{"title":"Effects of Traditional Chinese Martial Arts and Stretching Exercises on Symptoms of Fibromyalgia: A Systematic Review and Meta-Analysis.","authors":"Sujie Mao, Guoping Qian, Kaiwen Xiao, Hong Xu, Shikun Zhang, Wensheng Zhou","doi":"10.1177/00315125241291080","DOIUrl":null,"url":null,"abstract":"<p><p>Fibromyalgia syndrome (FMS) is a chronic condition characterized by widespread musculoskeletal pain and various associated symptoms. Non-pharmacological interventions have gained attention for managing FMS and improving patient outcomes. We reviewed past research to investigate the effects of traditional Chinese martial arts (TCMA) and stretching training (ST) on symptoms of patients with FMS. We searched Web of Science, Medline via PubMed, the Cochrane Library, and EMBASE from their inceptions to June 1, 2023. Across selected studies, we evaluated TCMA and ST using Fibromyalgia Impact Questionnaire (FIQ) scores, pain symptoms, fatigue levels, and sleep quality as outcome measures. Compared with control groups, participants receiving TCMA and ST interventions showed significantly lower FIQ scores (Standard Mean Difference (SMD) = -3.01, 95% Confidence Interval (CI) [-4.83,-1.19]), improved pain symptoms (SMD = -0.77, 95% CI [-1.07,-0.47]), less fatigue (SMD = 1.31, 95% CI [0.50,2.11]), and enhanced sleep quality (SMD = -0.55, 95% CI [-0.97,-0.12]). Subgroup analyses revealed that, irrespective of intervention duration, both TCMA and ST interventions were effective in relieving pain symptoms in these patients. ST interventions showed significant improvement in fatigue symptoms, while TCMA interventions positively influenced sleep quality. These findings highlight potential non-pharmalogical benefits of TCMA and ST interventions in managing FMS. However, future research should explore the optimal duration, frequency, intensity, and types of interventions for TCMA and ST and design targeted exercise intervention programs to study the effects of these interventions on different characteristics of FMS patients. Attention should be given to the effects of short-term interventions on improving fatigue symptoms, sleep quality, and pain relief, to provide more personalized and effective FMS treatment plans.</p>","PeriodicalId":19869,"journal":{"name":"Perceptual and Motor Skills","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Perceptual and Motor Skills","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1177/00315125241291080","RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHOLOGY, EXPERIMENTAL","Score":null,"Total":0}
引用次数: 0
Abstract
Fibromyalgia syndrome (FMS) is a chronic condition characterized by widespread musculoskeletal pain and various associated symptoms. Non-pharmacological interventions have gained attention for managing FMS and improving patient outcomes. We reviewed past research to investigate the effects of traditional Chinese martial arts (TCMA) and stretching training (ST) on symptoms of patients with FMS. We searched Web of Science, Medline via PubMed, the Cochrane Library, and EMBASE from their inceptions to June 1, 2023. Across selected studies, we evaluated TCMA and ST using Fibromyalgia Impact Questionnaire (FIQ) scores, pain symptoms, fatigue levels, and sleep quality as outcome measures. Compared with control groups, participants receiving TCMA and ST interventions showed significantly lower FIQ scores (Standard Mean Difference (SMD) = -3.01, 95% Confidence Interval (CI) [-4.83,-1.19]), improved pain symptoms (SMD = -0.77, 95% CI [-1.07,-0.47]), less fatigue (SMD = 1.31, 95% CI [0.50,2.11]), and enhanced sleep quality (SMD = -0.55, 95% CI [-0.97,-0.12]). Subgroup analyses revealed that, irrespective of intervention duration, both TCMA and ST interventions were effective in relieving pain symptoms in these patients. ST interventions showed significant improvement in fatigue symptoms, while TCMA interventions positively influenced sleep quality. These findings highlight potential non-pharmalogical benefits of TCMA and ST interventions in managing FMS. However, future research should explore the optimal duration, frequency, intensity, and types of interventions for TCMA and ST and design targeted exercise intervention programs to study the effects of these interventions on different characteristics of FMS patients. Attention should be given to the effects of short-term interventions on improving fatigue symptoms, sleep quality, and pain relief, to provide more personalized and effective FMS treatment plans.
纤维肌痛综合征(FMS)是一种以广泛的肌肉骨骼疼痛和各种相关症状为特征的慢性疾病。非药物干预在控制 FMS 和改善患者预后方面受到关注。我们回顾了过去的研究,以调查中国传统武术(TCMA)和拉伸训练(ST)对 FMS 患者症状的影响。我们检索了 Web of Science、Medline via PubMed、Cochrane Library 和 EMBASE 从开始到 2023 年 6 月 1 日的内容。在所选研究中,我们使用纤维肌痛影响问卷(FIQ)评分、疼痛症状、疲劳程度和睡眠质量作为结果测量指标,对 TCMA 和 ST 进行了评估。与对照组相比,接受TCMA和ST干预的参与者的FIQ评分显著降低(标准均差(SMD)=-3.01,95%置信区间(CI)[-4.83,-1.19]),疼痛症状得到改善(SMD=-0.77,95% CI [-1.07,-0.47]),疲劳程度减轻(SMD=1.31,95% CI [0.50,2.11]),睡眠质量提高(SMD=-0.55,95% CI [-0.97,-0.12])。分组分析显示,无论干预持续时间长短,TCMA 和 ST 干预都能有效缓解这些患者的疼痛症状。ST干预对疲劳症状有明显改善,而TCMA干预对睡眠质量有积极影响。这些发现凸显了 TCMA 和 ST 干预疗法在治疗 FMS 方面的潜在非药物益处。然而,未来的研究应探索 TCMA 和 ST 的最佳持续时间、频率、强度和干预类型,并设计有针对性的运动干预计划,以研究这些干预措施对不同特征的 FMS 患者的影响。还应关注短期干预对改善疲劳症状、睡眠质量和缓解疼痛的效果,以提供更个性化、更有效的FMS治疗方案。