Efficacy of different types of aerobic exercise in fibromyalgia syndrome: a systematic review and meta-analysis of randomised controlled trials
ABSTRACT The efficacy and the optimal type and volume of aerobic exercise (AE) in fibromyalgia syndrome (FMS) are not established. We therefore assessed the efficacy of different types and volumes of AE in FMS.
The Cochrane Library, EMBASE, MEDLINE, PsychInfo and SPORTDISCUS (through April 2009) and the reference sections of original studies and systematic reviews on AE in FMS were systematically reviewed. Randomised controlled trials (RCTs) of AE compared with controls (treatment as usual, attention placebo, active therapy) and head-to-head comparisons of different types of AE were included. Two authors independently extracted articles using predefined data fields, including study quality indicators.
Twenty-eight RCTs comparing AE with controls and seven RCTs comparing different types of AE with a total of 2,494 patients were reviewed. Effects were summarised using standardised mean differences (95% confidence intervals) by random effect models. AE reduced pain (-0.31 (-0.46, -0.17); P<0.001), fatigue (-0.22 (-0.38, -0.05); P=0.009), depressed mood (-0.32 (-0.53, -0.12); P=0.002) and limitations of health-related quality of life (HRQOL) (-0.40 (-0.60, -0.20); P<0.001), and improved physical fitness (0.65 (0.38, 0.95); P<0.001), post treatment. Pain was significantly reduced post treatment by land-based and water-based AE, exercises with slight to moderate intensity and frequency of two or three times per week. Positive effects on depressed mood, HRQOL and physical fitness could be maintained at follow-up. Continuing exercise was associated with positive outcomes at follow-up. Risks of bias analyses did not change the robustness of the results. Few studies reported a detailed exercise protocol, thus limiting subgroup analyses of different types of exercise.
An aerobic exercise programme for FMS patients should consist of land-based or water-based exercises with slight to moderate intensity two or three times per week for at least 4 weeks. The patient should be motivated to continue exercise after participating in an exercise programme.
Full-textDOI: · Available from: Winfried Häuser, May 28, 2015
Article: FibromyalgiaDisease-a-Month 03/2015; 61(3). DOI:10.1016/j.disamonth.2015.01.002 · 0.54 Impact Factor
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DESCRIPTION: This study is the first phase of the formative research recom-mended in the Theory of Planned Behavior for the development of an in-tervention. Our aims are to identify modal beliefs about the performance of an exercise pattern in people with fibromyalgia, to test the items de-signed for direct evaluation of the predictive constructs and to explore their relationships with the behavior. We assessed 46 women with fibrom-yalgia. Content analysis showed more positive than negative consequences related to the performance of exercise guidelines (behavioral beliefs). Fami-lies and friends are the important referents (normative beliefs) and we identified facilitating and inhibiting factors in the performance of exercise behavior related to aspects of fibromyalgia (control beliefs) such as pain, fatigue and emotional state. The subjective norm scale showed the lowest internal consistency (α= .78). The results confirmed the sedentary lifestyle of the participants (previous behavior: Mean=3.67; rank=1-7) although they also suggested that participants intended to perform the behavior (Mean=5.67). The relationships between constructs are coherent with the theory, and support the relevance of applying it to the selected behavior and population.
Article: Health Benefits of Exercise[Show abstract] [Hide abstract]
ABSTRACT: Bu derlemenin amacı, egzersizin sağlık yararları hakkında güncel bilgileri gözden geçirmektir. Rehabilitasyon hekimliğinde, ayrıntılı reçetelendirilmiş egzersiz programı en önemli modalitedir. Bu yazıda, egzersizin özellikle kardiyovasküler hastalıklar, depresyon, demans, obezite ve günlük pratiğimizde sıklıkla görülen kronik ağrı sendromları üzerine olan sağlık yararları üzerinde durulmuştur. Egzersizin bu hastalıkların önlenmesi ve tedavisindeki önemli rolü incelenip, egzersiz önerileri derlenmiştir.The purpose of this review is to provide current information concerning the health benefits of exercise. In rehabilitation medicine, a detailed prescription of the exercise program is the most important modality. In this paper, the health benefits of exercise, especially on the cardiovascular diseases, depression, dementia, obesity, and chronic pain syndrome, frequently seen in our daily practice, are emphasized. The role of exercise in the prevention and treatment of these diseases is examined, and the recommendations for exercise are reviewed.FTR - Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi 10/2014; 60(Supp 2):9-14. DOI:10.5152/tftrd.2014.33716 · 0.08 Impact Factor