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Strengthening Exercises Improve Symptoms and Quality of Life but Do Not Change Autonomic Modulation in Fibromyalgia: A Randomized Clinical Trial

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  • Maria Bernadete Renoldi Oliveira Gavi
  • Dalton Valentin Vassalo
  • Fabian Tadeu Amaral
  • Danielle Constância Felício Macedo
  • Pablo Lúcio Gava
  • Eduardo Miranda Dantas
  • Valéria Valim

Abstract

Objective: Autonomic dysfunction is an important mechanism that could explain many symptoms observed in fibromyalgia (FM). Exercise is an effective treatment, with benefits potentially mediated through changes in autonomic modulation. Strengthening is one of the less studied exercises in FM, and the acute and chronic effects of strengthening on the autonomic system remain unknown. The objective of this study was to assess the chronic effects of strengthening exercises (STRE) on autonomic modulation, pain perception and the quality of life (QOL) of FM patients. Methods: Eighty sedentary women with FM (ACR 1990) were randomly selected to participate in STRE or flexibility (FLEX) exercises in a blinded controlled trial. The intensity of STRE was set at 45% of the estimated load of 1 Repetition Maximum (RM) in 12 different exercises. Outcomes were Visual Analog Scale (VAS) for pain, Heart Rate Variability (HRV) analysis, treadmill test, the sit and reach test (Wells and Dillon’s Bench), maximal repetitions test and handgrip dynamometry; and quality of life by the Fibromyalgia Impact Questionnaire (FIQ), the Beck and Idate Trait-State Inventory (IDATE), a short-form health survey (SF-36). Results: The STRE group was more effective to strength gain for all muscles and pain control after 4 and 16 weeks (p

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  • Maria Bernadete Renoldi Oliveira Gavi & Dalton Valentin Vassalo & Fabian Tadeu Amaral & Danielle Constância Felício Macedo & Pablo Lúcio Gava & Eduardo Miranda Dantas & Valéria Valim, 2014. "Strengthening Exercises Improve Symptoms and Quality of Life but Do Not Change Autonomic Modulation in Fibromyalgia: A Randomized Clinical Trial," PLOS ONE, Public Library of Science, vol. 9(3), pages 1-8, March.
  • Handle: RePEc:plo:pone00:0090767
    DOI: 10.1371/journal.pone.0090767
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    Cited by:

    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.

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