Demoulin Christophe, Costes Chloé, Sadok Mélanie, Grosdent Stéphanie, Kaux Jean-François, Vanderthommen Marc
Department of Physical Activity and Rehabilitation Sciences, University of Liege, 4000 Liege, Belgium.
Department of Physical Medicine and Rehabilitation, University Hospital Centre, 4000 Liege, Belgium.
Sensors (Basel). 2024 Dec 29;25(1):134. doi: 10.3390/s25010134.
People with fibromyalgia syndrome (FMS) may have difficulty attending rehabilitation sessions. We investigated the feasibility (adherence and satisfaction) of implementing an 8-week home-based somatosensory, entirely remote, self-training programme using the TrainPain smartphone app in people with FMS. The secondary aim was to evaluate the effect on pain symptoms. The training was performed 15 min/day, 7 days/week for 8 weeks. Participants identified the number of vibrations emitted by vibrotactile pods positioned on the most painful site and the contralateral side of the body. They completed the Brief Pain Inventory before, during (4 weeks), and at the end of the 8-week programme. At 8 weeks, they also rated satisfaction and the overall perceived change. The app recorded session completion. Of the 34 individuals recruited, 29 (mean, age 46 [SD] 9 years; 27 women; median duration of symptoms 7 [5;10] years) completed all assessments. Participants completed 75% of sessions and rated the programme easy-to-use and enjoyable, 94% would recommend the programme, and 38% reported a very strong improvement at 8 weeks. Pain intensity reduced from pre to post (effect size 0.77), as did interference (effect size 0.7 to 1.17). This treatment could be a useful addition to a multidisciplinary, multicomponent approach to FMS.
纤维肌痛综合征(FMS)患者参加康复治疗可能会有困难。我们调查了在FMS患者中使用TrainPain智能手机应用程序实施一项为期8周的基于家庭的体感、完全远程的自我训练计划的可行性(依从性和满意度)。次要目的是评估对疼痛症状的影响。训练每天进行15分钟,每周7天,共8周。参与者要确定放置在最疼痛部位及身体对侧的振动触觉刺激器发出的振动次数。他们在8周计划开始前、期间(4周时)和结束时完成简短疼痛量表。在8周时,他们还要对满意度和整体感知变化进行评分。该应用程序记录训练完成情况。在招募的34名个体中,29名(平均年龄46[标准差]9岁;27名女性;症状持续时间中位数为7[5;10]年)完成了所有评估。参与者完成了75%的训练课程,并认为该计划易于使用且有趣,94%的人会推荐该计划,38%的人报告在8周时有非常明显的改善。疼痛强度从训练前到训练后有所降低(效应量为0.77),干扰程度也有所降低(效应量为0.7至1.17)。这种治疗方法可能是FMS多学科、多组分治疗方法的有益补充。