Department of Didactics of Music, Plastic and Corporal Expression, University of Jaén, Jaén, Spain.
Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhague, Denmark.
Scand J Med Sci Sports. 2020 May;30(5):904-913. doi: 10.1111/sms.13640. Epub 2020 Mar 15.
There are evidences that physical exercise is an effective instrument for improving physical fitness, health, and quality of life and causes beneficial effects on the symptoms of patients with fibromyalgia. The purpose of this study was to analyze effects of a functional training program on pain, fitness, and quality of life in patients with fibromyalgia in a 9-year prospective longitudinal cohort study. Forty women with fibromyalgia participated in this study; 24 received an exercise program and were called the active group; and 16 were the control group. Tender points, visual analogical scale (VAS) of pain, physical fitness, Fibromyalgia Impact Questionnaire (FIQ), and Short-Form Health Survey 36 (SF-36) were analyzed. The active group experienced significant improvements in FIQ, TP, and VAS (P < .001), whereas the control group showed significant worsening in the FIQ scale (P = .004). Moreover, the active group experienced significant improvements in leg strength (P < .001), balance (P = .033), cardiorespiratory fitness (P < .001), emotional role (P = .024), and mental health (P = .025); whereas the control group significantly worsened on handgrip strength (P = .017), balance (P = .043), cardiorespiratory fitness (P = .020), and in general health (P < .001). A Pearson correlation analysis revealed a significant relationship between the improvement in physical fitness variables and the improvements in FIQ, TP, and VAS. In conclusion, a regular practice of moderate-intensity physical activity shows a positive effect long-term on fitness, pain, the impact of the disease, and the quality of life in women with fibromyalgia.
有证据表明，体育锻炼是改善身体健康、健康状况和生活质量的有效手段，并对纤维肌痛患者的症状产生有益影响。本研究的目的是在一项为期 9 年的前瞻性纵向队列研究中分析功能训练计划对纤维肌痛患者疼痛、体能和生活质量的影响。40 名纤维肌痛患者参加了这项研究；24 名患者接受了运动方案，被称为活跃组；16 名患者为对照组。分析了压痛点、视觉模拟评分（VAS）疼痛、身体适应性、纤维肌痛影响问卷（FIQ）和简明健康调查问卷 36 项（SF-36）。活跃组的 FIQ、TP 和 VAS 均有显著改善（P<.001），而对照组的 FIQ 量表则明显恶化（P=.004）。此外，活跃组的腿部力量（P<.001）、平衡（P=.033）、心肺适能（P<.001）、情绪角色（P=.024）和心理健康（P=.025）都有显著提高；而对照组的握力（P=.017）、平衡（P=.043）、心肺适能（P=.020）和总体健康（P<.001）都明显恶化。Pearson 相关分析显示，身体适应性变量的改善与 FIQ、TP 和 VAS 的改善之间存在显著关系。总之，规律的中等强度体育锻炼对女性纤维肌痛患者的体能、疼痛、疾病影响和生活质量具有长期的积极影响。
