Faculty of Health Sciences - HM Hospitals, University Camilo José Cela, Urb. Villafranca del Castillo, 49. 28692, Villanueva de la Cañada, Madrid, Spain.
Department of Sport Sciences, Faculty of Physical Activity and Sport Sciences, Universidad Europea de Madrid, 28670, Villaviciosa de Odón, Spain.
J Bodyw Mov Ther. 2024 Apr;38:483-488. doi: 10.1016/j.jbmt.2024.03.040. Epub 2024 Mar 22.
Currently there is no treatment capable of significantly alleviating all the symptoms of fibromyalgia (FM), even though it is a complex syndrome with a high prevalence in the population.
Experimental study using a single-blind, randomised, clinical trial.
To analyse the efficacy of manual lymphatic drainage (MLD) as an alternative to traditional treatment of fibromyalgia (FM) in women.
This was an experimental study using a single-blind, randomised, clinical trial of 20 women between 30 and 55 years old with FM. Patients were divided into an experimental group (n = 10) and a control group (n = 10). During the study, 3 measurements of pain (visual analogue scale and algometry), FM impact (Fibromyalgia Impact Questionnaire), sleep quality (Index Pittsburgh), anxiety and depression (Hospital Anxiety and Depression Scale) were recorded. Treatment of the experimental group consisted of 2 weekly MLD sessions for 6 weeks.
The effect of the interaction of MLD showed statistically significant results in Right intercostal space (F = 3.54; p = 0.04; np = 0.16). The sleep quality was significantly better favour of the treatment (F = 4.16; p = 0.01; np = 0.20).
MLD therapy demonstrated effects in the experimental group in contrast to the control group across the intervention period concerning the right intercostal space and sleep-related factors. However, MLD did not result in observable alterations in pain perception.
目前尚无治疗方法能显著缓解纤维肌痛（FM）的所有症状，尽管它是一种发病率较高的复杂综合征。
采用单盲、随机、临床试验的实验研究。
分析手动淋巴引流（MLD）作为纤维肌痛（FM）传统治疗的替代方法在女性中的疗效。
这是一项采用单盲、随机、临床试验的实验研究，共纳入 20 名 30 至 55 岁的 FM 女性患者。患者分为实验组（n=10）和对照组（n=10）。在研究过程中，对疼痛（视觉模拟评分和压痛）、FM 影响（纤维肌痛影响问卷）、睡眠质量（匹兹堡睡眠质量指数）、焦虑和抑郁（医院焦虑和抑郁量表）进行了 3 次测量。实验组的治疗包括每周 2 次 MLD 治疗，共 6 周。
MLD 的交互作用效果在右侧肋间空间显示出统计学上的显著结果（F=3.54；p=0.04；np=0.16）。治疗组的睡眠质量显著改善（F=4.16；p=0.01；np=0.20）。
与对照组相比，MLD 治疗在干预期间对右侧肋间空间和与睡眠相关的因素产生了影响，但并未导致疼痛感知的明显改变。
