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Pool-based exercise for amelioration of pain in adults with fibromyalgia syndrome: A systematic review and meta-analysis.
Galvão-Moreira, Leonardo Victor; de Castro, Lailson Oliveira; Moura, Ed Carlos Rey; de Oliveira, Caio Marcio Barros; Nogueira Neto, João; Gomes, Lyvia Maria Rodrigues de Sousa; Leal, Plínio da Cunha.
Afiliação
  • Galvão-Moreira LV; School of Medicine, Federal University of Maranhão, São Luís, Brazil.
  • de Castro LO; School of Medicine, Federal University of Maranhão, São Luís, Brazil.
  • Moura ECR; Department of Medicine I, Federal University of Maranhão, São Luís, Brazil.
  • de Oliveira CMB; Department of Medicine I, Federal University of Maranhão, São Luís, Brazil.
  • Nogueira Neto J; Department of Medicine I, Federal University of Maranhão, São Luís, Brazil.
  • Gomes LMRS; Department of Medicine II, Federal University of Maranhão, São Luís, Brazil.
  • Leal PDC; Department of Medicine I, Federal University of Maranhão, São Luís, Brazil.
Mod Rheumatol ; 31(4): 904-911, 2021 Jul.
Article em En | MEDLINE | ID: mdl-32990113
OBJECTIVE: To evaluate the effects of pool-based exercises on pain symptomatology among adults with fibromyalgia syndrome. METHODS: A systematic review and meta-analysis were carried out using PRISMA guidelines. Database search was conducted by two independent reviewers. For meta-analysis, the visual analogue scale (VAS) score for pain was used as the primary outcome and the Fibromyalgia Impact Questionnaire (FIQ) score was utilized as the secondary outcome. RESULTS: A total of 42 out of 292 potentially eligible studies were selected for being read in full by reviewers, 14 of which were included in meta-analysis, being 10 of them used in sensitivity analysis of either the primary or secondary outcome. Data pooled from 10 randomized controlled trials (n = 508) revealed that patients who underwent pool-based exercises exhibited a significantly lower mean in VAS score as compared to controls (SMD = -0.27, 95% CI: -0.45 to -0.09). Regarding FIQ scores, data from 10 randomized controlled trials were pooled (n = 578) and a lower mean score was also shown in the group that underwent a pool-based exercise program (SMD = -0.29, 95% CI: -0.49 to -0.09). Limitations of this study include the small sample size and moderate dropout rates in currently available clinical trials. CONCLUSION: Pool-based exercise may provide some additional benefit for pain relief in adults with fibromyalgia as compared to either land-based or no physical exercise. IMPLICATIONS OF KEY FINDINGS: Collectively, these findings suggest that pool-based exercise deserves further attention as a potential adjuvant therapeutic option for adults with fibromyalgia. PROSPERO registration number: CRD42019136755.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Exercício Físico / Fibromialgia / Terapia por Exercício / Manejo da Dor Tipo de estudo: Clinical_trials / Guideline / Qualitative_research / Systematic_reviews Limite: Adult / Humans Idioma: En Revista: Mod Rheumatol Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Exercício Físico / Fibromialgia / Terapia por Exercício / Manejo da Dor Tipo de estudo: Clinical_trials / Guideline / Qualitative_research / Systematic_reviews Limite: Adult / Humans Idioma: En Revista: Mod Rheumatol Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido