role of home-training in the management of fibromyalgia - a randomized
Daniela Matei1, Diana Dragoi2,
Roxana Popescu1, Ligia Rusu3,
University of Medicine and Pharmacy, Craiova, Romania
Emergency County Hospital No 1, Craiova, Romania
University of Craiova, Romania
6-week randomized, single-blind controlled clinical trial (included 56
Caucasians patients - 9 males, 47 females - average age 51.3 years)
evaluated the efficacy of home-aerobic training for reducing pain and
associated symptoms in patients with primary fibromyalgia.
were randomized into two groups: group 1 – twenty nine
patients (G1) was treated by complex therapy (patient education,
pharmacotherapy, TENS, massage, physical training – five
times a week for the two weeks, follow-up by a 6 week home-training
program), and group 2 – twenty-seven patients (G2) acted as
controls, receiving no home-training program. Parameters measured were:
the number of tender points (NO), pain (visual analogue scale - VAS),
perceived exertion and quality of life (Spitzer scale), value of
Fibromyalgia Impact Questionnaire (FIQ).
analysis was performed with the use of a SPSS (Windows version 6.1).
quality of life, assessed with Spitzer scale, had significant
improvement only for G1. Home-training patients showed significant
improvement in the mean pain score compared to control group, and were
significantly more likely to have 56.5 % reduction in pain from
baseline Improvements in self-reported disability were seen with the
home-training group (FIQ had 14.5 % reduction in G1) as compared to the
control group (FIQ had only 6 % reduction). The number of tender points
for patients in the G1 decreased significantly more than the number for
those in the G2.
Individually tailored exercise programmes
including aerobic exercise and strength training can be beneficial to
some patients with fibromyalgia.
home-training, quality of life