Effects of yoga and the addition of Tui Na in patients with fibromyalgia
Effects of yoga and the addition of Tui Na in patients with fibromyalgia
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DOI：
10.1089/acm.2007.0615
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发表时间：
2007-12-01
影响因子：
2.6
通讯作者：
Lage, Lais V.
中科院分区：
文献类型：
--
作者：
Da Silva, Gerson D.;Lorenzi-Filho, Geraldo;Lage, Lais V.
目的：本研究旨在验证添加或不添加推拿的瑜伽技术是否可以改善疼痛以及纤维肌痛 (FMS) 对患者日常生活的负面影响。设计：四十 (40) 名 FMS 女性被随机分为两组，即放松瑜伽 (RY) 和放松瑜伽加触摸 (RYT)，每周进行八次伸展、呼吸和放松瑜伽技巧课程。 RYT 患者进一步接受推拿手法治疗。 结果测量：结果测量包括纤维肌痛影响问卷 (FIQ)、18 个 FMS 压痛点的疼痛阈值以及治疗前和随访中评估的疼痛口头分级。在每次治疗之前和之后以及随访时评估疼痛视觉模拟量表 (VAS)。结果：十七 (17) 名 RYT 和 16 名 RY 患者完成了研究。 RY 和 RYT 组的 FIQ 和 VAS 分数均有所改善，但在所有训练中均有所下降。 RYT 组在第八次治疗时表现出较低的 VAS 和语言评分，但这种差异在后续治疗中并未维持。相反，RY VAS 和言语评分在随访期间显着降低。结论：这些研究结果表明瑜伽技术是 FMS 的有效治疗方法。在治疗过程中，触摸的添加产生了更大的改善。然而，随着时间的推移，RY 患者报告的疼痛比 RYT 减轻。这些结果表明，被动治疗可能会降低对 FMS 症状的控制。
Objectives: This study aimed to verify whether techniques of yoga with and without the addition of Tui Na might improve pain and the negative impact of fibromyalgia (FMS) on patients' daily life.Design: Forty (40) FMS women were randomized into two groups, Relaxing Yoga (RY) and Relaxing Yoga plus Touch (RYT), for eight weekly sessions of stretching, breathing, and relaxing yogic techniques. RYT patients were further submitted to manipulative techniques of Tui Na.Outcome measure: Outcome measures comprised the Fibromyalgia Impact Questionnaire (FIQ), pain threshold at the 18 FMS tender points, and a verbal graduation of pain assessed before treatment and on the follow-up. The visual analog scale (VAS) for pain was assessed before and after each session and on the follow-up.Results: Seventeen (17) RYT and 16 RY patients completed the study. Both RY and RYT groups showed improvement in the FIQ and VAS scores, which decreased on all sessions. The RYT group showed lower VAS and verbal scores for pain on the eighth session, but this difference was not maintained on the follow-up. Conversely, RY VAS and verbal scores were significantly lower just on the follow-up.Conclusions: These study results showed that yogic techniques are valid therapeutic methods for FMS. Touch addition yielded greater improvement during the treatment. Over time, however, RY patients reported less pain than RYT. These results suggest that a passive therapy may possibly decrease control over FMS symptoms.