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Effects of a Telehealth Stretching Exercise Program on Pain, Sleep, Depression, and Functionality of Women with Fibromyalgia during the COVID-19 Pandemic: A Randomized Clinical Trial

Author

Listed:
  • Bruna Ornelas da Costa

    (Department of Sports, Physical Education School, Federal University of Pelotas, Pelotas 96055-630, Brazil)

  • Luana Siqueira Andrade

    (Department of Sports, Physical Education School, Federal University of Pelotas, Pelotas 96055-630, Brazil)

  • Cíntia Ehlers Botton

    (Institute of Physical Education and Sports, Federal University of Ceará, Fortaleza 60020-181, Brazil)

  • Cristine Lima Alberton

    (Department of Sports, Physical Education School, Federal University of Pelotas, Pelotas 96055-630, Brazil)

Abstract

The purpose of the research was to verify the effects of a supervised telehealth stretching exercise program on pain, sleep, depression, and functionality of women with fibromyalgia during the COVID-19 pandemic. This randomized clinical trial comprised 28 participants allocated into 2 groups. The experimental group (EG; n = 13; 49.9 ± 8.0 years) received a stretching exercise program with remote supervision for 12 weeks; the active control group (CG; n = 15; 47.0 ± 6.5 years) received counseling for stretching via an exercise guide and videos to be performed without supervision for 12 weeks. The following outcomes were assessed online: pain index, sleep quality, symptom severity, the impact of fibromyalgia on daily activities, depressive symptoms, pain intensity at rest and after movement, and flexibility. Data analysis was performed by intention to treat (ITT) and per protocol (PP) using generalized estimating equations (α = 0.05). Significant improvements were observed post-intervention for all outcomes in both groups, except for the flexibility by ITT ( p = 0.136) and depressive symptoms by PP analysis ( p = 0.065). In addition, the impact of fibromyalgia on daily activities presented better responses for EG than CG (ITT: p = 0.027). It was concluded that the telehealth stretching program, supervised or not, was effective in promoting the improvement in the main symptoms in women with fibromyalgia.

Suggested Citation

  • Bruna Ornelas da Costa & Luana Siqueira Andrade & Cíntia Ehlers Botton & Cristine Lima Alberton, 2023. "Effects of a Telehealth Stretching Exercise Program on Pain, Sleep, Depression, and Functionality of Women with Fibromyalgia during the COVID-19 Pandemic: A Randomized Clinical Trial," Sustainability, MDPI, vol. 15(3), pages 1-16, February.
    • Handle: RePEc:gam:jsusta:v:15:y:2023:i:3:p:2604-:d:1053932
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    References listed on IDEAS

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    1. Ruth Izquierdo-Alventosa & Marta Inglés & Sara Cortés-Amador & Lucia Gimeno-Mallench & Javier Chirivella-Garrido & Juri Kropotov & Pilar Serra-Añó, 2020. "Low-Intensity Physical Exercise Improves Pain Catastrophizing and Other Psychological and Physical Aspects in Women with Fibromyalgia: A Randomized Controlled Trial," IJERPH, MDPI, vol. 17(10), pages 1-15, May.
    2. Tom Kuhlman & John Farrington, 2010. "What is Sustainability?," Sustainability, MDPI, vol. 2(11), pages 1-13, November.
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