Effect of Pilates Training on People With Fibromyalgia Syndrome: A Pilot Study
Effect of Pilates Training on People With Fibromyalgia Syndrome: A Pilot Study
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DOI：
10.1016/j.apmr.2009.06.021
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发表时间：
2009-12-01
影响因子：
4.3
通讯作者：
Gunay, Berna
中科院分区：
文献类型：
--
作者：
Altan, Lale;Korkmaz, Nimet;Gunay, Berna
刘建军，刘建军，刘建军，等。普拉提训练对纤维肌痛综合征患者的影响。医学康复杂志2009；90:1983-8。目的：研究普拉提对纤维肌痛患者疼痛、功能状态和生活质量的影响，纤维肌痛是一种慢性肌肉骨骼疾病。设计：随机、前瞻性、对照、单盲试验。单位：物理医学与康复科。参与者：根据美国风湿病学会的标准诊断为纤维肌痛综合征（FMS）的女性（N=50）。干预：受试者随机分为两组。在第一组，由一名认证教练为25名参与者提供一小时的普拉提锻炼计划，每周三次，持续12周。第二组被设计为对照组，25名参与者进行了家庭锻炼（放松/拉伸）计划。在两组中，治疗前（第0周）和治疗后（第12周和第24周）由一名作者进行评估，该作者对组分配一无所知。主要结局指标：主要结局指标为疼痛（视觉模拟量表）和纤维肌痛影响问卷（FIQ）。探索性结果测量包括压痛点数量、算术评分、椅子测试和诺丁汉健康概况。结果：25名普拉提运动参与者和24名放松/拉伸运动参与者完成了研究。在第1组中，疼痛和FIQ在第12周均有显著改善，但仅在第24周时有所改善。第2组在第12周和第24周疼痛和FIQ均无明显改善。两组比较，第12周时，第1组疼痛和FIQ的改善明显优于第1组，第24周时，两组间无明显差异。结论：我们认为普拉提是治疗FMS患者有效且安全的方法。我们的研究是第一个旨在探讨普拉提方法在FMS治疗中的作用的临床研究。我们相信，对更多参与者和更长随访期的进一步研究可以帮助评估这种流行的体育锻炼方法的治疗价值。
Altan L, Korkmaz N, Bingol U, Gunay B. Effect of Pilates training on people with fibromyalgia syndrome: a pilot study. Arch Phys Med Rehabil 2009;90:1983-8.Objective: To investigate the effects of Pilates on pain, functional status, and quality of life in fibromyalgia, which is known to be a chronic musculoskeletal disorder.Design: Randomized, prospective, controlled, and single-blind trial.Setting: Physical medicine and rehabilitation department.Participants: Women (N=50) who had a diagnosis of fibromyalgia syndrome (FMS) according to the American College of Rheumatology criteria.Intervention: The participants were randomly assigned into 2 groups. In group 1, a Pilates exercise program of I hour was given by a certified trainer to 25 participants 3 times a week for 12 weeks. In group 2, which was designed as the control group, 25 participants were given a home exercise (relaxation/stretching) program. In both groups, pre- (week 0) and posttreatment (week 12 and week 24) evaluation was performed by one of the authors, who was blind to the group allocation.Main Outcome Measures: Primary outcome measures were pain (visual analog scale) and Fibromyalgia Impact Questionnaire (FIQ). Exploratory outcome measures were number of tender points, algometric score, chair test, and Nottingham Health Profile.Results: Twenty-five Pilates exercise and 24 relaxation/stretching exercise participants completed the study. In group 1, significant improvement was observed in both pain and FIQ at week 12 but only in FIQ at 24 weeks. In group 2, no significant improvement was obtained in pain and FIQ at week 12 and week 24. Comparison of the 2 groups showed significantly superior improvement in pain and FIQ in group 1 at week 12 but no difference between the 2 groups at week 24.Conclusions: We suggest Pilates as an effective and safe method for people with FMS. Our study is the first clinical study designed to investigate the role of the Pilates method in FMS treatment. We believe that further research with more participants and longer follow-up periods could help assess the therapeutic value of this popular physical exercise method.