Orthopaedic Spinal Ward, Shanxi Provincial People's Hospital, Taiyuan, P.R. China.
School of Nursing, Shanxi Medical University, Taiyuan, P.R. China.
Physiother Theory Pract. 2024 Feb;40(2):205-223. doi: 10.1080/09593985.2022.2119906. Epub 2022 Sep 4.
The main feature of fibromyalgia syndrome is extensive musculoskeletal pain and tenderness. It not only has a significant impact on patients but also brings a huge burden to families and society. Exercise is considered to be the most important part of the fibromyalgia treatment, and aquatic physical therapy can be considered one of the most recommended interventions. Therefore, the effects of aquatic physical therapy on fibromyalgia patients were discussed in this article.
The purpose of this study was to evaluate the effects of aquatic physical therapy on clinical symptoms, physical function, and quality of life in patients with fibromyalgia.
Eight databases were retrieved. "Fibromyalgia," "Aquatic Therapy," "Aquatic Exercise," and "Hydrotherapy" was used for retrieval. Randomized controlled trials of the effects of aquatic physical therapy on patients with fibromyalgia were included. The Cochrane risk of bias tool to assess research quality. Meta-analysis was performed by Revman version 5.3.
Finally, 14 articles (762 patients) were included in the analysis. Compared with other exercises or no exercise, aquatic physical therapy has more significant effects. There were significant differences in visual analogue scale (MD: - 0.98, 95%CI: - 1.36 to - 0.60, Z = 5.03, < .00001), six minute walk test (MD: 38.12, 95%CI: 13.65 to 62.59, Z = 3.05, = .002), fibromyalgia impact questionnaire total scores(MD: - 7.35, 95%CI: - 13.05 to - 1.65, Z = 2.53, = .01), vitality of short form 36 (MD: 9.53, 95%CI: 0.62 to 18.43, Z = 2.10, = .04) and general health of short form 36 (MD: 10.39, 95%CI: 1.42 to 19.36, Z = 2.27, = .02).
Aquatic physical therapy may have some benefits on the clinical symptoms, physical function, and quality of life of patients with fibromyalgia.
纤维肌痛综合征的主要特征是广泛的肌肉骨骼疼痛和压痛。它不仅对患者有重大影响，而且给家庭和社会带来了巨大的负担。运动被认为是纤维肌痛治疗中最重要的部分，而水上物理疗法可以被认为是最推荐的干预措施之一。因此，本文讨论了水上物理疗法对纤维肌痛患者的影响。
本研究的目的是评估水上物理疗法对纤维肌痛患者的临床症状、身体功能和生活质量的影响。
检索了 8 个数据库。检索词为“纤维肌痛”、“水疗”、“水上运动”和“水疗法”。纳入了评估水上物理疗法对纤维肌痛患者疗效的随机对照试验。使用 Cochrane 偏倚风险工具评估研究质量。采用 RevMan 版本 5.3 进行荟萃分析。
最终，分析纳入了 14 篇文章（762 名患者）。与其他运动或不运动相比，水上物理疗法的效果更为显著。在视觉模拟评分（MD：-0.98，95%CI：-1.36 至-0.60，Z=5.03，<0.00001）、6 分钟步行试验（MD：38.12，95%CI：13.65 至 62.59，Z=3.05，=0.002）、纤维肌痛影响问卷总分（MD：-7.35，95%CI：-13.05 至-1.65，Z=2.53，=0.01）、短式 36 健康调查活力部分（MD：9.53，95%CI：0.62 至 18.43，Z=2.10，=0.04）和短式 36 健康调查一般健康部分（MD：10.39，95%CI：1.42 至 19.36，Z=2.27，=0.02）方面，水上物理疗法可能具有一定的益处。
水上物理疗法可能对纤维肌痛患者的临床症状、身体功能和生活质量有一定的益处。
