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A randomized clinical trial of an individualized home-based exercise programme for women with fibromyalgia
Abstract
OBJECTIVE: To determine the efficacy of a 12-week individualized home-based exercise programme on physical functioning, pain severity and psychological distress for women with fibromyalgia (FM). METHODS: Seventy-nine women with a primary diagnosis of FM were randomized to a 12-week individualized home-based moderate-intensity exercise programme or to a usual care control group. Outcomes were functional capacity (Fibromyalgia Impact Questionnaire), pain severity and psychological distress. Outcomes were measured at study entry, at the end of the 12-week intervention, and at 3 and 9 months following completion of the intervention. RESULTS: On the basis of intention-to-treat analyses, a significant improvement in functional capacity at 3 and 9 months following treatment for participants in the exercise group who were more functionally disabled at study entry was observed. At both 3 and 9 months post-treatment, the mean estimated benefit of the intervention was more than 10 points [-12.3 (95% CI, -21.9 to -2.8); -10.8 (95% CI, -21.5 to -0.2)]. Compared with the control group, statistically significant improvements in upper body pain were evident in the exercise group at post-treatment. These between-group differences in upper body pain were maintained at 3 and 9 months post-treatment. No statistically significant group differences on lower body pain and psychological distress were found. CONCLUSIONS: Home-based exercise, a relatively low-cost treatment modality, has the potential to improve important health outcomes in FM.
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“Our results also showed moderate evidence that active therapies improved pain intensity, disability and physical function in the long term, and sleep quality, anxiety and depression in the short term [11,44,45,47,48,51,52,54,55,57,58].”
From Effectiveness of non-pharmacological conservative therapies in adults with fibromyalgia: A systematic review of high-quality clinical trials (2022) · cites this paper as [52]
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“Our results also showed moderate evidence that active therapies improved pain intensity, disability and physical function in the long term, and sleep quality, anxiety and depression in the short term [11,44,45,47,48,51,52,54,55,57,58].”
From Effectiveness of non-pharmacological conservative therapies in adults with fibromyalgia: A systematic review of high-quality clinical trials (2022) · cites this paper as [52]
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“Moderate evidence suggested that exergames, dance and combined ET reduced significantly pain in the short term [15,45,52].”
From Effectiveness of non-pharmacological conservative therapies in adults with fibromyalgia: A systematic review of high-quality clinical trials (2022) · cites this paper as [52]
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“Aquatic ET, combined types of ET and the combination of ET with PE and MT were effective in the medium and long term [11,52,58].”
From Effectiveness of non-pharmacological conservative therapies in adults with fibromyalgia: A systematic review of high-quality clinical trials (2022) · cites this paper as [52]
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“For active therapies, strong evidence suggested that aerobic ET [11,44,46,47,51], combined ET [48,50,52,53] and aquatic ET [11,46,47,54] were effective for reducing disability in the short term.”
From Effectiveness of non-pharmacological conservative therapies in adults with fibromyalgia: A systematic review of high-quality clinical trials (2022) · cites this paper as [52]
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“Our results also showed moderate evidence that active therapies improved pain intensity, disability and physical function in the long term, and sleep quality, anxiety and depression in the short term [11,44,45,47,48,51,52,54,55,57,58].”
From Effectiveness of non-pharmacological conservative therapies in adults with fibromyalgia: A systematic review of high-quality clinical trials (2022) · cites this paper as [52]
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In the citing paper
“Our results also showed moderate evidence that active therapies improved pain intensity, disability and physical function in the long term, and sleep quality, anxiety and depression in the short term [11,44,45,47,48,51,52,54,55,57,58].”
From Effectiveness of non-pharmacological conservative therapies in adults with fibromyalgia: A systematic review of high-quality clinical trials (2022) · cites this paper as [52]
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“Our results also showed moderate evidence that active therapies improved pain intensity, disability and physical function in the long term, and sleep quality, anxiety and depression in the short term [11,44,45,47,48,51,52,54,55,57,58].”
From Effectiveness of non-pharmacological conservative therapies in adults with fibromyalgia: A systematic review of high-quality clinical trials (2022) · cites this paper as [52]
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“Our results also showed moderate evidence that active therapies improved pain intensity, disability and physical function in the long term, and sleep quality, anxiety and depression in the short term [11,44,45,47,48,51,52,54,55,57,58].”
From Effectiveness of non-pharmacological conservative therapies in adults with fibromyalgia: A systematic review of high-quality clinical trials (2022) · cites this paper as [52]
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Metadata
- Authors
- Da Costa, D., Abrahamowicz, M., Lowensteyn, I., Bernatsky, S., Dritsa, M., Fitzcharles, M.-A., & Dobkin, P. L.
- Affiliations
- McGill University Health Centre (CA)
- Venue
- Rheumatology
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-07-19
- Volume
- 44
- Issue
- 11
- Pages
- 1422-1427
- ISSN
- 1462-0324 (ISSN-L)
- 1462-0332
- OpenAlex
- W2122366654
- Cited by
- 122
- References
- 34
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 3 · 2023: 2 · 2022: 4 · 2021: 8 · 2020: 1 · 2019: 3 · 2018: 2 · 2017: 4 · 2016: 4 · 2015: 8 · 2014: 9 · 2013: 9 · 2012: 3
- FWCI
- 6.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Lara D. Veeken (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Arthritis Society
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Myofascial pain diagnosis and treatment
- Keywords
- fibromyalgia, home-based exercise, women, physical function, pain intensity, psychological distress, Fibromyalgia Impact Questionnaire, exercise therapy
- MeSH terms
- Adult, Exercise Therapy, Female, Fibromyalgia, Follow-Up Studies, Health Status Indicators, Home Care Services, Humans, Middle Aged, Pain Measurement, Stress, Psychological
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