A randomized controlled trial of deep water running: Clinical effectiveness of aquatic exercise to treat fibromyalgia

A randomized controlled trial of deep water running: Clinical effectiveness of aquatic exercise to treat fibromyalgia

Author Assis, Marcos Renato de Autor UNIFESP Google Scholar
Silva, Luciana Eduardo Autor UNIFESP Google Scholar
Alves, Adriana Martins Barros Autor UNIFESP Google Scholar
Pessanha, Ana Paula Autor UNIFESP Google Scholar
Valim, Valeria Autor UNIFESP Google Scholar
Pollak, Daniel Feldman Autor UNIFESP Google Scholar
Barros Neto, Turibio Leite de Autor UNIFESP Google Scholar
Natour, Jamil Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Objective. To compare the clinical effectiveness of aerobic exercise in the water with walking/jogging for women with fibromyalgia (FM).Methods. Sixty sedentary women with FM, ages 18-60 years, were randomly assigned to either deep water running (DWR) or land-based exercises (LBE). Patients were trained for 15 weeks at their anaerobic threshold. Visual analog scale of pain, Fibromyalgia Impact Questionnaire (FIQ), Beck Depression Inventory, Short Form 36 Health Survey (SF-36), and a patient's global assessment of response to therapy (PGART) were measured at baseline, week 8, and week 15. Statistical analysis included all patients.Results. Four patients dropped out from each group. Both groups improved significantly at week 15 compared with baseline, with an average 36% reduction in pain intensity. for PGART, 40% of the DWR group and 30% of the LBE group answered much better at posttreatment. FIQ total score and FIQ depression improvements in the DWR group were faster (week 8) than the LBE group and kept improving (week 15; P < 0.05). Only the DWR group showed improvements in SF-36 role emotional (P = 0.006). No significant between-group differences were observed for peak oxygen uptake and other outcomes.Conclusion. DWR is a safe exercise that has been shown to be as effective as LBE regarding pain. However, it has been shown to bring more advantages related to emotional aspects. Aerobic gain was similar for both groups, regardless of symptom improvement. Therefore, DWR could be studied as an exercise option for patients with FM who have problems adapting to LBE or lower limbs limitations.
Keywords fibromyalgia
treatment
hydrotherapy
physical fitness
aerobic exercise
randomized clinical trial
Language English
Date 2006-02-15
Published in Arthritis & Rheumatism-arthritis Care & Research. Hoboken: Wiley-liss, v. 55, n. 1, p. 57-65, 2006.
ISSN 0004-3591 (Sherpa/Romeo, impact factor)
Publisher Wiley-Blackwell
Extent 57-65
Origin http://dx.doi.org/10.1002/art.21693
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000236800400012
URI http://repositorio.unifesp.br/handle/11600/28748

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