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24 周健身游戏干预对纤维肌痛女性健康相关生活质量和疼痛的影响:一项单盲、随机对照试验。

Benefits of 24-Week Exergame Intervention on Health-Related Quality of Life and Pain in Women with Fibromyalgia: A Single-Blind, Randomized Controlled Trial.

机构信息

Faculty of Sport Science, University of Cáceres, Cáceres, Spain.

Facultad de Educación, Universidad Autónoma de Chile, Talca, Chile.

出版信息

Games Health J. 2019 Dec;8(6):380-386. doi: 10.1089/g4h.2019.0023. Epub 2019 Jun 28.

Abstract

To evaluate the effects of 24-week exergame-based intervention on health-related quality of life (HRQoL) and pain in patients with fibromyalgia as well as to analyze the effectiveness of the intervention in subgroups of patients with different pain intensity levels. Single-blinded, randomized controlled trial. University facilities Fifty-five women with fibromyalgia participated in the study. The exercise group (EG) completed 24 weeks of exergames focused on mobility, postural control, upper and lower limbs coordination, aerobic fitness, and strength. A total of 120 minutes per week, divided into two sessions of 60 minutes, was completed. The Euroqol-5 Dimensions-5 Levels (EQ-5D-5L) was used to assess the HRQoL. In addition, pain intensity was measured using a visual analog scale (VAS). Twenty-five out of 28 women allocated to the EG completed the intervention, which means an 89.29% of adherence. They were randomly divided into an exercise (age = 54.04 [8.45]) and a control group (52.72 [9.98]). Significant effects on the perceived health status and pain intensity ( < 0.05) were found. K-means clustering procedure revealed two groups with different response to the intervention. The respond group obtained significant effects of the exergame intervention in EQ-5D-5L, pain VAS, and VAS-EQ, compared with those who did not respond. Exergames could be a useful tool to improve perceived health status and pain intensity level in women with fibromyalgia with a reduced health-related quality of life.

摘要

评估 24 周的健身游戏干预对纤维肌痛患者健康相关生活质量(HRQoL)和疼痛的影响,并分析该干预在不同疼痛强度水平的患者亚组中的有效性。单盲、随机对照试验。大学设施。 55 名纤维肌痛患者参加了这项研究。运动组(EG)完成了 24 周的健身游戏,重点是提高移动能力、姿势控制、上下肢协调、有氧健身和力量。每周总共完成 120 分钟,分为两次 60 分钟的课程。使用欧洲五维健康量表(EQ-5D-5L)评估 HRQoL。此外,疼痛强度使用视觉模拟量表(VAS)进行测量。在被分配到 EG 的 28 名女性中,有 25 名完成了干预,这意味着有 89.29%的人坚持了下来。她们被随机分为运动组(年龄=54.04 [8.45])和对照组(52.72 [9.98])。在感知健康状况和疼痛强度方面都发现了显著的影响(<0.05)。K 均值聚类程序显示,两组对干预的反应不同。与未响应的患者相比,对游戏干预有反应的组在 EQ-5D-5L、疼痛 VAS 和 VAS-EQ 方面都获得了显著的效果。健身游戏可能是一种有用的工具,可以提高纤维肌痛女性的感知健康状况和疼痛强度水平,改善她们的健康相关生活质量。

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