https://doi.org/10.4081/reumatismo.2021.1357
Strengthening exercises using swiss ball improve pain, health status, quality of life and muscle strength in patients with fibromyalgia: a randomized controlled trial
Submitted: 24 September 2020
Accepted: 22 January 2021
Published: 19 April 2021
Accepted: 22 January 2021
Abstract Views: 9460
PDF: 3846
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
The aim was to evaluate the effectiveness of strengthening exercises using the Swiss ball in patients with fibromyalgia through a randomized controlled trial with intention to treat analyses. A total of 60 patients with fibromyalgia met the inclusion criteria and were randomly allocated to either the Swiss ball exercise group (n=30) or a stretching group (n=30). All patients participated in 40-minute training sessions 3 times per week for 12 weeks. Pain (Visual Analogue Scale 0-100); muscle strength (One Repetition Maximum test); health status (Fibromyalgia Impact Questionnaire Revised); quality of life (Short Form-36 questionnaire) were evaluated at baseline, and after 6 and 12 weeks of training. The Swiss ball group showed a statistically significant improvement in VAS (0-100) (p<0.001), SF-36 (p<0.05) and Fibromyalgia Impact Questionnaire (p<0.001) compared with the stretching group. The results of this study proved that the treatment for fibromyalgia with strengthening exercises and the use of the Swiss ball led to improvement of pain, quality of life, muscle strength and decreased the need for medications for this disease compared to stretching exercises, without negative effects.
Puttini-Sarzi P, Giorgi V, Marotto D, Atzeni F. Fibromyalgia: an update on clinical characteristics, aetiopathogenesis and treatment. Nat Rev Rheumatol. 2020; 16: 645-60.
DOI: https://doi.org/10.1038/s41584-020-00506-w
Macfarlane GJ, Kronisch C, Dean LE, et al. EULAR revised recommendations for the management of fibromyalgia. Ann Rheum Dis. 2017; 76; 318-28.
DOI: https://doi.org/10.1136/annrheumdis-2016-209724
Busch AJ, Webber SC, Richards RS, et al. Resistance exercise training for fibromyalgia. Cochrane Database of Syst Rev. 2013; 12: 1-115.
DOI: https://doi.org/10.1002/14651858.CD010884
Cazzola M, Atzeni F, Salaffi F, Stisi S, Cassisi G, Sarzi-Puttini P. Which kind of exercise is best in fibromyalgia therapeutic programmes? A practical review. Clin Exp Rheumatol. 2010; 28; 117-24.
Craig C. Pilates on the ball. 2th Ed. Phorte; 2005. pp 1-177.
Kim M-K .The effects of trunk stabilization exercise using a Swiss ball in the absence of visual stimulus on balance in the elderly. J Phys Ther Sci. 2016; 28: 2144-47.
DOI: https://doi.org/10.1589/jpts.28.2144
Wolfe F, Smythe HA, Yunus MB, et al. The American College of Rheumatology Criteria for the Classification of Fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis Rheum. 1990; 33: 160-72.
DOI: https://doi.org/10.1002/art.1780330203
Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthrits Care (Hoboken). 2011; 63: 240-52.
DOI: https://doi.org/10.1002/acr.20543
Paiva ES, Heymann RE, Rezende MC, et al. A Brazilian Portuguese version of the Revised Fibromyalgia Impact Questionnaire (FIQR): a validation study. Clin Rheumatol. 2013; 8; 199-206.
DOI: https://doi.org/10.1007/s10067-013-2259-6
Fleck SJ, Kraemer JW. Designing resistance training programs. Human Kinetics 2004; 13-375.
Hoffman DL, Dukes E M. The health status burden of people with fibromyalgia: a review of studies that assessed health status with the SF-36 or the SF-12. Int J Clin Pract. 2008; 62: 115-26.
DOI: https://doi.org/10.1111/j.1742-1241.2007.01638.x
Santos E, Campos MA, Párraga-Montilla JA, et al. Effects of a functional training programme in patients with Fibromyalgia: A 9-years prospective longitudinal cohort study. Scand J Med Sci Sports. 2020; 10: 1111.
DOI: https://doi.org/10.1111/sms.13640
Hagen KB, Dagfinrud H, Moe RH, et al. Exercise therapy for bone and muscle health: an overview of systematic reviews. BMC Med. 2012; 10: 1-11.
DOI: https://doi.org/10.1186/1741-7015-10-167
D'Souza RS, Lin G, Oh T, et al. Fibromyalgia Symptom Severity and Psychosocial Outcomes in Fibromyalgia Patients with Hypovitaminosis D: A Prospective Questionnaire Study. Pain Med. 2020; 21: 3470-8.
DOI: https://doi.org/10.1093/pm/pnz377
Correa-Rodríguez M, Jamal E, Mansouri-Yachou, et al. The Association of Body Mass Index and Body Composition with Pain, Disease Activity, Fatigue, Sleep and Anxiety in Women with Fibromyalgia. Nutrients 2019; 27: 1193.
DOI: https://doi.org/10.3390/nu11051193
Valkeinen H, Alén M, Häkkinen A, et al. Effects of concurrent strength and endurance training on physical fitness and symptoms in postmenopausal women with fibromyalgia: a randomized controlled trial. Arch Phys Med Rehabil 2008; 89: 1660-6.
DOI: https://doi.org/10.1016/j.apmr.2008.01.022
Jones KD, Burckhardt CS, Clark SR, et al. A randomized controlled trial of muscle strengthening versus flexibility training in fibromyalgia. J Rheumatol. 2002; 29: 1041-8.
Sosa-Reina MD, Nunez-Nagy S, Gallego-Izquierdo T, et al. Effectiveness of Therapeutic Exercise in Fibromyalgia Syndrome: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. Biomed Res Int. 2017; 2356346; 1-4.
DOI: https://doi.org/10.1155/2017/2356346
Kingsley JD, McMillan V, Figueroa A. The effects of 12 weeks of resistance exercise training on disease severity and autonomic modulation at rest and after acute leg resistance exercise in women with fibromyalgia. Arch Phys Med Rehabil. 2010; 91; 1551-7.
DOI: https://doi.org/10.1016/j.apmr.2010.07.003
Häkkinen K, Pakarinen A, Hannonen P, et al. Effects of strength training on muscle strength, cross-sectional area, maximal electromyographic activity, and serum hormones in premenopausal women with fibromyalgia. J Rheumatol. 2002; 29: 1287-95.
Kingsley JD, Panton LB, Toole T, et al. The effects of a 12-week strength-training program on strength and functionality in women with fibromyalgia. Arch Phys Med Rehabil. 2005; 86: 1713-21.
DOI: https://doi.org/10.1016/j.apmr.2005.04.014
Bircan C, Karasel SA, Akgün B, et al. Effects of muscle strengthening versus aerobic execise program in fibromyalgia. Rheumatol Int. 2008; 28: 527-32.
DOI: https://doi.org/10.1007/s00296-007-0484-5
Haskell WL, Lee IM, Pate RR, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc. 2007; 39: 1423-34.
DOI: https://doi.org/10.1249/mss.0b013e3180616b27
American College of Sports Medicine. American College of Sports Medicine position stand. Progression models in resistance training for healthy adults. Med Sci Sports Exerc. 2009; 41: 687-08.
DOI: https://doi.org/10.1249/MSS.0b013e3181915670
Lehman GJ, Gordon T, Langley J, et al. Replacing a Swiss ball for an exercise bench causes variable changes in trunk muscle activity during upper limb strength exercises. Dyn Med. 2005; 3: 4-6.
DOI: https://doi.org/10.1186/1476-5918-3-4
Sekendiz B, Cuğ M, Korkusuz F. Effects of Swiss-ball core strength training on strength, endurance, flexibility, and balance in sedentary women. J Strength Cond Res. 2010; 24: 3032-40.
DOI: https://doi.org/10.1519/JSC.0b013e3181d82e70
Escamilla RF, Lewis C, Bell D, et al. Core muscle activation during Swiss ball and traditional abdominal exercises. J Orthop Sports Phys Ther. 2010; 40: 265-76.
DOI: https://doi.org/10.2519/jospt.2010.3073
Rooks DS, Silverman CB, Kantrowitz FG. The effects of progressive strength training and aerobic exercise on muscle strength and cardiovascular fitness in women with fibromyalgia: A pilot Study. Arthritis Rheum. 2002; 47: 22-8.
DOI: https://doi.org/10.1002/art1.10180
Hoeger Bement MK, Weyer A, Hartley S, et al. Pain perception after isometric exercise in women with fibromyalgia. Arch Phys Med Rehabil. 2011; 92: 89-95.
DOI: https://doi.org/10.1016/j.apmr.2010.10.006
How to Cite
Arakaki, J., Jennings, F., Estrela, G., Cruz Martinelli, V. ., & Natour, J. (2021). Strengthening exercises using swiss ball improve pain, health status, quality of life and muscle strength in patients with fibromyalgia: a randomized controlled trial. Reumatismo, 73(1), 15–23. https://doi.org/10.4081/reumatismo.2021.1357
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
Similar Articles
- A. Fassio, L. Idolazzi, M.A. Jaber, C. Dartizio, O. Viapiana, M. Rossini, D. Gatti, The negative bone effects of the disease and of chronic corticosteroid treatment in premenopausal women affected by rheumatoid arthritis , Reumatismo: Vol. 68 No. 2 (2016)
- F. Sari, S. Sari, Cross-cultural adaptation, reliability, and validity of the Turkish version of the Exercise Therapy Burden Questionnaire for individuals with chronic diseases , Reumatismo: Vol. 76 No. 2 (2024)
- C.-N. Lo, G. Xia, B.P. Leung, The effect of nerve mobilization exercise in patients with rheumatoid arthritis: a pilot study , Reumatismo: Vol. 69 No. 3 (2017)
- M. Varenna, F. Bertoldo, M. Di Monaco, A. Giusti, G. Martini, M. Rossini, On behalf of SIOMMMS, Endorsed by SIR, Safety profile of drugs used in the treatment of osteoporosis: a systematical review of the literature , Reumatismo: Vol. 65 No. 4 (2013)
- K. Thieme, D.C. Turk, Cognitive-behavioral and operant-behavioral therapy for people with fibromyalgia , Reumatismo: Vol. 64 No. 4 (2012)
- S. Bello, C. Bonali, L. Serafino, C. Rotondo, N. Terlizzi, G. Lapadula, Intra-articular therapy with tumor necrosis factor-α antagonists: an update , Reumatismo: Vol. 65 No. 6 (2013)
- R.C. Ansell, T. Shuto, N. Busquets-Perez, E.M.A. Hensor, H. Marzo-Ortega, D. McGonagle, The role of biomechanical factors in ankylosing spondylitis: the patient’s perspective , Reumatismo: Vol. 67 No. 3 (2015)
- V.F. Azevedo, E. Paiva, T. Tosin, A. Ferreira, A.M. Ferreira, M. Fernandes, Splenic tuberculosis in a patient with ankylosing spondylitis treated with adalimumab , Reumatismo: Vol. 63 No. 3 (2011)
- GL. Bagnato, G. Miceli, M. Atteritano, N. Marino, GF. Bagnato, Far infrared emitting plaster in knee osteoarthritis: a single blinded, randomised clinical trial , Reumatismo: Vol. 64 No. 6 (2012)
- S. Warwas, C. Specker, M. Jäger, S. Landgraeber, Arthroscopic synovectomy and radiosynoviorthesis: a treatment option for recurrent arthritis symptoms in patients with pachydermoperiostosis , Reumatismo: Vol. 65 No. 2 (2013)
<< < 1 2 3 4 5 6 7 8 9 10 > >>
You may also start an advanced similarity search for this article.
