Effects of rehabilitative exercise on quality of life in patients with fibromyalgia. Clinical trials review
DOI:
https://doi.org/10.56294/ri202223Keywords:
Fibromyalgia, Exercise Therapy, Muscle Stretching ExercisesAbstract
Introduction: Fibromyalgia is a chronic disease characterized by widespread pain, fatigue and sleep disorders. Although there is no cure, multidisciplinary treatment, including lifestyle changes, cognitive-behavioral therapy and medications, can help control symptoms and improve quality of life.
Methods: a systematic review of clinical studies investigating the effectiveness of exercise in patients with fibromyalgia was conducted during the period from 2017 to 2021. A total of 29 relevant scientific articles that met the established inclusion criteria and filters were identified and evaluated.
Results: studies have shown that various physical activity interventions can have a positive impact on symptoms and quality of life in fibromyalgia patients, although efficacy may vary by modality. Obesity may moderate the benefits of treatment, and it is suggested that staying active may be an effective strategy in the management of fibromyalgia.
Conclusions: the most effective interventions were low-intensity physical exercise programs, such as resistance and coordination training; muscle stretching exercises and resistance training; core strengthening exercises and stretching exercises; and Tai Chi.
References
1. Bair MJ, Krebs EE. Fibromyalgia. Ann Intern Med. 3 de marzo de 2020;172(5):ITC33-48.
2. Maffei ME. Fibromyalgia: Recent Advances in Diagnosis, Classification, Pharmacotherapy and Alternative Remedies. Int J Mol Sci. 23 de octubre de 2020;21(21):7877.
3. Kaltsas G, Tsiveriotis K. Fibromyalgia. En: Feingold KR, Anawalt B, Blackman MR, Boyce A, Chrousos G, Corpas E, et al., editores. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000 [citado 16 de julio de 2023]. Disponible en: http://www.ncbi.nlm.nih.gov/books/NBK279092/
4. Neumeister MW, Neumeister EL. Fibromyalgia. Clin Plast Surg. abril de 2020;47(2):203-13.
5. Tzadok R, Ablin JN. Current and Emerging Pharmacotherapy for Fibromyalgia. Pain Res Manag. 2020;2020:6541798.
6. Clauw DJ. Fibromyalgia: a clinical review. JAMA. 16 de abril de 2014;311(15):1547-55.
7. Borisovskaya A, Chmelik E, Karnik A. Exercise and Chronic Pain. Adv Exp Med Biol. 2020;1228:233-53.
8. Siracusa R, Paola RD, Cuzzocrea S, Impellizzeri D. Fibromyalgia: Pathogenesis, Mechanisms, Diagnosis and Treatment Options Update. Int J Mol Sci. 9 de abril de 2021;22(8):3891.
9. Chinn S, Caldwell W, Gritsenko K. Fibromyalgia Pathogenesis and Treatment Options Update. Curr Pain Headache Rep. abril de 2016;20(4):25.
10. Tomaino L, Serra-Majem L, Martini S, Ingenito MR, Rossi P, La Vecchia C, et al. Fibromyalgia and Nutrition: An Updated Review. J Am Coll Nutr. 2021;40(7):665-78.
11. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. Declaración PRISMA 2020: una guía actualizada para la publicación de revisiones sistemáticas. Revista Española de Cardiología. septiembre de 2021;74(9):790-9.
12. Izquierdo-Alventosa R, Inglés M, Cortés-Amador S, Gimeno-Mallench L, Chirivella-Garrido J, Kropotov J, et al. Low-Intensity Physical Exercise Improves Pain Catastrophizing and Other Psychological and Physical Aspects in Women with Fibromyalgia: A Randomized Controlled Trial. Int J Environ Res Public Health. 21 de mayo de 2020;17(10):3634.
13. Assumpção A, Matsutani LA, Yuan SL, Santo AS, Sauer J, Mango P, et al. Muscle stretching exercises and resistance training in fibromyalgia: which is better? A three-arm randomized controlled trial. Eur J Phys Rehabil Med. octubre de 2018;54(5):663-70.
14. Park HK, Song MK, Kim DJ, Choi IS, Han JY. Comparison of core muscle strengthening exercise and stretching exercise in middle-aged women with fibromyalgia: A randomized, single-blind, controlled study. Medicine (Baltimore). 17 de diciembre de 2021;100(50):e27854.
15. Wang C, Schmid CH, Fielding RA, Harvey WF, Reid KF, Price LL, et al. Effect of tai chi versus aerobic exercise for fibromyalgia: comparative effectiveness randomized controlled trial. BMJ. 21 de marzo de 2018;360:k851.
16. Andrade CP, Zamunér AR, Forti M, Tamburús NY, Silva E. Effects of aquatic training and detraining on women with fibromyalgia: controlled randomized clinical trial. Eur J Phys Rehabil Med. febrero de 2019;55(1):79-88.
17. Andersson UM, Åberg AC, von Koch L, Palstam A. Women with Fibromyalgia Prefer Resistance Exercise with Heavy Loads-A Randomized Crossover Pilot Study. Int J Environ Res Public Health. 10 de junio de 2021;18(12):6276.
18. Bjersing JL, Larsson A, Palstam A, Ernberg M, Bileviciute-Ljungar I, Löfgren M, et al. Benefits of resistance exercise in lean women with fibromyalgia: involvement of IGF-1 and leptin. BMC Musculoskelet Disord. 14 de marzo de 2017;18(1):106.
19. Hernando-Garijo I, Ceballos-Laita L, Mingo-Gómez MT, Medrano-de-la-Fuente R, Estébanez-de-Miguel E, Martínez-Pérez MN, et al. Immediate Effects of a Telerehabilitation Program Based on Aerobic Exercise in Women with Fibromyalgia. Int J Environ Res Public Health. 20 de febrero de 2021;18(4):2075.
20. Arakaki JS, Jennings F, Estrela GQ, Cruz Martinelli VDG, Natour J. Strengthening exercises using swiss ball improve pain, health status, quality of life and muscle strength in patients with fibromyalgia: a randomized controlled trial. Reumatismo. 19 de abril de 2021;73(1):15-23.
21. Sauch Valmaña G, Vidal-Alaball J, Poch PR, Peña JM, Panadés Zafra R, Cantero Gómez FX, et al. Effects of a Physical Exercise Program on Patients Affected with Fibromyalgia. J Prim Care Community Health. 2020;11:2150132720965071.
22. Merriwether EN, Frey-Law LA, Rakel BA, Zimmerman MB, Dailey DL, Vance CGT, et al. Physical activity is related to function and fatigue but not pain in women with fibromyalgia: baseline analyses from the Fibromyalgia Activity Study with TENS (FAST). Arthritis Res Ther. 29 de agosto de 2018;20(1):199.
23. Haugmark T, Hagen KB, Provan SA, Smedslund G, Zangi HA. Effects of a mindfulness-based and acceptance-based group programme followed by physical activity for patients with fibromyalgia: a randomised controlled trial. BMJ Open. 29 de junio de 2021;11(6):e046943.
24. Martínez-Rodríguez A, Leyva-Vela B, Martínez-García A, Nadal-Nicolás Y. [Effects of lacto-vegetarian diet and stabilization core exercises on body composition and pain in women with fibromyalgia: randomized controlled trial]. Nutr Hosp. 1 de marzo de 2018;35(2):392-9.
25. Ernberg M, Christidis N, Ghafouri B, Bileviciute-Ljungar I, Löfgren M, Bjersing J, et al. Plasma Cytokine Levels in Fibromyalgia and Their Response to 15 Weeks of Progressive Resistance Exercise or Relaxation Therapy. Mediators Inflamm. 2018;2018:3985154.
26. Park M, Bannuru RR, Price LL, Harvey WF, Driban JB, Wang C. Effective recruitment strategies in an exercise trial for patients with fibromyalgia. Trials. 21 de agosto de 2021;22(1):557.
27. Jablochkova A, Bäckryd E, Kosek E, Mannerkorpi K, Ernberg M, Gerdle B, et al. Unaltered low nerve growth factor and high brain-derived neurotrophic factor levels in plasma from patients with fibromyalgia after a 15-week progressive resistance exercise. J Rehabil Med. 29 de octubre de 2019;51(10):779-87.
28. Kashikar-Zuck S, Black WR, Pfeiffer M, Peugh J, Williams SE, Ting TV, et al. Pilot Randomized Trial of Integrated Cognitive-Behavioral Therapy and Neuromuscular Training for Juvenile Fibromyalgia: The FIT Teens Program. J Pain. septiembre de 2018;19(9):1049-62.
29. Black WR, DiCesare CA, Thomas S, Pfeiffer M, Williams SE, Kitchen K, et al. Preliminary Evidence for the Fibromyalgia Integrative Training Program (FIT Teens) Improving Strength and Movement Biomechanics in Juvenile Fibromyalgia: Secondary Analysis and Results from a Pilot Randomized Clinical Trial. Clin J Pain. enero de 2021;37(1):51-60.
30. Kim S, Slaven JE, Ang DC. Sustained Benefits of Exercise-based Motivational Interviewing, but Only among Nonusers of Opioids in Patients with Fibromyalgia. J Rheumatol. abril de 2017;44(4):505-11.
31. Andrade CP, Zamunér AR, Forti M, França TF, Tamburús NY, Silva E. Oxygen uptake and body composition after aquatic physical training in women with fibromyalgia: a randomized controlled trial. Eur J Phys Rehabil Med. octubre de 2017;53(5):751-8.
32. Mannerkorpi K, Landin-Wilhelmsen K, Larsson A, Cider Å, Arodell O, Bjersing JL. Acute effects of physical exercise on the serum insulin-like growth factor system in women with fibromyalgia. BMC Musculoskelet Disord. 25 de enero de 2017;18(1):37.
33. Tran ST, Guite JW, Pantaleao A, Pfeiffer M, Myer GD, Sil S, et al. Preliminary Outcomes of a Cross-Site Cognitive-Behavioral and Neuromuscular Integrative Training Intervention for Juvenile Fibromyalgia. Arthritis Care Res (Hoboken). marzo de 2017;69(3):413-20.
34. de Carvalho MS, Carvalho LC, Alves R da S, Menezes F da S, Gomes E da C, Frazin A, et al. Analysis of the Muscular Activity, Peak Torque in the Lower Limbs, and Static Balance after Virtual Rehabilitation in Women with Fibromyalgia: A Randomized Controlled Study. Games Health J. junio de 2021;10(3):190-7.
35. Fussner LM, Black WR, Lynch-Jordan A, Morgan EM, Ting TV, Kashikar-Zuck S. Utility of the PROMIS Pediatric Pain Interference Scale in Juvenile Fibromyalgia. J Pediatr Psychol. 1 de mayo de 2019;44(4):436-41.
36. Serrat M, Coll-Omaña M, Albajes K, Solé S, Almirall M, Luciano JV, et al. Efficacy of the FIBROWALK Multicomponent Program Moved to a Virtual Setting for Patients with Fibromyalgia during the COVID-19 Pandemic: A Proof-of-Concept RCT Performed Alongside the State of Alarm in Spain. Int J Environ Res Public Health. 30 de septiembre de 2021;18(19):10300.
37. Villafaina S, Collado-Mateo D, Domínguez-Muñoz FJ, Gusi N, Fuentes-Garcia JP. Effects of exergames on heart rate variability of women with fibromyalgia: A randomized controlled trial. Sci Rep. 20 de marzo de 2020;10(1):5168.
38. Kaleth AS, Slaven JE, Ang DC. Obesity Moderates the Effects of Motivational Interviewing Treatment Outcomes in Fibromyalgia. Clin J Pain. enero de 2018;34(1):76-81.
39. Mingorance JA, Montoya P, Vivas Miranda JG, Riquelme I. A Comparison of the Effect of Two Types of Whole Body Vibration Platforms on Fibromyalgia. A Randomized Controlled Trial. Int J Environ Res Public Health. 15 de marzo de 2021;18(6):3007.
40. Jones GT, Macfarlane GJ, Walker-Bone K, Burton K, Heine P, McCabe C, et al. Maintained physical activity and physiotherapy in the management of distal arm pain: a randomised controlled trial. RMD Open. 2019;5(1):e000810.
Published
Issue
Section
License
Copyright (c) 2022 Leandro Mendoza Rivas, Ismael Lázaro Armenta Alcocer (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.