Background Fibromyalgia (FM) is a syndrome expressed by chronic widespread pain which leads to reduced physical function and frequent use of healthcare services (1). The beneficial effects of a relaxation training and aerobic exercise in the management of fibromyalgia (FM) patients were recognized (2).
Objectives In our study - a single blind randomized controlled trial – was assessed the effects of a standardized 6 week home training (relaxation training – autotraining Scultz and submaximal aerobic exercise daily) on pain, functional ability, and quality of life in females with FM.
Methods 36 females diagnosed with FM by ACR criteria were randomized into two groups: group 1 – 18 females (G1) was treated by complex therapy (pharmacotherapy, 6 week home training), and group 2 – 18 females control (G2), receiving only pharmacotherapy. We measured pain (quantified with algometer and visual analogue scale), quality of life (Spitzer scale) and value of Fibromyalgia Impact Questionnaire (FIQ). Instruction in home training techniques was given by physiotherapists.
Results The improvements were found FIQ (45.5% in G1 and 28.5% in G 2, respectively) (p<0.05) and improvement in G1 was significantly higher than G2 (p<0.01). VAS scores for pain reduced in all females; this reduction was significantly higher in G1. The algometer values measured in tender points decreased significantly, especially in lower limbs. The quality of life (Spitzer Scale) was significant improved in G1 group (51%).
Conclusions Home training program, based on relaxation training and aerobic exercises, can lead to long-term success for quality of life and clinical status in females with FM. All patients proved compliance to the daily training protocol (autotraining Schultz and submaximal aerobic program) was daily applied in the management of females with FM, especially. Early implementation of self management training in association with controlled medication may be a successful key for improvement of quality of life in females with FM.
Busch A.J., Schachter C.L., Overend T.J. et.al., J Rheumatol. 2008; 35(6):1130-44.
Persson A.L., Veenhuizen H., Zachrison L., Gard G., Physical Therapy Reviews 2008; Volume 13, Issue 5, pp. 355-365.
Disclosure of Interest None declared
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