Self-Assessed Physical Function Levels Of Women with Fibromyalgia

Jones, Jessie; Rutledge, Dana N.; Jones, Kim Dupree; Matallana, Lynne; Rooks, Daniel

doi:10.1016/j.whi.2008.04.005

Cited by 128 publications

(100 citation statements)

References 20 publications

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“…FM women had signiWcantly lower isometric force in bilateral leg extensors, unilateral knee extensors and Xexors than healthy women. A secondary analysis using data from an Internet-based survey including 1,735 FM women aged 31-78 revealed that more than 60% of women reported diYculty going up/down one Xight of stairs, walking ½ mile and lifting or carrying 10 lbs [8]. Aerobic training may contribute to normalize some abnormalities and determine some pain improvement.…”

Section: Physiological Benewts Of Aerobic Exercisementioning

confidence: 99%

Aerobic exercise in fibromyalgia: a practical review

Thomas

Blotman

2010

Rheumatol Int

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The objective of the study was to determine the current evidence to support guidelines for aerobic exercise (AE) and Wbromyalgia (FM) in practice, and to outline speciWc research needs in these areas. Data sources consisted of a PubMed search, 2007 Cochrane Data Base Systematic review, 2008 Ottawa panel evidence-based clinical practice guidelines, as well as additional references found from the initial search. Study selection included randomized clinical trials that compared an aerobic-only exercise intervention (land or pool based) with an untreated control, a non-exercise intervention or other exercise programs in patients responding to the 1990 American College of Rheumatology criteria for FM. The following outcome data were obtained: pain, tender points, perceived improvement in FM symptoms such as the Fibromyalgia Impact Questionnaire total score (FIQ), physical function, depression (e.g., Beck Depression Inventory, FIQ subscale for depression), fatigue and sleep were extracted from 19 clinical trials that considered the eVects of aerobic-only exercise in FM patients. Data synthesis shows that there is moderate evidence of important beneWt of aerobic-only exercise in FM on physical function and possibly on tender points and pain. It appears to be suYcient evidence to support the practice of AE as a part of the multidisciplinary management of FM. However, future studies must be more adequately sized, homogeneously assessed, and monitored for adherence, to draw deWnitive conclusions.

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Section: Physiological Benewts Of Aerobic Exercisementioning

confidence: 99%

Aerobic exercise in fibromyalgia: a practical review

Thomas

Blotman

2010

Rheumatol Int

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“…Those findings are similar to the ones reported by Kaleth et al 4 , who assessed the effects of a moderate to vigorous training program and found that sustained physical activity was not associated with worsening of discomfort (pain). Nevertheless, most individuals with FMS report difficulties in the performance of everyday tasks, such as climbing stairs, running and carrying objects 5,6 . Mannerkorpi et al 7 detected reduced aerobic power and a lower rate of muscle strength production in women with FMS compared with asymptomatic women; however, the results regarding the active shoulder range of motion were conflicting between the two test protocols used.…”

Section: Kelley and Kelleymentioning

confidence: 99%

“…Key words: Chronic pain; Joints; Range of motion. (n = 15; 50,2 ± 8,2 anos; 63,0 ± 9,6 kg; 157 ± 6 cm) e fibromiálgicas (n = 15; 47,3 ± 9,4 anos; 61,9 ± 12,2 kg; 159 ± 7 (44,4 ± 3,7 vs 45,7 ± 4,1 pontos, para assintomáticas e fibromiálgicas respectivamente; p=0,379;2 a 1,6 …”

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Aspectos da flexibilidade de mulheres com síndrome de fibromialgia

Almeida

Santos

2015

Rev. Bras. Cineantropom. Desempenho Hum.

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-Regular physical exercise tends to benefit people with fibromyalgia syndrome (FMS). The effects have been observed regarding aerobic power and strength; however, results concerning flexibility have been controversial. In general, studies have evaluated specific joints or tests involving only a single body movement. The aim of this study was to compare the flexibility profile of FMS and asymptomatic women using a more comprehensive test protocol regarding the number of movements and joints involved. The sample consisted of 30 women divided into two groups: asymptomatic (n = 15; mean age: 50.2 ± 8.2 years; mean weight: 63.0 ± 9.6 kg; mean height: 157 ± 6 cm) and fibromyalgia (n = 15; mean age: 47.3 ± 9.4 years; mean weight: 61.9 ± 12.2 kg; mean height: 159 ± 7 cm). Flexibility was measured using the Flexitest, which was evaluated by the global index of flexibility (Flexindex), and the five indices of variability of joint mobility: intermovement (IVIM), interjoint (IVIA), flexion-extension (IVFE), between segment (IVES) and distal-proximal (IVDP). All of the indices were calculated based on the results of the 20 movements of the Flexitest. There was no difference between groups (44.4 ± 3.7 vs. 45.7 ± 4.1 points, for asymptomatic and fibromyalgia, respectively; p = 0.379; 95% confidence interval (CI): -4.2 to 1.6). Most of the sample (83%) showed an average level of flexibility based on reference values for gender and age. Only IVIM showed a significant difference between the groups. Asymptomatic and fibromyalgic women have similar overall levels of flexibility but with different profiles. Key words: Chronic pain; Joints; Range of motion. (n = 15; 50,2 ± 8,2 anos; 63,0 ± 9,6 kg; 157 ± 6 cm) e fibromiálgicas (n = 15; 47,3 ± 9,4 anos; 61,9 ± 12,2 kg; 159 ± 7 (44,4 ± 3,7 vs 45,7 ± 4,1 pontos, para assintomáticas e fibromiálgicas respectivamente; p=0,379;2 a 1,6 Resumo -Exercícios físicos em mulheres com síndrome de fibromialgia (SFM) têm apresentado efeitos na força e potência aeróbica, contudo, os resultados acerca da flexibilidade têm sido controversos. Além disso, os estudos têm avaliado articulações específicas ou testes que envolvam apenas um único movimento corporal. Objetivou-se comparar o perfil de flexibilidade global de mulheres acometidas pela SFM e assintomáticas a partir de um protocolo de teste mais abrangente quanto ao número de movimentos e articulações envolvidas. Participaram da pesquisa 30 mulheres divididas em dois grupos: assintomáticas cm). A flexibilidade medida pelo Flexiteste foi avaliada pelo índice global de flexibilidade (flexíndice) e pelos cinco índices de variabilidade da mobilidade articular: intermovimentos (IVIM), intra-articulação (IVIA), flexão-extensão (IVFE), entre segmentos (IVES) e distal-proximal (IVDP). Todos os índices foram calculados com base nos resultados dos 20 movimentos do flexiteste. Não houve diferença no flexíndice entre os grupos

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“…The combined effect of FM symptoms often has a significant impact on the physical performance and functional ability in patients with FM (5,6) and it was shown that patients with FM had a considerable reduction in functional performance as compared with healthy individuals (7)(8)(9). The combination of pain and reduced physical capacity may lead to inactivity and a vicious circle may be created, leading to progressive deconditioning.…”

Section: Introductionmentioning

confidence: 99%

Fibromiyaljili hastalarda kas gücü, yorgunluk, fonksiyonel kapasite, proprioseptif keskinlik

...

2012

Tftr

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Objective: To compare muscle strength (MS), fatigue, functional capacity, and proprioceptive acuity in patients with fibromyalgia (FM) and controls, to evaluate the impact of FM severity on these features. Materials and Methods: Sixty women with FM and 45 healthy controls were included. FM-related measurements (number of tender points, myalgic score, pain visual analogue scale (VAS), fibromyalgia impact questionnaire (FIQ)) of the patients were recorded. The patients were classified as having moderate and severe FM assessed by the FIQ. All participants underwent following assessments: knee flexor-extensor muscles strength, handgrip strength, proprioceptive acuity, 6-minute walk test (6MWT), and the multidimensional assessment of fatigue scale (MAF). Results: Knee flexor-extensor muscles strength, and 6MWT were significantly lower, MAF score was significantly higher in FM patients than in controls (p<0.05). There were no significant differences between the patients and controls in terms of proprioceptive acuity and handgrip strength (p>0.05). Pain VAS and MAF scores were significantly higher in patients with severe FM compared with those with moderate FM (p<0.05). In patients, knee flexor-extensor muscles strength and handgrip strength were not associated with pain VAS and MAF scores, 6MWT, and proprioceptive acuity (p>0.05). 6MWT was negatively associated with pain VAS score (p=0.001). MAF score was positively associated with pain VAS score (p<0.05), but it was not associated with 6MWT (p>0.05). Conclusion:The patients had increased fatigue and pain intensity, reduced knee flexor-extensor muscle strength and functional capacity compared to the healthy subjects. Pain intensity and fatigue were found to be more affected by FM severity. According to these results, improving function and MS should be taken into consideration in the management of FM, but releiving pain and improving fatigue should be prioritised. Key Words: Fibromyalgia, fatigue, muscle strength, proprioception Özet Amaç: Fibromiyalji (FM)'li hastalar ve sağlıklı kontrollerde kas gücü (KG), yorgunluk, fonksiyonel kapasite ve proprioseptif keskinliği karşılaştırmak; FM şiddetinin bu özellikler üzerine etkisini değerlendirmek. Gereç ve Yöntem: Çalışmaya 60 FM'li kadın ve 45 sağlıklı kontrol alındı. Hastaların FM ile ilişkili ölçümleri (hassas nokta sayısı, miyaljik skor, ağrı vizüel analog skalası (VAS), fibromiyalji etki sorgulaması (FES)) kaydedildi. Hastalar FES ile orta ve ciddi FM'li olarak sınıflandırıldı. Tüm katılımcılarda değerlendirilen parametreler: diz fleksör-ekstansör kas gücü ve el kavrama gücü, proprioseptif keskinlik, 6 dakika yürüme testi (6DYT) ve yorgunluk çok boyutlu değerlendirme skalası (YDS) idi. Bulgular: FM'li hastalarda diz fleksör-ekstansör kas gücü ve 6DYT kontrollerden önemli ölçüde daha düşük, YDS skoru önemli ölçüde daha yüksekti (p<0,05). Proprioseptif keskinlik ve el kavrama gücü açısından hasta ve kontrol grupları arasında anlamlı fark yoktu (p>0,05). Orta düzeyde FM'li hastalarla karşılaştırıldığında, şiddetli FM'li ...

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Self-Assessed Physical Function Levels Of Women with Fibromyalgia

Cited by 128 publications

References 20 publications

Aerobic exercise in fibromyalgia: a practical review

Aerobic exercise in fibromyalgia: a practical review

Aspectos da flexibilidade de mulheres com síndrome de fibromialgia

Fibromiyaljili hastalarda kas gücü, yorgunluk, fonksiyonel kapasite, proprioseptif keskinlik

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