AB1379-HPR EFFECTS OF DIFFERENT EXERCISE MODELS ON PAIN, FUNCTIONALITY, BALANCE, PROPRIOCEPTION AND COGNITION FEATURES OF PATIENTS DIAGNOSED WITH FIBROMYALGIA
Authors: Hadi Yavuz, Türker Şahinkaya, Ayşegül Ketenci, Gökhan Metin
Journal: Annals of the Rheumatic Diseases (2019)

<h3>Background</h3> Fibromyalgia syndrome (FMS) is a chronic disease characterized by diffuse pain, fatigue, sleep disturbance, cognitive impairment, and other physical symptoms that adversely affect physical and sensory functions and impair quality of life. Nowadays, in the treatment of FMS, low intensity aerobic exercises and exercise programs combined with other treatment methods are recommended. <h3>Objectives</h3> The aim of this study was to evaluate the effects of aerobic and balance-proprioception exercises on the symptoms of Fibromyalgia (FMS) and the superiority of the two exercise models. <h3>Methods</h3> 51 female patients who adhere to the inclusion criteria were divided into two groups randomly. Aerobic Exercise Group (AEG; n=26) and Balance-Proprioceptive Exercise Group (BPEG; n=25) was applied to the exercise laboratory under the supervision of physiotherapist in Istanbul Medical Faculty, Department of Sports Medicine 3 days a week for 6 weeks. Before and after the program Pain (VAS), functional status (FIQ), postural stability (Biodex balance system), knee joint proprioception (Cybex isokinetic dynamometer) were evaluated. Cognitive status was assessed by Standardized Mini Mental State Examination (SMMSE) only before program. <h3>Results</h3> There wasnt statistically significant difference between demographic (age, weigh, BMI etc.) and clinic (VAS, FIO, Biodex, Cybex, SMMSE) features of the groups at the beginning (p&gt;0.05). Parameters measured in both groups after exercise programs showed progress compared to initial levels (p&lt;0.05). There aren`t superiority between two exercise groups in terms of VAS, FIQ scores (p&gt;0.05). Recovery is found to be superior at BPEG in balance parameters (eyes open overall stability index (EOOSI) and eyes open anterioposterior stability index (EOAPSI)) and some parameters that belongs to proprioception (p&lt;0.05). <h3>Conclusion</h3> It is determined that aerobic exercise and balance-proprioception exercise programs at/in FMS are effective -in positive way- methods for functionality, pain, proprioception and balance parameter recovery of the patients. Except EOOSI and EOAPSI balance parameter values; according to other parameters it is found that aerobic exercise and balance-proprioception exercises are equal to each other. It is found out that balance-proprioception exercises are superior to aerobic exercises for improving EOOSI and EOAPSI. It is revealed that balance proprioception exercises are more effective for curing proprioception. It is observed that patients with FMS had deterioration in cognitive functions. <h3>Keywords</h3> Fibromyalgia, aerobic exercise, balance, proprioception, cognition <h3>References</h3> [1] Duruturk N, Tuzun EH, Culhaoglu B. Is balance exercise training as effective as aerobic exercise training in fibromyalgia syndrome? Rheumatology international. 2015;35(5):845-54. [2] Kibar S, Yıldız HE, Ay S, Evcik D, Ergin ES. New approach in fibromyalgia exercise program: a preliminary study regarding the effectiveness of balance training. Archives of physical medicine and rehabilitation. 2015;96(9):1576-82. <h3>Disclosure of Interests</h3> None declared