Unidad de Biomecánica Clínica (UBIC Research Group), Department of Physiotherapy, Faculty of Physiotherapy, Universitat de València, 46010 València, Spain.
Freshage Research Group, Department of Physiotherapy, Faculty of Physiotherapy, Universitat de València, Centro de Investigación Biomédica en Red Fragilidad y Envejecimiento Saludable (CIBERFES-ISCIII), Fundación Investigación del Hospital Clínico Universitario de Valencia (INCLIVA), 46010 València, Spain.
Int J Environ Res Public Health. 2020 May 21;17(10):3634. doi: 10.3390/ijerph17103634.
Fibromyalgia (FM) is a chronic syndrome characterized by widespread pain and other physical and psychological features. In this study, we aimed to analyze the effect of a low-intensity physical exercise (PE) program, combining endurance training and coordination, on psychological aspects (i.e., pain catastrophizing, anxiety, depression, stress), pain perception (i.e., pain acceptance, pressure pain threshold (PPT), and quality of life and physical conditioning (i.e., self-perceived functional capacity, endurance and functional capacity, power and velocity) in women with FM. For this purpose, a randomized controlled trial was carried out. Thirty-two women with FM were randomly allocated to a PE group (PEG, n = 16), performing an eight-week low-intensity PE program and a control group (CG, n = 16). Pain catastrophizing, anxiety, depression, stress, pain acceptance, PPT, quality of life, self-perceived functional capacity, endurance and functional capacity, power, and velocity were assessed before and after the intervention. We observed a significant improvement in all studied variables in the PEG after the intervention ( < 0.05). In contrast, the CG showed no improvements in any variable, which further displayed poorer values for PPT ( < 0.05). In conclusion, a low-intensity combined PE program, including endurance training and coordination, improves psychological variables, pain perception, quality of life, and physical conditioning in women with FM.
纤维肌痛症（FM）是一种以广泛疼痛及其他身体和心理特征为特征的慢性综合征。在这项研究中，我们旨在分析低强度体力活动（PE）方案，包括耐力训练和协调性，对女性纤维肌痛症患者的心理方面（即疼痛灾难化、焦虑、抑郁、压力）、疼痛感知（即疼痛接受、压力疼痛阈值（PPT）、生活质量和身体适应能力（即自我感知的功能能力、耐力和功能能力、力量和速度）的影响。为此，进行了一项随机对照试验。32 名纤维肌痛症女性被随机分配到 PE 组（PEG，n=16）和对照组（CG，n=16），进行为期 8 周的低强度 PE 方案。在干预前后评估疼痛灾难化、焦虑、抑郁、压力、疼痛接受、PPT、生活质量、自我感知的功能能力、耐力和功能能力、力量和速度。我们观察到干预后 PEG 组所有研究变量均显著改善（<0.05）。相比之下，CG 在任何变量上均未显示出改善，进一步显示 PPT 较差（<0.05）。总之，包括耐力训练和协调性在内的低强度综合 PE 方案可改善女性纤维肌痛症患者的心理变量、疼痛感知、生活质量和身体适应能力。
