Exercise for treating fibromyalgia syndrome

Busch, Angela J; Barber, Karen A R; Overend, Tom J.; Peloso, Paul M.; Schachter, Candice L.

doi:10.1002/14651858.cd003786.pub2

Cited by 386 publications

(321 citation statements)

References 84 publications

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“…A comprehensive review of 46 exercise studies conducted from 1988 to 1995 in adults with FM suggests that aerobic exercise is beneficial in improving cardiorespiratory fitness and symptoms of FM (15). These findings are further supported by a recent meta-analysis of 4 aerobic exercise interventions suggesting that patients who participated in 6 to 23 weeks of exercise had improvements in global well-being and objectively-measured physical function (16).…”

Section: Introductionsupporting

confidence: 60%

Feasibility and effectiveness of an aerobic exercise program in children with fibromyalgia: Results of a randomized controlled pilot trial

Stephens

Feldman

Bradley

et al. 2008

Arthritis & Rheumatism

105

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Objective. To determine the feasibility of conducting a randomized controlled trial of a 12-week exercise intervention in children with fibromyalgia (FM) and to explore the effectiveness of aerobic exercise on physical fitness, function, pain, FM symptoms, and quality of life (QOL). Methods. FM patients ages 8 -18 years were randomized to a 12-week exercise intervention of either aerobics or qigong. Both groups participated in 3 weekly training sessions. Program adherence and safety were monitored at each session. Data were collected at 3 testing sessions, 2 prior to and 1 after the intervention, and included FM symptoms, function, pain, QOL, and fitness measures. Results. Thirty patients participated in the trial. Twenty-four patients completed the program; 4 patients dropped out prior to training and 2 dropped out of the aerobics program. Better adherence was reported in the aerobics group than in the qigong group (67% versus 61%). Significant improvements in physical function, functional capacity, QOL, and fatigue were observed in the aerobics group. Anaerobic function, tender point count, pain, and symptom severity improved similarly in both groups. Conclusion. It is feasible to conduct an exercise intervention trial in children with FM. Children with FM tolerate moderate-intensity exercise without exacerbation of their disease. Significant improvements in physical function, FM symptoms, QOL, and pain were demonstrated in both exercise groups; the aerobics group performed better in several measures compared with the qigong group. Future studies may need larger sample sizes to confirm clinical improvement and to detect differences in fitness in childhood FM.

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Section: Introductionsupporting

confidence: 60%

Feasibility and effectiveness of an aerobic exercise program in children with fibromyalgia: Results of a randomized controlled pilot trial

Stephens

Feldman

Bradley

et al. 2008

Arthritis & Rheumatism

105

View full text Add to dashboard Cite

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“…They have also been shown to improve cardiovascular capacity, walking time, and mental health (19). However, the impact of pool exercise on strength remains mainly unknown (20) and needs to be studied in more detail (21). The purpose of the present study was 1) to evaluate the short-term effect of 12 weeks of exercise therapy in a waist-high pool of warm water on muscle strength, pain, and health-related quality of life (HRQOL) in women with FM, and 2) to evaluate the long-term or remaining effects after a subsequent 12-week de-training period.…”

Section: Introductionmentioning

confidence: 99%

Exercise in waist‐high warm water decreases pain and improves health‐related quality of life and strength in the lower extremities in women with fibromyalgia

Gusi¹,

Tomás-Carús²,

Häkkinen³

et al. 2006

Arthritis & Rheumatism

138

105

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Objective. To evaluate the short-and long-term efficacy of exercise therapy in a warm, waist-high pool in women with fibromyalgia. Methods. Thirty-four women (mean ؎ SD tender points 17 ؎ 1) were randomly assigned to either an exercise group (n ‫؍‬ 17) to perform 3 weekly sessions of training including aerobic, proprioceptive, and strengthening exercises during 12 weeks, or to a control group (n ‫؍‬ 17). Maximal unilateral isokinetic strength was measured in the knee extensors and flexors in concentric and eccentric actions at 60°/second and 210°/second, and in the shoulder abductors and adductors in concentric contractions. Health-related quality of life (HRQOL) was assessed using the EQ-5D questionnaire; pain was assessed on a visual analog scale. All were measured at baseline, posttreatment, and after 6 months. Results. The strength of the knee extensors in concentric actions increased by 20% in both limbs after the training period, and these improvements were maintained after the de-training period in the exercise group. The strength of other muscle actions measured did not change. HRQOL improved by 93% (P ‫؍‬ 0.007) and pain was reduced by 29% (P ‫؍‬ 0.012) in the exercise group during the training, but pain returned close to the pretraining level during the subsequent de-training. However, there were no changes in the control group during the entire period. Conclusion. The therapy relieved pain and improved HRQOL and muscle strength in the lower limbs at low velocity in patients with initial low muscle strength and high number of tender points. Most of these improvements were maintained long term.

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“…Physical activity of moderate intensity, such as walking, dancing, and stationary biking, is the aerobic activity that can be considered for the physical therapy of such patients. 43 Physical exercise programs, mainly aerobic exercises, 44,45 with neither load nor high impact on the musculoskeletal system, such as dancing, swimming, and water aerobics, greatly reduce the impact of fi bromyalgia symptoms on patients' lives. Low-intensity exercises or those in which the patient can identify the limit of his/her exertion and pain seem to be the most effective.…”

Section: Physical Exercisesmentioning

confidence: 99%

Uso da terapia não farmacológica, medicina alternativa e complementar na fibromialgia

Braz¹,

Paula

Diniz³

et al. 2011

Rev. Bras. Reumatol.

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Fibromyalgia is a chronic painful syndrome that affects up to 5% of the world population. It is associated with sleep and mood disorders, fatigue, and functional disability. Its pathogenesis involves a disorder of the central modulation of pain, impairment of the descending inhibitory system, and hyperactivity of substance P. Because of the extensive symptomatology of patients with fi bromyalgia and its multifactorial pathogenesis, its ideal treatment requires a multidisciplinary approach including the association of pharmacological and non-pharmacological therapies. The pharmacological therapy currently recommended for the syndrome includes antidepressants, calcium-channel modulators, muscle relaxants, and analgesics. In most cases, the non-pharmacological treatment consists of patient education, supervised aerobic physical activity, and cognitive-behavioral therapy. However, many patients do not respond satisfactorily, or have side effects associated with the long-term use of drugs, in addition to reporting diffi culties in adhering to a therapy based on exercises and physical medicine. Thus, physicians and patients are increasingly interested in an alternative and complementary therapy for fi bromyalgia. This review approaches the different therapeutic modalities used in fi bromyalgia, emphasizing the evidence of non-pharmacological therapy and use of alternative and complementary medicine for these patients.

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Exercise for treating fibromyalgia syndrome

Cited by 386 publications

References 84 publications

Feasibility and effectiveness of an aerobic exercise program in children with fibromyalgia: Results of a randomized controlled pilot trial

Feasibility and effectiveness of an aerobic exercise program in children with fibromyalgia: Results of a randomized controlled pilot trial

Exercise in waist‐high warm water decreases pain and improves health‐related quality of life and strength in the lower extremities in women with fibromyalgia

Uso da terapia não farmacológica, medicina alternativa e complementar na fibromialgia

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