Department of Surgery, Ophthalmology and Physiotherapy, Faculty of Health Sciences, University of Valladolid, 42004 Soria, Spain.
Department of Physiatrist and Nursery, Faculty of Health Science, University of Zaragoza, 50009 Zaragoza, Spain.
Int J Environ Res Public Health. 2021 Feb 20;18(4):2075. doi: 10.3390/ijerph18042075.
We analyzed the immediate effects of a Telerehabilitation Program (TP) based on aerobic exercise in women with fibromyalgia (FM) syndrome during the lockdown declared in Spain due to the COVID-19 pandemic.
A single-blind randomized controlled trial was designed. Thirty-four women with FM were randomized into two groups: TP group and Control group. The intervention lasted 15 weeks, with 2 sessions per week. The TP based on aerobic exercise was guided by video and the intensity of each session was monitored using the Borg scale. Pain intensity (Visual Analogue Scale), mechanical pain sensitivity (algometer), number of tender points, FM impact (Revised Fibromyalgia Impact Questionnaire), pain catastrophizing (Pain Catastrophizing Scale), physiological distress (Hospital Anxiety and Depression Scale), upper (Arm Curl Test) and lower-limb physical function (6-min Walk Test) were measured at baseline and after the intervention.
The TP group improved pain intensity ( = 0.022), mechanical pain sensitivity ( < 0.05), and psychological distress ( = 0.005), compared to the Control group. The Control group showed no statistically significant changes in any variable ( > 0.05).
A TP based on aerobic exercise achieved improvements on pain intensity, mechanical pain sensitivity, and psychological distress compared to a Control group during the lockdown declared in Spain due to COVID-19 pandemic.
我们分析了在西班牙因 COVID-19 大流行而宣布封锁期间，基于有氧运动的远程康复计划（TP）对纤维肌痛（FM）综合征女性的即时影响。
设计了一项单盲随机对照试验。34 名 FM 女性被随机分为两组：TP 组和对照组。干预持续 15 周，每周 2 次。基于有氧运动的 TP 通过视频进行指导，每次会议的强度使用 Borg 量表进行监测。疼痛强度（视觉模拟量表）、机械性疼痛敏感性（压力计）、压痛点数、FM 影响（修订纤维肌痛影响问卷）、疼痛灾难化（疼痛灾难化量表）、生理困扰（医院焦虑和抑郁量表）、上肢（手臂卷曲测试）和下肢身体功能（6 分钟步行测试）在基线和干预后进行测量。
与对照组相比，TP 组的疼痛强度（ = 0.022）、机械性疼痛敏感性（ < 0.05）和心理困扰（ = 0.005）得到改善。对照组在任何变量上均无统计学意义的变化（ > 0.05）。
与西班牙因 COVID-19 大流行而宣布封锁期间的对照组相比，基于有氧运动的 TP 可改善疼痛强度、机械性疼痛敏感性和心理困扰。
