Mat Pilates and aquatic aerobic exercises for women with fibromyalgia: a protocol for a randomised controlled blind study

Hugo Jario de Almeida Silva, Caio Alano de Almeida Lins, Thaiza Teixeira Xavier Nobre, Vanessa Patrícia Soares de Sousa, Renata Trajano Jorge Caldas, Marcelo Cardoso de Souza, Hugo Jario de Almeida Silva, Caio Alano de Almeida Lins, Thaiza Teixeira Xavier Nobre, Vanessa Patrícia Soares de Sousa, Renata Trajano Jorge Caldas, Marcelo Cardoso de Souza

Abstract

Introduction: Physical exercises have been recommended to improve the overall well-being of patients with fibromyalgia, with the main objective of repairing the effects of lack of physical conditioning and of improving the symptoms, especially pain and fatigue. Although widely recommended and widely known, few studies support the use of Pilates as an effective method in improving the symptoms of the disease, comparing it with other well-founded exercise modalities. This protocol was developed to describe the design of a randomised controlled study with a blind evaluator that evaluates the effectiveness of mat Pilates, comparing it with aquatic aerobic exercises, in improving pain in women with fibromyalgia.

Methods: Sixty women aged 18-60 years with a diagnosis of fibromyalgia, with a score of between 3 and 8 points on the Visual Analogue Scale for pain, and who sign the clear and informed consent form will be recruited according to the inclusion criteria. They will be randomised into one of the two intervention groups: (1) Pilates, to perform an exercise programme based on mat Pilates; and (2) aquatic exercise, to participate in a programme of aerobic exercises in the swimming pool. The protocol will correspond to 12 weeks of treatment, with both groups performing the exercises with supervision twice a week. The primary outcome will be pain (Visual Analogue Scale for pain). The secondary outcomes are to include impact related to the disease, functional capacity, sleep quality and overall quality of life. The evaluations will be performed at three points: at baseline and after 6 weeks and 12 weeks of treatment.

Ethics and dissemination: This protocol has been approved by the Ethics Committee of FACISA/UFRN (number: 2.116.314). Data collection will begin after approval by the ethics committee. There will be prior contact with the women, at which time all the information about the study and the objectives will be presented, as well as resolution no 466/2012 of the National Health Council of Brazil for the year 2012, which provides guidelines and regulatory standards for research involving human beings. Participants must sign the informed consent form before the study begins.

Trial registration number: NCT03149198.

Keywords: aerobic exercise; chronic pain; fibromyalgia treatment; pilates; therapeutic exercise.

Conflict of interest statement

Competing interests: None declared.

© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Figures

Figure 1
Figure 1
Flow diagram of the study.

References

    1. Gowans SE, Dehueck A, Voss S, et al. . Six-month and one-year followup of 23 weeks of aerobic exercise for individuals with fibromyalgia. Arthritis Rheum 2004;51:890–8. 10.1002/art.20828
    1. Figueroa A, Kingsley JD, McMillan V, et al. . Resistance exercise training improves heart rate variability in women with fibromyalgia. Clin Physiol Funct Imaging 2008;28:49–54. 10.1111/j.1475-097X.2007.00776.x
    1. de Oliveira FS, de Almeida Silva HJ, de Pontes Oliveira JM, et al. . The sophrology as adjuvant therapy may improve the functionality of patients with fibromyalgia. A pilot randomized controlled trial. MTP RehabJournal 2016;14:386.
    1. Heymann RE, Paiva EdosS, Helfenstein Junior M, et al. . Consenso brasileiro do tratamento da fibromialgia. Rev Bras Reumatol 2010;50:56–66. 10.1590/S0482-50042010000100006
    1. Hoffman DL, Dukes EM. The health status burden of people with fibromyalgia: a review of studies that assessed health status with the SF-36 or the SF-12. Int J Clin Pract 2008;62:115–26. 10.1111/j.1742-1241.2007.01638.x
    1. Talotta R, Bazzichi L, Di Franco M, et al. . One year in review 2017: fibromyalgia. Clin Exp Rheumatol 2017;35105:6–12.
    1. Hadlandsmyth K, Dailey DL, Rakel BA, et al. . Somatic symptom presentations in women with fibromyalgia are differentially associated with elevated depression and anxiety. J Health Psychol 2017:135910531773657 10.1177/1359105317736577
    1. Valim V, Natour J, Xiao Y, et al. . Effects of physical exercise on serum levels of serotonin and its metabolite in fibromyalgia: a randomized pilot study. Rev Bras Reumatol 2013;53:538–41. 10.1016/j.rbr.2013.02.001
    1. Busch AJ, Barber KA, Overend TJ, et al. . Exercise for treating fibromyalgia syndrome. Cochrane Database Syst Rev 2007:CD003786 10.1002/14651858.CD003786.pub2
    1. Carville SF, Arendt-Nielsen L, Arendt-Nielsen S, et al. . EULAR evidence-based recommendations for the management of fibromyalgia syndrome. Ann Rheum Dis 2008;67:536–41. 10.1136/ard.2007.071522
    1. Bidonde J, Busch AJ, Webber SC, et al. . Aquatic exercise training for fibromyalgia. Cochrane Database Syst Rev 2014:CD011336 10.1002/14651858.CD011336
    1. Natour J, Cazotti LA, Ribeiro LH, et al. . Pilates improves pain, function and quality of life in patients with chronic low back pain: a randomized controlled trial. Clin Rehabil 2015;29:59–68. 10.1177/0269215514538981
    1. Altan L, Korkmaz N, Bingol U, et al. . Effect of pilates training on people with fibromyalgia syndrome: a pilot study. Arch Phys Med Rehabil 2009;90:1983–8. 10.1016/j.apmr.2009.06.021
    1. Ekici G, Unal E, Akbayrak T, et al. . Effects of active/passive interventions on pain, anxiety, and quality of life in women with fibromyalgia: Randomized controlled pilot trial. Women Health 2017;57:88–107. 10.1080/03630242.2016.1153017
    1. Wolfe F, Clauw DJ, Fitzcharles M-A, et al. . The American college of rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res 2010;62:600–10. 10.1002/acr.20140
    1. Farrar JT, Young Jr JP, LaMoreaux L, et al. . Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale. Pain 2001;94:149–58. 10.1016/S0304-3959(01)00349-9
    1. Marques AP, Santos AMB, Assumpção A, et al. . Validação da versão brasileira do Fibromyalgia Impact Questionnaire (FIQ). Rev Bras Reumatol 2006;46:24–31. 10.1590/S0482-50042006000100006
    1. Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991;39:142–8. 10.1111/j.1532-5415.1991.tb01616.x
    1. Bennell K, Dobson F, Hinman R. Measures of physical performance assessments: Self-Paced Walk Test (SPWT), Stair Climb Test (SCT), Six-Minute Walk Test (6MWT), Chair Stand Test (CST), Timed Up & Go (TUG), Sock Test, Lift and Carry Test (LCT), and Car Task. Arthritis Care Res 2011;63:S350–S370. 10.1002/acr.20538
    1. Bertolazi AN, Fagondes SC, Hoff LS, et al. . Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index. Sleep Med 2011;12:70–5. 10.1016/j.sleep.2010.04.020
    1. Bertolazi AN, Fagondes SC, Hoff LS, et al. . Portuguese-language version of the Epworth sleepiness scale: validation for use in Brazil. J Bras Pneumol 2009;35:877–83. 10.1590/S1806-37132009000900009
    1. Ciconelli RM, Ferraz MB, SantosW M I, et al. . Brazilian-Portuguese version of the SF-36 questionnaire: a reliable and valid quality of life outcome measure. Rev Bras Reumatol 1999;39:143–50.
    1. Gustafsson M, Gaston-Johansson F. Pain intensity and health locus of control: a comparison of patients with fibromyalgia syndrome and rheumatoid arthritis. Patient Educ Couns 1996;29:179–88. 10.1016/0738-3991(96)00864-6
    1. Morris S, Li Y, Smith JAM, et al. . Multidimensional daily diary of fatigue-fibromyalgia-17 items (MDF-fibro-17). part 1: development and content validity. BMC Musculoskelet Disord 2017;18:195 10.1186/s12891-017-1544-y
    1. Brosseau L, Wells GA, Tugwell P, et al. . Ottawa Panel evidence-based clinical practice guidelines for aerobic fitness exercises in the management of fibromyalgia: part 1. Phys Ther 2008;88:857–71. 10.2522/ptj.20070200
    1. Bidonde J, Busch AJ, Schachter CL, et al. . Aerobic exercise training for adults with fibromyalgia. Cochrane Database Syst Rev 2017;6:CD012700 10.1002/14651858.CD012700
    1. Lima TB, Dias JM, Mazuquin BF, et al. . The effectiveness of aquatic physical therapy in the treatment of fibromyalgia: a systematic review with meta-analysis. Clin Rehabil 2013;27:892–908. 10.1177/0269215513484772
    1. Assis MR, Silva LE, Alves AM, et al. . A randomized controlled trial of deep water running: clinical effectiveness of aquatic exercise to treat fibromyalgia. Arthritis Rheum 2006;55:57–65. 10.1002/art.21693
    1. Rivas Neira S, Pasqual Marques A, Pegito Pérez I, et al. . Effectiveness of aquatic therapy vs land-based therapy for balance and pain in women with fibromyalgia: a study protocol for a randomised controlled trial. BMC Musculoskelet Disord 2017;18:22 10.1186/s12891-016-1364-5
    1. Sanz-Baños Y, Pastor-Mira MÁ, Lledó A, et al. . Do women with fibromyalgia adhere to walking for exercise programs to improve their health? Systematic review and meta-analysis. Disabil Rehabil 2018;40:2475–87. 10.1080/09638288.2017.1347722

Source: PubMed

Sponsorer och medarbetare

Medicinska tillstånd

Läkemedelsinterventioner

3
Prenumerera