OP0077 Effectiveness of 8-weeks supervised and non-supervised aerobic exercise programson clinic findings,functional status and qality of life in the patients with fibromyalgia syndrome
Authors: A. Ozyasar, A.G. Karatepe
Journal: Annals of the Rheumatic Diseases (2018)

<h3>Background</h3> Fibromyalgia syndrome, aerobic exercise. <h3>Objectives</h3> This study was planned to evaluate the effectiveness of 8 weeks supervised and non-supervised aerobic exercise programs on clinic findings, functional status and quality of life in the patients with fibromyalgia syndrome. <h3>Methods</h3> A total of 120 patients who received the diagnosis of fibromyalgia syndrome according to <sup><sup>ACR 2010</sup></sup> Fibromyalgia classification criteria were enrolled into the study. Patients were randomised into three groups ;Supervised aerobic exercise group (Group 1, 40 subjects), non-supervised aerobic exercise group (Group 2, 40 subjects), and control group (Group 3, 40 subjects). Fatigue, depression, functional status, physical function, and quality of life of patients were evaluated before and after the treatment. Visual Analogue Scale (VAS) was used to assess the fatigue level. The level of depression was evaluated by Zung Depression Scale (ZDS). The evaluation of functional status was performed using Fibromyalgia Impact Questionnaire (FIQ). The quality of life of patients was investigated by Nottingham Health Profile (NHP). 6-metre walking distance test was used for the assessment of the physical function. <h3>Results</h3> After the exercise program, it was observed that there was a statistically significant improvement in both exercise groups for all evaluated parameters (fatigue, depression,functional status, physical function and quality of life), compared to the baseline (p&lt;0.05).When compared with control group, it was found that the improvement in both groups was statistically significant better than control group (p&lt;0.05).The improvement in fatigue,depression, functional status, physical function, and the Physical mobility subgroup of the quality of life was found to be better in supervised exercise group compared to the non-supervised home-based exercise group (p&lt;0.05). As for the patients in the control group, it was observed that there was no improvement in any of the evaluated parameters. <h3>Conclusions</h3> In this study it was demonstrated that both supervised and non-supervised aerobic exerciseprograms have positive effects on clinic findings, functional status and quality of life ofpatients with fibromyalgia. However, furtherstudies with a larger sample size and with a longer follow-up period are needed to support the findings of our study about the positive effects of supervised and non-supervisedaerobic exercises. <h3>References</h3> [1] Bradley LA, Alarcon GS. Fibromyalgia. In: Kopman WJ (Ed.). <i>Arthritis and allied conditions</i> (14th ed.). Philedelphia: Lippincot &amp; Williams &amp; Wilkins 2001;1811–44. [2] Yılmaz H, Uğurlu H, Sallı H. Muscle performance in patients with fibromyalgia syndrome. Rheumatism2007;22:43–7. [3] İnanıcı F. Fibromiyalji Sendromu in Beyazova M, Gökçe Kutsal Y. Editör; Fiziksel Tıp ve Rehabilitasyon. Güne&amp;scedil; Tıp Kitapevi ltd &amp;scedil;ti.2011. 2365–2374. [4] Aytür Y.K. Fibromyalji Sendromu in Ataman &amp;Scedil;, Yalçın P Editör; <i>Romatoloji; Nobel Tıp Kitabevleri</i>2012;755–775. [5] Rooks DS. Fibromyalgia treatment update. Curr Opin Rheumatol2007;19(2):111–7 [6] &amp;Scedil;endur ÖF. Ağrılı Kas Sendromları. In: Oğuz H, Dursun E, Dursun N (Eds.). <i>Tıbbı Rehabilitasyon, Nobel Tıp Kitabevi, İstanbul</i>, 2004, 1221–1238. [7] Rooks DS. Fibromyalgia treatment update. Curr Opin Rheumatol2007;19(2):111–7. <h3>Disclosure of Interest</h3> None declared