Rodríguez-Mansilla Juan, Mejías-Gil Abel, Garrido-Ardila Elisa María, Jiménez-Palomares María, Montanero-Fernández Jesús, González-López-Arza María Victoria
ADOLOR Research Group, Department of Medical-Surgical Therapy, Medicine Faculty, Extremadura University, 06006 Badajoz, Spain.
Mathematics Department, Medicine Faculty, Extremadura University, 06006 Badajoz, Spain.
J Clin Med. 2023 Jan 18;12(3):774. doi: 10.3390/jcm12030774.
The objective of this study was to assess the efficacy of an active exercise physiotherapy programme versus an exercise for well-being programme improving muscle strength, range of movement, respiratory capacity and quality of life of women with fibromyalgia. A randomized, assessor-blind, controlled trial was conducted. A total of 141 women diagnosed with fibromyalgia were randomized to a physiotherapy exercise group ( = 47), an exercise for well-being group ( = 47) and a control group ( = 47). The study lasted 4 weeks and the experimental groups received 45 min sessions performed twice a week on alternate days. The primary outcome measures were range of movement and muscle strength. The secondary outcome measures were respiratory capacity and quality of life. The results showed statistically significant improvements in the exercise for well-being and physiotherapy groups vs. the control group at week 5 in relation to joint range of movement ( = 0.004), muscle strength ( = 0.003) and quality of life ( = 0.002). The changes found in all the spirometry parameters seem to be associated to some of the changes in joint range of movement and muscle strength as well as quality of life. Physiotherapy and exercise for well-being improved upper limb and lower limb range of movement and the muscle strength of women with fibromyalgia.
本研究的目的是评估积极运动理疗方案与健康锻炼方案相比，对改善纤维肌痛女性的肌肉力量、活动范围、呼吸能力和生活质量的疗效。进行了一项随机、评估者盲法、对照试验。共有141名被诊断为纤维肌痛的女性被随机分为理疗运动组（=47）、健康锻炼组（=47）和对照组（=47）。研究持续4周，实验组每周隔天进行两次45分钟的训练。主要结局指标为活动范围和肌肉力量。次要结局指标为呼吸能力和生活质量。结果显示，在第5周时，与对照组相比，健康锻炼组和理疗组在关节活动范围（=0.004）、肌肉力量（=0.003）和生活质量（=0.002）方面有统计学意义的改善。所有肺活量测定参数的变化似乎与关节活动范围、肌肉力量以及生活质量的某些变化有关。理疗和健康锻炼改善了纤维肌痛女性的上肢和下肢活动范围以及肌肉力量。
