Effects of a strength training program on daily living in women with fibromyalgia

Cristina Maestre-Cascales, Ana Belén Peinado Lozano, Jesús Javier Rojo González

Abstract

Background. The fibromyalgia among other symptoms is associated with poor physical condition in relation to the loss of muscle mass, which produces an increase in muscle disability. This directly affects the state of health because it causes limitations to perform the tasks of daily living. Objective. The aim was to analyse the effect of the progressive strength program on dimensions that affects to quality of life and to value the changes produced during the program. Design. Controlled quasi-experimental analytical study evaluating the response to the intervention program at three specific moments. Methods. 41 women with fibromyalgia participated in this study fulfilling the inclusion criteria. The participants completed a total of 24 weeks of training program based on strength work oriented to daily life activities. The program consisted of a total of 3 progressive and controlled phases in volume and intensity to improve muscle strength that affects the performance of daily living activities. Results. We obtained statistical differences (P < 0.001) and high clinical effects (d > 0.60) in all strength test and all domains of the Revised Fibromyalgia Impact Questionnaire at the end of the intervention. Conclusions. The improvements produced in functional capacity allows them to perform tasks that were previously incapable. The muscle strengthening program based on strength work twice a week on non-consecutive days with a total duration of 1 hour, improves the quality of life related to health, symptomatology, physical function and the severity of disease.


Keywords

Health; Human performance; Woman; Pathology; Physical activity; Strength

References

Aparicio, V. A., Ortega, F. B., Heredia, J. M., Carbonell-Baeza, A., Sjöström, M., & Delgado-Fernandez, M. (2011). Handgrip strength test as a complementary tool in the assessment of fibromyalgia severity in women. Archives of Physical Medicine and Rehabilitation, 92(1), 83–88. https://doi.org/10.1016/j.apmr.2010.09.010

Arnold, L. M., Clauw, D. J., Dunegan, L. J., Turk, D. C., & FibroCollaborative. (2012). A Framework for Fibromyalgia Management for Primary Care Providers. Mayo Clinic Proceedings, 87(5), 488–496. https://doi.org/10.1016/j.mayocp.2012.02.010

Bardal, E. M., Roeleveld, K., & Mork, P. J. (2015). Aerobic and cardiovascular autonomic adaptations to moderate intensity endurance exercise in patients with fibromyalgia. Journal of Rehabilitation Medicine, 47(7), 639–646. https://doi.org/10.2340/16501977-1966

Bircan, C., Karasel, S. A., Akgun, B., El, O., & Alper, S. (2008). Effects of muscle strengthening versus aerobic exercise program in fibromyalgia. Rheumatology International, 28(6), 527–532. https://doi.org/10.1007/s00296-007-0484-5

Burckhardt, C. S., Clark, S. R., & Bennett, R. M. (1993). Fibromyalgia and quality of life: A comparative analysis. Journal of Rheumatology, 20(3), 475–479. Retrieved from https://ohsu.pure.elsevier.com/en/publications/fibromyalgia-and-quality-of-life-a-comparative-analysis-2

Carmona, L., Ballina, J., Gabriel, R., & Laffon, A. (2001). The burden of musculoskeletal diseases in the general population of Spain: results from a national survey. Annals of the Rheumatic Diseases, 60(11), 1040–1045. https://doi.org/10.1136/ard.60.11.1040

Casanueva, B., Garcia-Fructuoso, F., Belenguer, R., Alegre, C., Moreno-Muelas, J. V, Hernandez, J. L., … Gonzalez-Gay, M. A. (2016). The Spanish version of the 2010 American College of Rheumatology Preliminary Diagnostic Criteria for fibromyalgia: reliability and validity assessment. Clinical and Experimental Rheumatology, 34(2), S55–S58.

Colado, J. C., Garcia-Masso, X., Triplett, T. N., Flandez, J., Borreani, S., & Tella, V. (2012). Concurrent validation of the omni-resistance exercise scale of perceived exertion with thera-band resistance bands. Journal of Strength and Conditioning Research, 26(11), 3018–3024. https://doi.org/10.1519/JSC.0b013e318245c0c9

Dominguez, R., Garnacho-Castano, M. V, & Mate-Munoz, J. L. (2016). Effects of resistance training in various pathologies. Nutricion Hospitalaria, 33(3), 719–733. https://doi.org/10.20960/nh.284

Folsom, A. R., Kushi, L. H., Anderson, K. E., Mink, P. J., Olson, J. E., Hong, C. P., … Prineas, R. (2000). Associations of general and abdominal obesity with multiple health outcomes in older women - The Iowa women's health study. Archives of Internal Medicine, 160(14), 2117–2128. https://doi.org/10.1001/archinte.160.14.2117

Gearhart, R. F., Lagally, K. M., Riechman, S. E., Andrews, R. D., & Robertson, R. J. (2009). Strength tracking using the omni resistance exercise scale in older men and women. Journal of Strength and Conditioning Research, 23(3), 1011–1015. https://doi.org/10.1519/JSC.0b013e3181a2ec41

Hopkins, W. G. (2007). A spreadsheet for deriving a confidence interval, mechanistic inference and clinical inference from a P value. Sportscience, 11, 16–21.

Hwi-Ryun, K., Han, K.-A., Kim, H. C., Min, K., Ku, Y. H., 안희정, & 구보경. (2010). The Effects of Resistance Training on Muscle and Body Fat Mass and Muscle Strength in Type 2 Diabetic Women. Diabetes and Metabolism Journal, 34(2), 101–110.

Jones, K. D., Burckhardt, C. S., Clark, S. R., Bennett, R. M., & Potempa, K. M. (2002). A randomized controlled trial of muscle strengthening versus flexibility training in fibromyalgia. The Journal of Rheumatology, 29(5), 1041–1048. Retrieved from http://www.jrheum.org/content/29/5/1041.long

Kingsley, J. D., Panton, L. B., Toole, T., Sirithienthad, P., Mathis, R., & McMillan, V. (2005). The effects of a 12-week strength-training program on strength and functionality in women with fibromyalgia. Archives of Physical Medicine and Rehabilitation, 86(9), 1713–1721. https://doi.org/10.1016/j.apmr.2005.04.014

Koklu, K., Sarigul, M., Ozisler, Z., Sirzai, H., & Ozel, S. (2016). Handgrip Strength in Fibromyalgia. Archives of Rheumatology, 31(2), 158–161. https://doi.org/10.5606/ArchRheumatol.2016.5736

Marques, A. P., Santo, A. D. D., Berssaneti, A. A., Matsutani, L. A., & Yuan, S. L. K. (2017). Prevalence of fibromyalgia: literature review update. Revista Brasileira De Reumatologia, 57(4), 356–363. https://doi.org/10.1016/j.rbr.2016.10.004

Mas, A. J., Carmona, L., Valverde, M., Ribas, B., & Grp, E. S. (2008). Prevalence and impact of fibromyalgia on function and quality of life in individuals from the general population: results from a nationwide study in Spain. Clinical and Experimental Rheumatology, 26(4), 519–526.

Nordenskiold, U. M., & Grimby, G. (1993). Grip force in patients with rheumatoid-arthritis and fibromyalgia and in healthy-subjects - a study with the grippit instrument. Scandinavian Journal of Rheumatology, 22(1), 14–19. https://doi.org/10.3109/03009749309095105

Omoigui, S. (2007). The biochemical origin of pain: The origin of all pain is inflammation and the inflammatory response. Part 2 of 3 - Inflammatory profile of pain syndromes. Medical Hypotheses, 69(6), 1169–1178. https://doi.org/10.1016/j.mehy.2007.06.033

Rebutini, V. Z., Giaretta, M. T., da Silva, J. R., da Silva Mayork, A. K., & Cal Abad, C. C. (2013). Effect of resistance training in patients with fibromyalgia: A case report. Motriz-Revista De Educacao Fisica, 19(2), 513–522. https://doi.org/10.1590/S1980-65742013000200029

Salgueiro, M., Garcia-Leiva, J. M., Ballesteros, J., Hidalgo, J., Molina, R., & Calandre, E. P. (2013). Validation of a Spanish version of the Revised Fibromyalgia Impact Questionnaire (FIQR). Health and Quality of Life Outcomes, 11. https://doi.org/10.1186/1477-7525-11-132

Sanudo, B., Galiano, D., Carrasco, L., de Hoyo, M., & McVeigh, J. G. (2011). Effects of a prolonged exercise programme on key health outcomes in women with fibromyalgia: a randomized controlled trial. Journal of Rehabilitation Medicine, 43(6), 521–526. https://doi.org/10.2340/16501977-0814

Sener, U., Ucok, K., Ulasli, A. M., Genc, A., Karabacak, H., Coban, N. F., … Cevik, H. (2016). Evaluation of health-related physical fitness parameters and association analysis with depression, anxiety, and quality of life in patients with fibromyalgia. International Journal of Rheumatic Diseases, 19(8), 763–772. https://doi.org/10.1111/1756-185x.12237

Silva-Grigoletto Viana-Montaner, B. H., Heredia, J., Mata Ordóñez, F., Peña, G., Brito, C. J., ..., D., & García Manso, J. M. (2013). Validación de la escala de valoración subjetiva del esfuerzo OMNI-GSE para el control de la intensidad global en sesiones de objetivos múltiples en personas mayores.

Valim, V., Oliveira, L., Suda, A., Silva, L., de Assis, M., Barros Neto, T., … Natour, J. (2003). Aerobic fitness effects in fibromyalgia. The Journal of Rheumatology, 30(5), 1060–1069. Retrieved from http://www.jrheum.org/content/30/5/1060.long

Valkeinen, H., Alen, M., Hannonen, P., Häkkinen, A., Airaksinen, O., & Häkkinen, K. (2004). Changes in knee extension and flexion force, EMG and functional capacity during strength training in older females with fibromyalgia and healthy controls. Rheumatology, 43(2), 225–228. https://doi.org/10.1093/rheumatology/keh027

van Santen, M., Bolwijn, P., Landewé, R., Verstappen, F., Bakker, C., Hidding, A., … van der Linden, S. (2002). High or low intensity aerobic fitness training in fibromyalgia: does it matter? The Journal of Rheumatology, 29(3), 582–587. Retrieved from http://www.jrheum.org/content/29/3/582.long

Wolfe, F., Anderson, J., Harkness, D., Bennett, R. M., Caro, X. J., Goldenberg, D. L., … Yunus, M. B. (1997). Work and disability status of persons with fibromyalgia. Journal of Rheumatology, 24(6), 1171–1178.

Wolfe, F., Smythe, H. A., Yunus, M. B., Bennett, R. M., Bombardier, C., Goldenberg, D. L., … Clark, P. (1990). The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Arthritis & Rheumatism: Official Journal of the American College of Rheumatology, 33(2), 160–172. https://doi.org/10.1002/art.1780330203




DOI: https://doi.org/10.14198/jhse.2019.144.03





License URL: https://creativecommons.org/licenses/by-nc-nd/4.0/