Background and Objectives Ankylosing spondylitis is a chronic, rheumatic and inflammatory disease with a generally progressive course. The pain and stiffness are the main symptoms that cause the individual less mobility and changes in the sleep cycle producing fatigue, anxiety, stress and depression. This group of symptoms changes the well-being and quality of life of individuals. It is important to follow the recommendations of the physiotherapist about duration and frequency to ensure their effectiveness and improve the quality of life of individuals. The objective of this study is to evaluate the effectiveness of a home-based exercise program in quality of life of people with ankylosing spondylitis. Material and Methods This is a randomised controlled trial. 24 elements had the inclusion criteria and were randomised into control and experimental group. The experimental group performed a home-based exercise program for 5 days a week during 30 minutes each one for 10 weeks, which included straight postural, muscle strength, stretching and respiratory exercises. The evaluation of the individuals performed at baseline and after 10 weeks to carry out the home-based exercise program, follow through WHOQOL-Bref to evaluate the quality of life of individuals, BASDAI, BASFI and BASMI. Results The experimental group after the program improved the levels of WHOQOL-Bref (p = 0.027 for domain 1, p = 0.008 for domain 2 and p = 0.020 for domain 4), BASDAI (p = 0.044), BASFI (p = 0.049) and BASMI (p = 0.002). No statistically significant difference was found in initial time and the end of the study of all scales in control group. Also, there were correlations between all ranges and areas of WHOQOL-Bref, except between BASFI and BASDAI (r = 0). The most relevant correlations are between BASFI and domain 3 (r = -0.643; p = 0.024), domain 1 and domain 2 (r = 0.712; p = 0.009, domain 1 and domain 4 (r = 0.642; p = 0.025) domain 2 and domain 3 (r = 0.711; p = 0.010), domain 2 and domain 4 (r = 0.665; p = 0.018), domain 3 and domain 4 (r = 0.779; p = 0.003), well as represent meaning for the population. Conclusion The home-based exercise program is an effective therapy in increasing quality of life of patients with ankylosing spondylitis. Psychological distress and fatigue was improved through better well being and quality of life.
Background and Objectives Sleep is a highly organised biological process that is an important component of functioning and well-being of human. Sleep disorders have been referred as one of the main symptoms of Fibromyalgia. However, after the pain, sleep disorder symptoms is most often referenced by these individuals, including non-restorative sleep, insomnia and poor quality sleep. Recent studies suggest a reciprocal relationship between pain and sleep. Thus, the new diagnostic criteria proposed by American College of Rheumatology (ACR) suggest that sleep should be a central aspect of Fibromyalgia clinical evaluation. The objective of this study is evaluate the psychometric properties of the MOS Sleep Scale in patients with Fibromyalgia. Materials and Methods The MOS Sleep Scale was sent by mail to 229 individuals with Fibromyalgia, members of National Association Against Fibromyalgia and Chronic Fatigue Syndrome - MYOS, Northern Region. Individuals who responded (sample test-retest), was sent back after 10 days. Subsequently was tested reliability and validity. Internal consistency was assessed using Cronbach's alpha reliability and intraobserver reliability by intraclass correlation coefficient. Construct validity was determined by formulating hypotheses developed based on another measure, FIQ-P. Results Most subjects were female (94.5%) with a mean age of 52.40 ± 11.05. The Cronbach's alpha showed acceptable values above 0.70 for all domains. They demonstrated good intra-observer reliability with intraclass correlation coefficient of 0.80 and standard error of measurement of 9.10. Conclusions The results of this study demonstrated good levels of reliability and construct validity of the MOS Sleep Scale, which is an appropriate instrument to evaluate sleep disturbances in individuals with fibromyalgia.
Background and Objectives Fibromyalgia it is recognised as a chronic condition because of high morbidity. Usually classified as a disease by the absence of functional organic changes, the diagnosis is controversial and takes approximately 2 to 3 years to be established by a rheumatologist. To minimize this gap, as well as the negative impact on quality of life of patients and the socio-economic context of the country concerned can resort to the administration of validated questionnaires. They also facilitate the collection of reliable information and its comparison with international studies in the scientific community. The objective of this study is culturally adapt and validate the instruments The London Fibromyalgia Epidemiology Study Screening Questionnaire (LFESSQ) and Clinical New Fibromyalgia Diagnostic Criteria (NCFDC) for the Portuguese population with FM. Materials and Methods We administered the English version of the Fibromyalgia Impact Questionnaire (FIQ - P) and Portuguese versions of the new LFESSQ NDFDC and a sample of 82 individuals, in which 51 had a clinical diagnosis of FM and 31 showed no turning administer the LFESSQ and NDFDC after 10 days. These new versions of cultural adaptation resulted according to the Guidelines of the ERGHO and were subjected to the study of its psychometric properties. Results After obtaining the conceptual and semantic equivalence of translated versions of LFESSQ and NDFDC, these instruments have demonstrated good levels of reliability (Cohen's kappa of 0.78 and 0.88, respectively). Verified the construct validity by correlations with the FIQ (from 0.63 to 0.76 and for LFESSQ NCFDC). The results also showed that the instruments are sensitive, with values between 72.6% and 78.4%, and specific, with values between 93.4% and 96.8%. Conclusion Portuguese versions of the LFESSQ and NCFDC for the Portuguese population with FM have clarity and understanding, construct validity and good levels of reproducibility. The instruments also showed sensitivity and specificity.
Background and Objectives Fibromyalgia (FM) is a rheumatic disease and the cause remains unknown, it’s characterised by the presence of musculoskeletal widespread pain, and the lumbar region is one of the places frequently affected. Pain presented by FM patients is usually described as the forum muscular, and one of the most referred to is the back. These painful situations can be associated to the function of the lumbar support of the upper body weight, so this region being subjected to compressive loads and lumbopelvic instability situations, which are frequently associated with low back pain, so it is important to consciousness of posture neutral in the lumbar spine, strengthening and stretching the muscles responsible for the stability of this region. The objective of this study is to evaluate the effect of an exercise program performed at home in the level of disability caused by low back pain in patients with FM. Materials and Methods Randomised controlled study, with 18 volunteers randomly divided into 2 groups. An exercise program was applied in individuals with fibromyalgia diagnosis, for a 12 weeks period and 3 times per week. This includes stretching exercises, neck and lumbar-pelvic mobility, lumbar-pelvic stabilization and relaxation. The evaluation was conducted in two stages, and for that we used the Portuguese versions of the Fibromyalgia Impact Questionnaire (FIQ) and the Oswestry Disability Index (ODI). Results In the experimental group there was an increase in the values of the ODI score from baseline (28.67 ± 13.784) to the end (26.44 ± 9.632), indicating a decrease in disability caused by lower back pain, but these results did not show statistically significant differences (p> 0.05). As regards the results of the FIQ, individuals in the intervention group improved their scores, as well as their functional capacity and health status, however the differences were not significant. Conclusions At the end of the 12 week intervention of a home-based program, there were no improvements in individuals with FM, however they have improved their health status and decreased their disability at lumbar.
Background and Objectives Patients with fibromyalgia often feel disable in daily function and admit a great impact in quality of life due to their health condition. The recommendations of an exercise program are important, because individuals with FM are often inactive and physically deconditioned, they fear that exercise exacerbates symptoms. The exercise programs for individuals with fibromyalgia have poor adhesion primarily by the need for equipment, facilities and travel, and the presence of depressive symptoms. All these factors are relevant and take into account when designing the home-based exercise program. The objective of this study was investigate the effect of a home-based exercise program in disability caused by neck pain in patients with fibromyalgia. Materials and Methods Randomised controlled study, with 18 volunteers randomly divided into 2 groups. An exercise program was applied in individuals with fibromyalgia diagnosis, for a 12 weeks period and 3 times per week. This includes stretching exercises, neck and lumbar-pelvic mobility, lumbar-pelvic stabilization and relaxation. The evaluation was conducted in two stages, and for that we used the Portuguese versions of the Fibromyalgia Impact Questionnaire (FIQ) and the Neck Disability Index (NDI). For the statistical analysis used descriptive statistics and non-parametric tests. The software was IBM SPSS. Results There were more participants (55.6%) diminishing the score of NDI, specially in the exercise group (p = 0.676), and in both groups in FIQ (p = 1.000), compared with those with tendency to increase or maintain the score. The domain “Intensity of Pain” of the NDI, in the exercise group, was the domain with a higher number of participants demonstrating a tendency to diminishing the score (p = 0.609). Conclusions After 12 week intervention of a home-based program, there were no improvements in individuals with FM, however, it seems that the home-based exercise program could be efficient in diminishing the disability caused by neck pain.
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