不同类型的运动对纤维肌痛综合征的影响:一个网络元分析
Wen Yuan1,2, Pengfei Wan3, Hui Wang4
1School of Wushu and Chinese Traditional Sports, Tianjin University of Sport, No. 16 Donghai Road, West District of Tuanbo New Town, Jinghai District, Tianjin, 301617, China.
BMC sports science, medicine & rehabilitation
|January 8, 2026
概括
不同的运动干预措施显著改善了纤维肌痛症状. 与平衡训练一起伸展可以提高健康状况,而有氧运动与力量和伸展相结合可以减少疼痛. 全身振动可以提高有氧能力.
科学领域:
- 运动科学运动科学
- 康复医学是康复的医学.
- 临床结果研究研究的临床结果.
背景情况:
- 纤维肌痛综合征 (FMS) 的特点是健康状况不佳和身体功能下降.
- 运动干预对于FMS患者的症状缓解和功能改善至关重要.
- 确定最佳的炼方式对于基于证据的建议至关重要.
研究的目的:
- 系统地评估和比较纤维肌痛的各种运动干预措施的疗效.
- 为了确定FMS中关键临床结果的最有效的炼方式.
- 为管理FMS提供基于证据的炼建议.
主要方法:
- 在PubMed,Embase,Cochrane图书馆和科学网络上进行系统的文献搜索.
- 使用 Stata 15.0 和 R 软件进行网络元分析 (NMA).
- 主要结局:健康状况,疼痛强度,敏感点 (TP) 和有氧能力;使用随机效应模型和Cochrane RoB 2.0/TESTEX尺度进行评估.
主要成果:
- 伸展加上平衡训练产生了最大的健康状况改善 (MD = -25.13).
- 带有力量和伸展的有氧运动 (AE) 显示在减轻疼痛方面效率最高 (MD = -3.61).
- 单独的AE在减少度点方面最有效 (MD = -2.28),而全身振动 (WBV) 提高了有氧能力 (MD = 55.0).
结论:
- 伸展与平衡训练改善健康状况; AE与力量和伸展减少疼痛.
- 单独的AE减少了敏感点,而WBV提高了FMS患者的有氧能力.
- 建议结合各种运动 (AE,力量,伸展,平衡,WBV),根据个人需求量身定制,等待进一步的RCT.
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