Six- and 24-month follow-up of pool exercise therapy and education for patients with fibromyalgia

Mannerkorpi, Kaisa; Ahlmén, Monica; Ekdahl, Charlotte

doi:10.1080/030097402760375223

Cited by 122 publications

(89 citation statements)

References 25 publications

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“…At baseline, the participants' score of the EQ-5D utility (mean Ϯ SD 0.31 Ϯ 0.30) matched the scores previously reported to depict patients with fibromyalgia (0.31 Ϯ 0.31) (47). The perceived pain of FM participants (mean Ϯ SD 63 Ϯ 26 mm) was not different from that previously reported for the exercisers with FM at baseline (19,34,43,44). However, Mannerkorpi et al (44) depicted slightly higher levels of pain at baseline (mean Ϯ SD 78 Ϯ 19).…”

supporting

confidence: 63%

“…The perceived pain of FM participants (mean Ϯ SD 63 Ϯ 26 mm) was not different from that previously reported for the exercisers with FM at baseline (19,34,43,44). However, Mannerkorpi et al (44) depicted slightly higher levels of pain at baseline (mean Ϯ SD 78 Ϯ 19). The maximal torque of participants (mean Ϯ SD 1.1 Ϯ 0.4 N⅐m/kg) was not significantly different from that previously reported in patients with FM (1.3 Ϯ 0.4) (1); however, they reflected an especially unfit sample of patients with FM who presented with a high number of tender points (mean Ϯ SD 17.2 Ϯ 1.3).…”

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confidence: 52%

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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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supporting

confidence: 63%

mentioning

confidence: 52%

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

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“…Además, existe una necesidad urgente por delinear mejor las características de los pacientes y de los tratamientos para que sea posible la creación de subgrupos de pacientes que respondan mejor a tratamientos específi cos. Varios estudios en FM han sugerido que las limitaciones en los resultados de tratamiento se deben en gran parte a notables diferencias individuales en la respuesta al tratamiento. Aparentemente, no todos los pacientes mostrarán los mismos resultados ante los mismos tratamientos, y esta disparidad parece estar relacionada con la heterogeneidad de la enfermedad y la variabilidad entre pacientes (Goldenberg et al, 2004;Mannerkorpi et al, 2000). Por ponente.…”

Section: Discussionunclassified

“…Dos señalaron que potenciar la condición física mejoraba la incapacidad (Gowans et al, 1999;Mannerkorpi et al, 2000). Sólo un estudio informó de mejoras también en dolor y estado anímico (Cedraschi et al, 2004).…”

Section: Programas De Ejercicio Físicounclassified

Tratamientos no farmacológicos en fibromialgia : una revisión actual

Fernández¹,

Campayo²,

Casanueva³

et al. 2009

RPPC

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Resumen: Este trabajo de revisión analiza los estudios aleatorizados y controlados realizados en pacientes diagnosticados de fi bromialgia que han sido tratados mediante: (1) terapia cognitivoconductual, (2) programas de ejercicio físico, y (3) una combinación de ambos. Se resumen las principales conclusiones de las intervenciones realizadas hasta el momento y se realizan propuestas de futuro para mejorar los resultados destacando, la detección temprana de sujetos con riesgo para desarrollar fi bromialgia, la identifi cación de subgrupos y el desarrollo de tratamientos más ajustados a las características de los pacientes.Palabras clave: Fibromialgia, tratamiento cognitivo-conductual, programas de ejercicio físico. Non-pharmacological treatments of fi bromyalgia: A current reviewAbstract: This review analyzes randomized and controlled studies carried out with patients diagnosed with fi bromyalgia, who had been treated with either: (1) cognitive-behavioral therapy, (2) exercise training programs, or (3) a combination of both. The main conclusions of the interventions realized up to now are summarized and proposals with a view to improving outcomes are made, especially the early detection of patients at risk of developing fi bromyalgia, the identifi cation of subgroups and the development of treatments adjusted at the patient's profi le.

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“…Jentoft et al [61] detected reductions in pain after 2 sessions per week in a heated pool for 20 weeks, while Gusi et al [62] found that three sessions per week in warm water decreased pain measured on VAS (29%) and pain/discomfort item of the EQ-5D (16%). Mannerkorpi et al [63] achieved a 15% reduction in pain with one pool-based session per week over a 6 month period. WBV is a new therapeutic approach and to our knowledge the study by Alentorn-Geli et al [12] is the only one study to investigate the effect of WBV on FM-related pain; these authors propose exercise plus supplementary vertical WBV as an effective approach for improving pain in FM.…”

Section: Discussionmentioning

confidence: 99%

Tilt vibratory exercise improves pain, strength and somatosensory function in patients with fibromyalgia: A randomized controlled trial

Parraça

Adsuar

Olivares

et al. 2013

JNEP

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The main objective of this study was to analyse the effects of 12 weeks of tilting whole body vibration therapy on pain, strength and somatosensory function in patients with fibromyalgia syndrome. This study was randomized controlled trial with assessor blinding. Thirty-six women with fibromyalgia were randomly allocated to exercise or control groups. The exercise group received a 12-week program of tilting whole body vibration therapy at 12.5-Hz frequency and 3 mm amplitude. The Muscle strength was assessed with an isokinetic dynamometer, pain with a digital algometer and the somatosensory system with a stabilometry platform.The treatment induced a 23.5% improvement in widespread pain (P < .05) and 40% improvement in knee pain (P < .05).The concentric knee extension and flexion strength improved by greater than 19% (P < .05), and balance with eyes closed showed a 25% improvement in the overall stability index (P < .05) and a 40% improvement in the antero-posterior stability index (P < .05) for all positions evaluated.Twelve weeks of tilting whole body vibration therapy 3 times a week at a frequency of 12.5 Hz could be an effective therapy to improve strength, somatosensory function and pain in women with fibromyalgia.This article presents new approaches for management of strength, somatosensory function and pain in patients with fibromyalgia. These measures and these results could potentially help clinicians, physiotherapists and rheumatologists who seek to improve these properties in these patients, this study aims provide a new type of disease management.

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Six- and 24-month follow-up of pool exercise therapy and education for patients with fibromyalgia

Abstract: Improvements in symptom severity, physical function and social function were still found six and 24 months after the completed treatment programme.

Cited by 122 publications

References 25 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

Tratamientos no farmacológicos en fibromialgia : una revisión actual

Tilt vibratory exercise improves pain, strength and somatosensory function in patients with fibromyalgia: A randomized controlled trial

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