Mingorance José A, Montoya Pedro, Miranda José G Vivas, Riquelme Inmaculada
Department of Nursing and Physiotherapy, University of Balearic Islands, Palma, Spain.
University Institute of Health Sciences Research (IUNICS), University of Balearic Islands, Palma, Spain.
Front Neurol. 2021 Jun 2;12:658383. doi: 10.3389/fneur.2021.658383. eCollection 2021.
Fibromyalgia is a chronic pain disease with few effective therapeutic options. We evaluated the efficacy of a 12-weeks therapy program that involves the use of whole body vibration in patients with fibromyalgia. The experimental group ( = 20 patients) participated in a neuromuscular training with a rotational whole body vibration platform for 12 weeks. The control group ( = 20 patients) received no physiotherapy treatment. The following variables were assessed before, after and 3 months after the therapy program: Fibromyalgia impact questionnaire, pain intensity, quality of life, sensitivity measurements (pressure pain thresholds, vibration thresholds), motor function tasks (Berg scale, 6-min walk test, isometric back muscle strength), and static and dynamic balance. We found improvements in the indexes of functional disability, static equilibrium and vibration sensitivity and a reduction of pain sensitivity. Our results showed that the intervention group improved almost all parameters immediately after the therapy program, in contrast to the control group that showed no changes. These improvements were not maintained in the follow-up. The whole body vibration therapy can be an effective therapy in patients with fibromyalgia and it can improve symptomatology and quality of life in these patients.
纤维肌痛是一种慢性疼痛疾病，有效的治疗选择很少。我们评估了一项为期12周的治疗方案的疗效，该方案涉及对纤维肌痛患者使用全身振动。实验组（20名患者）使用旋转式全身振动平台进行了12周的神经肌肉训练。对照组（20名患者）未接受物理治疗。在治疗方案之前、之后以及治疗后3个月评估以下变量：纤维肌痛影响问卷、疼痛强度、生活质量、敏感性测量（压痛阈值、振动阈值）、运动功能任务（伯格量表、6分钟步行测试、等长背部肌肉力量）以及静态和动态平衡。我们发现功能障碍、静态平衡和振动敏感性指标有所改善，疼痛敏感性降低。我们的结果表明，与未出现变化的对照组相比，干预组在治疗方案结束后几乎所有参数立即得到改善。这些改善在随访中未得到维持。全身振动疗法对纤维肌痛患者可能是一种有效的治疗方法，并且可以改善这些患者的症状和生活质量。
