Silva Hugo Jário de Almeida, Assunção Júnior José Cortez, de Oliveira Franciele Santos, Oliveira Jaine Maria de Pontes, Figueiredo Dantas Glauko André, Lins Caio Alano de Almeida, de Souza Marcelo Cardoso
Universidade Federal do Rio Grande do Norte, Faculdade de Ciências da Saúde do Trairi- (UFRN/FACISA), Santa Cruz, RN, Brazil.
Universidade Federal do Rio Grande do Norte, Faculdade de Ciências da Saúde do Trairi- (UFRN/FACISA), Santa Cruz, RN, Brazil.
J Bodyw Mov Ther. 2019 Apr;23(2):382-389. doi: 10.1016/j.jbmt.2018.02.005. Epub 2018 Feb 12.
Physical training has been recommended to improve overall well-being in patients with fibromyalgia. Body relaxation exercises also seem to have some beneficial effect, however there is no consensus regarding this modality.
Comparing the effectiveness of sophrology and resistance training in improving the pain of women with fibromyalgia.
A randomized controlled clinical trial with a blind evaluator. Sixty (60) women with a medical diagnosis of fibromyalgia were randomized and included in two groups: sophrology group (SG) who participated in a relaxation program based on sophrology (n = 30), and resistance group (RG) (n = 30) who participated in a resistance training program for biceps, pectoral, triceps, knee extensors, trapezius, knee flexors, hip abductors. Both groups were treated twice a week for 12 weeks and reevaluated every 4 weeks. The assessment instruments used were the Visual Analog Scale for Pain (VAS), the one-repetition maximum test (1 RM), the overall quality of life (SF-36), the 6-min walk test (6MWT), the Timed Up and Go test (TUG) and the Fibromyalgia Impact Questionnaire (FIQ).
We found that the RG presented statistically significant decreases in pain (VAS) during the evaluations (p < 0.05) and increased strength of the evaluated muscles (p < 0.05). A statistically significant decrease in pain (p < 0.05) was observed in the SG compared to T0, with no significant differences in muscle strength. Differences between groups were observed, with better indices only for 6MWT and functional capacity domain of the SF36 for the RG (p < 0.05).
No differences in pain were found between the groups. Resistance training was more effective than sophrology in improving strength and functional capacity of women with fibromyalgia.
建议进行体育锻炼以改善纤维肌痛患者的整体健康状况。身体放松练习似乎也有一些有益效果，然而对于这种方式尚无共识。
比较身心调节法与抗阻训练在改善纤维肌痛女性疼痛方面的效果。
一项由盲法评估者参与的随机对照临床试验。60名经医学诊断为纤维肌痛的女性被随机分组并纳入两组：身心调节法组（SG），她们参加基于身心调节法的放松计划（n = 30）；抗阻组（RG）（n = 30），她们参加针对肱二头肌、胸肌、肱三头肌、膝伸肌、斜方肌、膝屈肌、髋外展肌的抗阻训练计划。两组均每周接受两次治疗，为期12周，每4周重新评估一次。所使用的评估工具包括疼痛视觉模拟量表（VAS）、一次重复最大测试（1 RM）、总体生活质量（SF - 36）、6分钟步行测试（6MWT）、计时起立行走测试（TUG）和纤维肌痛影响问卷（FIQ）。
我们发现，抗阻组在评估期间疼痛（VAS）有统计学意义的降低（p < 0.05），且所评估肌肉的力量增加（p < 0.05）。与T0相比，身心调节法组的疼痛有统计学意义的降低（p < 0.05），肌肉力量无显著差异。观察到组间差异，仅抗阻组在6MWT和SF36的功能能力领域有更好的指标（p < 0.05）。
两组在疼痛方面未发现差异。抗阻训练在改善纤维肌痛女性的力量和功能能力方面比身心调节法更有效。
