ABSTRACT

This trial was designed to evaluate the effects of fully immersive virtual reality (IVR) treatment combined with exercise training in fibromyalgia patients. Twenty patients were randomized into exercise group (EG) or IVR combined with exercise group (Exercise+IVR). The EG had combined exercise training consisted of 30 minutes of aerobic training and 30 minutes of Pilates training and Exercise+IVR group had the same protocol with EG plus 20 minutes of IVR, twice a week for 8 weeks. Visual analogue scale for pain, Modified Sensory Organization Test for balance, Tampa Scale of Kinesiophobia for kinesiophobia, Fibromyalgia Impact Questionnaire for impact of fibromyalgia, Fatigue Severity Scale for fatigue, International Physical Activity Questionnaire for level of physical activity, six-minute walk test for functional capacity, and Short-Form 36 Health Survey for quality of life were used for evaluation. Pain, balance, kinesiophobia, impact of fibromyalgia, fatigue, level of physical activity, functional exercise capacity and quality of life scores improved significantly in both groups (p < .05). Exercise+IVR group showed significant improvement compared to the EG regarding pain, kinesiophobia, fatigue, level of physical activity, and mental component of quality of life (p < .05). IVR treatment may be an effective method as an adjunctive therapy with other exercise trainings in fibromyalgia.

摘要

该试验旨在评估完全沉浸式虚拟现实 (IVR) 治疗结合运动训练对纤维肌痛患者的效果。20例患者随机分为运动组（EG）或IVR联合运动组（Exercise+IVR）。EG 结合了运动训练，包括 30 分钟的有氧训练和 30 分钟的普拉提训练，运动+IVR 组的方案与 EG 加 20 分钟的 IVR 相同，每周两次，持续 8 周。疼痛的视觉模拟量表，平衡的改良感觉组织测试，坦帕运动恐惧症量表，纤维肌痛影响的纤维肌痛影响问卷，疲劳的疲劳严重程度量表，身体活动水平的国际体育活动问卷，六分钟步行测试功能能力，和 Short-Form 36 Health Survey 对生活质量进行评估。两组的疼痛、平衡、运动恐惧症、纤维肌痛的影响、疲劳、体力活动水平、功能性运动能力和生活质量评分均显着改善（p < .05)。与 EG 相比，运动+IVR 组在疼痛、运动恐惧症、疲劳、身体活动水平和生活质量的心理成分方面有显着改善 ( p < .05)。IVR 治疗作为纤维肌痛其他运动训练的辅助治疗可能是一种有效的方法。