Brandon Goodwin, Danyaal Khan, Aarti Mehta, Hanna Brancaccio, Maithri Goud, David Rubin, Nicholas Eltman, Sanjana Davuluri, David Lo, Alexander King
{"title":"运动疗法治疗纤维肌痛症：系统回顾和比较分析。","authors":"Brandon Goodwin, Danyaal Khan, Aarti Mehta, Hanna Brancaccio, Maithri Goud, David Rubin, Nicholas Eltman, Sanjana Davuluri, David Lo, Alexander King","doi":"10.4088/PCC.24r03817","DOIUrl":null,"url":null,"abstract":"<p><p><b>Objective:</b> To investigate the impact of various exercise modalities on the mitigation of pain catastrophizing in patients with fibromyalgia.</p><p><p><b>Data Sources:</b> A systematic review with comparative analysis was conducted on May 22, 2024, utilizing Embase, PubMed, Scopus, Cochrane Library, and Web of Science.</p><p><p><b>Study Selection:</b> The search resulted in 350 articles, of which 190 were duplicates. After duplicate removal, title and abstract appraisal was conducted followed by full-text appraisal. A total of 9 articles fit the inclusion/exclusion criteria.</p><p><p><b>Data Extraction:</b> Usable statistics and relevant data points were extracted. Outcomes of interest were pain catastrophizing scores. The duration of treatment protocol and the number of exercise sessions per week were also extracted.</p><p><p><b>Results:</b> Exercise intervention of any type showed a moderate impact on pain catastrophizing (<i>d</i> =0.58; 95% CI, 0.16-1.01; <i>P</i> < .01). Subgroup analysis showed varying effects. Yoga was not statistically significant but was the most clinically effective (<i>d</i> = 1.1; 95% CI, -0.48 to 2.69; <i>P</i> = .172). Pilates did not clinically or statistically reduce pain catastrophizing (<i>d</i> = 0.108; 95% CI, -0.522 to 0.738; <i>P</i> = .737). Resistance training, mixed aerobic-resistance exercise, aquatic therapy/exercise, and aerobic only all denoted a degree of clinically significant effectiveness (<i>d</i> = 0.559, 0.526, 0.548, and 0.226, respectively). Only mixed aerobic resistance training was significant (<i>P</i> = .046).</p><p><p><b>Conclusions:</b> Exercise in general is a moderately effective treatment option to mitigate pain catastrophizing, although various treatment modalities may prove more practical than others due to their nature. High-effort, high intensity modalities may be less effective (Pilates) as lower-intensity modalities (aquatic therapy). Yoga, having the highest effect size, was the only modality which focuses on physical exercise as well as meditation and spirituality. More randomized trials are needed to further clarify the importance of mindfulness, spirituality, and meditation in combination with physical exercise for fibromyalgia patients who catastrophize.</p><p><p><i>Prim Care Companion CNS Disord 2025;27(2):24r03817</i>.</p><p><p>\n <i>Author affiliations are listed at the end of this article.</i>\n </p>","PeriodicalId":22814,"journal":{"name":"The primary care companion for CNS disorders","volume":"27 2","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Exercise Therapies for Fibromyalgia Pain Catastrophizing: A Systematic Review and Comparative Analysis.\",\"authors\":\"Brandon Goodwin, Danyaal Khan, Aarti Mehta, Hanna Brancaccio, Maithri Goud, David Rubin, Nicholas Eltman, Sanjana Davuluri, David Lo, Alexander King\",\"doi\":\"10.4088/PCC.24r03817\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>Objective:</b> To investigate the impact of various exercise modalities on the mitigation of pain catastrophizing in patients with fibromyalgia.</p><p><p><b>Data Sources:</b> A systematic review with comparative analysis was conducted on May 22, 2024, utilizing Embase, PubMed, Scopus, Cochrane Library, and Web of Science.</p><p><p><b>Study Selection:</b> The search resulted in 350 articles, of which 190 were duplicates. After duplicate removal, title and abstract appraisal was conducted followed by full-text appraisal. A total of 9 articles fit the inclusion/exclusion criteria.</p><p><p><b>Data Extraction:</b> Usable statistics and relevant data points were extracted. Outcomes of interest were pain catastrophizing scores. The duration of treatment protocol and the number of exercise sessions per week were also extracted.</p><p><p><b>Results:</b> Exercise intervention of any type showed a moderate impact on pain catastrophizing (<i>d</i> =0.58; 95% CI, 0.16-1.01; <i>P</i> < .01). Subgroup analysis showed varying effects. Yoga was not statistically significant but was the most clinically effective (<i>d</i> = 1.1; 95% CI, -0.48 to 2.69; <i>P</i> = .172). Pilates did not clinically or statistically reduce pain catastrophizing (<i>d</i> = 0.108; 95% CI, -0.522 to 0.738; <i>P</i> = .737). Resistance training, mixed aerobic-resistance exercise, aquatic therapy/exercise, and aerobic only all denoted a degree of clinically significant effectiveness (<i>d</i> = 0.559, 0.526, 0.548, and 0.226, respectively). Only mixed aerobic resistance training was significant (<i>P</i> = .046).</p><p><p><b>Conclusions:</b> Exercise in general is a moderately effective treatment option to mitigate pain catastrophizing, although various treatment modalities may prove more practical than others due to their nature. High-effort, high intensity modalities may be less effective (Pilates) as lower-intensity modalities (aquatic therapy). Yoga, having the highest effect size, was the only modality which focuses on physical exercise as well as meditation and spirituality. 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Exercise Therapies for Fibromyalgia Pain Catastrophizing: A Systematic Review and Comparative Analysis.
Objective: To investigate the impact of various exercise modalities on the mitigation of pain catastrophizing in patients with fibromyalgia.
Data Sources: A systematic review with comparative analysis was conducted on May 22, 2024, utilizing Embase, PubMed, Scopus, Cochrane Library, and Web of Science.
Study Selection: The search resulted in 350 articles, of which 190 were duplicates. After duplicate removal, title and abstract appraisal was conducted followed by full-text appraisal. A total of 9 articles fit the inclusion/exclusion criteria.
Data Extraction: Usable statistics and relevant data points were extracted. Outcomes of interest were pain catastrophizing scores. The duration of treatment protocol and the number of exercise sessions per week were also extracted.
Results: Exercise intervention of any type showed a moderate impact on pain catastrophizing (d =0.58; 95% CI, 0.16-1.01; P < .01). Subgroup analysis showed varying effects. Yoga was not statistically significant but was the most clinically effective (d = 1.1; 95% CI, -0.48 to 2.69; P = .172). Pilates did not clinically or statistically reduce pain catastrophizing (d = 0.108; 95% CI, -0.522 to 0.738; P = .737). Resistance training, mixed aerobic-resistance exercise, aquatic therapy/exercise, and aerobic only all denoted a degree of clinically significant effectiveness (d = 0.559, 0.526, 0.548, and 0.226, respectively). Only mixed aerobic resistance training was significant (P = .046).
Conclusions: Exercise in general is a moderately effective treatment option to mitigate pain catastrophizing, although various treatment modalities may prove more practical than others due to their nature. High-effort, high intensity modalities may be less effective (Pilates) as lower-intensity modalities (aquatic therapy). Yoga, having the highest effect size, was the only modality which focuses on physical exercise as well as meditation and spirituality. More randomized trials are needed to further clarify the importance of mindfulness, spirituality, and meditation in combination with physical exercise for fibromyalgia patients who catastrophize.
Prim Care Companion CNS Disord 2025;27(2):24r03817.
Author affiliations are listed at the end of this article.
期刊介绍：
Founded in 1998, The Primary Care Companion for CNS Disorders (ISSN 2155-7780), formerly The Primary Care Companion to The Journal of Clinical Psychiatry, is an international, peer-reviewed, online-only journal, and its articles are indexed by the National Library of Medicine. PCC seeks to advance the clinical expertise of primary care physicians and other health care professionals who treat patients with mental and neurologic illnesses. PCC publishes research from disciplines such as medicine, nursing, pharmacy, and psychology, especially as it pertains to integrated delivery systems and interdisciplinary collaboration. PCC focuses on providing information of direct clinical utility and giving a voice to clinician researchers. Practice-based research from individuals and groups with clinical expertise is particularly welcome. Pertinent manuscript types include: -Original research -Systematic reviews -Meta-analyses -Case reports and series -Commenting letters to the editor Articles published in PCC typically cover attention-deficit/hyperactivity disorder, depression, bipolar disorder, anxiety, addiction, sleep disorders, pain, Alzheimer’s disease, multiple sclerosis, and Parkinson’s disease.
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