放松技术对多发性硬化症患者疼痛、疲劳和运动恐惧症的影响:一项 3 臂随机试验。
The Effects of Relaxation Techniques on Pain, Fatigue, and Kinesiophobia in Multiple Sclerosis Patients: A 3-Arm Randomized Trial.
出版信息
J Neurosci Nurs. 2022 Apr 1;54(2):86-91. doi: 10.1097/JNN.0000000000000620.
BACKGROUND
In addition to the available medical treatment options, multiple sclerosis (MS) patients may tend toward complementary and integrative therapies. Relaxation techniques are a nonpharmacological and side-effect-free therapy option currently available to alleviate the symptoms of many different chronic diseases. The aim of this study was to examine and compare the effects of relaxation techniques on the pain, fatigue, and kinesiophobia in MS patients. METHODS: This 3-arm randomized controlled trial consisted of 80 MS patients. Relaxation techniques, progressive muscle relaxation and Benson relaxation technique were applied to 2 intervention groups, the third was the control group. The study lasted 12 weeks, and the patient information form, visual analog scale, Fatigue Severity Scale, and Tampa Scale for Kinesiophobia were used for data collection. RESULTS: There was a statistically significant decrease in pain, fatigue, and kinesiophobia levels in the intervention groups compared with the control group (P < .05). Progressive muscle relaxation was more effective than Benson relaxation technique (P < .05). CONCLUSION: Relaxation techniques are recommended for the management of symptoms of pain, fatigue, and kinesiophobia, which can often cause disability in MS patients, because they have no side effects and are practical administrations. These exercises are also promising in the rehabilitation process of MS patients.
背景
除了现有的医疗治疗选择外,多发性硬化症(MS)患者可能倾向于补充和综合治疗。放松技术是一种非药物且无副作用的治疗选择,目前可用于缓解许多不同慢性疾病的症状。本研究旨在检查和比较放松技术对 MS 患者疼痛、疲劳和运动恐惧症的影响。
方法
这是一项 3 臂随机对照试验,共纳入 80 名 MS 患者。放松技术、渐进性肌肉放松和本森放松技术被应用于 2 个干预组,第 3 组为对照组。研究持续 12 周,使用患者信息表、视觉模拟量表、疲劳严重程度量表和坦帕运动恐惧症量表进行数据收集。
结果
与对照组相比,干预组的疼痛、疲劳和运动恐惧症水平均有统计学显著下降(P<.05)。渐进性肌肉放松比本森放松技术更有效(P<.05)。
结论
由于放松技术无副作用且实用,建议将其用于管理 MS 患者的疼痛、疲劳和运动恐惧症症状,这些症状常常导致残疾。这些运动在 MS 患者的康复过程中也很有前景。