慢性疲劳综合征的运动疗法
Lillebeth Larun1, Kjetil G Brurberg1, Jan Odgaard-Jensen2
1Division for Health Services, Norwegian Institute of Public Health, Oslo, Norway.
The Cochrane database of systematic reviews
|December 19, 2024
概括
与被动治疗相比,运动疗法可能会减少患有慢性疲劳综合征 (CFS) 或肌痛性脑炎 (ME) 的成年人的疲劳. 然而,关于副作用的证据和与CBT等其他疗法的比较仍然不确定.
科学领域:
- 临床医学 临床医学
- 康复医学 康复医学 康复医学
- 基于证据的实践.
背景情况:
- 慢性疲劳综合征 (CFS),也称为肌痛性脑筋炎 (ME),是一种复杂的疾病,其特点是持续的疲劳和多系统性症状.
- 目前的管理重点是缓解症状和改善功能,运动疗法是正在探索的一项干预措施.
研究的目的:
- 评估对被诊断患有CFS/ME的成年人进行运动治疗的疗效.
- 将运动疗法与各种控制干预措施进行比较,包括被动疗法,认知行为疗法 (CBT) 和自适应节奏.
主要方法:
- 随机对照试验 (RCT) 的系统审查和元分析,涉及患有CFS/ME的成年人.
- 搜索了多个数据库,直到2014年5月为相关研究.
- 使用GRADE方法评估偏差风险和证据确定性.
主要成果:
- 与被动对照相比,运动疗法可能会在短期内减少疲劳 (中等确定性证据).
- 关于长期减轻疲劳,副作用以及对疼痛,生活质量和情绪的影响的证据不确定或确定性很低.
- 有限的证据表明,运动治疗和CBT对于疲劳,身体功能或睡眠之间几乎没有差异.
结论:
- 与通常的护理或被动疗法相比,运动疗法对CFS/ME患者的疲劳可能有好处.
- 对CBT,自适应节奏和其他干预措施的比较有效性尚未得到充分确立,因为证据有限且确定性低.
- 结果是基于使用特定诊断标准 (1994年CDC或牛津) 的研究,对于其他标准诊断的患者,结果可能有所不同.
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