Effects of a Group Activity Program for Fibromyalgia Patients on Physical Fitness and Well Being

Verstappen, F. T. J.; Santen-Hoeuftt, H. Marijke S. van; Bolwijn, Paulien H.; Linden, Sjef van der; Kuipers, H.

doi:10.1300/j094v05n04_03

Cited by 61 publications

(30 citation statements)

References 6 publications

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“…Only two studies displayed negative results. Verstappen et al [23] found no change in physical function between the aerobic program and the control group, but programs were well received by patients. In van Santen's study [25], no signiWcant diVerence could be noted in any score of any outcome (pain, tender points number, total myalgic score, physical Wtness, functional ability, psychological distress, patient global assessment or general fatigue) between the aerobic and the biofeedback group but a truly high impact level for Wtness training was not reached by any patient and the educational program did not received a high compliance in training sessions.…”

Section: Discussionmentioning

confidence: 96%

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Aerobic exercise in fibromyalgia: a practical review

Thomas

Blotman

2010

Rheumatol Int

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The objective of the study was to determine the current evidence to support guidelines for aerobic exercise (AE) and Wbromyalgia (FM) in practice, and to outline speciWc research needs in these areas. Data sources consisted of a PubMed search, 2007 Cochrane Data Base Systematic review, 2008 Ottawa panel evidence-based clinical practice guidelines, as well as additional references found from the initial search. Study selection included randomized clinical trials that compared an aerobic-only exercise intervention (land or pool based) with an untreated control, a non-exercise intervention or other exercise programs in patients responding to the 1990 American College of Rheumatology criteria for FM. The following outcome data were obtained: pain, tender points, perceived improvement in FM symptoms such as the Fibromyalgia Impact Questionnaire total score (FIQ), physical function, depression (e.g., Beck Depression Inventory, FIQ subscale for depression), fatigue and sleep were extracted from 19 clinical trials that considered the eVects of aerobic-only exercise in FM patients. Data synthesis shows that there is moderate evidence of important beneWt of aerobic-only exercise in FM on physical function and possibly on tender points and pain. It appears to be suYcient evidence to support the practice of AE as a part of the multidisciplinary management of FM. However, future studies must be more adequately sized, homogeneously assessed, and monitored for adherence, to draw deWnitive conclusions.

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Section: Discussionmentioning

confidence: 96%

“…Verstappen et al [23] randomized 72 patients in 2 groups, supervised AE (N = 45), 50 min twice-a-week for 6 months, versus no treatment (N = 27). At evaluation, no signiWcant change was noted with regard to physical function but programmes were well received by patients.…”

Section: Land-based Aerobic-only Exercise Versus Control (No Exercisementioning

confidence: 99%

Aerobic exercise in fibromyalgia: a practical review

Thomas

Blotman

2010

Rheumatol Int

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“…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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“…Sólo tres estudios presentaron seguimiento Wigers et al, 1996;Richards y Scott, 2002) de los cuales sólo uno mostró mejorías en el dolor e incapacidad (Richards y Scott, 2002 (Kingsley et al, 2005;Valkeinen et al, 2005), no se encontró diferencia alguna en dolor y estado de ánimo. Por último, cinco estudios evaluaron la efi cacia de los ejercicios aeróbicos en combinación con la tonifi cación muscular y obtuvieron diferentes resultados (Buckelew et al, 1998;van Santen et al, 2002;Martin et al, 1996;Verstappen, van Santen-Hoeuftt y Bolwijn, 1997;Da Costa et al, 2005). Tres estudios informaron de una reducción del dolor e incapacidad (Buckelew et al, 1998;Martin et al, 1996;Da Costa et al, 2005) y dichos efectos se mantuvieron al seguimiento (Buckelew et al, 1998;Da Costa et al, 2005).…”

Section: Tratamiento Cognitivo-conductualunclassified

“…Tres estudios informaron de una reducción del dolor e incapacidad (Buckelew et al, 1998;Martin et al, 1996;Da Costa et al, 2005) y dichos efectos se mantuvieron al seguimiento (Buckelew et al, 1998;Da Costa et al, 2005). En cambio, los otros dos estudios sólo informaron de que el grupo experimental presentaba un menor empeoramiento en los niveles de incapacidad en comparación con grupo control (van Santen et al, 2002;Verstappen et al, 1997).…”

Section: Tratamiento Cognitivo-conductualunclassified

Tratamientos no farmacológicos en fibromialgia : una revisión actual

Fernández¹,

Campayo²,

Casanueva³

et al. 2009

RPPC

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Resumen: Este trabajo de revisión analiza los estudios aleatorizados y controlados realizados en pacientes diagnosticados de fi bromialgia que han sido tratados mediante: (1) terapia cognitivoconductual, (2) programas de ejercicio físico, y (3) una combinación de ambos. Se resumen las principales conclusiones de las intervenciones realizadas hasta el momento y se realizan propuestas de futuro para mejorar los resultados destacando, la detección temprana de sujetos con riesgo para desarrollar fi bromialgia, la identifi cación de subgrupos y el desarrollo de tratamientos más ajustados a las características de los pacientes.Palabras clave: Fibromialgia, tratamiento cognitivo-conductual, programas de ejercicio físico. Non-pharmacological treatments of fi bromyalgia: A current reviewAbstract: This review analyzes randomized and controlled studies carried out with patients diagnosed with fi bromyalgia, who had been treated with either: (1) cognitive-behavioral therapy, (2) exercise training programs, or (3) a combination of both. The main conclusions of the interventions realized up to now are summarized and proposals with a view to improving outcomes are made, especially the early detection of patients at risk of developing fi bromyalgia, the identifi cation of subgroups and the development of treatments adjusted at the patient's profi le.

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Effects of a Group Activity Program for Fibromyalgia Patients on Physical Fitness and Well Being

Cited by 61 publications

References 6 publications

Aerobic exercise in fibromyalgia: a practical review

Aerobic exercise in fibromyalgia: a practical review

Benefícios dos exercícios físicos na fibromialgia

Tratamientos no farmacológicos en fibromialgia : una revisión actual

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