A Prof. Dra. Amélia Pasqual Marques, pela orientação, dedicação e carinho. Sua disposição e amor pela pesquisa contagiam e inspiram a todos que vivenciam a Fisioterapia.Aos meus pais, Ana Maria e Antonio, ao meu marido, Reinaldo, e ao meu irmão, Alexandre, pelo amor e apoio . Minha admiração e amor a vocês.A empresa BIOSET -que concedeu o equipamento utilizado nesse trabalho.A amiga Luciana Akemi e Gilberto, pela amizade, dedicação e confiança.Ao Prof. Carlos Alberto de Bragança Pereira, pelos ensinamentos compartilhados e colaboração na análise estatística.Aos colegas de Pós-graduação, em especial a Ana, por dividirem os aprendizados e pelo seu carinho.Aos meus colegas da Unidade de Reabilitação do Hospital Geral de Pirajussara, em especial as colegas, Adriana, Selma e Stella, pela compreensão e amizade.As mulheres participantes da pesquisa, pela disposição, confiança, paciência e tempo investidos no tratamento. AbstractFibromyalgia is a rheumatic syndrome characterised by diffuse muscle pain, low pain threshold at tender points, and a series of associate symptoms such as fatigue, sleep disturbance, anxiety, morning stiffness, and dyspnea in some cases; due to its being chronic, the constant pain has often a negative impact on patients' quality of life. The aim of the present study is to assess the effectiveness of an eight-week physical Patients were divided into two groups (G1 and G2), both with 14 subjects each.. Both groups attended an educational session and 16 sessions of stretch and aerobic exercises; besides these, G2 patients also received TENS applications on four tender points (left and right trapezius and supraspinatus). Data collected at initial and final assessments were statistically treated, with significance level set at p=0,05. The comparison between the two assessments shows that both groups presented improved flexibility (with a statistically significant difference of p=0.00 and 0.04 for G1 and G2, respectively, at the fingertip-to-floor test), and pain reduction according to the McGill Questionnaire (p=0.03 and 0.01 for G1 and G2); G2 also indicated pain reduction at the VAS (p=0.00) and at the pain threshold on two treated tender points (L trapezius and R supraspinatus). As to quality of life, G1 reported improvement at the SF-36 (p=0.02) a nd G2 at the FIQ (p=0.00). No statistically significant differences were found between the two groups, except for the pain threshold on the left supraspinatus tender point (p=0,02). The proposed physical therapy program thus proved effective in reducing patients' pain and improving flexibility and quality of life; TENS application may have had a positive effect on treatment results. The educational approach as well as the good therapist-patient relationship may well contribute to patients changing habits and taking a more active part in their treatment.
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