Effects of pompage associated with aerobic exercises on pain, fatigue, and sleep quality in female patients with fibromyalgia: a pilot study

ABSTRACT Aiming at evaluating the effects of pompage as a complementary therapy to aerobic exercises and stretching on pain, fatigue, and sleep quality in women with fibromyalgia, 23 women with this diagnosis were allocated randomly in the groups: Experimental (EG, n = 13) and Control (CG, n = 10). Subsequently, they were assessed using McGill Pain Questionnaire, Chalder Fatigue Questionnaire, and Sleep Inventory. For 12 weeks, twice a week, the EG made pompage, aerobic exercises, and stretching, while the CG only aerobic exercises and stretching. Evaluation was repeated after 6 and 12 weeks. We had sample losses totaling 15 individuals (EG, n=7/CG, n=8). We used ANOVA for repeated measurements in the statistical analysis, followed by the T test for independent samples with significant differences (p≤0.05). There was a significant reduction of McGill Pain Questionnaire joint score after 12 weeks in the EG compared with CG. There were not significant changes in other aspects evaluated for pain, fatigue and sleep quality. Therefore, we suggest that pompage as a complementary therapy to aerobic exercises and stretching did not have beneficial effects on women with fibromyalgia, since there was improvement in only one aspect of the pain evaluated. Studies with larger samples are necessary for a more consistent analysis of the results investigated.

摘要：为评估按压疗法（pompage）作为有氧运动与拉伸训练的辅助疗法，对纤维肌痛综合征女性患者的疼痛、疲劳及睡眠质量的影响，本研究纳入23名确诊为该疾病的女性受试者，采用随机分组法将其分为实验组（EG，n=13）与对照组（CG，n=10）。随后采用麦吉尔疼痛问卷（McGill Pain Questionnaire）、查尔达疲劳量表（Chalder Fatigue Questionnaire）及睡眠量表（Sleep Inventory）开展基线评估。干预周期为12周，每周2次：实验组接受按压疗法、有氧运动与拉伸训练，对照组仅进行有氧运动与拉伸训练。分别于干预6周、12周后重复上述评估流程。本研究最终共有15例受试者脱落（实验组n=7，对照组n=8）。统计学分析采用重复测量方差分析，对于存在显著性差异的结果（p≤0.05），进一步采用独立样本t检验进行两两比较。干预12周后，实验组的麦吉尔疼痛问卷关节痛评分较对照组显著降低；其余疼痛、疲劳及睡眠质量相关评估指标均未出现显著变化。综上，本研究认为作为有氧运动与拉伸训练的辅助疗法，按压疗法对纤维肌痛综合征女性患者并无显著获益，仅在疼痛评估的单一维度上出现了改善。未来需开展更大样本量的研究，以对本研究的结果进行更严谨的验证与分析。