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

Department of Physical Therapy, Sahlgrenska University Hospital, Göteborg, Sweden.
Scandinavian Journal of Rheumatology (Impact Factor: 2.53). 02/2002; 31(5):306-10. DOI: 10.1080/030097402760375223
Source: PubMed


To follow patients with fibromyalgia six and 24 months after they finished a six-month treatment programme. The programme comprised pool exercise therapy, adjusted to the patients' limitations, and education based on their health problems.
Twenty-six patients were examined six and 24 months after the completion of the treatment programme with the Fibromyalgia Impact Questionnaire (FIQ), SF-36, the 6-minute walk test, and the Grippit measure. The values obtained at the follow-up examinations were compared with the baseline and post-treatment values.
As compared with baseline, symptom severity (FIQ, SF-36), physical function (FIQ, SF-36, 6-minute walk test) and quality of life (SF-36) still showed improvements six months after the completion of treatment (p <0.05). Pain (FIQ, SF-36), fatigue (FIQ, SF-36), walking ability, and social function (SF-36) still showed improvements 2 years after the completion of the programme as compared with the baseline values (p < 0.05). No significant changes were found for these variables, when the values obtained at the two follow-up examinations were compared with those of the post-treatment examination.
Improvements in symptom severity, physical function and social function were still found six and 24 months after the completed treatment programme.

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    • "A previous study evaluated the effects of balneotherapy in warm water (36°C) on FM patients and observed a reduction in the number of tender points and improvement in the patients' Fibromyalgia Impact Questionnaire (FIQ) scores (18). Additional studies conducted in adults have observed that passive immersion in hot baths had a positive effect on both pain and sleep quality (19-21). However, no studies have determined the benefits of passive body heating on the sleep patterns of FM patients using PSG. "
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    ABSTRACT: To assess the effect of passive body heating on the sleep patterns of patients with fibromyalgia. Six menopausal women diagnosed with fibromyalgia according to the criteria determined by the American College of Rheumatology were included. All women underwent passive immersion in a warm bath at a temperature of 36 ±1 °C for 15 sessions of 30 minutes each over a period of three weeks. Their sleep patterns were assessed by polysomnography at the following time-points: pre-intervention (baseline), the first day of the intervention (acute), the last day of the intervention (chronic), and three weeks after the end of the intervention (follow-up). Core body temperature was evaluated by a thermistor pill during the baseline, acute, chronic, and follow-up periods. The impact of this treatment on fibromyalgia was assessed via a specific questionnaire termed the Fibromyalgia Impact Questionnaire. Sleep latency, rapid eye movement sleep latency and slow wave sleep were significantly reduced in the chronic and acute conditions compared with baseline. Sleep efficiency was significantly increased during the chronic condition, and the awakening index was reduced at the chronic and follow-up time points relative to the baseline values. No significant differences were observed in total sleep time, time in sleep stages 1 or 2 or rapid eye movement sleep percentage. The core body temperature and Fibromyalgia Impact Questionnaire responses did not significantly change over the course of the study. Passive body heating had a positive effect on the sleep patterns of women with fibromyalgia.
    Clinics (São Paulo, Brazil) 02/2013; 68(2):135-40. DOI:10.6061/CLINICS/2013(02)OA03 · 1.19 Impact Factor
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    • "Studies of sauna heat therapy have revealed significant improvement in blood flow (endothelium-dependent dilation) [109–111] and reductions in FMS pain [112, 113]. Exercise in warm water is an effective therapeutic procedure for FMS [114], with long-term reductions in pain [115]. Exercise in water is well tolerated by FMS individuals, as it limits stress on weight bearing joints and provides resistance in proportion to the speed of movements. "
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    ABSTRACT: Fibromyalgia syndrome (FMS) is characterized by pain referred to deep tissues. Diagnosis and treatment of FMS are complicated by a variable coexistence with regional pain, fatigue, sleep disruption, difficulty with mentation, and depression. The widespread, deep pain of FMS can be a consequence of chronic psychological stress with autonomic dysregulation. Stress acts centrally to facilitate pain and acts peripherally, via sympathetic vasoconstriction, to establish painful muscular ischemia. FMS pain, with or without a coexistent regional pain condition, is stressful, setting up a vicious circle of reciprocal interaction. Also, stress interacts reciprocally with systems of control over depression, mentation, and sleep, establishing FMS as a multiple-system disorder. Thus, stress and the ischemic pain it generates are fundamental to the multiple disorders of FMS, and a therapeutic procedure that attenuates stress and peripheral vasoconstriction should be highly beneficial for FMS. Physical exercise has been shown to counteract peripheral vasoconstriction and to attenuate stress, depression, and fatigue and improve mentation and sleep quality. Thus, exercise can interrupt the reciprocal interactions between psychological stress and each of the multiple-system disorders of FMS. The large literature supporting these conclusions indicates that exercise should be considered strongly as a first-line approach to FMS therapy.
    Pain Research and Treatment 01/2012; 2012(2090-1542):951354. DOI:10.1155/2012/951354
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    • "Tras la puesta en práctica de programas para personas mayores, podremos ver como es posible la aplicación de un tratamiento a través de la actividad física para los pacientes con FM, más aun, si existen estudios que avalan su idoneidad, bien sea en programas de actividad física en el medio terrestre (Mengshoel y otros, 1992; Meiworm y otros, 2000; Pankoff y otros, 2000; Estrada y otros, 2004a; Estrada y otros, 2004b; Redondo y otros, 2004), en el medio acuático (Mannerkorpi y otros, 2002; Altan y otros, 2004; Estrada y otros, 2004b; Tomás y otros, 2007), o en combinación con programas educacionales (Mannerkorpi y otros, 2000). A través de estas practicas, podremos mejorar los estados físicos y psicológicos de las personas mayores con FM, mejorando su condición física y sobre todo su nivel y calidad de vida. "
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    ABSTRACT: The Fibromyalgia is a disease difficult to diagnose major illnesses that occur in people. The purpose of this communication is to present a program of aquatic exercise for people with this disease, indicating the key aspects that must be taken into account in the design of it.
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