Strengthening Exercises Improve Symptoms and Quality of Life but Do Not Change Autonomic Modulation in Fibromyalgia: A Randomized Clinical Trial

@article{Gavi2014StrengtheningEI,
  title={Strengthening Exercises Improve Symptoms and Quality of Life but Do Not Change Autonomic Modulation in Fibromyalgia: A Randomized Clinical Trial},
  author={Maria Bernadete O. Gavi and Dalton Valentin Vassalo and Fabian Tadeu do Amaral and Danielle Const{\^a}ncia Fel{\'i}cio Macedo and Pablo L{\'u}cio Gava and Eduardo Miranda Dantas and Val{\'e}ria Valim},
  journal={PLoS ONE},
  year={2014},
  volume={9}
}
Objective Autonomic dysfunction is an important mechanism that could explain many symptoms observed in fibromyalgia (FM). Exercise is an effective treatment, with benefits potentially mediated through changes in autonomic modulation. Strengthening is one of the less studied exercises in FM, and the acute and chronic effects of strengthening on the autonomic system remain unknown. The objective of this study was to assess the chronic effects of strengthening exercises (STRE) on autonomic… 

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References

SHOWING 1-10 OF 55 REFERENCES

Aerobic fitness effects in fibromyalgia.

It is confirmed that aerobic exercise is beneficial to patients with FM, but the cardiorespiratory fitness gain is not related to improvement of FM symptoms.

Effects of muscle strengthening versus aerobic exercise program in fibromyalgia

AE and SE are similarly effective at improving symptoms, tender point count, fitness, depression, and quality of life in fibromyalgia.

Exercise Therapy for Fibromyalgia

Findings from recent randomized controlled trials and reviews of exercise for people with fibromyalgia are highlighted, and information regarding factors that influence response and adherence to exercise is included to assist clinicians with exercise and physical activity prescription decision-making to optimize health and well-being.

Strength training induced adaptations in neuromuscular function of premenopausal women with fibromyalgia: comparison with healthy women

The results confirm the opinion that FM syndrome has a central rather than a peripheral or muscular basis and progressive strength training can safely be used in the treatment of FM to decrease the impact of the syndrome on the neuromuscular system, perceived symptoms, and functional capacity.

A randomized controlled trial of muscle strengthening versus flexibility training in fibromyalgia.

Patients with FM can engage in a specially tailored muscle strengthening program and experience an improvement in overall disease activity, without a significant exercise induced flare in pain.

Autonomic Dysfunction in Fibromyalgia Assessed by the Composite Autonomic Symptoms Scale (COMPASS)

Patients with FM have multiple nonpain symptoms related to different expressions of autonomic dysfunction, and a correlation between a questionnaire that measures FM severity (FIQ) and an autonomic Dysautonomia questionnaire (COMPASS) suggests that autonomi dysfunction is inherent to FM.
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