Department of Physiotherapy, University College of Northern Denmark (UCN), Selma Lagerløfs Vej 2, 9220, Aalborg East, Denmark.
Center for General Practice, Aalborg University, Selma Lagerløfs Vej 249, 9260, Gistrup, Denmark.
Clin Rheumatol. 2024 Oct;43(10):3039-3053. doi: 10.1007/s10067-024-07066-4. Epub 2024 Aug 6.
Fibromyalgia is one of the most prevalent chronic pain disorders. Fibromyalgia is characterised by generalised pain. In addition, patients with fibromyalgia often have co-morbidity. Since no cure is available, the treatment is based on symptom management, with physical exercise being the recommended first-line treatment. Different exercise modalities have been examined, including the practice of stretching exercises. The aim of the systematic review is to summarise the efficacy of stretching exercises on fibromyalgia symptoms and to study the content and the quality of the current evidence. The review followed the recommendations of the PRISMA statement. The search for articles was performed in April 2023. We searched on MEDLINE, PubMed, CINAHL, Web of Science, SCOPUS, AMED, PEDro, ClinicalTrials.gov and the Cochrane Collaboration Trials Register. The search was updated in March 2024. The protocol was registered in PROSPERO. Risk of Bias was assessed using the Cochrane Risk of Bias tool, and quality assessment was performed using the GRADE approach. In total, 2586 studies were found in the database searches, of which nine were included in the analysis. The primary outcome was pain. Secondary outcomes were self-reported quality of life, fatigue and physical and mental functioning. The available evidence shows that stretching exercises may improve pain, health-related quality of life and physical and mental functioning, but the level of evidence is low. The main limitation is due to issues with the heterogeneity of the interventions and small sample sizes. Trial registration: PROSPERO registration number CRD42023399614. Key Points • Stretching exercises show promise in the treatment of fibromyalgia. They may improve pain, health-related quality of life, physical functioning and mental health, but the level of evidence is low. • This study goes beyond previous research by presenting a more comprehensive and detailed analysis of the content and methodological quality of the current evidence. • Further research with clearly outlined protocols must be carried out to advance our understanding of the benefits of stretching exercises on fibromyalgia symptoms.
纤维肌痛是最常见的慢性疼痛障碍之一。纤维肌痛的特征是全身性疼痛。此外，纤维肌痛患者通常还伴有共病。由于目前尚无治愈方法，因此治疗主要基于症状管理，推荐物理运动作为一线治疗。已经研究了不同的运动方式，包括伸展运动的实践。本系统评价的目的是总结伸展运动对纤维肌痛症状的疗效，并研究当前证据的内容和质量。本综述遵循 PRISMA 声明的建议。文章检索于 2023 年 4 月进行。我们在 MEDLINE、PubMed、CINAHL、Web of Science、SCOPUS、AMED、PEDro、ClinicalTrials.gov 和 Cochrane 协作试验注册中心进行了检索。该检索于 2024 年 3 月进行了更新。方案在 PROSPERO 中进行了注册。使用 Cochrane 偏倚风险工具评估偏倚风险，并使用 GRADE 方法进行质量评估。在数据库检索中总共发现了 2586 项研究，其中 9 项被纳入分析。主要结局为疼痛。次要结局为自我报告的生活质量、疲劳以及身体和精神功能。现有证据表明，伸展运动可能改善疼痛、健康相关生活质量和身体及精神功能，但证据水平较低。主要限制因素是由于干预措施的异质性和样本量小所致。试验注册：PROSPERO 注册号 CRD42023399614。要点 •伸展运动在纤维肌痛的治疗中显示出前景。它们可能改善疼痛、健康相关生活质量、身体功能和心理健康，但证据水平较低。 •本研究通过更全面和详细地分析当前证据的内容和方法学质量，超越了之前的研究。 •必须开展具有明确方案的进一步研究，以增进我们对伸展运动对纤维肌痛症状的益处的理解。
