Espí-López Gemma V, Inglés Marta, Ruescas-Nicolau María-Arántzazu, Moreno-Segura Noemí
Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Calle Gascó Oliag, 5, E46010 Valencia, Spain.
Complement Ther Med. 2016 Oct;28:1-7. doi: 10.1016/j.ctim.2016.07.003. Epub 2016 Jul 9.
Fibromyalgia is a pathological entity characterized by chronic widespread musculoskeletal pain and the presence of "tender points". It constitutes a significant health problem because of its prevalence and economic impact. The aim of the present study was to determine the therapeutic benefits of low impact aerobic exercise alone or in combination with music therapy in patients with fibromyalgia.
A single-blind randomized controlled pilot trial was performed. Thirty-five individuals with fibromyalgia were divided into three groups: (G1) therapeutic aerobic exercise with music therapy (n=13); (G2) therapeutic aerobic exercise at any rhythm (n=13) and (CG) control (n=9). The intervention period lasted eight weeks. Depression, quality of life, general discomfort and balance were assessed before and after intervention.
At post-intervention, group G1 improved in all variables (depression (p=0.002), quality of life (p=0.017), general discomfort (p=0.001), and balance (p=0.000)), while group G2 improved in general discomfort (p=0.002). The change observed in balance was statistically different between groups (p=0.01).
Therapeutic aerobic exercise is effective in improving depression and general discomfort in individuals with fibromyalgia. However, effectiveness is higher when combined with music therapy, which brings about further improvements in quality of life and balance.
纤维肌痛是一种以慢性广泛性肌肉骨骼疼痛和存在“压痛点”为特征的病理实体。由于其患病率和经济影响，它构成了一个重大的健康问题。本研究的目的是确定低强度有氧运动单独或与音乐疗法联合对纤维肌痛患者的治疗益处。
进行了一项单盲随机对照试验。35名纤维肌痛患者被分为三组：（G1）音乐疗法辅助治疗性有氧运动组（n = 13）；（G2）任意节奏的治疗性有氧运动组（n = 13）和（CG）对照组（n = 9）。干预期持续8周。在干预前后评估抑郁、生活质量、总体不适和平衡情况。
干预后，G1组在所有变量上均有改善（抑郁（p = 0.002）、生活质量（p = 0.017）、总体不适（p = 0.001）和平衡（p = 0.000）），而G2组仅在总体不适方面有所改善（p = 0.002）。两组之间在平衡方面观察到的变化具有统计学差异（p = 0.01）。
治疗性有氧运动对改善纤维肌痛患者的抑郁和总体不适有效。然而，与音乐疗法联合时效果更佳，音乐疗法能进一步改善生活质量和平衡。
