wilcoxon test. Mann-Whitney U test was used to compare differences between groups. Effect sizes were also calculated. Improvements in pain, myalgic score and FIQ were found in both groups (p < 0.05). While comparing groups, myalgic score was significant (p = 0.02, d = -1.77), the value was higher in AE. Exercise duration, Borg scale, resting blood pressures (RBP) and maximal heart rate were significant in AE. In BE, Borg scale, exercise duration was significant (p < 0.05). While comparing groups, diastolic RBP (p = 0.04, d = -0.92), exercise duration (p = 0.00, d = -1.64) were significant, with higher values in AE. TUG significantly changed in groups (p < 0.05, d ≥ -1.22). Stability scores, eyes open while standing on elastic pads (p = 0.00, d = -0.98) and head back (p = 0.03, d = -0.74), were significant, with higher values in BE. This study showed that BE provided some improvements in FMS, but AE training led to greater gains. BE training should be included in comprehensive programs.
本研究旨在比较有氧运动和平衡训练对纤维肌痛综合征（FMS）患者疼痛严重程度、肌痛评分、生活质量、运动能力及平衡能力的影响。本随机对照研究共纳入33名符合美国风湿病学会标准的FMS女性患者，并将其随机分为有氧运动（AE）组或平衡训练（BE）组。训练每周进行3次，共6周，分别在跑步机上或使用Tetrax互动平衡系统（TIBS）进行。结局指标包括肌痛评分、视觉模拟量表、纤维肌痛影响问卷（FIQ）、运动测试、计时起立行走测试（TUG）及TIBS测量。采用Wilcoxon检验评估从基线到6周的变化情况，采用Mann-Whitney U检验比较两组间差异，并计算效应量。两组患者的疼痛、肌痛评分及FIQ均有改善（p < 0.05）。组间比较时，肌痛评分有显著差异（p = 0.02，d = -1.77），AE组评分更高。AE组的运动时长、Borg量表、静息血压（RBP）及最大心率有显著变化。BE组中，Borg量表、运动时长有显著变化（p < 0.05）。组间比较时，舒张压RBP（p = 0.04，d = -0.92）、运动时长（p = 0.00，d = -1.64）有显著差异，AE组数值更高。两组的TUG均有显著变化（p < 0.05，d ≥ -1.22）。稳定性评分方面，站在弹性垫上睁眼（p = 0.00，d = -0.98）及头部后仰（p = 0.03，d = -0.74）时，BE组有显著差异且数值更高。本研究表明，BE训练对FMS有一定改善作用，但AE训练效果更佳。BE训练应纳入综合治疗方案中。
