Investigation of the effects of pool-based exercise on fibromyalgia syndrome

Altan, Lale; Bingöl, Ümit; Aykaç, Mehtap; Koç, Zarife; Yurtkuran, Mustafa

doi:10.1007/s00296-003-0371-7

Cited by 136 publications

(117 citation statements)

References 29 publications

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“…Balneotherapy, or warm-water baths, has also been shown to be effective in managing muscle pain, usually assessed by subjective methods such as rating pain with the visual analog scale (VAS) and the index of the Fibromyalgia Impact Questionnaire (18). Despite the additional effects of warm water, the facilities required for warm-water programs are more expensive and scarce than those usually used for land programs; therefore, several authors have proposed mixed water-and land-based programs (18) or rotating the patients who exercised in water. In this sense, there is a lack of knowledge about the remaining effects or long-term effects of water-based exercise protocols.…”

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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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

View full text Add to dashboard Cite

show abstract

“…Altan et al [30] compared the eVects of pool-based exercise and balneotherapy-only (pool-based activities without exercise) in 50 female FM. The exercise program included walking, jumping and out-of-pool exercises.…”

Section: In Comparison Of the Control Group Pool-based Ae Had Additimentioning

confidence: 99%

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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“…The total count of such positive tender points was recorded for each participant. The algometer score was calculated as the sum of the minimum pain-pressure values obtained for each tender point (Altan, Bingol, Aykac, Koc, & Yurtkuran, 2004;Harden et al, 2007).…”

Section: Outcome Measuresmentioning

confidence: 99%

Preliminary Findings of a 4-Month Tai Chi Intervention on Tenderness, Functional Capacity, Symptomatology, and Quality of Life in Men With Fibromyalgia

et al. 2011

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The study aimed to determine the effects of a 4-month Tai Chi intervention on tenderness, functional capacity, symptomatology, and quality of life in men with fibromyalgia. The effect of a 3-month detraining period was also analyzed. Six men with fibromyalgia (age 52.3 ± 9.3 years) followed a 4-month Tai Chi intervention. The outcome variables were tenderness, functional capacity (30-second chair stand, handgrip strength, chair sit and reach, back scratch, blind flamingo, 8 feet up and go, and 6-minute walk tests), and self-administered questionnaires. A significant improvement (p = .028) after the intervention period for the chair sit and reach test was found, such improvement was maintained after the detraining phase. Tenderness, symptomatology, and quality of life did not significantly change after the intervention period or the detraining phase. In summary, a 4-month Tai Chi intervention improved lower body flexibility in men with fibromyalgia. This improvement persisted after the detraining period.

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Investigation of the effects of pool-based exercise on fibromyalgia syndrome

Cited by 136 publications

References 29 publications

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

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

Aerobic exercise in fibromyalgia: a practical review

Preliminary Findings of a 4-Month Tai Chi Intervention on Tenderness, Functional Capacity, Symptomatology, and Quality of Life in Men With Fibromyalgia

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