Støve Morten Pallisgaard, Larsen Louise Landbo, Magnusson Stig Peter, Thomsen Janus Laust, Riis Allan
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.
Rheumatol Int. 2025 Aug 11;45(9):191. doi: 10.1007/s00296-025-05921-4.
People with fibromyalgia face physical and cognitive impairments and are often intolerant to physical activity, making adherence to physical therapy a significant challenge. This prospective pre-post feasibility study aimed to explore the feasibility and acceptability of a six-week home-based stretching intervention for people with fibromyalgia. People aged 18-55 years diagnosed with fibromyalgia were eligible for participation. Participants were offered a home-based stretching intervention with weekly follow-up via a mHealth app. Semi-structured online focus group interviews were conducted to gain insight into the participants' experience and acceptance of the intervention. Quantitative assessments included the Revised Fibromyalgia Impact Questionnaire, the SF-36, pressure pain thresholds, range of motion, and self-reported adherence. 12 females were recruited over 43 days. One participant withdrew from the study due to illness. The adherence rate was high. Four major themes emerged from the interviews: (1) Factors motivating participation, (2) The advantages of exercising at home, (3) Influence of weekly communication and (4) Potential areas for improvement. Qualitative findings suggest that the intervention was well tolerated and easily implemented in daily life. There were clinically relevant improvements in health-related quality of life, physical health, and mental health scores. A six-week home-based stretching program, supervised via an mHealth application, proved feasible and acceptable for individuals with FM and showed promising clinical outcomes. Based on insights from this feasibility study, an RCT is planned to evaluate whether the program of home-based stretching exercises provides greater benefits than usual care alone in enhancing quality of life and functional outcomes in patients with FM. Trial registration number: NCT06176053. Date of registration: 12/08/2023.
纤维肌痛患者面临身体和认知障碍，通常无法耐受体育活动，这使得坚持物理治疗成为一项重大挑战。这项前瞻性前后对照可行性研究旨在探讨为期六周的居家伸展干预对纤维肌痛患者的可行性和可接受性。年龄在18 - 55岁、被诊断为纤维肌痛的人有资格参与。通过一款移动健康应用程序为参与者提供居家伸展干预，并进行每周随访。开展了半结构化在线焦点小组访谈，以深入了解参与者对该干预的体验和接受情况。定量评估包括修订后的纤维肌痛影响问卷、SF - 36、压痛阈值、关节活动范围和自我报告的依从性。在43天内招募了12名女性。一名参与者因病退出研究。依从率很高。访谈中出现了四个主要主题：(1) 促使参与的因素，(2) 在家锻炼的好处，(3) 每周沟通的影响，以及(4) 潜在的改进领域。定性研究结果表明，该干预耐受性良好，易于在日常生活中实施。与健康相关的生活质量、身体健康和心理健康评分有临床意义上的改善。一项为期六周、通过移动健康应用程序监督的居家伸展计划，对纤维肌痛患者来说被证明是可行且可接受的，并显示出有希望的临床结果。基于这项可行性研究的见解，计划进行一项随机对照试验，以评估居家伸展运动计划在提高纤维肌痛患者生活质量和功能结局方面是否比单纯常规护理带来更大益处。试验注册号：NCT06176053。注册日期：2023年8月12日。
