Το σύνδρομο ινομυαλγίας περιγράφεται ως μια χρόνια κατάσταση με εκτεταμένο πόνο και χαρακτηριστική κόπωση. Σύμφωνα με πρόσφατη αρθρογραφική ανασκόπηση, με την αεροβική άσκηση φαίνεται να μειώνεται ο πόνος και η δυσκαμψία, ενώ παράλληλα βελτιώνεται η λειτουργικότητα σε ασθενείς που πάσχουν από σύνδρομο ινομυαλγίας.
They base their findings on 13 relevant clinical trials, published up to June 2016. These involved 839 people, most of whom were women, with an average age of 41. The studies compared the pros and cons of aerobic exercise in adults with fibromyalgia with no exercise or with drug treatment and education. The exercise programmes usually involved twice weekly supervised sessions lasting around 35 minutes, which gradually increased in intensity over the course of the intervention (six to 24 weeks).
Each outcome was measured on a scale from 0 to 100, lower scores reflecting better results. The exercisers rated their health-related quality of life as 48 while the comparison group rated it as 56, and they gave their pain intensity a score of 56 compared with 65.Those who exercised rated their fatigue as 63 versus 68 in the comparison group, and their stiffness as 61 versus 69. The lowest score was for physical function, with the exercisers giving this a score of 37 versus 46 in the comparison group.
Aerobic exercise seemed to be well tolerated, with similar drop-out rates across the groups, but few studies looked at any unwanted consequences of taking part in an exercise programme. Three of the trials looked at the longer-term impact (24 up to 208 weeks later). These showed that improvements in pain intensity and physical function had persisted, unlike those for health-related quality of life or tiredness.
Bidonde J et al. Cochrane Musculoskeletal group. Aerobic exercise training for adults with fibromyalgia. 2017 http://onlinelibrary. wiley.com/doi/10.1002/14651858. CD012700/full