Effectiveness of Aquatic Therapy vs Land-based Therapy for Balance and Pain in Women with Fibromyalgia: a study protocol for a randomised controlled trial

Neira, Sabela Rivas; Marques, Amélia Pasqual; Pérez, Irene Pegito; Cervantes, Ramón Fernández; Costa, Jamile Vivas

doi:10.1186/s12891-016-1364-5

Cited by 18 publications

(19 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Fibromyalgia (FM) is a chronic disease characterized by generalized pain 1 . It is triggered due to peripheral and central hyperexcitability mechanisms which are able to generate alterations in the perception of pain such as hyperalgesia and allodyne, muscular rigidity, reduced functional capacity and sleep alterations [1][2][3][4][5][6]. FM has a general prevalence ranging from 0.66 to 4.4%, and a prevalence ratio of 8 women for each man, with the most frequent diagnosis occurring in middle age [7].…”

Section: Introductionmentioning

confidence: 99%

Mat Pilates is as effective as aquatic aerobic exercise in treating women with fibromyalgia: a clinical, randomized and blind trial

et al. 2020

View full text Add to dashboard Cite

Background: The mat Pilates method is the therapeutic modalities which can be used in fibromyalgia treatment. Although there are no well-designed studies that prove the effectiveness of the mat Pilates method in this population. The objective was to evaluate the effectiveness of the mat Pilates method for improving symptoms in women with fibromyalgia. Methods: A single blind randomized controlled trial in which 42 women with fibromyalgia were randomized into two groups: mat Pilates and aquatic aerobic exercise. The exercises were performed twice a week for 12 weeks. Two evaluations were performed: one at baseline (T0), and another at 12 weeks after randomization (T12). The primary outcome was pain measured by the Visual Analogue Scale (VAS). Secondary outcomes were function (Fibromyalgia Impact Questionnaire), sleep (Pittsburgh Sleep Quality Index [PSQI]), quality of life (Short Form 36 [SF-36]), fear avoidance (Fear Avoidance Beliefs Questionnaire [FABQ-BR]) and pain catastrophizing (Pain-Related Catastrophizing Thoughts Scale [PRCTS]). Results: There was improvement in both groups in relation to pain and function (p < 0.05). The aspects related to quality of life and the FABQ questionnaire only showed improvement in the mat Pilates group (p < 0.05). There was improvement in the PSQI and PRCTS variables only in the aquatic aerobic exercise group (p < 0.05), but no differences were observed between the groups for any of the evaluated variables. Conclusion: Significant improvements were observed in the two groups in relation to the disease symptoms, and no differences were observed between mat Pilates and aquatic aerobic exercise in any of the measured variables. Trial registration: ClinicalTrials.gov Identifier (NCT03149198), May 11, 2017. Approved by the Ethics Committee of FACISA/UFRN (Number: 2.116.314).

show abstract

Section: Introductionmentioning

confidence: 99%

Mat Pilates is as effective as aquatic aerobic exercise in treating women with fibromyalgia: a clinical, randomized and blind trial

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Esta prueba es de gran ayuda para determinar agilidad motora y balance dinámico. 32,42 Para el caso del test de caminata en 6 minutos se toma en la distancia recorrida en metros, lo cual se logra a un paso normal en un espacio determinado. Es una prueba con la que se puede determinar la tolerancia al ejercicio en pacientes con FM.…”

Section: Pruebas Funcionalesunclassified

“…Es una prueba con la que se puede determinar la tolerancia al ejercicio en pacientes con FM. 32,33,42 Según lo estipulado para la población normal, la distancia recorrida debe ser de 554,5 metros; sin embargo, Salvat et al 33 , en su análisis retrospectivo, encontraron que los pacientes con fibromialgia recorrían en promedio 381 metros.…”

Section: Pruebas Funcionalesunclassified

“…Lo ideal es educar en planes caseros para mejorar la adherencia y crear hábitos en los pacientes. 2,7,12,46,47,42,48 La actividad física es uno de los aspectos más importantes en el tratamiento con altos niveles de evidencia. 2,5,12,17,24,48,49 Se ha demostrado que la actividad física, específicamente el ejercicio aeróbico, activa mecanismos endógenos en la modulación del dolor.…”

Section: Tratamiento No Farmacológicounclassified

“…12,30,42,46,48 En estudios tomados en cuenta en la revisión de Cochrane sobre ejercicio acuático para FM se demostraron efectos moderados en la función, dolor y fuerza, en intervenciones que habían acumulado 2000 minutos durante el periodo de estudio, que fue en promedio de 13 semanas. 46 Sin embargo, según las recomendaciones de manejo de la EULAR, 12 en cuanto a la hidroterapia y spa, hay muy poca evidencia sobre su efectividad en FM.…”

Section: Tratamiento No Farmacológicounclassified

See 2 more Smart Citations

Visión desde la rehabilitación del paciente con fibromialgia

Árias

Varona

2017

Rev Col Med Fis Reh

View full text Add to dashboard Cite

RESUMENLa fibromialgia (FM) es una de las causas más frecuentes de dolor crónico musculoesquelético difuso, no inflamatorio, no oncológico. Por lo general se encuentra asociada a trastornos afectivos como depresión y ansiedad, alteraciones del sueño, deterioro cognitivo y múltiples síntomas somáticos inespecíficos, que afectan la funcionalidad y la participación de los individuos en la esfera biopsicosocial, así como la calidad de vida. Por este motivo, es importante realizar, desde la visión de la rehabilitación, un abordaje integral del paciente con FM desde su diagnóstico, hasta su tratamiento, rehabilitación y seguimiento; brindar estrategias con las cuales se pueda disminuir y controlar al máximo la sintomatología, con el fin de mejorar la calidad de vida, la funcionalidad y la independencia de los pacientes. Palabras clave: fibromialgia, dolor crónico, rehabilitación, calidad de vida. DOI: 10.28957/rcmfr.v27n2a1 ABSTRACT Fibromyalgia (FM) is one of the most frequent causes of diffuse, non-inflammatory, nononcologic chronic musculoskeletal pain. It is usually associated with affective disorders such as depression, anxiety, sleep disturbances, cognitive impairment, and multiple nonspecific somatic symptoms that affect the functionality and participation of individuals in the biopsychosocial sphere, as well as quality of life. For this reason, it is important from the vision of rehabilitation to perform an integral approach of the patient with FM from its diagnosis, to its treatment, rehabilitation and follow-up; Provide strategies to reduce and control symptomatology to the maximum, in order to improve the quality of life, functionality and independence of patients.

show abstract

Efficacy of Therapeutic Aquatic Exercise vs Physical Therapy Modalities for Patients With Chronic Low Back Pain

Peng

Wang

et al. 2022

JAMA Netw Open

View full text Add to dashboard Cite

IMPORTANCE Therapeutic aquatic exercise is frequently offered to patients with chronic low back pain, but its long-term benefits are unclear.OBJECTIVE To assess the long-term effects of therapeutic aquatic exercise on people with chronic low back pain. DESIGN, SETTING, AND PARTICIPANTSThis 3-month, single-blind randomized clinical trial with a 12-month follow-up period was performed from September 10, 2018, to March 12, 2019, and the trial follow-up was completed March 17, 2020. A total of 113 people with chronic low back pain were included in the experiment. INTERVENTIONS Participants were randomized to either the therapeutic aquatic exercise or the physical therapy modalities group. The therapeutic aquatic exercise group received aquatic exercise, whereas the physical therapy modalities group received transcutaneous electrical nerve stimulation and infrared ray thermal therapy. Both interventions were performed for 60 minutes twice a week for 3 months. MAIN OUTCOMES AND MEASURESThe primary outcome was disability level, which was measured using the Roland-Morris Disability Questionnaire; scores range from 0 to 24, with higher scores indicating more severe disability. Secondary outcomes included pain intensity, quality of life, sleep quality, recommendation of intervention, and minimal clinically important difference. Intention-totreat and per-protocol analyses were performed. RESULTSOf the 113 participants, 59 were women (52.2%) (mean [SD] age, 31.0 [11.5] years).Participants were randomly allocated into the therapeutic aquatic exercise group (n = 56) or the physical therapy modalities group (n = 57), and 98 patients (86.7%) completed the 12-month follow-up. Compared with the physical therapy modalities group, the therapeutic aquatic exercise group showed greater alleviation of disability, with adjusted mean group differences of −1.77 (95% CI, −3.02 to −0.51; P = .006) after the 3-month intervention, −2.42 (95% CI, −4.13 to −0.70; P = .006) at the 6-month follow-up, and −3.61 (95% CI, −5.63 to −1.58; P = .001) at the 12-month follow-up (P < .001 for overall group × time interaction). At the 12-month follow-up point, improvements were significantly greater in the therapeutic aquatic exercise group vs the physical therapy modalities group in the number of participants who met the minimal clinically important difference in pain (at least a 2-point improvement on the numeric rating scale) (most severe pain, 30 [53.57%] vs 12 [21.05%]; average pain, 14 [25%] vs 11 [19.30%]; and current pain, 22 [39.29%] vs 10 [17.54%]) and disability (at least a 5-point improvement on the Roland-Morris Disability Questionnaire) (26 (continued) Key Points Question Is therapeutic aquatic exercise as effective as physical therapy modalities in the management of adults with chronic low back pain? Findings In this randomized clinical trial of 113 individuals with chronic low back pain, therapeutic aquatic exercise had a greater influence on pain, function, quality of life, sleep quality, and mental state than physical therapy modalities a...

show abstract

Effectiveness of Aquatic Therapy vs Land-based Therapy for Balance and Pain in Women with Fibromyalgia: a study protocol for a randomised controlled trial

Cited by 18 publications

References 36 publications

Mat Pilates is as effective as aquatic aerobic exercise in treating women with fibromyalgia: a clinical, randomized and blind trial

Mat Pilates is as effective as aquatic aerobic exercise in treating women with fibromyalgia: a clinical, randomized and blind trial

Visión desde la rehabilitación del paciente con fibromialgia

Efficacy of Therapeutic Aquatic Exercise vs Physical Therapy Modalities for Patients With Chronic Low Back Pain

Contact Info

Product

Resources

About