对纤维肌痛女性患者在中等强度有氧运动方案中加入伸展运动的益处：一项随机对照试验。
Benefits of adding stretching to a moderate-intensity aerobic exercise programme in women with fibromyalgia: a randomized controlled trial.
机构信息
Department of Nursing and Physiotherapy, Universidad de Alcalá, Alcalá de Henares, Spain.
Physiotherapy Department, Faculty of Health, Exercise and Sport, European University of Madrid, Madrid, Spain.
出版信息
Clin Rehabil. 2020 Feb;34(2):242-251. doi: 10.1177/0269215519893107. Epub 2019 Dec 18.
OBJECTIVE
To investigate the effects of adding stretching to a moderate-intensity aerobic exercise programme in women with fibromyalgia.
DESIGN
Randomized controlled trial.
SUBJECTS
Sixty-four female patients who were diagnosed with fibromyalgia syndrome based on the American College of Rheumatology criteria were recruited (mean age: 54.27 ± 6.94 years).
INTERVENTIONS
The control group ( = 32) underwent supervised moderate-intensity cycling (50%-70% of the age-predicted maximum heart rate) three times per week for 12 weeks. The experimental group ( = 32) underwent the same exercise programme plus a stretching programme once per week for 12 weeks.
MAIN MEASURES
The main measures of this study were sleep quality assessed by the Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale, the impact of fibromyalgia on quality of life assessed by the Fibromyalgia Impact Questionnaire, and pain perception assessed by the visual analogue scale at baseline, after 4 weeks, and after 12 weeks.
RESULTS
The experimental group experienced significant improvements at 4-week measure compared with control group: Pittsburgh Sleep Quality Index ( < 0.001); Epworth Sleepiness Scale ( = 0.002); Fibromyalgia Impact Questionnaire (0.93 ± 7.39, < 0.001); and visual analogue scale (0.52 ± 0.05, < 0.001). Also at 12-week measure, experimental group experienced significant improvements compared with control group: Pittsburgh Sleep Quality Index ( < 0.001), Epworth Sleepiness Scale ( < 0.001); Fibromyalgia Impact Questionnaire (1.15 ± 9.11, < 0.001); and visual analogue scale (0.81 ± 0.62, < 0.001).
CONCLUSION
Adding stretching to a moderate-intensity aerobic exercise programme increased sleep quality, decreased the impact of fibromyalgia on the quality of life, and reduced pain compared with just a moderate-intensity aerobic exercise programme in our sample of women with fibromyalgia.
目的
探讨在纤维肌痛症女性患者中，将伸展运动加入到中等强度有氧运动方案中的效果。
设计
随机对照试验。
受试者
共招募了 64 名符合美国风湿病学会标准的纤维肌痛综合征女性患者（平均年龄：54.27±6.94 岁）。
干预
对照组（n=32）每周接受 3 次监督下的中等强度自行车运动（50%-70%的年龄预测最大心率），持续 12 周。实验组（n=32）接受相同的运动方案，并每周增加一次伸展运动，持续 12 周。
主要观察指标
本研究的主要观察指标为匹兹堡睡眠质量指数和埃普沃思嗜睡量表评估的睡眠质量、纤维肌痛影响生活质量问卷评估的纤维肌痛对生活质量的影响以及视觉模拟量表评估的疼痛感知，在基线、4 周后和 12 周后进行评估。
结果
实验组在 4 周时的测量值与对照组相比有显著改善：匹兹堡睡眠质量指数（ < 0.001）；埃普沃思嗜睡量表（ = 0.002）；纤维肌痛影响问卷（0.93±7.39， < 0.001）；视觉模拟量表（0.52±0.05， < 0.001）。在 12 周时的测量值，实验组与对照组相比也有显著改善：匹兹堡睡眠质量指数（ < 0.001），埃普沃思嗜睡量表（ < 0.001）；纤维肌痛影响问卷（1.15±9.11， < 0.001）；视觉模拟量表（0.81±0.62， < 0.001）。
结论
在我们的纤维肌痛女性患者样本中，与单纯进行中等强度有氧运动方案相比，将伸展运动加入到中等强度有氧运动方案中可提高睡眠质量，降低纤维肌痛对生活质量的影响，并减轻疼痛。
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