Biofeedback/relaxation training and exercise interventions for fibromyalgia: A prospective trial

Buckelew, Susan P.; Conway, Robert R.; Parker, Jerry C.; Deuser, William E.; Read, J. Leighton; Witty, Thomas E.; Hewett, John E.; Minor, Marian A.; Johnson, Jane C.; Male, Lynn Van; McIntosh, Matthew J.; Nigh, Margaret; Kay, Donald R.

doi:10.1002/art.1790110307

Cited by 223 publications

(150 citation statements)

References 27 publications

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“…However, FM patients in general need a longer period and further personal effort to adapt to exercise programs and that is why load progression should be slower than normal in muscle strength exercises 23 . Short-lasting exercises have not shown improvement of QL 24 , while longer training programs, lasting more than 15 weeks, have improved several aspects, including QL 25,26 . Flexibility exercises and mild or leisure activities, especially when collectively performed, or even reading, listening to music, yoga and other relaxation means, are also associated to improvement of some patients 27 .…”

Section: Discussionmentioning

confidence: 95%

Evaluation of pain and quality of life of fibromyalgia patients

Lorena¹,

Pimentel²,

Fernandes³

et al. 2016

Revista Dor

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BACKGROUND AND OBJECTIVES:It is known that fibromyalgia is a musculoskeletal syndrome characterized by chronic and widespread pain. Considering that pain has direct implications on affected patients' lives, this study aimed at evaluating pain and quality of life of fibromyalgia patients to better understand the correlation between such variables. METHODS: Cross-sectional study with 45 females aged between 30 and 55 years, in stable treatment in the month previous to selection, being excluded those under physiotherapeutic treatment, using walking aids and/or with autoimmune rheumatologic diseases or relevant uncontrolled comorbidities. Patients were evaluated with interview records, Fibromyalgia Impact Questionnaire, Widespread Pain Index and visual analog scale. Data were analyzed by Pearson Correlation and Student t tests, with statistical significance above 95%. RESULTS: There have been high scores in Fibromyalgia Impact Questionnaire, Widespread Pain Index and visual analog scale, in addition to linear correlation between pain scores and quality of life. CONCLUSION: Pain is associated to impaired quality of life of fibromyalgia patients. Keywords: Evaluation, Fibromyalgia, Pain, Quality of life. RESUMO JUSTIFICATIVA E OBJETIVOS:Sabe-se que a fibromialgia é uma síndrome musculoesquelética caracterizada por dor crônica e generalizada. Considerando que a dor é um sintoma que traz implicações diretas na vida dos pacientes acometidos, o objetivo deste estudo foi avaliar a dor e a qualidade de vida de pacientes

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Section: Discussionmentioning

confidence: 95%

Evaluation of pain and quality of life of fibromyalgia patients

Lorena¹,

Pimentel²,

Fernandes³

et al. 2016

Revista Dor

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“…Além disso, pacientes podem até piorar nas primeiras oito semanas (6) . Por isso, ensaios de curta duração não demonstraram melhora na qualidade de vida (19,21,23,31) , enquanto programas mais longos, com mais de 15 semanas conseguiram observar melhora em vários aspectos, inclusive qualidade de vida (17,25,26) . Uma outra observação interessante nesta população é que os benefícios conseqüentes do alongamento ocorrem em dez semanas e se estabilizam, enquanto a melhora associada ao condicionamento aeróbio é evidente com dez semanas e continua aumentando até 20 semanas.…”

Section: Valimunclassified

“…Desses, 12 avaliaram o condicionamento aeróbio (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17) , 10 estudaram programas combinados ou associados ao tratamento medicamentoso ou outras intervenções não-farmacológicas (18)(19)(20)(21)(22)(23)(24)(25)(26)(27) . Apenas três envolveram treino de força (28)(29)(30) .…”

Section: Introductionunclassified

Benefícios dos exercícios físicos na fibromialgia

Valim¹

2006

Rev. Bras. Reumatol.

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artigo dE rEvisão rEviEw articlE RESUMO O exercício é uma intervenção de baixo custo que pode promover saúde em vários aspectos e é capaz de reduzir a dor e outros sintomas da fibromialgia (FM). Nos últimos 20 anos, muitos ensaios clínicos sobre exercício para a FM foram publicados. Apesar dos erros metodológicos, há forte nível de evidência de que exercícios aeróbios supervisionados são eficazes na redução da dor, número de pontos dolorosos, qualidade de vida e depressão. Neste artigo de revisão, os ensaios clínicos de exercício no tratamento da FM são relatados e comentados, e orientações para a prescrição de exercícios foram apresentadas. Foram sugeridos que outros estudos sejam desenvolvidos para melhorar a prescrição de exercício para FM, assim como quais são as principais perguntas a serem respondidas e cuidados metodológicos a serem observados.Palavras-chave: fibromialgia, exercícios, atividade física. Benefícios dos Exercícios Físicos na Fibromialgia Benefits of Exercise in the Fibromyalgia AbStRActExercise is an inexpensive intervention that can improve health in several aspects and it can alleviate chronic pain and other symptoms in fibromyalgia (FM). In the last 20 years many trials have been published. In spite of methodological errors, the evidences strongly support a beneficial role for supervised aerobic exercise training toward reducing pain, number of tender point, quality of life and depression. In this review, the trials on exercise for the fibromyalgia treatment are described and orientations of exercise programs in FM patients are presented. Design and aims of further studies are suggested in order to improve exercise prescription to people with FM.Keywords: fibromyalgia, exercise, physical activity. intRODUÇÃOA síndrome da fibromialgia (FM) se caracteriza por dor crônica generalizada, distúrbio do sono e fadiga (1,2) . Estes pacientes, caracteristicamente exibem diminuição da aptidão cardiorrespiratória (3,4) . Há evidência de que a atividade física modula a dor em pacientes com FM. Um dos primeiros investigadores a observar relação entre dor e exercício foi Moldofsky (5) . Este estudo demonstrou que a privação do sono diminuia o limiar de dor em sedentá-rios, mas o mesmo não acontecia em indivíduos treinados. Apenas uma década mais tarde, ensaios clínicos foram publicados demonstrando que exercícios aeróbios diminuem a dor na FM (6) . A Tabela 1 sintetiza os resultados, desenhos, instrumentos e desfechos dos principais estudos sobre exercício na FM, desde 1988FM, desde até 2005 Nos últimos 20 anos, foram publicados 28 ensaios clínicos sobre exercício no tratamento da FM, incluindo aproximadamente 1500 pacientes. Desses, 12 avaliaram o condicionamento aeróbio (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)

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“…Indeed, research in the last 10 years has demonstrated the positive e ects of regular exercise on a wide variety of subjective outcomes (eg pain, depression, self-concept, quality of life) among several di erent impairment groups, including people with osteoarthritis, 15 ®bromyalgia, 16 and HIV/AIDS. 17 Despite these positive ®ndings, there have been no systematic studies of the e ects of long-term exercise training on psychological wellbeing and other aspects of QOL in persons with SCI.…”

Section: Introductionmentioning

confidence: 99%

Long-term exercise training in persons with spinal cord injury: effects on strength, arm ergometry performance and psychological well-being

et al. 2002

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Study design: Randomized controlled trial of exercise training in persons with spinal cord injury. Objective: The purpose of this study was to examine the e ects of 9 months of twice-weekly exercise training on strength, arm ergometry performance, and indices of psychological wellbeing and quality of life. Setting: Centre for Health Promotion and Rehabilitation, McMaster University, Hamilton, Ontario, Canada. Methods: Thirty-four men and women (aged 19 ± 65 years) with traumatic spinal cord injury (C4 ± L1; ASIA A ± D) of 1 ± 24 years duration volunteered to participate, and were randomized into exercise (EX; n=21) and control (CON; n=13) groups. Twenty-three subjects (11 EX; 12 CON) successfully completed the 9-month study. Subjects were assessed for one repetition maximum (1RM) strength, arm ergometry performance, and several indices of quality of life and psychological well-being at baseline, 3, 6, and 9 months. Results: At baseline, there were no signi®cant di erences between groups in age, submaximal arm ergometry performance, muscle strength, or psychological well-being. Following training, the EX group had signi®cant increases in submaximal arm ergometry power output (81%; P50.05), and signi®cant increases in upper body muscle strength (19 ± 34%; P50.05); no signi®cant changes occurred in CON. Participants in EX reported signi®cantly less pain, stress and depression after training, and scored higher than CON in indices of satisfaction with physical function, level of perceived health and overall quality of life (P50.05). Exercise adherence (per cent of prescribed sessions attended) in those subjects who completed the 9 months of training was 82.5%.Conclusions: These results demonstrate that long-term twice-weekly exercise training in this population is feasible, and results in signi®cant gains in both physical and psychological wellbeing.

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Biofeedback/relaxation training and exercise interventions for fibromyalgia: A prospective trial

Cited by 223 publications

References 27 publications

Evaluation of pain and quality of life of fibromyalgia patients

Evaluation of pain and quality of life of fibromyalgia patients

Benefícios dos exercícios físicos na fibromialgia

Long-term exercise training in persons with spinal cord injury: effects on strength, arm ergometry performance and psychological well-being

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