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慢性疼痛患者应激测试期间通气反应的比较分析:对治疗干预的启示

Comparative Analysis of Ventilatory Responses during Stress Tests in Patients with Chronic Pain: Implications for Therapeutic Interventions.

作者信息

Barría Patricio, Gaitán-Padilla María, Gomez-Vargas Daniel, Cardenas Ampuero Gonzalo, Gitterman Kay, Cordova Bessie, Diaz Camilo A R, Roberti Flavio

机构信息

Rehabilitation Center Club de Leones Cruz del Sur, Punta Arenas 02281, Chile.

Telecommunications Laboratory (Labtel), Electrical Engineering Department, Federal University of Espírito Santo, Vitória 29047-105, Brazil.

出版信息

J Funct Morphol Kinesiol. 2024 Jul 7;9(3):122. doi: 10.3390/jfmk9030122.

DOI:10.3390/jfmk9030122
PMID:39051283
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11270440/
Abstract

Understanding the differences in ventilatory responses during exercise between patients with fibromyalgia and those with other chronic pain disorders is crucial for developing effective therapeutic interventions, especially in exercise to identify the better physical therapy prescription. Both populations face unique challenges that impact their ability to engage in physical activity; yet, the underlying physiological responses can vary significantly. In this context, the methodology of this study entailed conducting a comparative analysis of the ventilatory response during exercise in patients with fibromyalgia and those with other chronic pain disorders. The experimental protocol included a total of 31 participants (n = 13 diagnosed with fibromyalgia and n = 18 diagnosed with other chronic pain conditions). All participants completed a stress test, where the ventilatory parameters were measured in three stages (i.e., resting, incremental exercise, and recovery). The results revealed significant differences (p<0.05) in ventilatory responses between both groups. Patients with fibromyalgia exhibited reduced time for the aerobic threshold and a higher respiratory frequency in the anaerobic threshold compared to those with other chronic pain disorders. Furthermore, fibromyalgia patients demonstrated higher values in the ventilatory coefficient during the test and in the recovery stage. In conclusion, these differences underscore the need for tailored exercise programs that specifically address the unique ventilatory challenges faced by fibromyalgia patients to improve their physical function and overall quality of life.

摘要

了解纤维肌痛患者与其他慢性疼痛疾病患者在运动期间通气反应的差异,对于制定有效的治疗干预措施至关重要,尤其是在运动方面,以便确定更好的物理治疗方案。这两类人群都面临着影响其进行体育活动能力的独特挑战;然而,潜在的生理反应可能有显著差异。在此背景下,本研究的方法是对纤维肌痛患者和其他慢性疼痛疾病患者在运动期间的通气反应进行比较分析。实验方案共有31名参与者(n = 13名被诊断为纤维肌痛,n = 18名被诊断为其他慢性疼痛疾病)。所有参与者都完成了一项压力测试,在三个阶段(即静息、递增运动和恢复阶段)测量通气参数。结果显示两组之间的通气反应存在显著差异(p<0.05)。与其他慢性疼痛疾病患者相比,纤维肌痛患者的有氧阈值时间缩短,无氧阈值时的呼吸频率更高。此外,纤维肌痛患者在测试期间和恢复阶段的通气系数值更高。总之,这些差异强调了需要制定量身定制的运动计划,专门应对纤维肌痛患者面临的独特通气挑战,以改善他们的身体功能和整体生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9b7/11270440/443d6f6049f5/jfmk-09-00122-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9b7/11270440/e4a884d2582f/jfmk-09-00122-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9b7/11270440/0479deb132f0/jfmk-09-00122-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9b7/11270440/4657905b4c36/jfmk-09-00122-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9b7/11270440/9c64ea34c6db/jfmk-09-00122-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9b7/11270440/443d6f6049f5/jfmk-09-00122-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9b7/11270440/e4a884d2582f/jfmk-09-00122-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9b7/11270440/0479deb132f0/jfmk-09-00122-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9b7/11270440/4657905b4c36/jfmk-09-00122-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9b7/11270440/9c64ea34c6db/jfmk-09-00122-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9b7/11270440/443d6f6049f5/jfmk-09-00122-g005.jpg

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本文引用的文献

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Motor Dysfunctions in Fibromyalgia Patients: The Importance of Breathing.纤维肌痛患者的运动功能障碍:呼吸的重要性。
Open Access Rheumatol. 2024 Mar 7;16:55-66. doi: 10.2147/OARRR.S442327. eCollection 2024.
2
Proof of concept of prehabilitation: a combination of education and behavioural change, to promote physical activity in people with fibromyalgia.预康复概念的验证:将教育和行为改变相结合,以促进纤维肌痛患者的身体活动。
BMJ Open. 2023 Jul 14;13(7):e070609. doi: 10.1136/bmjopen-2022-070609.
3
Cardiac output and arteriovenous oxygen difference contribute to lower peak oxygen uptake in patients with fibromyalgia.
心输出量和动静脉血氧差导致纤维肌痛患者峰值摄氧量降低。
BMC Musculoskelet Disord. 2023 Jul 1;24(1):541. doi: 10.1186/s12891-023-06589-2.
4
Optimal dose and type of exercise to reduce pain, anxiety and increase quality of life in patients with fibromyalgia. A systematic review with meta-analysis.优化运动剂量和类型以减轻纤维肌痛患者的疼痛、焦虑并提高生活质量:一项系统评价与荟萃分析
Front Physiol. 2023 Apr 12;14:1170621. doi: 10.3389/fphys.2023.1170621. eCollection 2023.
5
The Key Role of Mitochondrial Function in Health and Disease.线粒体功能在健康与疾病中的关键作用
Antioxidants (Basel). 2023 Mar 23;12(4):782. doi: 10.3390/antiox12040782.
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Fibromyalgia and Chronic Fatigue Syndromes: A systematic review and meta-analysis of cardiorespiratory fitness and neuromuscular function compared with healthy individuals.纤维肌痛和慢性疲劳综合征:与健康个体相比的心肺功能和神经肌肉功能的系统评价和荟萃分析。
PLoS One. 2022 Oct 20;17(10):e0276009. doi: 10.1371/journal.pone.0276009. eCollection 2022.
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