Faculty of Medicine, Miguel Hernández University of Elche, 03202 Elche, Spain.
Department of Health and Human Performance, Faculty of Physical Activity and Sport Science, Polytechnic University of Madrid, 28040 Madrid, Spain.
Int J Environ Res Public Health. 2020 Jun 26;17(12):4611. doi: 10.3390/ijerph17124611.
Fibromyalgia is a condition characterised by chronic widespread muscle pain and fatigue, sleep disturbances, cognitive disorders, and mood disturbance. The purpose of this study was to determine the effectiveness of a manual therapy technique performed with moderate digital pressure in women with fibromyalgia ( = 24). In this randomised, controlled trial, the participants were randomly assigned to the experimental group or placebo group. The experimental group was assisted with manual therapy sessions based on connective tissue massage, whereas the placebo group was "treated" with ultrasound sessions performed without conductive gel and with the machine turned off as the placebo. Fatigue severity scale (FSS), visual analogical scale (VAS), Pittsburgh sleep quality index (PSQI), and profile of mood states (POMS-29) were completed before and after the intervention. In the experimental group (manual therapy), significant results were obtained on a VAS scale, referring to the neck pain in patients with fibromyalgia ( < 0.001). Correlations showed a relationship between fatigue and sleep variables ( = 0.411; = 0.046) and pain variables with the POMS anger-hostility subscale ( = 0.436; = 0.033). Although the size of the sample could be a limitation, the study concluded that the application of manual therapy in fibromyalgia patients performed with moderate pressure for 15 min on the posterior cervical musculature decreased the perception of pain, muscle fatigue, and the state of tension-anxiety.
纤维肌痛症的特征是慢性广泛性肌肉疼痛和疲劳、睡眠障碍、认知障碍和情绪障碍。本研究的目的是确定一种在纤维肌痛症女性中使用中等数字压力进行的手动治疗技术的有效性（n = 24）。在这项随机对照试验中，参与者被随机分配到实验组或安慰剂组。实验组接受基于结缔组织按摩的手动治疗，而安慰剂组则接受没有传导凝胶的超声治疗，并且机器关闭作为安慰剂。在干预前后完成疲劳严重程度量表（FSS）、视觉模拟量表（VAS）、匹兹堡睡眠质量指数（PSQI）和心境状态问卷（POMS-29）。在实验组（手动治疗）中，在 VAS 量表上，患者的颈痛得到了显著改善（纤维肌痛症患者，<0.001）。相关性表明疲劳与睡眠变量之间存在关系（= 0.411；= 0.046），疼痛变量与 POMS 愤怒敌意分量表之间存在关系（= 0.436；= 0.033）。尽管样本量可能是一个限制，但研究得出结论，在纤维肌痛症患者中应用中等压力的 15 分钟颈后肌肉手动治疗可降低疼痛、肌肉疲劳和紧张焦虑状态的感知。
