Objectives: To evaluate the effects of a 16-week exercise therapy in a chest-high pool of warm water through applicable tests in the clinical practice on the global symptomatology of women with fibromyalgia (FM) and to determine exercise adherence levels.
Design: A randomized controlled trial.
Setting: Testing and training were completed at the university.
Participants: Middle-aged women with FM (n=60) and healthy women (n=25).
Intervention: A 16-week aquatic training program, including strength training, aerobic training, and relaxation exercises.
Main Outcome Measures: Tender point count (syringe calibrated), health status (Fibromyalgia Impact Questionnaire); sleep quality (Pittsburgh Sleep Quality Index); physical (endurance strength to low loads tests), psychologic (State Anxiety Inventory), and cognitive function (Paced Auditory Serial Addition Task); and adherence 12 months after the completion of the study.
• For all the measurements, the patients showed significant deficiencies compared with the healthy subjects.
• Efficacy analysis (n=29) and intent-to-treat analysis (n=34) of the exercise therapy was effective in decreasing the tender point count and improving sleep quality, cognitive function, and physical function.
• Anxiety remained unchanged during the follow-up.
• The exercise group had a significant improvement of health status, not associated exclusively with the exercise intervention. There were no changes in the control group.
• Twenty-three patients in the exercise group were exercising regularly 12 months after completing the program.
Conclusions: An exercise therapy 3 times a week for 16 weeks in a warm pool could improve most of the symptoms of FM and cause a high adherence to exercise in unfit women with heightened FM symptomatology. The therapeutic intervention’s effects can be assessed through applicable tests in the clinical practice.
Source: Archives of Physical Medicine and Rehabilitation, Dec 2008;89(12):2250-7. PMID: 19061736, by Munguía-Izquierdo D, Legaz-Arrese A. Section of Physical Education and Sports, University Pablo de Olavide, Seville, Spain. [E-mail: email@example.com]