Pain and Functional Capacity in Female Fibromyalgia Patients

Carbonell‐Baeza, Ana; Aparicio, Virginia A.; Sjöstróm, Michael; Ruiz, Jonatan R.; Fernández, Manuel Delgado

doi:10.1111/j.1526-4637.2011.01239.x

Cited by 58 publications

(52 citation statements)

References 53 publications

(98 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The association of flexibility with pain in FM patients has received limited attention. Our results also support previous research (7,8) suggesting that flexibility might be a relevant component of physical fitness in this population. Although exercise programs rarely focus on specific flexibility training, the present study provides evidence suggesting that it should be taken into account in future exercise intervention studies, since it is consistently and independently (from other fitness components) associated with lower pain levels as well as with psychological dimensions of pain (i.e., catastrophizing and self-efficacy).…”

Section: Discussionsupporting

confidence: 93%

“…These results support previous findings on the association between muscle strength (as assessed with either isometric [10], isokinetic [9,10], or functional fitness tests [7,8]) and pain. The association of flexibility with pain in FM patients has received limited attention.…”

Section: Discussionsupporting

confidence: 91%

“…By contrast, Hooten et al (10) reported that peak VO 2 was not associated with PPT in FM patients. Lower-body muscle strength seems to be associated with PPT (7,10) and inversely related to TPC (8) in FM patients. However, Henriksen et al (9) observed that the association between knee muscle strength and TPC in these patients was weak.…”

Section: Introductionmentioning

confidence: 89%

“…Several studies examined the association of different components of physical fitness with pain in FM patients, with mixed findings (7)(8)(9)(10)(11). Carbonell-Baeza et al (8) observed that aerobic fitness (the distance walked in the 6-minute walk test) was inversely related to pain (as measured by tender points count [TPC] and pressure-pain threshold [PPT]) in women with FM.…”

Section: Introductionmentioning

confidence: 99%

“…Carbonell-Baeza et al (8) observed that aerobic fitness (the distance walked in the 6-minute walk test) was inversely related to pain (as measured by tender points count [TPC] and pressure-pain threshold [PPT]) in women with FM. Soriano-Maldonado et al (11) revealed that peak oxygen uptake (peak VO 2 ) was inversely associated with PPT but not with clinical pain in women with FM (11).…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Association of Physical Fitness With Pain in Women With Fibromyalgia: The al‐Ándalus Project

Soriano‐Maldonado

Ruiz

Aparicio

et al. 2015

Arthritis Care & Research

Self Cite

View full text Add to dashboard Cite

Objective. This population-based cross-sectional study aimed to characterize the association of different components of physical fitness with pain levels, pain-related catastrophizing, and chronic pain self-efficacy in women with fibromyalgia (FM). Methods. A total of 468 women with FM participated. The experience of pain was assessed with different tools (algometry, a numeric rating scale [revised FM impact questionnaire], a visual analog scale, and the bodily pain subscale on the Short Form 36 health survey). We also assessed pain-related catastrophizing and chronic pain self-efficacy. Physical fitness was assessed with performance-based tests (Senior Fitness Test battery and handgrip dynamometry). A standardized composite score was computed for each component of physical fitness (aerobic fitness, muscle strength, flexibility, and motor agility), and their average comprised a clustered global fitness profile. Results. Overall, higher physical fitness was consistently associated with lower levels of pain, lower pain-related catastrophizing, and higher chronic pain self-efficacy (regardless of the pain assessment method and the fitness test evaluated). Muscle strength and flexibility were independently associated with pain (P < 0.005 for both), and participants with high muscle strength plus high flexibility (combined effect) had the lowest levels of pain in this population. Aerobic fitness and flexibility were independently associated with pain-related catastrophizing (P < 0.001 for both) and chronic pain self-efficacy (P < 0.001 for both), and participants with high flexibility plus high aerobic fitness (combined effect) had the best catastrophizing and self-efficacy profiles. Conclusion. Our results suggest that higher physical fitness is associated with lower levels of pain, lower pain-related catastrophizing, and higher chronic pain self-efficacy in women with FM. These results might have implications for future intervention studies in this population.

show abstract

Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Association of Physical Fitness With Pain in Women With Fibromyalgia: The al‐Ándalus Project

Soriano‐Maldonado

Ruiz

Aparicio

et al. 2015

Arthritis Care & Research

Self Cite

View full text Add to dashboard Cite

show abstract

Neuromuscular fatigue and exercise capacity in fibromyalgia syndrome

Bachasson¹,

Guinot²,

Wuyam³

et al. 2013

Arthritis Care & Research

View full text Add to dashboard Cite

Objective. To assess quadriceps strength and fatigability by using femoral nerve magnetic stimulation (FNMS) and their relationship to exercise capacity in patients with fibromyalgia syndrome (FMS) and healthy controls. Methods. Twenty-two women (11 with FMS, 11 controls) performed a maximal incremental cycling test and a quadriceps fatigue test on 2 separate visits. For quadriceps assessment, we used FNMS during and after maximum voluntary contraction (MVC) to evaluate central and peripheral factors of neuromuscular fatigue. Subjects performed sets of 10 intermittent (5 seconds on/5 seconds off ) isometric contractions starting at 10% MVC, in 10% MVC increments from one set to another until exhaustion. Neuromuscular fatigue was assessed with FNMS after each set. Results. FMS patients had reduced initial MVC compared to controls (mean ؎ SD 102 ؎ 18 versus 120 ؎ 24 Nm; P < 0.05) without significant impairment of voluntary activation (mean ؎ SD 93.5% ؎ 3.0% versus 93.1% ؎ 3.4%; P ‫؍‬ 0.74). During the fatigue task, FMS patients exhibited a greater fall in evoked muscular responses (mean ؎ SD ؊26% ؎ 6% versus ؊16% ؎ 8% at set 50% MVC; P < 0.05), but not in MVC (mean ؎ SD ؊24% ؎ 7% versus ؊19% ؎ 4% at set 50% MVC; P ‫؍‬ 0.12). During the cycling test, FMS patients had lowered maximal exercise capacity and an enhanced rate of perceived exertion (RPE) compared to controls. The percent reduction in evoked muscular responses during the quadriceps fatigue test correlated with maximum oxygen consumption (r ‫؍‬ 0.56, P < 0.05) and RPE at submaximal intensity (r ‫؍‬ 0.84, P < 0.05) during cycling. Conclusion. Greater impairment in muscle contractility is associated with enhanced perception of exertion and reduced maximal exercise capacity in FMS patients. Neuromuscular impairments should be considered as an important factor underlying functional limitations in FMS patients.

show abstract

Association of cardiorespiratory fitness with pressure pain sensitivity and clinical pain in women with fibromyalgia

2014

View full text Add to dashboard Cite

The aim of the present study was to assess the association of cardiorespiratory fitness (CRF) with pressure pain sensitivity and clinical pain in women with fibromyalgia (FM). Thirty-one women with FM were included in the study. Pressure pain sensitivity was assessed with an electronic pressure dolorimeter. The average pressure pain threshold (PPT) from the 18 FM-related tender points and the tender points count (TPC) were recorded. Clinical pain was assessed on a 10-cm visual analog scale (VAS; from the FM impact questionnaire). The patients performed an incremental treadmill test, which consisted in six increasing workloads. Gas exchange was continuously monitored, and peak oxygen uptake (as measure of CRF) was recorded. Pairwise correlation and multiple linear regression were used to examine the association of CRF with PPT and VAS, and binary logistic regression assessed the odds of having <18 positive tender points as a function of CRF. The correlations of CRF with the average PPT and VAS were 0.355, (P < 0.001) and 0.058 (P > 0.05), respectively. Regression analyses revealed that CRF was associated with the PPT (B = 0.093; 95 % CI 0.064-0.122; P < 0.001; R (2) = 0.306) and TPC (OR 1.51; 95 % CI 1.30-1.75; P < 0.001) but not with VAS (B = 0.068; 95 % CI -0.061-0.197; P > 0.05). The findings of this study suggest that CRF is associated with pressure pain sensitivity but not with clinical pain in women with FM. Further longitudinal and intervention studies are needed to determine whether CRF could be involved in some mechanisms of pain processing.

show abstract

Pain and Functional Capacity in Female Fibromyalgia Patients

Cited by 58 publications

References 53 publications

Association of Physical Fitness With Pain in Women With Fibromyalgia: The al‐Ándalus Project

Association of Physical Fitness With Pain in Women With Fibromyalgia: The al‐Ándalus Project

Neuromuscular fatigue and exercise capacity in fibromyalgia syndrome

Association of cardiorespiratory fitness with pressure pain sensitivity and clinical pain in women with fibromyalgia

Contact Info

Product

Resources

About