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Fibromyalgia exercise

Donguk Jo, Michael J Del Bel, Daniel McEwen, Jennifer O'Neil, Olivia S Mac Kiddie, Inmaculada C Álvarez-Gallardo, Lucie Brosseau
RATIONALE: Exercise programs for the management of fibromyalgia are well recognized as being effective. However, the incomplete descriptions of exercise programs make replication and implementation difficult. Also, existing reporting tools have not been validated in relation to pain relief as well as with each other. OBJECTIVES: This study aimed to evaluate the description of exercise programs in randomized control trials for the management of fibromyalgia using different assessment tools, and the correlations of each tool in relation to effectiveness of pain relief of fibromyalgia, and the correlations between each tool...
December 5, 2018: Clinical Rehabilitation
Dante Duarte, Luis Eduardo Coutinho Castelo-Branco, Elif Uygur Kucukseymen, Felipe Fregni
Fibromyalgia affects more than 5 million people in the United States and has a detrimental impact on individuals' quality of life. Current pharmacological treatments provide limited benefits to relieve the pain of fibromyalgia, along with a risk of adverse effects; a scenario that explains the increasing interest for multimodal approaches. A tailored strategy to focus on this dysfunctional endogenous pain inhibitory system is transcranial direct current stimulation (tDCS) of the primary motor cortex. By combining tDCS with aerobic exercise, the effects can be optimized...
December 3, 2018: Expert Review of Medical Devices
Kholoud M El-Shewy, Ahmad Kunbaz, Mohamed M Gad, Muneer J Al-Husseini, Anas M Saad, Yasser M Sammour, Mohamed M Abdel-Daim
Chronic pain is one of the most common clinical presentations in the primary care settings. In the US, Fibromyalgia (FM) affects about 1-3% of adults and commonly occurs in adults between the ages of 40-50 years. FM causes widespread muscular pain and tenderness with hyperalgesia and allodynia and may be associated with other somatic complaints. Hyperbaric oxygen therapy (HBOT) has been utilized and has recently shown promising effects in the management of FM and other chronic pain disorders. In HBOT, the intermittent breathing of 100% oxygen in a pressurized chamber where the pressure is higher than 1 atmosphere absolute (ATA) has been utilized...
November 3, 2018: Biomedicine & Pharmacotherapy, Biomédecine & Pharmacothérapie
Inmaculada C Álvarez-Gallardo, Julia Bidonde, Angela Busch, Marie Westby, Glen P Kenny, Manuel Delgado-Fernández, Ana Carbonell-Baeza, Prinon Rahman, Gino De Angelis, Lucie Brosseau
BACKGROUND: This study aimed (1) to evaluate the therapeutic validity of exercise interventions included in a previous umbrella systematic review of high-quality randomized controlled trials (RCTs) in the management of fibromyalgia; and (2) to explore whether exercise interventions with high therapeutic validity and that meet the 2013 American College of Sports Medicine (ACSM) guidelines are positively associated with greater pain relief. METHODS: Therapeutic validity was evaluated based on the CONsensus on Therapeutic Exercise and Training (CONTENT) scale, in high methodological quality RCTs found in the nine systematic reviews of a previous umbrella review on exercise interventions in the management of fibromyalgia...
October 1, 2018: Journal of Sports Medicine and Physical Fitness
Alexandro Andrade, Sofia Mendes Sieczkowska, Guilherme Torres Vilarino
BACKGROUND: Patients with primary symptoms of fibromyalgia (FM) have a lower quality of life than healthy people of the same age. The current treatment for FM is palliative, as there is no cure. Therefore, among strategies used to alleviate the symptoms, physical exercise has been recommended. OBJECTIVE: To investigate the effects of a resistance training (RT) program on quality of life and associated factors in patients with FM. DESIGN: Non-randomized clinical trial...
September 25, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
Alyssa M Peckham, Kirk E Evoy, Leslie Ochs, Jordan R Covvey
Gabapentin is widely used in the United States for a number of off-label indications, often as an alternative to opioid therapy. Increasing evidence has emerged suggesting that gabapentin may not be as benign as once thought and may be associated with substance abuse in concert with opioids. With concerns for safety mounting, it is prudent to examine the efficacy of gabapentin across its many uses to understand the risk-benefit balance. Reviews on off-label indications such as migraine, fibromyalgia, mental illness, and substance dependence have found modest to no effect on relevant clinical outcomes...
2018: Substance Abuse: Research and Treatment
Roberta P da Cunha Ribeiro, Tathiane C Franco, Ana J Pinto, Marco A G Pontes Filho, Diogo S Domiciano, Ana L de Sá Pinto, Fernanda R Lima, Hamilton Roschel, Bruno Gualano
Exercise is the treatment of choice for fibromyalgia (FM), but little is known about resistance exercise prescription to modulate pain in this condition. This study aimed to compare the effects of different resistance exercise models, comprising self-selected or prescribed intensity, on pain in FM patients. In a cross-over fashion, 32 patients underwent the following sessions: (i) standard prescription (STD; 3 × 10 repetitions at 60% of maximal strength); (ii) self-selected load with fixed number of repetitions (SS); (iii) self-selected load with volume load (i...
2018: Frontiers in Physiology
Ericka N Merriwether, Laura A Frey-Law, Barbara A Rakel, Miriam B Zimmerman, Dana L Dailey, Carol G T Vance, Meenakshi Golchha, Katherine M Geasland, Ruth Chimenti, Leslie J Crofford, Kathleen A Sluka
BACKGROUND: Although exercise is an effective treatment for fibromyalgia, the relationships between lifestyle physical activity and multiple symptomology domains of fibromyalgia are not clear. Thus, the purpose of this study was to comprehensively examine the relationships between lifestyle physical activity with multiple outcome domains in women with fibromyalgia, including pain, fatigue, function, pain-related psychological constructs, and quality of life. METHODS: Women (N = 171), aged 20 to 70 years, diagnosed with fibromyalgia, recruited from an ongoing two-site clinical trial were included in this prespecified subgroup analysis of baseline data...
August 29, 2018: Arthritis Research & Therapy
Nathaly Gaudreault, Pierre Boulay
This review presents and addresses the conflicting results on cardiorespiratory fitness among adults with fibromyalgia. The heterogeneity in study designs, symptom severity and the assessment protocols might partly explain these conflicting results. It also presents the possible relationship between cardiorespiratory fitness and exercise prescription, attrition from exercise/rehabilitation programmes and independence with activities of daily living. Cardiorespiratory fitness might impact aerobic exercise and independence in daily activities of patients with fibromyalgia, which is often concomitantly diagnosed in patients with sleep disordered breathing, including patients with obstructive sleep apnoea...
June 2018: Breathe
Daniel A Ostrovsky
No abstract text is available yet for this article.
September 2018: Explore: the Journal of Science and Healing
Álvaro Megía García, Diego Serrano-Muñoz, Elisabeth Bravo-Esteban, Sara Ando Lafuente, Juan Avendaño-Coy, Julio Gómez-Soriano
OBJECTIVE: To determine whether transcutaneous electrical nerve stimulation (TENS) has an analgesic effect greater than placebo or other treatments in patients with fibromyalgia. Furthermore, it was intended to analyze the optimal application parameters to achieve a greater reduction of pain. DESIGN: A systematic review. DATA SOURCE: Randomized clinical trials on the effect of TENS on fibromyalgia in the databases Pubmed, Cochrane and PEDro until November 2016...
July 17, 2018: Atencion Primaria
Susan Lee King Yuan, Amélia Pasqual Marques
Fibromyalgia is a rheumatic syndrome characterised by chronic widespread pain, often associated with fatigue, unrefreshed sleep and cognitive problems. Effective management of fibromyalgia requires a proactive approach in which the patient takes responsibility for self-care. The purpose of this research was to develop an application (app) for promoting self-care as a complementary Mobile Health resource to physical therapy in the management of fibromyalgia. The app was developed in five stages, according to the prototyping paradigm...
September 2018: Physiotherapy
Carolina P Andrade, Antonio R Zamunér, Meire Forti, Nayara Y Tamburús, Ester Silva
BACKGROUND: Aquatic physical training (APT) promotes improvement of clinical symptoms and aerobic functional capacity in women with fibromyalgia syndrome (FMS). However, there are controversial studies that refer to the maintenance of adaptations obtained from APT after a detraining period. AIM: To evaluate variables oxygen uptake (VO2) relative to lean body mass (LBM) and clinical symptomatology in women with FMS submitted to APT and after 16 weeks of detraining period, and to evaluate the association between the magnitude of VO2 improvement relative to LBM and clinical symptomatology...
July 6, 2018: European Journal of Physical and Rehabilitation Medicine
Winfried Häuser, Mary-Ann Fitzcharles
Fibromyalgia (FM) is characterized by chronic widespread pain, unrefreshing sleep, physical exhaustion, and cognitive difficulties. It occurs in all populations throughout the world, with prevalence between 2% and 4% in general populations. Definition, pathogenesis, diagnosis, and treatment of FM remain points of contention, with some even contesting its existence. The various classification systems according to pain medicine, psychiatry, and neurology (pain disease; persistent somatoform pain disorder; masked depression; somatic symptom disorder; small fiber neuropathy; brain disease) mostly capture only some components of this complex and heterogeneous disorder...
March 2018: Dialogues in Clinical Neuroscience
Daniel Germano Maciel, Marianne Trajano da Silva, José Antônio Rodrigues, João Batista Viana Neto, Ingrid Martins de França, Ana Beatriz Medeiros Melo, Therence Yves Pereira Barros da Silva, Wouber Hérickson de Brito Vieira
This study aims to investigate the effects of low-level laser therapy (LLLT) combined to a functional exercise program on treatment of FM. A double-blind and placebo-controlled randomized clinical trial composed of 22 women divided into two groups: placebo group (functional exercise program associated with placebo phototherapy n = 11) and laser group (same exercise program associated with active phototherapy; n = 11). Each session lasted from 40 to 60 min and was performed three times a week for 8 weeks...
June 21, 2018: Lasers in Medical Science
Klaus Felix Stein, Adriana Miclescu
Background In recent years, multidisciplinary rehabilitation (MDR) became an alternative treatment option for chronic non-cancer pain. MDR is mostly available in specialized pain units, usually at rehabilitation centers where the level of knowledge and therapeutically options to treat pain conditions are considered to be high. There is strong evidence that MDR in specialized pain units is affecting pain and improves the quality of life in a sustainable manner. There are few studies about MDR outcome in primary health care, especially in those units situated in rural areas and with a different population than that encountered in specialized hospitals...
October 1, 2013: Scandinavian Journal of Pain
Roland Staud
No abstract text is available yet for this article.
June 19, 2018: Annals of Internal Medicine
Kati Thieme, Tina Meller, Ulrika Evermann, Robert Malinowski, Marc Mathys, Richard H Gracely, William Maixner, Dennis C Turk
AIM: An intrinsic pain regulatory system is modulated by both cardiovascular dynamics that influence baroreflex sensitivity (BRS) and diminished in Fibromyalgia (FM). Baroreceptors relay cardiovascular output to the dorsal medial nucleus tractus solitarius reflex arcs that regulate pain, sleep, anxiety, and blood pressure. This study evaluated the effects of Systolic Extinction Training (SET), which combines operant treatment (OT) with BaroReflexTraining (BRT). BRT delivers peripheral electrical stimulation within a few milliseconds of the systolic or diastolic peak of the cardiac cycle...
June 8, 2018: Arthritis Care & Research
Trond Haugmark, Kåre Birger Hagen, Sella Aarrestad Provan, Elisebeth Bærheim, Heidi A Zangi
INTRODUCTION: People with fibromyalgia (FM) suffer from symptoms such as widespread pain, non-refreshing sleep, fatigue and reduced quality of life. Effects of pharmacological treatment are questionable and non-pharmacological treatments are recommended as first-line therapy. To date the majority of patients with FM in Norway are not offered any targeted treatment. The aim of this randomised controlled trial is to investigate the effects of a community-based multicomponent rehabilitation programme comprising an acceptance-based and mindfulness-based group intervention, the Vitality Training Programme (VTP), followed by tailored physical activity counselling...
June 4, 2018: BMJ Open
José Cortez Assunção Júnior, Hugo Jario de Almeida Silva, José Felipe Costa da Silva, Rafaela da Silva Cruz, Caio Alano de Almeida Lins, Marcelo Cardoso de Souza
INTRODUCTION: The importance of physical exercise for patients with fibromyalgia (FM) is very clear in the literature. Dancing is a type of aerobic exercise that has great acceptance. In addition to the beneficial effects of aerobic exercise, Zumba works on motor coordination and also has socializing as a part that should be included in patients with fibromyalgia. OBJECTIVES: To evaluate the effectiveness of Zumba dancing in improving pain, functional capacity, quality of sleep and quality of life of women with fibromyalgia...
April 2018: Journal of Bodywork and Movement Therapies
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