Collado-Mateo Daniel, Dominguez-Muñoz Francisco Javier, Adsuar Jose Carmelo, Garcia-Gordillo Miguel Angel, Gusi Narcis
Faculty of Sport Sciences, University of Extremadura, Cáceres, Spain.
Department of Economics, Faculty of Economics and Business, University of Extremadura, Badajoz, Spain; Department of Applied Economics, Faculty of Economics and Business, University of Murcia, Murcia, Spain.
Arch Phys Med Rehabil. 2017 Sep;98(9):1725-1731. doi: 10.1016/j.apmr.2017.02.011. Epub 2017 Mar 18.
To evaluate the effects of an exergame-based intervention on a population sample of women with fibromyalgia.
Single-blinded, randomized controlled trial with 8-week intervention.
Fibromyalgia center.
Participants (all women) (N=83) were divided into 2 groups: an exercise group (n=42; mean age ± SD, 52.52±9.73y) and a nonexercise group (n=41; mean age ± SD, 52.47±8.75y).
Women in the exercise group completed an 8-week exergame-based training program, which was focused on postural control and coordination of the upper and lower limbs, aerobic conditioning, strength, and mobility. Women (groups of 3) were encouraged to exercise for 120 minutes (over 2 sessions) per week.
Main outcome measures included pain and disease effect, which were assessed with the Fibromyalgia Impact Questionnaire (FIQ), a specific measure for fibromyalgia. Secondary outcome measure included quality of life, which was assessed with the EuroQoL-5 Dimensions-5 Levels (EQ-5D-5L) generic instrument.
The results showed that 97.62% of participants in the exercise group completed the 8-week intervention. The exercise group showed a significant improvement (P<.05) in the EQ-5D-5L utility index, and in 3 of 5 dimensions. For the FIQ, significant improvements were observed in the dimensions of pain, stiffness, anxiety, and feel good. The FIQ score was also reduced. The mean between-group improvement was 8.25 (95% confidence interval, 2.85-13.65).
The results and levels of compliance/adherence suggest this exergame-based training program is an effective intervention for reducing pain and increasing health-related quality of life in women with fibromyalgia.
评估基于运动游戏的干预措施对纤维肌痛女性人群样本的影响。
为期8周干预的单盲随机对照试验。
纤维肌痛中心。
参与者（均为女性）（N = 83）分为两组：运动组（n = 42；平均年龄±标准差，52.52±9.73岁）和非运动组（n = 41；平均年龄±标准差，52.47±8.75岁）。
运动组女性完成了一项为期8周的基于运动游戏的训练计划，该计划侧重于姿势控制以及上下肢的协调、有氧调节、力量和灵活性。鼓励女性（每组3人）每周锻炼120分钟（分2节进行）。
主要结局指标包括疼痛和疾病影响，通过纤维肌痛影响问卷（FIQ）进行评估，这是一种针对纤维肌痛的特定测量方法。次要结局指标包括生活质量，通过欧洲五维健康量表（EQ - 5D - 5L）通用工具进行评估。
结果显示，运动组97.62%的参与者完成了8周的干预。运动组在EQ - 5D - 5L效用指数以及5个维度中的3个维度上有显著改善（P <.05）。对于FIQ，在疼痛、僵硬、焦虑和感觉良好等维度上观察到显著改善。FIQ评分也有所降低。组间平均改善为8.25（95%置信区间，2.85 - 13.65）。
结果及依从性/坚持程度表明，这种基于运动游戏的训练计划是减轻纤维肌痛女性疼痛并提高其健康相关生活质量的有效干预措施。
