Department of Physical Therapy, Universidade Federal de Pernambuco (UFPE), Recife - PE, Brazil.
Hospital das Clínicas da Universidade Federal de Pernambuco (UFPE), Recife - PE, Brazil.
Disabil Rehabil. 2024 Aug;46(16):3629-3642. doi: 10.1080/09638288.2023.2255130. Epub 2023 Sep 12.
To explore the potential effectiveness of myofascial release compared to passive muscle stretching and to a control group in modulating pain intensity and health status in adults diagnosed with fibromyalgia (FM).
A preliminary randomized controlled clinical trial was conducted, consisting of eight weekly sessions. The participants were divided into three groups: myofascial release group (RG = 13), a muscle stretching group (SG = 13), and a control group (CG = 12), which received advice from a rheumatologist. The outcomes measured were the visual analogue pain scale (VAS), the fibromyalgia impact questionnaire (FIQ) (representing health status), and the number of painful areas. Univariate analyzes of covariance (ANCOVA) were performed at baseline, after 4 weeks (during treatment), after 8 weeks (post-treatment), and after 12 weeks (follow-up). The International Physical Activity Questionnaire (IPAQ), the Beck Depression Inventory (BDI) and the Pain Catastrophizing Scale (PCS) were included as covariates. Clinical trial registration number: NCT: 03408496.
After eight weeks, the RG showed lower VAS scores compared to the CG (mean difference 95% CI: -5.10 to -1.26) and the SG (mean difference 95% CI: -4.9 to -0.23) with no difference between the SG and the CG. The total FIQ score for the RG was lower than the CG after 4 weeks (95% CI: -49.92 to -5.61), and 8 weeks (mean difference 95% CI: -52.72 to -15.73), although there was no difference between the RG and SG, as well as between the SG and CG, at both time points. The number of painful body areas was similar in all groups at the four time points.
Preliminary results suggest that the RG possibly showed greater improvements in pain intensity and health status compared to the CG, and possibly greater improvements in pain intensity compared to the SG.
探索肌筋膜松解与被动肌肉拉伸以及对照组在调节纤维肌痛症（FM）成人疼痛强度和健康状况方面的潜在效果。
进行了一项初步的随机对照临床试验，共 8 周。参与者分为三组：肌筋膜松解组（RG=13）、肌肉拉伸组（SG=13）和对照组（CG=12），后者接受了风湿病医生的建议。测量的结果是视觉模拟疼痛量表（VAS）、纤维肌痛影响问卷（FIQ）（代表健康状况）和疼痛区域数量。在基线、4 周（治疗期间）、8 周（治疗后）和 12 周（随访）时进行了单变量协方差分析（ANCOVA）。国际体力活动问卷（IPAQ）、贝克抑郁量表（BDI）和疼痛灾难化量表（PCS）被纳入协变量。临床试验注册号：NCT:03408496。
8 周后，RG 与 CG（平均差异 95%CI：-5.10 至-1.26）和 SG（平均差异 95%CI：-4.9 至-0.23）相比，VAS 评分较低，而 SG 与 CG 之间无差异。RG 的总 FIQ 评分在 4 周后（95%CI：-49.92 至-5.61）和 8 周后（平均差异 95%CI：-52.72 至-15.73）低于 CG，尽管 RG 与 SG 以及 SG 与 CG 在这两个时间点之间没有差异。在四个时间点，所有组的疼痛身体区域数量相似。
初步结果表明，与 CG 相比，RG 可能在疼痛强度和健康状况方面有更大的改善，与 SG 相比，疼痛强度可能有更大的改善。
