Úbeda-D'Ocasar Edurne, González-Gerstner Daniela, Cimadevilla-Fernández-Pola Eduardo, Ojedo-Martín Cristina, Hernández-Lougedo Juan, Hervás-Pérez Juan Pablo
Faculty of Health Sciences-HM Hospitals, University Camilo José Cela, Urb. Villafranca del Castillo, 49, 28692 Madrid, Spain.
Instituto de Investigación Sanitaria HM Hospitales, 28015 Madrid, Spain.
Biomedicines. 2024 Jul 2;12(7):1465. doi: 10.3390/biomedicines12071465.
(1) Background: The main characteristic of fibromyalgia (FM) is generalized musculoskeletal pain. This may be accompanied by muscle and joint stiffness, sleep and mood disorders, anxiety and depression, cognitive dysfunction, and chronic fatigue. It is endemic in developed countries, with a higher prevalence among women than men, and its etiology is still unknown. Diagnosis is made based on chronic generalized pain and through the presence of tender points. The objective of this study was to analyze the efficacy of diathermy on pain in patients with fibromyalgia. (2) Methods: A single, blind, randomized experimental study was developed with a sample of 31 participants. Measurements were taken and recorded at three different intervals using the following measurement tools: the pressure pain threshold (PPT) at the tender points (TP) of the right and left trochanteric prominence with an algometer, the pain measurement scale, the Fibromyalgia Impact Questionnaire, the sleep quality index (PSQI, Pittsburgh), the Multidimensional Fatigue Inventory (MFI-S), and the scale for anxiety and depression (Hospital Anxiety and Depression Scale). Sociodemographic data were collected through Google Forms (age, height, weight, Body Mass Index). The intervention took place twice weekly across four weeks of sessions. (3) Results: Statistically significant results were obtained in the right and left trochanter PPT, as well as for anxiety and fatigue in the experimental group. The results obtained show that this treatment has managed to improve the quality of sleep, the impact of disease, chronic fatigue, and anxiety in patients with FM. (4) Conclusions: Diathermy is a tool that can help reduce pain. It can also improve the baseline levels of chronic fatigue, anxiety, the impact of the disease, and sleep quality in patients with fibromyalgia.
(1) 背景：纤维肌痛（FM）的主要特征是全身性肌肉骨骼疼痛。这可能伴有肌肉和关节僵硬、睡眠和情绪障碍、焦虑和抑郁、认知功能障碍以及慢性疲劳。它在发达国家流行，女性患病率高于男性，其病因仍不清楚。诊断基于慢性全身性疼痛以及压痛点的存在。本研究的目的是分析透热疗法对纤维肌痛患者疼痛的疗效。(2) 方法：开展了一项单盲随机实验研究，样本为31名参与者。使用以下测量工具在三个不同时间间隔进行测量并记录：用痛觉计测量左右大转子突出处压痛点（TP）的压力痛阈（PPT）、疼痛测量量表、纤维肌痛影响问卷、睡眠质量指数（匹兹堡睡眠质量指数，PSQI）、多维疲劳量表（MFI-S）以及焦虑和抑郁量表（医院焦虑抑郁量表）。通过谷歌表格收集社会人口统计学数据（年龄、身高、体重、体重指数）。干预每周进行两次，共四周疗程。(3) 结果：实验组在左右大转子PPT以及焦虑和疲劳方面取得了具有统计学意义的结果。所得结果表明，这种治疗方法成功改善了纤维肌痛患者的睡眠质量、疾病影响、慢性疲劳和焦虑状况。(4) 结论：透热疗法是一种有助于减轻疼痛的工具。它还可以改善纤维肌痛患者的慢性疲劳、焦虑、疾病影响和睡眠质量的基线水平。
