There were no statistically significant differences in attrition rates between the interventions .
In general , adverse effects were poorly recorded , but no serious adverse effects were reported .
The evidence ( rated as low quality ) suggested that moderate- and moderate- to high-intensity resistance training improves multidimensional function , pain , tenderness , and muscle strength in women with fibromyalgia .
The evidence ( rated as low quality ) also suggested that eight weeks of aerobic exercise was superior to moderate-intensity resistance training for improving pain in women with fibromyalgia .
There was low- quality evidence that 12 weeks of low-intensity resistance training was superior to flexibility exercise training in women with fibromyalgia for improvements in pain and multidimensional function .
There was low- quality evidence that women with fibromyalgia can safely perform moderate- to high-resistance training
BACKGROUND Fibromyalgia is characterized by chronic widespread pain that leads to reduced physical function .
Exercise training is commonly recommended as a treatment for management of symptoms .
We examined the literature on resistance training for individuals with fibromyalgia .
Resistance training is exercise performed against a progressive resistance with the intention of improving muscle strength , muscle endurance , muscle power , or a combination of these .
OBJECTIVES To evaluate the benefits and harms of resistance exercise training in adults with fibromyalgia .
We compared resistance training versus control and versus other types of exercise training .
A combination of 6 months of treatment with pyridostigmine and triweekly exercise fails to improve insulin-like growth factor-I levels in fibromyalgia, despite improvement in the acute growth hormone response to exercise.
OBJECTIVE People with fibromyalgia ( FM ) often have low insulin-like growth factor-I ( IGF-I ) levels and a suboptimal growth hormone ( GH ) response to acute exercise . As previous work had demonstrated a normalization of the acute GH response to exercise with the use of pyridostigmine ( PYD ) , we tested the hypothesis that 6 months of PYD therapy plus supervised exercise would increase IGF-I levels . METHODS Subjects with primary FM were r and omized into 4 groups : ( 1 ) PYD/exercise ; ( 2 ) PYD/diet recall ; ( 3 ) placebo/exercise ; and ( 4 ) placebo/diet recall . The dosing of PYD was 60 mg tid for 6 months . Resting IGF-I levels were measured at baseline and after 6 months of treatment . In addition the acute GH response to exercise at VO2 max was measured at baseline and after treatment . RESULTS A total of 165 FM subjects ( mean age 49.5 yrs , 5 male ) were entered and 154 ( 93.3 % ) completed the study . Six months of therapy ( PYD plus exercise or exercise alone ) failed to improve the IGF-I levels . The use of PYD 1 hour prior to exercise improved the acute GH response ( 4.54 ng/dl ) compared to placebo ( 1.74 ng/dl ) ( p = 0.001 ) at the end of the 6-month trial . The acute GH response to exercise at baseline did not correlate with IGF-I , age , depression , medications , estrogen status , or obesity . CONCLUSION A combination of triweekly supervised exercise plus the daily use of PYD for 6 months failed to increase IGF-I levels in patients with FM , despite the confirmation that PYD normalizes the acute GH response to strenuous aerobic exercise
There were no statistically significant differences in attrition rates between the interventions .
In general , adverse effects were poorly recorded , but no serious adverse effects were reported .
The evidence ( rated as low quality ) suggested that moderate- and moderate- to high-intensity resistance training improves multidimensional function , pain , tenderness , and muscle strength in women with fibromyalgia .
The evidence ( rated as low quality ) also suggested that eight weeks of aerobic exercise was superior to moderate-intensity resistance training for improving pain in women with fibromyalgia .
There was low- quality evidence that 12 weeks of low-intensity resistance training was superior to flexibility exercise training in women with fibromyalgia for improvements in pain and multidimensional function .
There was low- quality evidence that women with fibromyalgia can safely perform moderate- to high-resistance training
BACKGROUND Fibromyalgia is characterized by chronic widespread pain that leads to reduced physical function .
Exercise training is commonly recommended as a treatment for management of symptoms .
We examined the literature on resistance training for individuals with fibromyalgia .
Resistance training is exercise performed against a progressive resistance with the intention of improving muscle strength , muscle endurance , muscle power , or a combination of these .
OBJECTIVES To evaluate the benefits and harms of resistance exercise training in adults with fibromyalgia .
We compared resistance training versus control and versus other types of exercise training .