Department of Physiotherapy, Faculty of Health Sciences, University of Granada, Granada, Spain; Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain.
Department of Physiotherapy, Faculty of Health Sciences, University of Granada, Granada, Spain.
Pain Manag Nurs. 2024 Feb;25(1):46-55. doi: 10.1016/j.pmn.2023.06.014. Epub 2023 Jul 24.
The term "nature-based sensory stimuli" refers to the sensory information produced by biotic and abiotic agents from natural environments. The literature has reported the beneficial effects of these agents on various pain dimensions in non-clinical populations.
To evaluate the potential analgesic effects of nature-based multisensory stimulation in women with fibromyalgia syndrome.
A randomized, double-blind, placebo-controlled, parallel-group trial with a 1:1 allocation ratio was conducted. Forty-two women with fibromyalgia syndrome interacted with either different plant species with flowers, stones, and soil organic matter or their synthetic imitations for 30 minutes. Outcome measurements were performed before and after the intervention, including clinical pain intensity using the Numeric Rating Scale, cold pain thresholds using the Cold Pressor Test, mechanical hyperalgesia and wind-up using a monofilament, and pressure pain thresholds using a pressure algometer.
Analyses revealed group × time interactions for clinical pain intensity (F = 7.915, p = .008), cold-water immersion time (F = 7.271, p = .010), mechanical hyperalgesia (F = 4.701, p = .036), and pressure pain threshold (p ≤ .017). Between-group differences were found in clinical pain intensity (p = .012), cold pain thresholds (p = .002), and pressure pain thresholds (p < .05). The experimental group exhibited reduced clinical pain intensity (p = .001) and increased pressure pain thresholds (p ≤ .034).
Women with fibromyalgia syndrome may benefit from multisensory stimulation using biotic and abiotic agents from natural environments for 30 minutes. Interacting with flowering plants and soil components appears to induce analgesic effects.
“基于自然的感官刺激”一词是指来自自然环境的生物和非生物因素产生的感官信息。文献报道了这些因素对非临床人群各种疼痛维度的有益影响。
评估基于自然的多感官刺激对纤维肌痛综合征女性的潜在镇痛作用。
采用随机、双盲、安慰剂对照、平行组试验，分配比例为 1:1。42 名纤维肌痛综合征女性与不同的带花、石头和土壤有机质的植物物种或其合成模拟物互动 30 分钟。干预前后进行了包括临床疼痛强度（使用数字评分量表）、冷痛阈值（使用冷水浸泡试验）、机械性痛觉过敏和上行冲动（使用单丝）以及压痛阈值（使用压力测痛计）在内的结局测量。
分析显示，临床疼痛强度（F=7.915，p=0.008）、冷水浸泡时间（F=7.271，p=0.010）、机械性痛觉过敏（F=4.701，p=0.036）和压痛阈值（p≤0.017）存在组×时间交互作用。组间差异在临床疼痛强度（p=0.012）、冷痛阈值（p=0.002）和压痛阈值（p<0.05）方面有统计学意义。实验组的临床疼痛强度降低（p=0.001），压痛阈值升高（p≤0.034）。
纤维肌痛综合征女性可能受益于 30 分钟来自自然环境的生物和非生物因素的多感官刺激。与开花植物和土壤成分相互作用似乎会产生镇痛作用。
