纤维肌痛运动方式的比较有效性:系统审查和贝叶斯网络元分析
Chuanzhi Wang1,2, Jielin Sun1, Zhide Liang3
1National Center for Translational Medicine, Shanghai Jiao Tong University, Shanghai, China.
European journal of pain (London, England)
|September 1, 2025
概括
这种运动可以缓解纤维肌痛的疼痛. 建议每周使用875分钟MET来显著减轻疼痛,但证据质量较低.
科学领域:
- 关节病学
- 运动科学
- 治疗疼痛
背景情况:
- 纤维肌痛综合征 (FM) 是一种慢性疾病,其特征是普遍的疼痛和疲劳.
- 越来越多地探索以运动为基础的治疗方法来控制FM的症状.
- 现有关于不同运动方式和最佳剂量的有效性需要综合.
研究的目的:
- 系统地审查和分析运动治疗对纤维肌痛患者疼痛的影响.
- 为了比较各种运动方式对疼痛的有效性.
- 确定最佳的运动量以达到临床上有意义的疼痛减轻.
主要方法:
- 随机对照试验 (RCT) 的系统审查和网络元分析.
- 搜索了多个数据库 (MEDLINE,Embase,科学网,Cochrane图书馆,Scopus,SPORTDiscus) 直到2024年7月.
- 包括成人 FM 患者的运动干预与非运动对照进行比较的随机试验,报告疼痛结果.
主要成果:
- 分析了50个与3761名参与者的RCT.
- 有氧运动+弹性训练 (SUCRA=0. 91) 和水上运动 (SUCRA=0. 87) 显示出最显著的减轻疼痛效应.
- 每周875分钟的MET与临床重要差异 (MCID) 有关.
- 整体证据质量被评为低至非常低.
结论:
- 结合有氧运动和弹性训练以及水运动, 可以有效地减轻纤维肌痛的疼痛.
- 由于异质性,偏见和低质量的证据,研究结果应谨慎解释.
- 一致,专业指导和量身定制的运动方案对于持续的疼痛管理好处至关重要.
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