Long‐term efficacy of therapy in patients with fibromyalgia: A physical exercise‐based program and a cognitive‐behavioral approach

Redondo, Javier Rivera; Justo, Carmen Moratalla; Moraleda, Francisca Valdepeñas; Velayos, Yolanda García; Puche, José Juan Osés; Zubero, Julio Ruiz; Hernández, Teresa González; Ortells, Loreto Carmona; Pareja, Miguel Ángel Vallejo

doi:10.1002/art.20252

Cited by 229Fibromyalgia and Chronic Fatigue Syndrome ResearchMusculoskeletal pain and rehabilitationMyofascial pain diagnosis and treatment

Long‐term efficacy of therapy in patients with fibromyalgia: A physical exercise‐based program and a cognitive‐behavioral approach

Redondo, Javier Rivera, Justo, Carmen Moratalla, Moraleda, Francisca Valdepeñas, Velayos, Yolanda García, Puche, José Juan Osés, Zubero, Julio Ruiz, Hernández, Teresa González, Ortells, Loreto Carmona +1 more·2004·Arthritis Care & Research

DOI 10.1002/art.20252

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Abstract

Objective To analyze the long-term efficacy of 2 interventions for female fibromyalgia (FM) patients: 1) cognitive-behavioral therapy (CBT), and 2) a physical exercise (PE)-based strategy. Methods We conducted a prospective, long-term, randomized, parallel clinical trial. The outcome variables are physical activity, aerobic capacity, and results of the Fibromyalgia Impact Questionnaire (FIQ), Short Form 36, Beck Anxiety and Depression Inventory, Chronic Pain Self-Efficacy Scale, and Chronic Pain Coping Inventory. All were measured at baseline, posttreatment, 6 months, and 1 year. The duration of both treatments was 8 weeks. Results Some items of the FIQ and some strategies to cope with pain improved significantly in both groups after treatment. All variables measuring functional capacity improved significantly in the PE group, whereas only physical activity of the vertebral column improved in the CBT group. There were no differences in anxiety, depression, and self efficacy after treatment in either group. After 1 year of followup, most of the parameters had returned to baseline values in both groups. However, in the PE group, functional capacity remained significantly better. Conclusions PE and CBT improve clinical manifestations in FM patients only for short periods of time. Improvement in self efficacy and physical fitness are not associated with improvement in clinical manifestations.

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Eleven included studies were classified as moderate quality with unclear overall risk of bias.
“11 studies were moderate quality studies (unclear risk of bias overall) (King et al., 2002;Thieme et al., 2003;Redondo et al., 2004;Rooks et al., 2007;Falcao et al., 2008;Kashikar-Zuck et al., 2005;Mir o et al., 2011;Castel et al., 2012;Woolfolk et al., 2012;Parra-Delgado and Latorre-Postigo, 2013;Mart ınez et al., 2014)”
From Efficacy, acceptability and safety of cognitive behavioural therapies in fibromyalgia syndrome – A systematic review and meta-analysis of randomized controlled trials (2018) · cites this paper as Redondo et al., 2004

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Authors: Redondo, J. R., Justo, C. M., Moraleda, F. V., Velayos, Y. G., Puche, J. J. O., Zubero, J. R., Hernández, T. G., Ortells, L. C., & Pareja, M. Á. V.
Affiliations: Hospital General Universitario Gregorio Marañón (ES)
Universidad Nacional de Educación a Distancia (ES)
Sociedad Española de Reumatología (ES)
Venue: Arthritis Care & Research
Publisher: Wiley
Published: 2004-04-05
Volume: 51
Issue: 2
Pages: 184-192
ISSN: 0893-7524 (ISSN-L)
1529-0123
DOI: 10.1002/art.20252
OpenAlex: W1658032995
Cited by: 229
References: 44
Citations by year: 2026: 4 · 2025: 2 · 2024: 2 · 2023: 5 · 2022: 4 · 2021: 8 · 2020: 1 · 2019: 6 · 2018: 2 · 2017: 9 · 2016: 8 · 2015: 8 · 2014: 8 · 2013: 13 · 2012: 21
FWCI: 11.49
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Arthritis Care & Research (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Myofascial pain diagnosis and treatment
Keywords: fibromyalgia, cognitive behavioral therapy, physical activity, long-term efficacy, cardiorespiratory fitness, pain self-efficacy, pain coping, functional capacity, anxiety and depression, Fibromyalgia Impact Questionnaire
MeSH terms: Exercise Therapy, Female, Fibromyalgia, Humans, Mental Status Schedule, Physical Fitness, Prospective Studies, Surveys and Questionnaires, Exercise, Cognitive Behavioral Therapy, Treatment Outcome, Self Efficacy

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Long‐term efficacy of therapy in patients with fibromyalgia: A physical exercise‐based program and a cognitive‐behavioral approach

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