Effects of Aerobic Exercise Versus Stress Management Treatment in Fibromyalgia
Abstract
To determine and compare short- and long-term effects of aerobic exercise (AE), stress management treatment (SMT), and treatment-as-usual (TAU) in fibromyalgia, 60 patients were randomized to 14 weeks of treatment by either AE, SMT or TAU. Outcome measures at baseline, midway through treatment, at treatment completion, and at 4 year follow up included a patient made drawing of pain distribution, dolorimetry of tender points, ergometer cycle test, global subjective improvement, and VAS registrations of: pain, disturbed sleep, lack of energy, and depression. Both AE and SMT showed positive short-term effects. AE was the overall most effective treatment, despite being subject to the most sceptical patient attitude prior to the study. At follow up, there were no obvious group differences in symptom severity, which for AE seemed to be due to a considerable compliance problem.
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Only one study had total treatment time below 5 h and seven had more than 25 h.
“Only one study had a total treatment time <5 h (Ang et al., 2010) and seven studies had a treatment time of >25 h (Wigers et al., 1996;Soares and Grossi, 2002;Thieme et al., 2003;Thieme et al., 2006;Falcao et al., 2008;Castel et al., 2012;Karlsson et al., 2015).”
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 Wigers et al., 1996
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References 38 · Cited by 328
- Authors
- Wigers, S. H., Stiles, T. C., & Vogel, P. A.
- Affiliations
- Norwegian University of Science and Technology (NO)
- Venue
- Scandinavian Journal of Rheumatology
- Publisher
- Informa UK Limited
- Published
- 1996-01
- Volume
- 25
- Issue
- 2
- Pages
- 77-86
- ISSN
- 0300-9742 (ISSN-L)
- 1502-7732
- OpenAlex
- W2103896963
- Cited by
- 328
- References
- 38
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 1 · 2023: 3 · 2022: 3 · 2021: 3 · 2020: 5 · 2019: 6 · 2018: 2 · 2017: 9 · 2016: 6 · 2015: 10 · 2014: 11 · 2013: 9 · 2012: 14
- FWCI
- 8.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Scandinavian Journal of Rheumatology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Norges Forskningsråd
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Myofascial pain diagnosis and treatment
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- fibromyalgia, aerobic exercise, stress management, medication adherence, pain distribution, tender points, sleep disorders, depression, exercise therapy, long-term follow-up
- MeSH terms
- Adult, Aged, Female, Fibromyalgia, Follow-Up Studies, Humans, Male, Middle Aged, Patient Compliance, Prospective Studies, Relaxation Therapy, Stress, Psychological, Time Factors, Exercise, Cognitive Behavioral Therapy, Treatment Outcome
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