Stretching and Strengthening Exercise in Fibromyalgia Patients

Study Overview
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Brief Summary
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Fibromyalgia is a rheumatologic syndrome characterized by widespread chronic pain, tender points and other symptoms as fatigue, sleep disturbances, anxiety and depression. Therapeutic exercises are described as an important form to management of symptoms. This study aims to assess strengthening and stretching exercise efficacy in symptoms and quality of life of Fibromyalgia patients. The study is done at General Clinical Hospital of Medicine Scholl of University of Sao Paulo. 63 subjects undergo the study and they are divided into three groups: 1 strengthening exercise, 2 stretching exercise and 3 control group. Patients are evaluated by following instruments: Fibromyalgia Impact Questionnaire, Medical Outcomes Study 36-item Short-Form Health Survey (SF-36), Stanford Health Assessment Questionnaire, dolorimetry at tender points by a Fischer dolorimeter, finger-to-tip floor test for muscular flexibility, dynamometer EMG System do Brasil for strength test of extension and flexion of knees and elbows, time to get up and go test, functional reach test, sit-to-stand test. Subjects of 1 strengthening exercise group undergo a global strengthening program and 2 stretching exercise group undergo a global stretching program. All programs have 12 weeks of duration and physical therapy is twice a week. The control group does not do any intervention during 12 weeks and after the second evaluation they enter the common program of physical therapy. Data are being analyzed by descriptive and interferential statistics procedures.

Detailed Description
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In this study, were included subjects with fibromyalgia diagnosis aged between 30 and 55 years old. We aimed to assess the effect of a physical therapy program on impact of fibromyalgia syndrome and quality of life.

Official Title
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Stretching and Strengthening Exercise in Treatment of Fibromyalgia Patients: a Randomized Clinical Trial

Conditions
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Fibromyalgia Syndrome

Intervention / Treatment
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* Other: Strengthening Exercises
* Other: Stretching exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Fibromyalgia diagnosis according to American Rheumatology Criteria Aged between 30 and 55 years old Exclusion Criteria: Severe rheumatologic syndromes neurologic syndromes

Ages Eligible for Study
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Minimum Age: 30 Years
Maximum Age: 55 Years

Sexes Eligible for Study
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Female

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
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Strengthening exercise<br>This group does global strengthening exercise | Other: Strengthening Exercises<br>* Exercises that aim the improvement of muscular strength of arms and legs<br>* Other names: strengh exercise;|
| Experimental: Stretching exercise<br>This group does global stretching exercise | Other: Stretching exercises<br>* Exercises that aim the improvement of muscular flexibility of arms, legs and spine<br>* Other names: flexibility exercise;|
| No Intervention: Control<br>This group does nor do any kind of exercise during the study | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Fibromyalgia Impact Questionnaire |  | before and after treatment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Medical Outcomes Study 36-item Short-Form Health Survey (SF-36), Stanford Health Assessment Questionnaire |  | before and after treatment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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fibromyalgia, exercise, strength, stretch