From the School of Medicine, College of Medicine, Taipei Medical University, Taipei City, Taiwan (J-JW, T-HH); Division of General Surgery, Department of Surgery, Taipei Medical University-Shuang Ho Hospital, New Taipei City, Taiwan (K-WT); Department of Surgery, School of Medicine, College of Medicine, Taipei Medical University, New Taipei City, Taiwan (K-WT); Cochrane Taiwan, Taipei Medical University, Taipei City, Taiwan (K-WT); Center for Evidence-Based Medicine, College of Medicine, Taipei Medical University, Taipei City, Taiwan (K-WT); Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan (H-YH, T-HL, C-LR, T-HH); and Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan (T-HL, C-LR, T-HH).
Am J Phys Med Rehabil. 2024 Apr 1;103(4):275-283. doi: 10.1097/PHM.0000000000002318. Epub 2023 Jul 31.
This review aimed to compare the effectiveness of resistance exercise with that of other exercises in functional improvement and pain control in patients with fibromyalgia.
PubMed, Embase, Scopus, and Cochrane databases were searched for studies published from their inception until March 2023. The following medical search heading terms were used: "resistance OR strength OR strengthening" AND "fibromyalgia." The analysis was performed using the statistical package Review Manager, version 5.4.1.
This study reviewed 11 randomized controlled trials involving 530 patients. In comparison with no intervention, resistance exercise reduced the Fibromyalgia Impact Questionnaire total score, pain score, tender points, and depression and improved physical function. Compared with flexibility exercise, resistance exercise reduced the Fibromyalgia Impact Questionnaire total score. Compared with aerobic exercise, resistance exercise shows similar effects on pain control, reduction of tender points, and improvement of physical function.
Compared with other exercises, resistance exercise demonstrated a more favorable effect on the Fibromyalgia Impact Questionnaire total score, and the effects on pain control, tender points, physical function, and depression were comparable. Thus, resistance exercise exhibits comparable or superior effects when compared with other interventions and more precise research is needed to confirm this conclusion.
Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME.
Upon completion of this article, the reader should be able to: (1) Appraise the effectiveness and role of resistance exercise as a treatment option for patients with fibromyalgia; (2) Differentiate the comparative effectiveness of resistance exercise in relation to other forms of exercise for patients with fibromyalgia; and (3) Identify demographic factors commonly associated with fibromyalgia.
Advanced.
The Association of Academic Physiatrists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The Association of Academic Physiatrists designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s) ™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
本综述旨在比较抗阻运动与其他运动在改善纤维肌痛患者功能和控制疼痛方面的效果。
检索了从建库开始至 2023 年 3 月发表的研究，使用的医学搜索标题词包括：“阻力 OR 力量 OR 增强”和“纤维肌痛”。分析使用统计软件 Review Manager，版本 5.4.1。
本研究共纳入 11 项随机对照试验，涉及 530 名患者。与无干预相比，抗阻运动降低了纤维肌痛影响问卷总分、疼痛评分、压痛点数和抑郁评分，改善了躯体功能。与伸展运动相比，抗阻运动降低了纤维肌痛影响问卷总分。与有氧运动相比，抗阻运动在控制疼痛、减少压痛点数和改善躯体功能方面效果相当。
与其他运动相比，抗阻运动对纤维肌痛影响问卷总分的改善效果更优，在控制疼痛、压痛点数、躯体功能和抑郁方面的效果相当。因此，抗阻运动与其他干预措施相比具有相当或更优的效果，需要更精确的研究来证实这一结论。
索取 CME 学分：在 http://www.physiatry.org/JournalCME 上完成自我评估活动和评估。
CME 目标：完成本文后，读者应能够：（1）评估抗阻运动作为纤维肌痛患者治疗选择的有效性和作用；（2）区分抗阻运动与纤维肌痛患者其他运动形式的相对有效性；（3）识别与纤维肌痛相关的常见人口统计学因素。
高级。
学术物理治疗医师协会由继续教育认证委员会认可，可为医生提供继续医学教育。学术物理治疗医师协会将这项基于期刊的 CME 活动最多指定为 1.0 个 AMA PRA 类别 1 学分 ™。医生应仅根据其参与活动的程度申报学分。
