Effectiveness of dance in patients with fibromyalgia: a randomized, single-blind, controlled study. A comparative evaluation of a fibromyalgia rehabilitation program. The efficacy of the Rességuier method in the treatment of fibromyalgia syndrome: a randomized controlled trial. The impact of a meditation-based stress reduction program on fibromyalgia. Fibromyalgia: a randomised, controlled trial of a treatment programme based on self management Integrating Virtual Reality With Activity Management for the Treatment of Fibromyalgia: Acceptability and Preliminary Efficacy Zumba dancing can improve the pain and functional capacity in women with fibromyalgia. A randomized, controlled trial of exercise and education for individuals with fibromyalgia. Efficacy of a multidisciplinary treatment program in patients with severe fibromyalgia Effect of a randomized, controlled trial of exercise on mood and physical function in individuals with fibromyalgia. Components of effective randomized controlled trials of hydrotherapy programs for fibromyalgia syndrome: A systematic review Multidisciplinary treatment of fibromyalgia: does cognitive behavior therapy increase the response to treatment? Effects of a one week multidisciplinary inpatient self-management programme for patients with fibromyalgia: a randomised controlled trial Predictors of success of intervention programs for persons with fibromyalgia. Efficacy of supervised exercise combined with transcutaneous electrical nerve stimulation in women with fibromyalgia: a prospective controlled study Evaluation of four outpatient educational programmes for patients with longstanding fibromyalgia. Efficacy and feasibility of a combination of body awareness therapy and qigong in patients with fibromyalgia: a pilot study.
OBJECTIVES The aim of the present study was to assess the effectiveness of belly dance as a treatment option for patients with fibromyalgia . METHODS Eighty female patients with fibromyalgia between 18 to 65 years were r and omly allocated to a dance group ( n=40 ) and control group ( n=40 ) . Patients in the dance group underwent 16 weeks of belly dance twice a week , while the patients in the control group remained on a waiting list . The patients were evaluated with regard to pain ( VAS ) , function ( 6MWT ) , quality of life ( FIQ and SF-36 ) , depression ( Beck Inventory ) , anxiety ( STAI ) and self-image ( BDDE ) . Evaluations were carried out at baseline , 16 weeks and 32 weeks by a blinded assessor . RESULTS The dance group achieved significant improvements in VAS for pain ( p<0.001 ) , six-minute walk test ( p<0.001 ) , FIQ ( p=0.003 ) , BDDE ( p<0.009 ) as well as the pain ( p<0.001 ) , emotional aspects ( p<0.003 ) and mental health ( p<0.021 ) subscales on the SF-36 . CONCLUSIONS Belly dance can be used in the treatment of fibromyalgia to reduce pain and improve functional capacity , quality of life and self-image OBJECTIVE To compare an evidence -based clinical fibromyalgia program , referred to as Fibro-Fit , with results of controlled clinical trials . METHODS An interdisciplinary group education and exercise program with 36 sessions over 12 weeks was used . Demographic , clinical , and outcome variables were collected on 149 participants , of whom 71 % completed the program . Outcomes included measures of self-efficacy , pain , physical fitness , function , and coping skills . RESULTS Results of the prospect i ve before-after evaluation showed statistically significant ( P < 0.005 ) improvements in all outcomes except for grip strength . These results were comparable with controlled clinical trials found in the literature . Data suggest that smoking , fibromyalgia support groups , and medications may be important modifiable factors . CONCLUSIONS Results suggest that Fibro-Fit was effective in improving physical impairments and function . Further investigation is required to refine the effective components of these programs and determine how modifiable factors can be used to improve outcomes OBJECTIVES In fibromyalgia syndrome ( FMS ) defined rehabilitation guidelines are yet to be vali date d. Our aim is to evaluate the efficacy of the Rességuier method ( RM ) in FMS . METHODS Forty-one patients were r and omly assigned to Interventional ( 22 pts ) and Observational ( 19 pts ) Group ( IG and OG ) . The study lasted 8 months . Patients were assessed at baseline ( T0 ) after a 2-month rehabilitation ( T1 ) and at a 6-month follow-up ( T2 ) ( only IG ) with SF-36 Physical ( PSI ) and Mental Synthetic Index ( MSI ) , Regional Pain Scale ( RPS ) , Fibromyalgia Impact Question naire ( FIQ ) , Number Rating Scales 0 - 10 to measure pain , movement quality , sleep , relax ability , analgesics number/per week . OG patients maintained their lifestyle for the duration of the study . RM aims to obtain patient awareness and control of bodily perceptions , thus reaching a modulation of responses to pain . Therapist controls patient attention and perception by verbal and manual contacts and leads them to perform bodily and respiratory active and conscious movements . RESULTS In IG , at T1 all items were improved : PSI and MSI ( p<0.001 and = 0.001 ) , FIQ ( p<0.0001 ) , RPS ( p<0.001 ) , pain ( p<0.0001 ) , movement quality ( p=0.001 ) , relax ability ( p<0.0001 ) , sleep ( p<0.001 ) ; analgesics number/per week was reduced ( p<0.001 ) . All results obtained at T1 , except FIQ , were maintained at T2 . In OG at T1 versus T0 , no difference in any of the assessed parameters was observed . CONCLUSION In FMS patients , the rehabilitation with RM  improves HRQoL , FMS-related disability and perceived pain , thus reducing the assumption of analgesics Fibromyalgia is a chronic illness characterized by widespread pain , fatigue , sleep disturbance , and resistance to treatment . The purpose of this study was to evaluate the effectiveness of a meditation-based stress reduction program on fibromyalgia . Seventy-seven patients meeting the 1990 criteria of the American College of Rheumatology for fibromyalgia took part in a 10-week group outpatient program . Therapists followed a carefully defined treatment approach and met weekly to further promote uniformity . Patients were evaluated before and after the program . Initial evaluation included a psychiatric structured clinical interview ( SCID ) . Outcome measures included visual analog scales to measure global well-being , pain , sleep , fatigue , and feeling refreshed in the morning . Patients also completed a medical symptom checklist , SCL-90-R , Coping Strategies Question naire , Fibromyalgia Impact Question naire , and the Fibromyalgia Attitude Index . Although the mean scores of all the patients completing the program showed improvement , 51 % showed moderate to marked improvement and only they were counted as " responders . " These preliminary findings suggest that a meditation-based stress reduction program  is effective for patients with fibromyalgia Objective : To evaluate the efficacy of a treatment programme for patients with fibromyalgia ( FM ) based on self management , using pool exercises and education . Methods : R and omised controlled trial with a 6 month follow up to evaluate an outpatient multidisciplinary programme ; 164 patients with FM were allocated to an immediate 6 week programme ( n = 84 ) or to a waiting list control group ( n = 80 ) . The main outcomes were changes in quality of life , functional consequences , patient satisfaction and pain , using a combination of patient question naires and clinical examinations . The question naires included the Fibromyalgia Impact Question naire ( FIQ ) , Psychological General Well-Being ( PGWB ) index , regional pain score diagrams , and patient satisfaction measures . Results : 61 participants in the treatment group and 68 controls completed the programme and 6 month follow up examinations . Six months after programme completion , significant improvements in quality of life and functional consequences of FM were seen in the treatment group as compared with the controls and as measured by scores on both the FIQ ( total score p = 0.025 ; fatigue p = 0.003 ; depression p = 0.031 ) and PGWB ( total score p = 0.032 ; anxiety p = 0.011 ; vitality p = 0.013 , ) . All four major areas of patient satisfaction showed greater improvement in the treatment than the control groups ; between-group differences were statistically significant for “ control of symptoms ” , “ psychosocial factors ” , and “ physical therapy ” No change in pain was seen . Conclusion : A 6 week self management based programme of pool exercises and education can improve the quality of life of patients with FM and their satisfaction with treatment . These improvements are sustained for at least 6 months after programme completion Objectives : Cognitive-behavioral therapies ( CBT ) for fibromyalgia syndrome ( FMS ) are important interventions in the management of this condition . Empirical evidence reports that although the results are promising , further research is needed to respond more appropriately to these patients . This study focuses on exploring the use of Virtual Reality ( VR ) as an adjunct to the activity management component . The aim of this study is to present the results of a small-sized r and omized controlled trial to test the preliminary efficacy and acceptability of this component . Material s and Methods : The final sample was composed of 61 women diagnosed with FMS according to the American College of Rheumatology . The sample was r and omly allocated to 2 conditions : VR treatment and treatment as usual . Results : Participants in the VR condition achieved significant improvements in the primary outcome : disability measured with the FIQ . The improvement was also significant in secondary outcomes , such as perceived quality of life and some of the coping strategies included in the Chronic Pain Coping Inventory : task persistence and exercise . There were no differences in other secondary outcome measures like pain intensity and interference and depression . Participants reported high satisfaction with the VR component . Discussion : The effects were related to the psychological aspects targeted in the treatment . The component was well accepted by FMS patients referred from a public hospital . These findings show that the VR component could be useful in the CBT treatment of FMS and encourage us to continue exploring the use of integrating VR with CBT interventions for the treatment of FMS INTRODUCTION The importance of physical exercise for patients with fibromyalgia ( FM ) is very clear in the literature . Dancing is a type of aerobic exercise that has great acceptance . In addition to the beneficial effects of aerobic exercise , Zumba works on motor coordination and also has socializing as a part that should be included in patients with fibromyalgia . OBJECTIVES To evaluate the effectiveness of Zumba dancing in improving pain , functional capacity , quality of sleep and quality of life of women with fibromyalgia . DESIGN A pre-post treatment design . METHODS We evaluated 19 women with fibromyalgia , selected by convenience . Data were collected in the second half of 2016 . Zumba dancing was performed twice a week for 12 weeks . Patients were evaluated at week 0 ( T0 ) and at week 12 ( T12 ) , by the following instruments : VAS ( Visual Analogic Scale ) , Likert Scale , TUG ( Timed Up an Go Test ) , 6MWT ( Six-minute Walk Test ) , FIQ ( Fibromyalgia Impact Question naire ) , PSQI ( Pittsburgh Sleep Quality Index ) , ESS ( Epworth Sleepiness Scale ) and SF-36 quality of life . RESULTS We found differences in pain ( VAST0 = 6.21 and VAST12 = 4.53 ) with p = 0.001 and in the domain physical functioning of SF36 ( T0 = 42.37 and T12 = 52.11 ) with p = 0.04 . No differences were found for the other variables between the times . CONCLUSION Zumba dancing as a form of treatment for three months for patients with fibromyalgia was effective in improving pain and physical functioning . Future controlled and r and omized clinical trials should be performed to improve the evidence of Zumba dancing in women with fibromyalgia OBJECTIVE To evaluate the efficacy of a 6-week exercise and educational program for patients with fibromyalgia . METHODS Forty-one subjects were r and omly assigned to the program or served as waiting list controls . Program outcome was assessed with a 6-minute walk test , the Fibromyalgia Impact Question naire , a Self-Efficacy Scale , and a " knowledge " question naire ( based on information provided during the educational sessions ) . Waiting list control subjects subsequently completed the program . Program outcome was reassessed 3 or 6 months post-program . RESULTS The program produced significant improvements in 6-minute walk distance , well-being , fatigue , self-efficacy ( for controlling pain and other symptoms ) , and knowledge . At followup , immediate gains in walk distance , well-being , and self-efficacy were maintained , but gains in fatigue and knowledge were lost . CONCLUSION Short-term exercise and educational programs can produce immediate and sustained benefits for patients with fibromyalgia . The benefits of our program may be due to exercise or education since both interventions were given The purpose of this study was to evaluate the efficacy of a multidisciplinary treatment program in patients severely affected by fibromyalgia . Thirty-four fibromyalgia patients were r and omly divided into two groups . The control group : 17 women who continued their medical treatment and participated in four educational sessions  and the experimental group that included 17 patients who besides the former medical treatment  also underwent a weekly 1-h session program for 8 weeks including massage therapy , ischemic pressure on the 18 tender points , aerobic exercise and thermal therapy . At the beginning of the program , there were no significant differences between the two groups in any of the parameters . At the end of treatment , there was a significant improvement in the experimental group in the following items : vitality , social functioning , grip strength and the 6-min walk test . At 1 month after the end of treatment , the experimental group showed significant differences in overall health perception , social functioning , grip strength and the 6-min walk test . At that time , considering the threshold for clinical efficacy set at an improvement of 30 % or above for the analyzed variables , 25 % of the patients met the requirement for improvement of the following : number of symptoms : Visual Analogic Scale for fatigue , Fibromyalgia Impact Question naire and Beck Anxiety Inventory . In conclusion , patients with severe manifestations of fibromyalgia can obtain improvement with a short-term , low-cost and simple-delivery multidisciplinary program . However , additional studies including higher numbers of patients are needed to confirm the beneficial effect of this treatment program OBJECTIVE To evaluate the effect of exercise on mood and physical function in individuals with fibromyalgia . METHODS Subjects were r and omly assigned to an exercise ( EX ) or control ( CTL ) group . EX subjects participated in 3 30-minute exercise classes per week for 23 weeks . Subjects were tested at entry and at 6 , 12 , and 23 weeks . Tests included the Beck Depression Inventory ( BDI ) , 6-minute walk , State-Trait Anxiety Inventory ( STAI ) , Mental Health Inventory ( MHI ) , Fibromyalgia Impact Question naire ( FIQ ) , Arthritis Self-Efficacy Scale ( ASES ) , and a measure of tender points and knee strength . RESULTS Fifty subjects ( 27 EX , 23 CTL ) completed the study , and 31 ( 15 EX , 16 CTL ) met criteria for efficacy analyses . In efficacy analyses , significant improvements were seen for EX subjects in 6-minute walk distances , BDI ( total , cognitive/ affective ) , STAI , FIQ , ASES , and MHI ( 3 of 5 subscales ) scores . These effects were reduced but remained during intent-to-treat analyses . CONCLUSION Exercise can improve the mood and physical function of individuals with fibromyalgia Aim Previous systematic review s have found hydrotherapy to be an effective management strategy for  fibromyalgia syndrome ( FMS ) .  The aim of this systematic review was to summarize the components of hydrotherapy programs used in r and omized controlled trials . Method A systematic review of r and omized controlled trials was conducted . Only trials that have reported significant FMS-related outcomes were included . Data relating to the components of hydrotherapy programs ( exercise type , duration , frequency and intensity , environmental factors , and service delivery ) were analyzed . Results Eleven r and omized controlled trials were included in this review . Overall , the quality of trials was good . Aerobic exercise featured in all 11 trials and the majority of hydrotherapy programs included either a strengthening or flexibility component . Great variability was noted in both the environmental components of hydrotherapy programs and service delivery . Conclusions Aerobic exercise , warm up and cool-down periods and relaxation exercises are common features of hydrotherapy programs that report significant FMS-related outcomes . Treatment duration of 60 minutes , frequency of three sessions per week and an intensity equivalent to 60%–80 % maximum heart rate were the most commonly reported exercise components . Exercise appears to be the most important component of an effective hydrotherapy program for FMS , particularly when considering mental health-related outcomes OBJECTIVE Multidisciplinary treatments ( MTs ) are usually recommended for reducing fibromyalgia ( FM ) symptoms and include physical exercise , drug management , education , and cognitive behavior therapy ( CBT ) . However , there is no evidence that CBT adds efficacy to the other therapeutic components . This r and omized controlled trial analyzed the response of FM patients to two MTs , with and without CBT , according to the presence of concurrent symptoms . METHODS Eighty-three women with FM were r and omly assigned to MT or combined MT and CBT . The MT included medical intervention , physical training , education , and discussion of the syndrome . The CBT focused on coping with stress , modifying lifestyles , and changing pain behaviors . Demographic and clinical data , information regarding tender points , and question naire responses about functional capability [ Fibromyalgia Impact Question naire ( FIQ ) ] , health status [ 36-item Short Form Health Survey ( SF-36 ) ] , and mental health [ Symptom Checklist-90-Revised ( SCL-90-R ) ] were obtained at the beginning , at the end of the 15-week treatment , and at 6-month follow-up . Subgroups are identified in relation to treatment response . RESULTS Sixty-six women ( 80 % ) completed treatment . Although the variance of the total sample had changed at posttreatment ( F=2.67 , P=.031 ) , there was no significant effect for the TimexTreatment interaction ( F=1.65 , P=.16 ) . Univariate tests detected a significant fall in the FIQ score . The subgroup of patients with fatigue showed a better response with MT+CBT than with MT . At 6-month follow-up , the statistical differences had been maintained . Intention-to-treat analysis ratified these results . CONCLUSIONS MT improves functional capability and reduces symptom impact . CBT increases mildly the effect of MT in patients with fatigue Background Self-management programmes ( SMP ) are recommended for patients with fibromyalgia . The purpose of this study was to evaluate effects of a one week multidisciplinary inpatient self-management programme on psychological distress , skills as a consumer of health services , self-efficacy , and functional and symptomatic consequences of fibromyalgia  ( FM ) . Methods A r and omised controlled two-armed , assessor-blinded trial with three-week follow-up to evaluate SMP . Primary outcomes were the General Health Question naire ( GHQ-20 ) and the Effective Musculoskeletal Consumer Scale ( EC-17 ) , while secondary outcomes included the Fibromyalgia Impact Question naire ( FIQ ) and Self-efficacy scales for pain , function and symptoms ( ASES ) . Results 150 patients with FM were r and omised to one week one SMP ( n = 75 ) or to a waiting list control group ( n = 75 ) . Of these , 58 participants in the treatment group and 60 in the control group completed the study . At three weeks ’ follow up there was a significant difference in EC-17 ( 0 - 100 ) in favour of the treatment group ( mean difference 4.26 , 95 CI 0.8 to 7.7 , p = 0.02 ) . There were no differences between the groups for any of the other outcomes . Conclusion This study shows that in patients with FM the SMP had no effect on psychological distress , functional and symptomatic consequences and self-efficacy , except for a small short-term effect on skills and behaviour that are important for managing and participating in health care ( EC-17 ) . Clinical Trials.gov I d : NCT01035125.Trial registration Clinical Trials.gov I d : OBJECTIVE To determine which sociodemographic , psychological , and behavioral characteristics of persons with fibromyalgia ( FM ) will predict a positive response to treatment ; and to determine if subjects classified according to the Multidimensional Pain Inventory ( MPI ) responded differently to the interventions . METHODS One hundred twenty-eight women with FM underwent baseline testing and were r and omized into one of 3 intervention groups or a control group . After the 12 week program , the subjects were reexamined on the same pretest measures . Stepwise regression analyses were conducted to determine the variables that could significantly predict the change in the dependent variables . A reliability of change index was calculated to determine the proportion of responders and nonresponders . RESULTS The stepwise regression revealed significant predictor variables for change for all dependent variables except the Fibromyalgia Impact Question naire ; however , the percentage of the variance in the change scores explained by the independent variables ranged from 4 to 15 % . Results from the reliability of change index indicated that no MPI subgroup responded more than another group on any measure . CONCLUSION Select sociodemographic and psychosocial variables and type of intervention were not strong predictors of improvement in a variety of measures after a treatment program . The low percentage of explained variance may be due to the heterogeneity of FM . Additionally , the low percentage of responders suggests that current forms of treatment are not effective for a large portion of the FM population The aim of this study was to investigate the results of a supervised exercise with transcutaneous electrical nerve stimulation ( TENS ) in an exercise controlled study in women with fibromyalgia . Sixty-six women with fibromyalgia who admitted to the outpatient clinic of our hospital were r and omized into two treatment groups . The patients in both groups participated in a supervised combined exercise program for 12 weeks . The women in first group had additional TENS in the first 3 weeks of the study . All subjects were analyzed at the baseline , at the end of the 3rd and 12th weeks . Outcome measures were tender point count ( TPC ) , myalgic pain score ( MPS ) , Fibromyalgia Impact Question naire ( FIQ ) and Short Form-36 ( SF-36 ) Health Survey .  Sixty women with fibromyalgia completed the study . The patients in both groups showed improvement in terms of TPC , MPS , FIQ , physical and mental summary scores and total scores of SF-36 at the end of the 3rd and 12th weeks . The improvement in MPS at the third week was higher in the first group ( p = 0.01 ) . But there was no difference in terms of the improvement in MPS between the groups at the end of the 12th week control ( p = 0.87 ) . There was no significant difference between the improvement in the other outcome parameters of the two groups . As a result , supervised exercise program was successful to improve the myalgic pain , functional status and quality of life in women with fibromyalgia .  Exercises combined with TENS might be useful due to quick myalgic pain relief in the treatment of fibromyalgia in everyday practice OBJECTIVE Four programmes based on educational and cognitive principles but with a variation in total length and number of staff/patient contact hours were compared in order to gain further insight into the importance of the format of the programme for the final outcome . DESIGN A prospect i ve non-r and omized intervention study with 191 persons with fibromyalgia . Data were collected before , after and at 1-year follow-up . Participants served as their own controls . Results within and between the programmes were calculated . METHODS Clinical investigations before and after intervention . Question naires were answered before , after and at 1-year follow-up . RESULTS Most instruments showed no significant improvements after the programme . However , some improvements were found in important variables such as attitudes , self-efficacy , vitality and " days feeling well " . Results were unchanged at the 1-year follow-up and 16 persons had started working . Seven had ceased working . Participants reported frequent use of coping strategies in everyday life . No major differences could be found between the programmes . CONCLUSIONS More comprehensive programmes did not produce better results at group level . Also short and less costly interventions based on educational and cognitive principles were valuable for persons with longst and ing fibromyalgia . More attention must be given to evaluating the clinical effect of programmes OBJECTIVE To evaluate the effects of body awareness therapy combined with qigong for patients with fibromyalgia . DESIGN A controlled r and omized pilot study . SUBJECTS Thirty-six female patients with fibromyalgia were r and omized to either qigong plus body awareness therapy ( n = 19 ) or a control group ( n = 17 ) . METHODS The programme was conducted once a week over a period of 3 months . The outcome measures were an observational method called the Body Awareness Rating Scale , the Fibromyalgia Impact Question naire and 2 tests of physical function . An interview was conducted with the patients in the treatment group . RESULTS Seven patients in each group ( 39 % ) were lost to the post-test examination . The inter-group analysis revealed a significant improvement in movement harmony for the treatment group ( p = 0.03 ) , while no differences were found in the Fibromyalgia Impact Question naire or the functional tests . The intra-group analysis revealed an improvement in movement harmony for the treatment group ( p = 0.01 ) , while the total score of the Fibromyalgia Impact Question naire deteriorated ( p = 0.04 ) in the control group . The interviews indicated that several patients had experienced exacerbation of symptoms while st and ing still , and /or difficulty in concentrating on the movements . CONCLUSIONS Although improvement in movement harmony occurred in the patients completing the treatment programme , no improvement was found for fibromyalgia symptoms or physical function
In addition , significant improvements were observed in quality of life , depression , impact of the disease , anxiety , and physical function .
Conclusion Dance-based intervention programs can be an effective intervention for people suffering from fibromyalgia , leading to a significant reduction of the level of pain with an effect size that can be considered as large .
Objective The aim of this study was to perform a systematic review on the effectiveness of dance-based programs in patients with fibromyalgia , as well as calculate the overall effect size of the improvements , through a meta- analysis .