[en] Introduction: Fibromyalgia (FM) is a syndrome characterized by pain and hypersensitivity muscular-skeletal, widespread and chronic, which is associated with a great number of symptoms neuropsychological and that causes a reduction in the quality of life of who suffers it. This syndrome is diagnosed according to the criteria of the ACR 1990 and affects 4 per cent of Spanish women adults causing large health costs. We don´t know the exact etiology although is now included in the so-called syndromes of awareness central. Current treatments include the field pharmacologic (pharmacy acting at the level of the central nervous system), the manual therapy (mass therapy, puncture dry), physiotherapy with physical media (laser, TENS), the exercise (aerobic, strengthening and flexibility), interventions mind-body (biodanza, Tai-Chi) and cognitive-behavioral therapy. However, the trend is increasingly toward the use of a combination of several therapies within a program of multidisciplinary intervention. Objective: To compare the impact of the inclusion of a program of cognitive-behavioral therapy and physiotherapy passive techniques in a program of aerobic exercise in adult women with fibromyalgia. Material and methods: poses a quasi-experimental study simple blind. Will be carried out with a group of 64 adult women, distributed in two groups who come to the Association of A Coruña of fibromyalgia, chronic fatigue syndrome and sensibility Multiple Chemical (ACOFIFA). All participants will receive a program of aerobic exercise of 2 weekly sessions of 1 hour, during 16 weeks. The control group will receive an additional 1 weekly intervention of mass therapy and TENS, while the experimental group will participate weekly in a program of cognitive-behavioral therapy and health education. Will be carried out records pre and post-intervention, as well as two records of follow-up to the six and twelve months after having completed both interventions. The dependent variables will be pain (algometry of pressure, EVA, McGill), sleep disorders (PSQI), depression (HADS), Fatigue (MFI), physical dysfunction (FIQ, SF-36) and cognitive dysfunction (CAD and PCS). The investigator of the measurements shall be blinded. The data will be treated with the SPSS statistical software and will analyze the effects of intra-group using a Student T test for related samples and the effects inter group using a Student T test for independent samples.

[gl] Introdución: A fibromialxia (FM) é unha síndrome caracterizada por dor e hipersensibilidade músculo-esquelética, xeneralizada e crónica, que se asocia con un gran número de síntomas neuropsicolóxicos e que ocasiona unha diminución da calidade de vida de quen o padece. Este síndrome diagnostícase seguindo os criterios do ACR de 1990 e afecta ao 4% das mulleres españolas adultas ocasionando grandes custos sanitarios. Descoñécese a súa etioloxía exacta aínda que, na actualidade, inclúese nas denominadas síndromes de sensibilización central. Os tratamentos actuais inclúen o campo farmacolóxico (fármacos que actúan a nivel do sistema nervioso central), a terapia manual (masoterapia, punción seca, etc.), fisioterapia con medios físicos (láser, TENS), o exercicio (aerobio, de fortalecemento e flexibilidade), intervencións mente-corpo (biodanza, Tai-Chi) e a terapia cognitivo-condutual. Sen embargo, cada vez téndese máis cara o uso dunha combinación de varias terapias dentro dun programa de intervención multidisciplinar. Obxectivo: Comparar os efectos da inclusión dun programa de terapia cognitivo-condutual e de técnicas de fisioterapia pasivas nun programa de exercicio aerobio en mulleres adultas con fibromialxia. Material e métodos: Proponse un estudo cuasi-experimental a simple cego. Vaise realizar cun grupo de 64 mulleres adultas, distribuídas en dous grupos, que acudan á Asociación Coruñesa de Fibromialgia, Síndrome de Fatiga Crónica y Sensibilidad Química Múltiple (ACOFIFA). Todos os participantes recibirán un programa de exercicio aerobio de 2 sesións semanais de 1 hora, durante 16 semanas. O grupo control recibirá adicionalmente 1 intervención semanal de masoterapia + TENS mentres que o grupo experimental participará semanalmente nun programa de terapia cognitivo-condutual i educación sanitaria. Levaranse a cabo rexistros pre e post-intervención, así como dous rexistros de seguimento aos seis e doce meses tras finalizar ambas intervencións. As variables dependentes serán dor (algometría de presión, EVA, SF-McGill), trastorno do sono (PSQI), depresión (HADS), fatiga (MFI), disfunción física (FIQ, SF-36) e disfunción cognitiva (CAD e PCS). O investigador responsable das medicións será cegado. Os datos serán tratados co software estatístico SPSS, e analizaranse os efectos intragrupo mediante unha proba T de Student para mostras relacionadas e os efectos intergrupo empregando unha proba T de Student para mostras independentes.