Article Text

SAT0589-HPR Benefits of Strengthening Exercises with the Aid of Swiss Ball in Patients with Fibromyalgia: a Randomized Controlled Trial
  1. J. S. Arakaki1,
  2. F. Jennings1,
  3. G. Q. Estrela1,
  4. V. da Cruz1,
  5. J. Natour1
  1. 1rheumatology, UNIFESP, São Paulo, Brazil


Background Fibromyalgia isa painful syndrome that determines global reduction in physical capacity. Exercises are essential in the treatment of FM, and currently, muscle strengthening have shown promising results.

Objectives To evaluate the effectiveness of strengthening exercises using a Swiss Ball in the treatment of FM.

Methods Sixty patients with FM were selected and randomized into two groups: intervention group (IG) who performed strength training using a Swiss ball and control group (CG) who performed stretching exercises. The trainings were performed 3 times per week, lasting 40 minutes. The IG performed strengthening exercises with a Swiss ball with the aim of recruiting the major muscle groups: deltoid, biceps, triceps, pectoralis major, rhomboid, trapezius, latissimus dorsi, retus abdominal. The control group performed stretching exercises for the same muscle groups trained by IG. Measuring instruments: VAS (visual analogue scale) to evaluate pain; the 1 RM (1-repetition maximum) test to assess muscle strength; FIQ (fibromyalgia impact questionaire) to assess the impact of disease; and the SF-36 questionnaire to evaluate general quality of life. All participants underwent an evaluation at the beginning and at 6 (T6) and 12 (T12) weeks after randomization.

Results At baseline, the two groups were homogeneous regarding demographic and clinical characteristics. The IG showed statistically significant improvement (p <0.05) in VAS for pain and FIQ compared to GC at T6 and T12. IG showed significant improvement of muscle strength evaluated by the loads in most prescribed exercises compared to the control group over time. Both groups improved their overall quality of life, but without significant differences between groups.

Conclusions The strengthening exercise program using a Swissball determined improvement in pain, health-related quality of life and muscle strength in patiemnts with FM compared with the stretching exercises, without deleterious effects.

References Bellato. E; Marini. E; Castoldi. F; Barbasetti. N; Mattei. L; Bonasia. D. E; Blonda. D. Fibromialgya Syndrome: Etiologya, Pathogenesis, Diagnosis, and Treatment. Pain Research and Treatment. 2012.

Busch, A. J; Webber. S. C; Brachaniec. M; Bidonde. J; Dal Bello-Hass. V; Danyliw. A; Overend. T. J; Richards. R. S. Exercise Therapy for Fibromialgya. Current Pain and Headache Reports. 15(5), p. 358-367, 2011.

Lehman, G. J; Gordon, T; Langley, J; Pemrose, P; Tregaskis, S. Replacing a Swiss ball for an exercise bench causes variable changes in trunk muscle activity during upper limb strength exercises. Dyn Med. 3; 4:6, 2005.

Disclosure of Interest None Declared

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