Fibromyalgia - the effect of relaxation and hydrogalvanic bath therapy on the subjective pain experience

Günther, V.; Mur, Erich; Kinigadner, U; Miller, Collin

doi:10.1007/bf02242996

Cited by 54 publications

(26 citation statements)

References 28 publications

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“…Over 96% of the participants were women. Sixteen studies involved women only [56,57,62-71,73,75-77], and eight studies included both women and men [58-61,72,74,78,79]. The median of the mean pain baseline values reported in 20 studies was 7.1 (5.5 to 9.1).…”

Section: Resultsmentioning

confidence: 99%

Therapeutic benefit of balneotherapy and hydrotherapy in the management of fibromyalgia syndrome: a qualitative systematic review and meta-analysis of randomized controlled trials

Naumann

Sadaghiani

2014

Arthritis Res Ther

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IntroductionIn the present systematic review and meta-analysis, we assessed the effectiveness of different forms of balneotherapy (BT) and hydrotherapy (HT) in the management of fibromyalgia syndrome (FMS).MethodsA systematic literature search was conducted through April 2013 (Medline via Pubmed, Cochrane Central Register of Controlled Trials, EMBASE, and CAMBASE). Standardized mean differences (SMDs) and 95% confidence intervals (CIs) were calculated using a random-effects model.ResultsMeta-analysis showed moderate-to-strong evidence for a small reduction in pain (SMD −0.42; 95% CI [−0.61, −0.24]; P < 0.00001; I2 = 0%) with regard to HT (8 studies, 462 participants; 3 low-risk studies, 223 participants), and moderate-to-strong evidence for a small improvement in health-related quality of life (HRQOL; 7 studies, 398 participants; 3 low-risk studies, 223 participants) at the end of treatment (SMD −0.40; 95% CI [−0.62, −0.18]; P = 0.0004; I2 = 15%). No effect was seen at the end of treatment for depressive symptoms and tender point count (TPC).BT in mineral/thermal water (5 studies, 177 participants; 3 high-risk and 2 unclear risk studies) showed moderate evidence for a medium-to-large size reduction in pain and TPC at the end of treatment: SMD −0.84; 95% CI [−1.36, −0.31]; P = 0.002; I2 = 63% and SMD −0.83; 95% CI [−1.42, −0.24]; P = 0.006; I2 = 71%. After sensitivity analysis, and excluding one study, the effect size for pain decreased: SMD −0.58; 95% CI [−0.91, −0.26], P = 0.0004; I2 = 0. Moderate evidence is given for a medium improvement of HRQOL (SMD −0.78; 95% CI [−1.13, −0.43]; P < 0.0001; I2 = 0%). A significant effect on depressive symptoms was not found. The improvements for pain could be maintained at follow-up with smaller effects.ConclusionsHigh-quality studies with larger sample sizes are needed to confirm the therapeutic benefit of BT and HT, with focus on long-term results and maintenance of the beneficial effects.

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Section: Resultsmentioning

confidence: 99%

Therapeutic benefit of balneotherapy and hydrotherapy in the management of fibromyalgia syndrome: a qualitative systematic review and meta-analysis of randomized controlled trials

Naumann

Sadaghiani

2014

Arthritis Res Ther

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“…An Austrian RCT treated 13 FM patients with four JRT (n = 13) sessions and two weekly exercises, comparing the effects to those from hydrogalvanic bath therapy (n = 12) [46]. The trial did not fi nd a signifi cant reduction in pain, or a change in psychological symptoms, sleep quality, or pain behavior after JRT.…”

Section: Jacobson Relaxation Trainingmentioning

confidence: 99%

Are psychological treatments effective for fibromyalgia pain?

Thieme

Gracely²

2009

Curr Rheumatol Rep

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This article considers four broad classes of psychological techniques and their effects on fibromyalgia (FM) pain. A literature search identified 14 randomized controlled trials (RCTs) of cognitive-behavioral therapy (CBT) and operant-behavioral therapy (OBT), five relaxation RCTs, five biofeedback RCTs, five hypnotherapy RCTs, and two writing intervention RCTs. For psychoanalytic therapy in FM, no RCTs have been published. The highest effect sizes (r = 0.53-2.14) for pain reduction are found after CBT and OBT group treatments. Relaxation as a single treatment has not been proven useful. Hypnotherapy and writing intervention have demonstrated mild treatment effects, whereas psychological treatment is effective in FM pain. Considering the heterogeneity of FM, the promising effects of matched interventions such as CBT and OBT with pharmacotherapy, exercise, and other treatment domains require further research.

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“…Existem seis estudos publicados avaliando balneoterapia, banhos e exercícios aeróbios na água (11,23,25,(34)(35)(36) . Assis e cols (36) recentemente demonstraram que deep running é um pouco melhor que o condicionamento aeróbio em solo na melhora dos escores do Fibromyalgia Impact Questionnaire (FIQ) e aspectos psicológicos da qualidade de vida.…”

Section: Valimunclassified

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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Fibromyalgia - the effect of relaxation and hydrogalvanic bath therapy on the subjective pain experience

Cited by 54 publications

References 28 publications

Therapeutic benefit of balneotherapy and hydrotherapy in the management of fibromyalgia syndrome: a qualitative systematic review and meta-analysis of randomized controlled trials

Therapeutic benefit of balneotherapy and hydrotherapy in the management of fibromyalgia syndrome: a qualitative systematic review and meta-analysis of randomized controlled trials

Are psychological treatments effective for fibromyalgia pain?

Benefícios dos exercícios físicos na fibromialgia

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