Physical Therapy Department, Universidade Cidade de São Paulo, Sao Paulo, Brazil.
Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, Sao Paulo, Brazil.
Pain Pract. 2022 Nov;22(8):678-687. doi: 10.1111/papr.13153. Epub 2022 Aug 19.
The aims of this study were twofold: (1) to compare the body image and tactile acuity of patients with fibromyalgia and asymptomatic participants, and (2) to investigate the effects of an 8-week exercise-based intervention (aerobic or Pilates exercises) on the body image, tactile acuity, and pain intensity in patients with fibromyalgia.
A cross-sectional study and a secondary analysis of a randomized controlled trial were carried out, which assessed the following outcomes in 24 patients with fibromyalgia and 24 asymptomatic participants: subjective body image (Drawing Test), tactile acuity (Two-Point Discrimination Test), limb circumference (Cirtometry), and pain (Pain Numerical Rating Scale). After the assessment, the 24 patients with fibromyalgia were randomly allocated to one of the intervention groups: aerobic or Pilates.
There was no significant difference in the tactile acuity of the cervical, lumbar, hands, and feet regions between the participants with fibromyalgia and the asymptomatic participants (p > 0.05). However, patients with fibromyalgia showed changes in subjective body image when the drawings were compared to the cirtometry measurements. After the intervention, there was no significant difference between aerobic exercise and Pilates for pain and tactile acuity in the cervical, lumbar, hands, and feet regions of patients with fibromyalgia (p > 0.05).
Patients with fibromyalgia presented altered perception in subjective body image but not on tactile acuity, when compared to asymptomatic participants. In addition, there was no difference between aerobic exercise and Pilates for pain and tactile acuity in these patients.
本研究旨在：(1)比较纤维肌痛患者和无症状参与者的身体形象和触觉敏锐度；(2)探讨 8 周运动为基础的干预措施（有氧运动或 Pilates 运动）对纤维肌痛患者身体形象、触觉敏锐度和疼痛强度的影响。
进行了横断面研究和一项随机对照试验的二次分析，共评估了 24 例纤维肌痛患者和 24 例无症状参与者的以下结果：主观身体形象（绘图测试）、触觉敏锐度（两点辨别测试）、肢体周长（周长测量）和疼痛（疼痛数字评分量表）。评估后，24 例纤维肌痛患者随机分为两组干预组之一：有氧运动或 Pilates。
纤维肌痛患者和无症状参与者颈部、腰部、手部和足部的触觉敏锐度无显著差异（p>0.05）。然而，与周长测量相比，纤维肌痛患者的主观身体图像显示出变化。干预后，有氧运动和 Pilates 对纤维肌痛患者颈部、腰部、手部和足部的疼痛和触觉敏锐度无显著差异（p>0.05）。
与无症状参与者相比，纤维肌痛患者的主观身体形象感知发生改变，但触觉敏锐度没有改变。此外，对于这些患者的疼痛和触觉敏锐度，有氧运动和 Pilates 之间没有差异。
