Modulation of Autonomic Function by Physical Exercise in Patients with Fibromyalgia Syndrome: A Systematic Review

Andrade, Alexandro; Vilarino, Guilherme Torres; Serafim, Thiago Teixeira; Júnior, Altair Argentino Pereira; Souza, Cícero Augusto de; Sieczkowska, Sofia Mendes

doi:10.1002/pmrj.12158

Cited by 23 publications

(13 citation statements)

References 44 publications

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“…Mood reflects a complex pattern of behaviors, feelings, thoughts, and physical and emotional states; a mood consists of six factors: anger, confusion, mood depression, fatigue, vigor, and tension (7)(8)(9)(10). To improve the physical and psychological symptoms and consequently the general health of patients with FM, physical exercise has been recommended as an alternative treatment in recent years (11)(12)(13)(14)(15). Among various types of physical exercise, strength training (ST) has been shown to be an effective treatment option in helping to reduce the most common symptoms of the syndrome (16)(17)(18)(19)(20).…”

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confidence: 99%

Acute effect of strength training on mood of patients with fibromyalgia syndrome

Andrade

Steffens²,

Coimbra³

et al. 2019

Reumatismo

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Fibromyalgia syndrome (FM) is a musculoskeletal disorder characterized by chronic pain and frequently associated changes in mood states. The aim of this study was to analyze the acute effect of strength training (ST) sessions on the mood states of patients with fibromyalgia. A total of 110 FM patients were eligible for this study. After the inclusion criteria, twenty-eight women with FM (mean age: 51.88±10.22 years) performed three sessions of ST. Each training session worked the main muscle groups and lasted 60 min. Three sets of 12 repetitions were performed with 1-min intervals between them. Outcome measures were assessed at baseline, after one session, and after three ST sessions. The Brunel Mood Scale (BRUMS) was used to assess mood states, and the Wilcoxon test was used to verify differences in mood after one and three ST sessions. The ST practice had positive effects on the patients’ mood states after a single session. Reductions in anger, mental confusion, mood depression, fatigue, and tension were observed. The results of the 3rd ST session were similar. We concluded that a single ST session was sufficient to improve the mood states of patients with fibromyalgia.

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confidence: 99%

Acute effect of strength training on mood of patients with fibromyalgia syndrome

Andrade

Steffens²,

Coimbra³

et al. 2019

Reumatismo

Self Cite

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“…It is well established that aerobic exercise improves cardiorespiratory function in patients with FMS 19,109. In addition, an aquatic environment can allow higher-intensity exercises to be undertaken, with lower cardiovascular stress than is possible on land 19,110.…”

Section: Water Therapy Physiological Effects and Its Relationship Witmentioning

confidence: 99%

<p>Impact of water therapy on pain management in patients with fibromyalgia: current perspectives</p>

Zamunér

Andrade

Arca

et al. 2019

JPR

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Exercise-related interventions have been recommended as one of the main components in the management of fibromyalgia syndrome (FMS). Water therapy, which combines water's physical properties and exercise benefits, has proven effective in improving the clinical symptoms of FMS, especially pain, considered the hallmark of this syndrome. However, to our knowledge, the mechanisms underlying water therapy effects on pain are still scarcely explored in the literature. Therefore, this narrative review aimed to present the current perspectives on water therapy and the physiological basis for the mechanisms supporting its use for pain management in patients with FMS. Furthermore, the effects of water therapy on the musculoskeletal, neuromuscular, cardiovascular, respiratory, and neuroendocrine systems and inflammation are also addressed. Taking into account the aspects reviewed herein, water therapy is recommended as a nonpharmacologic therapeutic approach in the management of FMS patients, improving pain, fatigue, and quality of life. Future studies should focus on clarifying whether mechanisms and long-lasting effects are superior to other types of nonpharmacological interventions, as well as the economic and societal impacts that this intervention may present.

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“…Endurance training is recommended by different medical societies for FM management (8,(11)(12)(13)(14) in the range of two to three sessions a week, allowing to respect a rest period and avoid exacerbation of symptoms, at least for a period of 4-6 weeks in order to see a decrease in symptoms (15,16) and a change in autonomic function (17). A light-intensity aerobic practice (15,18) does not allow a decrease in symptom intensity, rather indicating a moderate to vigorous intensity physical activity (MVPA) practice.…”

Section: Introductionmentioning

confidence: 99%

“…This decrease in pain was also measured in a resistance program followed for 8 weeks with three sessions a week (30). Recently, Andrade et al (17) identified a correlation between resistance training and reduction in psychological symptoms such as anxiety and depression. Muscle stretching and relaxation exercises also showed an impact on pain (31), pain perception and tolerance (32), quality of life, depression, and anxiety (33) Despite the absence of accurate recommendations on training modalities, as defined by the ACSM, a personalized and mixed training seems to be the best practice according to the EULAR recommendations (8), and it is also this type of training that is recommended for people suffering from chronic pain (35).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Efficiency of an Optimized Care Organization in Fibromyalgia Patients: The From Intent to Move (FIMOUV) Study Protocol of a Randomized Controlled Trial

Colas

Goutte

Créac’h

et al. 2021

Front. Public Health

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Introduction: Fibromyalgia (FM) is characterized by multiple symptoms including pain, fatigue, and sleep disorders, altering patient's quality of life. In the absence of effective pharmacological therapy, the last European guidelines recommend a multidisciplinary management based on exercise and education. Thus, our main objective was to measure the effectiveness of a healthcare organization offering a specific program of adapted physical activity combined with a therapeutic education program for FM patients.Methods and Analysis: The From Intent To Move (FIMOUV) study will recruit 330 FM patients randomized into two groups: test and control. The test group will benefit from a 1-month mixed exercise training program supervised at the hospital, followed by 2 months in a community-based relay in a health-sport structure. In addition, each of the two groups will benefit from therapeutic patient education sessions. The main endpoint is the measurement of the level of physical activity by accelerometry at 1 year. The secondary endpoints concern adherence to the practice of physical activity, impact on lifestyle, state of health, and physical capacity, as well as an estimate of the budgetary impact of this management strategy.Discussion: This interventional research will allow us to assess the evolution of behaviors in physical activity after an FM syndrome management based solely on patient education or based on a supervised and adapted practice of physical activity associated with this same therapeutic education program. It seems to be the first study evaluating the impact of its intervention on objective data for measuring physical activity and sedentary behavior via accelerometry among FM patients.Trial registration:ClinicalTrials.gov NCT04107948.

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Modulation of Autonomic Function by Physical Exercise in Patients with Fibromyalgia Syndrome: A Systematic Review

Cited by 23 publications

References 44 publications

Acute effect of strength training on mood of patients with fibromyalgia syndrome

Acute effect of strength training on mood of patients with fibromyalgia syndrome

<p>Impact of water therapy on pain management in patients with fibromyalgia: current perspectives</p>

Efficiency of an Optimized Care Organization in Fibromyalgia Patients: The From Intent to Move (FIMOUV) Study Protocol of a Randomized Controlled Trial

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