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舞蹈和瑜伽可减少年轻女孩的功能性腹痛:一项随机对照试验。

Dance and yoga reduced functional abdominal pain in young girls: A randomized controlled trial.

机构信息

University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

Department of Pediatrics, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

出版信息

Eur J Pain. 2022 Feb;26(2):336-348. doi: 10.1002/ejp.1862. Epub 2021 Sep 21.

Abstract

BACKGROUND

Functional abdominal pain disorders (FAPDs) affect children, especially girls, all over the world. The evidence for existing treatments is mixed, and effective accessible treatments are needed. Dance, a rhythmic cardio-respiratory activity, combined with yoga, which enhances relaxation and focus, may provide physiological and psychological benefits that could help to ease pain.

OBJECTIVES

The aim of this study was to evaluate the effect of a dance and yoga intervention on maximum abdominal pain in 9- to 13-year- old girls with FAPDs.

METHODS

This study was a prospective randomized controlled trial with 121 participants recruited from outpatient clinics as well as the general public. The intervention group participated in dance and yoga twice weekly for 8 months; controls received standard care. Abdominal pain, as scored on the Faces Pain Scale-Revised, was recorded in a pain diary. A linear mixed model was used to estimate the outcomes and effect sizes.

RESULTS

Dance and yoga were superior to standard health care alone, with a medium to high between-group effect size and significantly greater pain reduction (b = -1.29, p = 0.002) at the end of the intervention.

CONCLUSIONS

An intervention using dance and yoga is likely a feasible and beneficial complementary treatment to standard health care for 9- to 13-year-old girls with FAPDs.

SIGNIFICANCE

FAPDs affect children, especially girls, all over the world. The negative consequences such as absence from school, high consumption of medical care and depression pose a considerable burden on children and their families and effective treatments are needed. This is the first study examining a combined dance/yoga intervention for young girls with FAPDs and the result showed a reduction of abdominal pain. These findings contribute with new evidence in the field of managing FAPDs in a vulnerable target group.

摘要

背景

功能性腹痛障碍(FAPDs)影响着全世界的儿童,尤其是女孩。现有治疗方法的证据不一,需要有效的、可及的治疗方法。舞蹈是一种有节奏的心肺活动,结合瑜伽,可以增强放松和专注,可能会带来生理和心理上的益处,有助于缓解疼痛。

目的

本研究旨在评估舞蹈和瑜伽干预对 9 至 13 岁 FAPD 女孩最大腹痛的影响。

方法

这是一项前瞻性随机对照试验,共有 121 名参与者来自门诊和普通人群。干预组每周接受两次舞蹈和瑜伽训练,共 8 个月;对照组接受标准护理。采用修订后的面部疼痛量表(Faces Pain Scale-Revised)记录腹痛,并使用线性混合模型估计结果和效应量。

结果

舞蹈和瑜伽优于单纯的标准保健,组间差异具有中等到高度的效应量,干预结束时疼痛明显减轻(b=-1.29,p=0.002)。

结论

对于 9 至 13 岁的 FAPD 女孩,舞蹈和瑜伽干预可能是一种可行且有益的补充治疗方法,优于单纯的标准保健。

意义

FAPDs 影响着全世界的儿童,尤其是女孩。这种疾病会导致儿童缺课、大量医疗保健消费和抑郁等负面后果,给儿童及其家庭带来相当大的负担,因此需要有效的治疗方法。这是第一项研究舞蹈/瑜伽联合干预治疗 FAPD 年轻女孩的研究,结果显示腹痛减轻。这些发现为管理脆弱目标群体中的 FAPDs 提供了新的证据。

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