An observer-blinded comparison of supervised and unsupervised aerobic exercise regimens in fibromyalgia

Ramsay, Craig R; Moreland, Julie; Ho, Meilien; Joyce, Sarah Margaret; Walker, Sarah; Pullar, T

doi:10.1093/rheumatology/39.5.501

Cited by 102 publications

(79 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Em um estudo transversal (40) , interação com outros pacientes com FM também é importante, pois o principal fator relacionado ao nível de atividade física foi ser membro de uma associação de pacientes. Apenas dois estudos foram desenhados para avaliar os determinantes de adesão, mostrando que um programa educacional associado não aumentou a participação regular (15) e que exercícios supervisionados (24) têm maior adesão (72%) do que treino não-supervisionado (50%, p<0.05). Os indivíduos que abandonaram o tratamento foram aqueles que inicialmente tinham piores escores de dor, eram mais estáveis emocionalmente e com maior vitalidade.…”

Section: Valimunclassified

See 1 more Smart Citation

Benefícios dos exercícios físicos na fibromialgia

Valim¹

2006

Rev. Bras. Reumatol.

View full text Add to dashboard Cite

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)

show abstract

Section: Valimunclassified

“…Desses, 12 avaliaram o condicionamento aeróbio (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17) , 10 estudaram programas combinados ou associados ao tratamento medicamentoso ou outras intervenções não-farmacológicas (18)(19)(20)(21)(22)(23)(24)(25)(26)(27) . Apenas três envolveram treino de força (28)(29)(30) .…”

Section: Introductionunclassified

Benefícios dos exercícios físicos na fibromialgia

Valim¹

2006

Rev. Bras. Reumatol.

View full text Add to dashboard Cite

show abstract

“…Aerobic endurance exercises spanning 12 weeks were found to have a positive effect on the fitness and well-being of FMS patients (6). Ramsay et al (46), in contrast, failed to show any superiority of supervised aerobic exercise for 12 weeks over a home exercise program for any parameter except for psychological well-being. A recent review has suggested that supervised aerobic exercise training and strength training may have a beneficial effect on physical capacity and clinical symptoms in FMS patients (47).…”

Section: Discussionmentioning

confidence: 88%

“…There are also some studies related to depression measurements in patients with FMS that yielded conflicting results. In a study carried out by Ramsey et al (46), one group was assigned to perform aerobic exercises and the other group was assigned to perform home exercises for a period of 48 weeks. No amelioration was found in levels of depression, as measured by the BDI scores, either within or between groups.…”

Section: Discussionmentioning

confidence: 99%

Effects of Pilates Exercises on the Social Physical Concern of Patients with Fibromyalgia Syndrome: A Pilot Study

Korkmaz

2010

Turk J Rheumatol

View full text Add to dashboard Cite

Prior to exercise and at the end of the 12 th week, the patient's weight, grip strength of the hands, back strength, body fat ratio, and BMI were measured. Before-and after-exercise measurements were compared. The patient pain level was determined using the visual analog scale (VAS). Beck Depression Inventory (BDI) was used to define the depression level of patients. SPC level of patients was obtained by Social Physique Anxiety Scale (SPAS). The correlations between SPC scores and anthropometric values and pain and depression levels were evaluated. Results: Pilates exercises significantly improved the weight, BMI, body fat ratio and SPC and pain level of the patients. No statistically significant change was found for grip strength of either hand or back strength. A statistically significant correlation was found between SPC scores and the body fat ratio, weight, BMI, and pain and depression scores of patients before and after the exercise program. Conclusion: A 12-week Pilates program had positive effects on anthropometric parameters, SPC, and pain and depression levels of FMS patients. Patients with FMS can safely perform Pilates exercises to control weight, improve physical appearance, and reduce SPC and pain and depression levels, and no adverse side effects were observed. To obtain further evidence regarding the effectiveness of Pilates exercises, additional studies involving different patient groups are required. (Turk J Rheumatol 2010; 25: 201-7)

show abstract

“…Significant improvement was observed in pain, physical role, social function and emotional role subscales of SF-36 scale. Favorable effects of regular aerobic activity in FMS patients on pain [2], total myalgia score [3,15], tender point count [14,16], fatigue [15], quality of life [17,18], depression and anxiety [14,19] are reported.…”

Section: Discussionmentioning

confidence: 99%

The Effects of the Aerobics Exercise Program on the Cardiopulmoner Capacity and Disease Symptoms of the Patients with Primary Fibromialgia Syndrome*

Alkan¹,

Özel²,

Sütbeyaz³

et al. 2013

OJRA

View full text Add to dashboard Cite

Backgrounds: To observe the effects of aerobic exercise program on the illness symptoms and cardiopulmonary capacity of the patients with primary Fibromyalgia Syndrome (FMS) and to find out whether there is a difference or not in terms of cardiovascular capacity among the patients with primary FMS and sedentary healthy people. Materials and Methods: The study has been done on 20 female patients with primary FMS. Before the study and after a 6-week controlled aerobic exercise program, a cardiopulmonary exercise test has been applied on all cases. The symptoms, psychological state and life quality of the cases have been evaluated before and after the exercise program. The first cardiopulmonary results of the cases with FMS have been compared with a control group of 15 sedentary healthy. Results: When the patient and control groups are compared, although maksimal oxygen uptake (VO2 max) was lower in the patient group, this was not a significant difference. VO2 max showing the aerobic condition after the exercise increased significantly in the patients. Conclusions: Aerobic exercise programs lasting six to eight weeks are quite effective for the patients with FMS. There is not any limitation in the increase of the cardiopulmonary capacity of the patients after the exercise program.

show abstract

An observer-blinded comparison of supervised and unsupervised aerobic exercise regimens in fibromyalgia

Cited by 102 publications

References 6 publications

Benefícios dos exercícios físicos na fibromialgia

Benefícios dos exercícios físicos na fibromialgia

Effects of Pilates Exercises on the Social Physical Concern of Patients with Fibromyalgia Syndrome: A Pilot Study

The Effects of the Aerobics Exercise Program on the Cardiopulmoner Capacity and Disease Symptoms of the Patients with Primary Fibromialgia Syndrome*

Contact Info

Product

Resources

About