Activité physique dans la prise en charge de la fibromyalgie

Étienne Masquelier , Jacques D’Haeyere
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引用次数: 0

Abstract

The international therapeutic recommendations for fibromyalgia (FM) highlight the importance of adapted physical activity (APA) associated with therapeutic education. Cognitive and behavioural therapies as well as an interdisciplinary approach can be proposed for more complex or severe clinical situations, with a bio-psycho-social vision of rehabilitation. To allow for an optimal personalisation of the rehabilitation's therapeutic approach, the clinician can use simple and validated instruments for measuring physical performancethat will highlight levels of physical condition ranging from low to very low. Several systematic reviews and meta-analyses show strong evidence that supervised aerobic and resistance training programs reduce the pain's intensity and significantly improve the quality of life and the physical and psychological functioning of female FM subjects. These therapeutic approaches appear safe and promising in terms of cost-effectiveness and should be the subject of more randomized controlled trial (RCT) studies among male FM subjects and adolescents.

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体育活动在纤维肌痛管理中的作用
纤维肌痛(FM)的国际治疗建议强调了适应性身体活动(APA)与治疗教育相关的重要性。认知和行为疗法以及跨学科的方法可以提出更复杂或严重的临床情况,与生物-心理-社会康复的愿景。为了实现康复治疗方法的最佳个性化,临床医生可以使用简单且有效的仪器来测量身体表现,这些仪器将突出显示从低到非常低的身体状况水平。几项系统综述和荟萃分析显示,强有力的证据表明,有监督的有氧和阻力训练计划可以减轻疼痛的强度,并显著改善女性FM受试者的生活质量和生理和心理功能。这些治疗方法在成本效益方面显得安全且有希望,应该在男性FM受试者和青少年中进行更多的随机对照试验(RCT)研究。
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