Aerobic Exercises and Postural Stabilization Exercises in Fibromyalgia Syndrome

Study Overview
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Brief Summary
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Fibromyalgia Syndrome (FMS) is a chronic rheumatic disease characterized by a wide range of symptoms such as widespread muscle pain, fatigue, sleep disturbances, anxiety-depression, impaired balance, falling risk, poor physical condition, cognitive dysfunction, and irritable bowel syndrome. The aim of the study; It is a comparison of the effectiveness of aerobic exercises and postural stabilization exercises that are structured to reduce the pain severity, fatigue, sleep problems and anxiety-depression levels of patients who are being followed up with a diagnosis of FMS, and to increase the duration of physical activity and quality of life.

Official Title
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Comparison of the Effectiveness of Structured Aerobic Exercises and Postural Stabilization Exercises in Patients With Fibromyalgia Syndrome

Conditions
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Fibromyalgia Syndrome, Physiotherapy, Rehabilitation

Intervention / Treatment
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* Other: aerobic exercise
* Other: postural stabilization exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being in the age range of 25-60 According to the 2013 American College of Rheumatology (ACR) diagnostic criteria, the Pain Placement Score (AES) is 17 and the Symptomatic Effect Score (SES) is ≥21. FMS symptoms persist for more than 3 months Ability to adapt to exercise Having the ability to use the necessary devices for web-based training Exclusion Criteria: Any disease that may hinder exercise Finding cardiological problems for aerobic exercises Presence of loss of sense and sense of position Presence of an unhealed fracture or surgical wound Patients with mental / psychotic disorders

Ages Eligible for Study
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Minimum Age: 25 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Randomized Control Study
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Structured Aerobic Exercises<br>Following the training on aerobic exercise content and effectiveness; First Week; participants 5 minutes warm-up, 20 minutes of aerobic exercise with 60-70% of maximum heart rate, and 5 minutes of cool down. In the following weeks, the aerobic exercise duration of all participants will be increased by 5 minutes compared to the previous week. The duration of the sessions in the 7th and 8th weeks will progressively progress to 40 minutes and the intensity to 75-80% of the maximum heart rate. | Other: aerobic exercise<br>* Structured aerobic exercises (Each session will consist of 50 minutes and will be divided into three parts: 5 minutes of warm-up exercises, 40 minutes of aerobic exercises, 5 minutes of cool down exercises) will be taught in the first session.<br>|
| Experimental: Postural Stabilization Exercises<br>Exercises; It will consist of postural exercises to be done in prone, supine, side lying, crawling, sitting and standing positions. All exercises will be done in 2 sets per day, the number of repetitions will be determined individually and progressed. Breathing exercises Four-way stretching and strengthening of the neck muscles Shoulder girdle stretching and strengthening exercises Hip flexors, hamstring, itb, lumbar extensor stretching and strengthening Lying down exercises in the crawling position Shuttle movement Plank movement Toe taps Bridging Straight leg lift Straight leg raises in side-lying Prone knee flexion | Other: postural stabilization exercises<br>* Structured postural stabilization exercises (strengthening exercises, balance-coordination exercises, flexibility exercises) will be taught in the first session.<br>|
| No Intervention: Control<br>The individuals without any treatment will continue their normal lives and will be included in the study as a control group. Exercise will be given after 8 weeks. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Fibromyalgia Impact Questionnaire (FIQ) | This scale; It measures 10 different characteristics: physical function, feeling unwell, not going to work, difficulty at work, pain, fatigue, morning fatigue, stiffness, anxiety and depression. Except for the sense of well-being, lower scores indicate improvement or less affected by the disease. FIQ is filled by the patient. The maximum possible score for each subtitle is 10. Thus, the total maximum score is 100. While the average FM patient gets 50 points, more severely affected FM patients usually score above 70. | change from baseline at 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual Analogue Scale (VAS) | VAS; It is a scale that provides a one-dimensional measurement of pain intensity in different adult populations. It usually consists of a 10 cm long horizontal (HVAS) or vertical (VVAS) line. In measuring the severity of pain; A score of 0 is defined as no pain, a score of 10 as worst pain possible or worst imaginable pain. Although the period of time when pain is questioned varies, the most common time for the patient's pain is the current pain or the pain experienced in the last 24 hours. | change from baseline at 8 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Aerobic Exercise, Postural Control, Fibromyalgia