School of Medicine, Federal University of Maranhão, São Luís, Brazil.
Department of Medicine I, Federal University of Maranhão, São Luís, Brazil.
Mod Rheumatol. 2021 Jul;31(4):904-911. doi: 10.1080/14397595.2020.1829339. Epub 2021 Feb 25.
To evaluate the effects of pool-based exercises on pain symptomatology among adults with fibromyalgia syndrome.
A systematic review and meta-analysis were carried out using PRISMA guidelines. Database search was conducted by two independent reviewers. For meta-analysis, the visual analogue scale (VAS) score for pain was used as the primary outcome and the Fibromyalgia Impact Questionnaire (FIQ) score was utilized as the secondary outcome.
A total of 42 out of 292 potentially eligible studies were selected for being read in full by reviewers, 14 of which were included in meta-analysis, being 10 of them used in sensitivity analysis of either the primary or secondary outcome. Data pooled from 10 randomized controlled trials (n = 508) revealed that patients who underwent pool-based exercises exhibited a significantly lower mean in VAS score as compared to controls (SMD = -0.27, 95% CI: -0.45 to -0.09). Regarding FIQ scores, data from 10 randomized controlled trials were pooled (n = 578) and a lower mean score was also shown in the group that underwent a pool-based exercise program (SMD = -0.29, 95% CI: -0.49 to -0.09). Limitations of this study include the small sample size and moderate dropout rates in currently available clinical trials.
Pool-based exercise may provide some additional benefit for pain relief in adults with fibromyalgia as compared to either land-based or no physical exercise.
Collectively, these findings suggest that pool-based exercise deserves further attention as a potential adjuvant therapeutic option for adults with fibromyalgia. PROSPERO registration number: CRD42019136755.
评估泳池运动对纤维肌痛综合征成人疼痛症状的影响。
采用 PRISMA 指南进行系统评价和荟萃分析。由两名独立评审员进行数据库检索。对于荟萃分析，使用视觉模拟量表（VAS）评分作为主要结局，纤维肌痛影响问卷（FIQ）评分作为次要结局。
从 292 篇潜在合格研究中，共 42 篇被评审员完整阅读，其中 14 篇纳入荟萃分析，其中 10 篇用于主要或次要结局的敏感性分析。来自 10 项随机对照试验（n=508）的数据汇总显示，与对照组相比，接受泳池运动的患者 VAS 评分显著降低（SMD=-0.27，95%CI：-0.45 至 -0.09）。关于 FIQ 评分，10 项随机对照试验的数据汇总（n=578）显示，接受泳池运动计划的组的平均得分也较低（SMD=-0.29，95%CI：-0.49 至 -0.09）。本研究的局限性包括现有临床试验的样本量小和中等脱落率。
与陆地运动或不进行任何运动相比，泳池运动可能为纤维肌痛成人的疼痛缓解提供一些额外的益处。
总的来说，这些发现表明，泳池运动作为纤维肌痛成人的潜在辅助治疗选择值得进一步关注。PROSPERO 注册号：CRD42019136755。
