Manojlović Denisa, Kopše Eva Ivana
Faculty of Health Sciences, University of Primorska, Izola.
Eur J Transl Myol. 2023 Jul 14;33(3):11423. doi: 10.4081/ejtm.2023.11423.
The effectiveness of exercise therapy is being increasingly studied in patients with fibromyalgia. The aim of our systematic review was to determine the effectiveness of different types of aerobic exercise programs for pain management in patients with fibromyalgia. The literature search was performed by two independent researchers in the PubMed, CINAHL and PEDro databases using various combinations of the following keywords: fibromyalgia, pain and aerobic exercise. Studies were eligible if they included adults diagnosed with fibromyalgia and examined the effectiveness of at least one aerobic exercise program on pain management. A total of 14 randomized controlled trials were screened in full-text, nine of which were included in the systematic review. Overall, our results indicate that aerobic exercise is effective for pain management in patients with fibromyalgia. The results of the aerobic exercise programs were more effective for pain management than stretching exercises, but did not differ significantly from those of pilates, muscle strengthening exercises, relaxation techniques and stress management treatment. Additional high-quality studies are warranted to determine accurate clinical guidelines in terms of aerobic exercise programs for pain management in patients with fibromyalgia.
运动疗法对纤维肌痛患者的有效性正受到越来越多的研究。我们系统评价的目的是确定不同类型的有氧运动计划对纤维肌痛患者疼痛管理的有效性。文献检索由两名独立研究人员在PubMed、CINAHL和PEDro数据库中进行，使用以下关键词的各种组合：纤维肌痛、疼痛和有氧运动。如果研究纳入了被诊断为纤维肌痛的成年人，并考察了至少一种有氧运动计划对疼痛管理的有效性，则该研究符合纳入标准。共对14项随机对照试验进行了全文筛选，其中9项被纳入系统评价。总体而言，我们的结果表明有氧运动对纤维肌痛患者的疼痛管理有效。有氧运动计划的结果在疼痛管理方面比伸展运动更有效，但与普拉提、肌肉强化运动、放松技巧和压力管理治疗的结果没有显著差异。需要更多高质量的研究来确定关于纤维肌痛患者疼痛管理的有氧运动计划的准确临床指南。
