Muscle stretching exercises and resistance training in fibromyalgia: which is better? A three-arm randomized controlled trial

Assumpção, Ana; Matsutani, Luciana Akemi; Yuan, Susan Lee King; Santo, Adriana S. Espirito; Sauer, Justin; Mango, Pamela Cristina; Marques, Amélia Pasqual

doi:10.23736/s1973-9087.17.04876-6

Cited by 66 publications

(124 citation statements)

References 30 publications

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“…In addition, other studies compared ST with relaxation or flexibility exercises. Assumpção et al [40] verified the effects of ST and flexibility exercises after 12 weeks of intervention. The results demonstrated that ST is more effective in reducing depression, whereas flexibility exercises are better at improving the quality of life, especially physical function and pain.…”

Section: Kingsley 18 Womenmentioning

confidence: 94%

“…Of the 22 studies included in the review, the oldest was published in 2001 [38] and the most recent was published in 2017 [24,39,40] (Table 2). Most of the studies were conducted in the United States (36%, n = 8), followed by Finland (23%, n = 5), Brazil (18%, n = 4), Sweden (18%, n = 4), and Turkey (5%, n = 1).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…The most investigated psychological variable was depression. The studies of Jones et al [45], Gavi et al [29], and Assumpção et al [40] showed that ST reduces depressive symptoms; however, the study of Ericsson et al [25] did not find a significant difference after 15 weeks of intervention.…”

Section: Summary Of Evidence and Practical Implicationsmentioning

confidence: 99%

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A systematic review of the effects of strength training in patients with fibromyalgia: clinical outcomes and design considerations

et al. 2018

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Background: Fibromyalgia (FM) is characterized by chronic and generalized musculoskeletal pain. There is currently no cure for FM, but palliative treatments are available. One type of treatment is strength training (ST). However, there is a need for more information on optimal training protocols, intensity, and volume needed to improve symptoms. The aim of this study was to analyze the effects of ST in the treatment of FM through a systematic review of experimental research.

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Section: Kingsley 18 Womenmentioning

confidence: 94%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

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A systematic review of the effects of strength training in patients with fibromyalgia: clinical outcomes and design considerations

et al. 2018

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“…The value of 10 was classified as: "the worst pain of lactic acid that you have experienced in your quadriceps." This method has been previously used by Assumpção et al (4).…”

Section: Ratings Of Painmentioning

confidence: 99%

Lower occlusion pressure during resistance exercise with blood-flow restriction promotes lower pain and perception of exercise compared to higher occlusion pressure when the total training volume is equalized

et al. 2018

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Low-intensity resistance exercise with blood-flow restriction (BFR) promotes similar adaptations to high-intensity resistance exercise (HI-RE). Interestingly, BFR has been demonstrated to be effective for a wide range of occlusion pressures. However, the occlusion pressure magnitude may alter the psychophysiological stress related to BFR as measured by rating of perceived exertion scale (RPE) and rating of pain. We aimed to compare the RPE and pain levels across different magnitudes of occlusion pressures, promoting new knowledge regarding occlusion pressure on stress related to BFR. All BFR protocols ranging between 40% and 80% of total arterial occlusion (BFR40, BFR50, BFR60, BFR70, and BFR80) were compared to HI-RE in 12 participants using a randomized and crossover design 72 h apart. BFR protocols and HI-RE were performed with 30% and 80% of one-repetition maximum (1RM) test value, respectively. RPE and pain levels were measured before exercise and immediately after each set. BFR protocols (i.e., BFR40 and BFR50) presented overall lower RPE response compared to higher-pressure BFR (i.e., BFR70 and BFR80) and HI-RE conditions. For pain levels, low-pressure BFRs (i.e., BFR40 and BFR50), and HI-RE showed lower values than high-pressure BFR protocols (i.e., BFR60, BFR70, and BFR80). In conclusion, low-pressure BFR protocols promote lower RPE and pain compared to high-pressure BFR protocols (between 60% and 80% of occlusion pressure), when total training volume (TTV) is equalized. In addition, HI-RE promotes similar levels of pain, but higher RPE than low-pressure BFR, probably due to the higher TTV.

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“…Previous studies have shown that exercise interventions based on aerobic exercise or strength can improve pain, depression, physical function, disease impact, and quality of life in women with FM [6][7][8][9][10][11][12][13][14]. Furthermore, exergame interventions (a nonimmersive form of virtual reality) that involve physical exercise [15] have previously been used in patients with FM.…”

Section: Introductionmentioning

confidence: 99%

Effect of Exergame Training and Detraining on Lower-Body Strength, Agility, and Cardiorespiratory Fitness in Women with Fibromyalgia: Single-Blinded Randomized Controlled Trial

Villafaina

Borrega-Mouquinho

Fuentes-García

et al. 2019

IJERPH

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The aim of this study was to analyze the effects of a 24 week exergame intervention and 24 weeks of detraining on lower-limb strength, agility, and cardiorespiratory fitness in women with fibromyalgia (FM). It was performed as a single-blinded randomized controlled trial of 55 women with FM. University facilities were used. The 24 week exergame intervention was focused on mobility, postural control, upper- and lower-limb coordination, aerobic fitness, and strength. Participants performed 120 min of exergaming per week, which was divided into two sessions. Twenty-four weeks after the end of the intervention, participants were re-evaluated. A chair–stand test, 10 step stair test, and six-minute walk test were conducted to assess lower-body strength, agility, and cardiorespiratory fitness, respectively. The exergame intervention significantly improved lower-limb strength and cardiorespiratory fitness. However, no significant effects on agility were observed. After the detraining period, lower-limb strength and agility returned to their baseline level, but improvements in cardiorespiratory fitness were sustained over time. Exergaming was therefore shown to be beneficial for physical fitness in people with FM. However, exergames had to be played regularly to maintain the benefits. This long-term intervention (24 weeks) may have changed the lifestyle of women with FM, which could explain why cardiorespiratory fitness improvements remained after the detraining period. Future research should focus on lifestyle changes after long-term interventions.

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Muscle stretching exercises and resistance training in fibromyalgia: which is better? A three-arm randomized controlled trial

Abstract: The trial included a control group and two intervention groups, both of which received exercise programs created specifically for patients with FM. In clinical practice, we suggest including both modalities in an exercise therapy program for FM.

Cited by 66 publications

References 30 publications

A systematic review of the effects of strength training in patients with fibromyalgia: clinical outcomes and design considerations

A systematic review of the effects of strength training in patients with fibromyalgia: clinical outcomes and design considerations

Lower occlusion pressure during resistance exercise with blood-flow restriction promotes lower pain and perception of exercise compared to higher occlusion pressure when the total training volume is equalized

Effect of Exergame Training and Detraining on Lower-Body Strength, Agility, and Cardiorespiratory Fitness in Women with Fibromyalgia: Single-Blinded Randomized Controlled Trial

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