Skip Navigation



Rheumatology Advance Access published online on July 19, 2005
Rheumatology, doi:10.1093/rheumatology/kei032
This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
44/11/1422    most recent
kei032v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Da Costa, D.
Right arrow Articles by Dobkin, P. L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Da Costa, D.
Right arrow Articles by Dobkin, P. L.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author 2005. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org
Received May 30, 2005
Accepted June 24, 2005

Original Papers

A randomized clinical trial of an individualized home-based exercise programme for women with fibromyalgia

D. Da Costa 1*, M. Abrahamowicz 2, I. Lowensteyn 3, S. Bernatsky 1, M. Dritsa 3, M.-A. Fitzcharles 4, and P. L. Dobkin 1

1 Division of Clinical Epidemiology, McGill University Health Centre, Montreal, Canada; Department of Medicine, McGill University, Montreal, Canada
2 Division of Clinical Epidemiology, McGill University Health Centre, Montreal, Canada; Department of Epidemiology and Biostatistics, McGill University, Montreal, Canada
3 Division of Clinical Epidemiology, McGill University Health Centre, Montreal, Canada
4 Department of Medicine, McGill University, Montreal, Canada; Department of Rheumatology, McGill University Health Centre, Montreal, Canada

* To whom correspondence should be addressed.
D. Da Costa, E-mail: Deborah.DaCosta{at}mcgill.ca


  Abstract

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.

Keywords: Fibromyalgia; Home-based exercise; Randomized controlled trial.
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Ann Rheum DisHome page
S F Carville, S Arendt-Nielsen, H Bliddal, F Blotman, J C Branco, D Buskila, J A P Da Silva, B Danneskiold-Samsoe, F Dincer, C Henriksson, et al.
EULAR evidence-based recommendations for the management of fibromyalgia syndrome
Ann Rheum Dis, April 1, 2008; 67(4): 536 - 541.
[Abstract] [Full Text] [PDF]

Home page
 Ann Rheum DisHome page
S van Koulil, M Effting, F W Kraaimaat, W van Lankveld, T van Helmond, H Cats, P L C M van Riel, A J L de Jong, J F Haverman, and A W M Evers
Cognitive-behavioural therapies and exercise programmes for patients with fibromyalgia: state of the art and future directions
Ann Rheum Dis, May 1, 2007; 66(5): 571 - 581.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.