Document Detail


A randomized clinical trial of an individualized home-based exercise programme for women with fibromyalgia.
MedLine Citation:
PMID:  16030079     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the efficacy of a 12-week individualized home-based exercise programme on physical functioning, pain severity and psychological distress for women with fibromyalgia (FM). METHODS: Seventy-nine women with a primary diagnosis of FM were randomized to a 12-week individualized home-based moderate-intensity exercise programme or to a usual care control group. Outcomes were functional capacity (Fibromyalgia Impact Questionnaire), pain severity and psychological distress. Outcomes were measured at study entry, at the end of the 12-week intervention, and at 3 and 9 months following completion of the intervention. RESULTS: On the basis of intention-to-treat analyses, a significant improvement in functional capacity at 3 and 9 months following treatment for participants in the exercise group who were more functionally disabled at study entry was observed. At both 3 and 9 months post-treatment, the mean estimated benefit of the intervention was more than 10 points [-12.3 (95% CI, -21.9 to -2.8); -10.8 (95% CI, -21.5 to -0.2)]. Compared with the control group, statistically significant improvements in upper body pain were evident in the exercise group at post-treatment. These between-group differences in upper body pain were maintained at 3 and 9 months post-treatment. No statistically significant group differences on lower body pain and psychological distress were found. CONCLUSIONS: Home-based exercise, a relatively low-cost treatment modality, has the potential to improve important health outcomes in FM.
Authors:
D Da Costa; M Abrahamowicz; I Lowensteyn; S Bernatsky; M Dritsa; M-A Fitzcharles; P L Dobkin
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2005-07-19
Journal Detail:
Title:  Rheumatology (Oxford, England)     Volume:  44     ISSN:  1462-0324     ISO Abbreviation:  Rheumatology (Oxford)     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-10-24     Completed Date:  2006-01-13     Revised Date:  2007-09-06    
Medline Journal Info:
Nlm Unique ID:  100883501     Medline TA:  Rheumatology (Oxford)     Country:  England    
Other Details:
Languages:  eng     Pagination:  1422-7     Citation Subset:  AIM; IM    
Affiliation:
Division of Clinical Epidemiology, McGill University Health Centre, Montreal, Quebec, H3G 1A4 Canada. Deborah.DaCosta@mcgill.ca
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MeSH Terms
Descriptor/Qualifier:
Adult
Exercise Therapy / methods*
Female
Fibromyalgia / physiopathology,  psychology,  rehabilitation*
Follow-Up Studies
Health Status Indicators
Home Care Services*
Humans
Middle Aged
Pain Measurement
Stress, Psychological / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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