Fibro-Aktiv: Trainingsprogramm für Patienten mit schwerer Fibromyalgie – Pilotstudie und Literatursuche

Zusammenfassung

Ziel der Studie

In der vorliegenden Pilotstudie wurde ein spezifisches, dreiwöchiges, multimodales Behandlungsprogramm für Patienten mit einem besonders schweren Verlauf eines Fibromyalgiesyndroms in Bezug auf die kardiopulmonale Ausdauerleistung evaluiert und die Ergebnisse wurden mit der Literatur verglichen.

Methodik

Im Rahmen der retrospektiven, monozentrischen Längsschnittstudie wurde zu Beginn und am Ende der stationären rheumatologischen Rehabilitation (3090 Therapieminuten in 3 Wochen) ein 6-Minuten-Gehtest durchgeführt und die Ergebnisse wurden verglichen.

Ergebnisse

Insgesamt wurden 71 Patient*innen (w=66, m=5) [w=weiblich, m=männlich] eingeschlossen. Das Alter betrug 54,2±7,7 Jahre. Die Erkrankung wurde vor 7,56±7,96 Jahren diagnostiziert. Es bestanden Übergewicht (BMI: 30,91±7,28 kg/m2), ein starkes Schmerzniveau (VAS: 7,43±1,6), eine starke psychische Belastung (PHQ-4: 6,47±3,0) und deutliche fibromyalgie-spezifische Beschwerden (FIQ: 65,65±15,29). Die Alltagsaktivitäten waren reduziert (FFbH: 63,27±18,36). Die Muskelkraft war eingeschränkt (Handkraft rechts 15,24±10,76 kg; links: 13,16±9,18 kg). In allen 3 Subskalen des MFIS wurden mittel-hochgradige Werte für Fatigue ermittelt (MFIS-Physisch: 3,00±0,63; MFIS-Kognitiv: 2,59±0,72; MFIS-Psychosozial: 2,72±0,88). Im 6-Minuten-Gehtest wurde zu Beginn der Rehamaßnahme 464,72±93,8 m und am Ende der Reha 507,61±106,5 m erreicht (p<0,001), somit kam es zu einer Verbesserung um 42,89 m.

Schlussfolgerung

Das „Fibro-Aktiv-Programm“ von 3 Wochen Dauer zeigt vergleichbare oder bessere Ergebnisse als die bislang publizierten Programme, die durchschnittlich 14 Wochen dauern.

Abstract

Purpose

In this pilot study, a specific, three-week, multimodal treatment programme for patients with a particularly severe course of fibromyalgia syndrome was evaluated in relation to cardiopulmonary endurance performance and the results were compared with reports in the literature.

Methods

As part of the retrospective, monocentric longitudinal study, a 6-minute walking test was carried out at the beginning and end of inpatient rheumatological rehabilitation (3090 minutes of therapy in 3 weeks) and the results were compared.

Results

A total of 71 patients (age: 54.2±7.7 years; f=66, m=5) were included in the study The disease was diagnosed 7.56±7.96 years ago. They were overweight (BMI: 30.91±7.28 kg/m2), had a high level of pain (VAS: 7.43±1.6), high psychological distress (PHQ-4: 6.47±3.0) and significant fibromyalgia-specific complaints (FIQ: 65.65±15.29). Daily activities were reduced (FFbH: 63.27±18.36). Muscle strength was reduced (right hand strength: 15.24±10.76 kg; left hand strength: 13.16±9.18 kg). In all 3 subscales of the MFIS, moderate-high values for fatigue were determined (MFIS-Physical: 3.00±0.63; MFIS-Cognitive: 2.59±0.72; MFIS-Psychosocial: 2.72±0.88). In the 6-minute walk test, 464.72±93.8 m was achieved at the beginning of the rehabilitation programme and 507.61±106.5 m at the end (p<0.001), resulting in an improvement of 42.89 m.

Conclusion

The “Fibro-Active Programme” of 3 weeks duration shows comparable or better results than the previously published programmes, which lasted 14 weeks on average.

Schlüsselwörter

Fibromyalgie - 6-Minuten-Gehtest - Rehabilitation

Keywords

Fibromyalgia - rehabilitation - 6-minute walk test

Publication History

Article published online:
10 June 2025

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