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Components of effective randomized controlled trials of hydrotherapy programs for fibromyalgia syndrome: A systematic review.
MedLine Citation:
PMID:  21197303     Owner:  NLM     Status:  PubMed-not-MEDLINE    
AIM: Previous systematic reviews 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 randomized controlled trials.
METHOD: A systematic review of randomized 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 randomized 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.
Luke Perraton; Zuzana Machotka; Saravana Kumar
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Publication Detail:
Type:  Journal Article     Date:  2009-11-30
Journal Detail:
Title:  Journal of pain research     Volume:  2     ISSN:  1178-7090     ISO Abbreviation:  J Pain Res     Publication Date:  2009  
Date Detail:
Created Date:  2011-01-03     Completed Date:  2011-07-14     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101540514     Medline TA:  J Pain Res     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  165-73     Citation Subset:  -    
International Centre for Allied Health Evidence, University of South Australia, Adelaide, South Australia, Australia.
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