1 Departamento de Desporto e Saúde, Escola de Ciência e Tecnologia, Universidade de Évora , Évora, Portugal .
2 Research Centre for Sports, Health and Human Development, CIDESD, University of Évora , Évora, Portugal .
J Altern Complement Med. 2018 Aug;24(8):825-832. doi: 10.1089/acm.2017.0335. Epub 2018 Apr 13.
BACKGROUND/OBJECTIVE: Respiratory problems can aggravate pain located in the coincident areas with tender points in the upper half of the body in patients with fibromyalgia (FM) and easily become fatigued, thus can lead to a decrease in the functionality of daily activities. The purpose of this study was to examine the effects of a breathing exercises program on pain thresholds tolerance on tender points and FM impact on daily life.
METHODS/DESIGN: Thirty-five women with FM (age 34-67 years) were randomly assigned to an exercise group (n = 18), performing breathing exercises (30 min/session, 7 times/week; for 12 weeks), or to a control group (n = 17). Pain thresholds tolerance on tender points were measured by the physician using digital pressure algometer and FM impact on daily life was evaluated with the Portuguese version of the Fibromyalgia Impact Questionnaire (FIQ).
After 12 weeks of breathing exercises significant improvements were observed in the mean values of the treatment effects on pain thresholds tolerance on tender points and in the functional capacity to perform daily life, pain, and fatigue in favor of the exercise group. Gains in second rib, occiput, and supraspinatus pairs of the tender points predict improvements in the functional capacity, pain, and fatigue.
Our study demonstrated that breathing exercises produced relevant benefits on pain thresholds tolerance on tender points located in the upper half of the body, some of which predicted improvements in the impact of FM in the functional capacity to perform daily life, pain, and fatigue. These results provide further support of an idea that breathing exercises are a real and effective intervention to consider in women with FM.
International Standard Randomized Controlled Trial Number ISRCTN37081460, available information in www.isrctn.com/ ISRCTN37081460.
背景/目的：纤维肌痛症（FM）患者上半身的压痛部位与疼痛部位重合，呼吸问题会加重疼痛，且容易导致疲劳，从而导致日常活动功能下降。本研究旨在探讨呼吸锻炼方案对压痛部位疼痛阈值耐受和 FM 对日常生活影响的影响。
方法/设计：35 名 FM 女性（年龄 34-67 岁）被随机分为运动组（n=18，进行呼吸锻炼，每次 30 分钟，每周 7 次，共 12 周）或对照组（n=17）。压痛部位的疼痛阈值耐受由医生使用数字压力测痛计测量，FM 对日常生活的影响采用葡萄牙语版纤维肌痛影响问卷（FIQ）进行评估。
12 周呼吸锻炼后，运动组压痛部位疼痛阈值耐受的平均治疗效果以及日常生活功能、疼痛和疲劳方面均有显著改善。第二肋骨、枕骨和冈上肌对压痛部位的改善预测了日常生活功能、疼痛和疲劳的改善。
我们的研究表明，呼吸锻炼对上半身压痛部位的疼痛阈值耐受有显著的益处，其中一些益处预测了 FM 在日常生活功能、疼痛和疲劳方面的影响有所改善。这些结果进一步支持了呼吸锻炼是 FM 女性值得考虑的一种真实有效的干预措施的观点。
国际标准随机对照试验编号 ISRCTN37081460，可在 www.isrctn.com/ISRCTN37081460 中获取信息。
