Wigers S H, Stiles T C, Vogel P A
Department of Physical Medicine and Rehabilitation, University Hospital of Trondheim, Norway.
Scand J Rheumatol. 1996;25(2):77-86. doi: 10.3109/03009749609069212.
To determine and compare short- and long-term effects of aerobic exercise (AE), stress management treatment (SMT), and treatment-as-usual (TAU) in fibromyalgia, 60 patients were randomized to 14 weeks of treatment by either AE, SMT or TAU. Outcome measures at baseline, midway through treatment, at treatment completion, and at 4 year follow up included a patient made drawing of pain distribution, dolorimetry of tender points, ergometer cycle test, global subjective improvement, and VAS registrations of: pain, disturbed sleep, lack of energy, and depression. Both AE and SMT showed positive short-term effects. AE was the overall most effective treatment, despite being subject to the most sceptical patient attitude prior to the study. At follow up, there were no obvious group differences in symptom severity, which for AE seemed to be due to a considerable compliance problem.
为了确定并比较有氧运动（AE）、压力管理治疗（SMT）以及常规治疗（TAU）对纤维肌痛的短期和长期影响，60名患者被随机分为三组，分别接受为期14周的AE、SMT或TAU治疗。在基线、治疗中期、治疗结束时以及4年随访时的结果测量包括患者绘制的疼痛分布图、压痛点痛觉测量、测力计自行车测试、整体主观改善情况，以及疼痛、睡眠障碍、精力不足和抑郁的视觉模拟评分（VAS）记录。AE和SMT均显示出积极的短期效果。尽管在研究前患者对AE持最怀疑的态度，但AE是总体上最有效的治疗方法。在随访时，症状严重程度没有明显的组间差异，对于AE组而言，这似乎是由于相当严重的依从性问题所致。
