Badanta Barbara, Álvarez-Pérez Isabel, Bonilla Sierra Patricia, González-Cano-Caballero María, Lucchetti Giancarlo, de Diego-Cordero Rocío
Department of Nursing; Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Seville, Spain.
Faculty of Nursing, Physiotherapy and Podiatry. University of Seville, Seville, Spain.
J Pain Res. 2024 May 10;17:1709-1723. doi: 10.2147/JPR.S450735. eCollection 2024.
This study aims to investigate the current evidence for the use of complementary and alternative medicine (CAM) in fibromyalgia (FM). A systematic review was conducted searching for PubMed, Scopus, CINAHL, PsycInfo, and Web of Science databases. Randomized controlled trials published up to December 2023 in peer-reviewed journals were included. Methodological quality was assessed by the Quality Assessment of Controlled Intervention Studies tool. A total of 216 articles were identified and 15 constituted the final sample. The type of CAM most used was traditional Chinese medicine (60%), and the most common instrument used was the Fibromyalgia Impact Questionnaire (60%). Our review was grouped into four themes based on the origin of the therapies: 1) Traditional Chinese Medicine; 2) Japanese natural harmonization (eg, Reiki); 3) Ayurvedic Medicine; and 4) Other non-drug therapies. Our systematic review showed that there is a wide range of CAMs used to treat FM. Most of the clinical trials have shown significant results for the effectiveness of these interventions in both physical and mental health outcomes of FM as compared to control groups. However, the heterogeneity of the interventions and outcomes warrants further studies on this topic.
本研究旨在调查目前在纤维肌痛（FM）中使用补充和替代医学（CAM）的证据。进行了一项系统综述，检索了PubMed、Scopus、CINAHL、PsycInfo和Web of Science数据库。纳入了截至2023年12月在同行评审期刊上发表的随机对照试验。采用对照干预研究质量评估工具评估方法学质量。共识别出216篇文章，15篇构成最终样本。使用最多的CAM类型是中药（60%），最常用的工具是纤维肌痛影响问卷（60%）。我们的综述根据疗法的起源分为四个主题：1） 中药；2） 日本自然疗法（如灵气疗法）；3） 阿育吠陀医学；4） 其他非药物疗法。我们的系统综述表明，有多种CAM用于治疗FM。与对照组相比，大多数临床试验表明这些干预措施在FM的身心健康结局方面具有显著效果。然而，干预措施和结局的异质性值得对该主题进行进一步研究。
