Article

OBJECTIVE: To investigate the effects of supervised aerobic exercise (AE) and a
combined program of supervised aerobic, muscle strengthening, and flexibility
exercises (combined exercise [CE]) on important health outcomes in women with
fibromyalgia syndrome (FMS). Randomized controlled trial.
Community-based supervised intervention. PARTICIPANTS: Women (N=64) with a
diagnosis of FMS according to the American College of Rheumatology criteria.
Participants were randomly allocated to 1 of 3 groups: supervised
AE, supervised CE, or usual-care control. Exercise sessions were performed twice
weekly (45-60min/session) for 24 weeks. MAIN OUTCOME MEASURES: The primary
outcome measure was the Fibromyalgia Impact Questionnaire (FIQ). Exploratory
outcome measures were the 36-Item Short-Form Health Survey, Beck Depression
Inventory (BDI), aerobic capacity (6-minute walk test), hand-grip strength, and
range of motion in the shoulders and hips. RESULTS: Compliance with both
interventions was excellent, with women in the exercise groups attending more
than 85% of sessions. A 14% to 15% improvement from baseline in total FIQ score
was observed in the exercise groups (P</=.02) and was accompanied by decreases in
BDI scores of 8.5 (P<.001) and 6.4 (P<.001) points in the AE and CE groups,
respectively. Relative to nonexercising controls, CE evoked improvements in the
SF-36 Physical Functioning (P=.003) and Bodily Pain (P=.003) domains and was more
effective than AE for evoking improvements in the Vitality (P=.002) and Mental
Health (P=.04) domains. Greater improvements also were observed in shoulder/hip
range of motion and handgrip strength in the CE group. CONCLUSION: Given the
equivalent time commitment required for AE and CE, our results suggest that women
with FMS can gain additional health benefits by engaging in a similar volume of
CE.
CI - Copyright (c) 2010 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS