Pool-based exercise for amelioration of pain in adults with fibromyalgia syndrome: A systematic review and meta-analysis

To evaluate the effects of pool-based exercises on pain symptomatology among adults with fibromyalgia syndrome. A systematic review and meta-analysis were carried out using PRISMA guidelines. Database search was conducted by two independent reviewers. For meta-analysis, the visual analogue scale (VA...

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Veröffentlicht in:Modern rheumatology 2021-07, Vol.31 (4), p.904-911
Hauptverfasser: Galvão-Moreira, Leonardo Victor, de Castro, Lailson Oliveira, Moura, Ed Carlos Rey, de Oliveira, Caio Marcio Barros, Nogueira Neto, João, Gomes, Lyvia Maria Rodrigues de Sousa, Leal, Plínio da Cunha
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container_end_page 911
container_issue 4
container_start_page 904
container_title Modern rheumatology
container_volume 31
creator Galvão-Moreira, Leonardo Victor
de Castro, Lailson Oliveira
Moura, Ed Carlos Rey
de Oliveira, Caio Marcio Barros
Nogueira Neto, João
Gomes, Lyvia Maria Rodrigues de Sousa
Leal, Plínio da Cunha
description To evaluate the effects of pool-based exercises on pain symptomatology among adults with fibromyalgia syndrome. A systematic review and meta-analysis were carried out using PRISMA guidelines. Database search was conducted by two independent reviewers. For meta-analysis, the visual analogue scale (VAS) score for pain was used as the primary outcome and the Fibromyalgia Impact Questionnaire (FIQ) score was utilized as the secondary outcome. A total of 42 out of 292 potentially eligible studies were selected for being read in full by reviewers, 14 of which were included in meta-analysis, being 10 of them used in sensitivity analysis of either the primary or secondary outcome. Data pooled from 10 randomized controlled trials (n = 508) revealed that patients who underwent pool-based exercises exhibited a significantly lower mean in VAS score as compared to controls (SMD = −0.27, 95% CI: −0.45 to −0.09). Regarding FIQ scores, data from 10 randomized controlled trials were pooled (n = 578) and a lower mean score was also shown in the group that underwent a pool-based exercise program (SMD = −0.29, 95% CI: −0.49 to −0.09). Limitations of this study include the small sample size and moderate dropout rates in currently available clinical trials. Pool-based exercise may provide some additional benefit for pain relief in adults with fibromyalgia as compared to either land-based or no physical exercise. Collectively, these findings suggest that pool-based exercise deserves further attention as a potential adjuvant therapeutic option for adults with fibromyalgia. PROSPERO registration number: CRD42019136755.
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Regarding FIQ scores, data from 10 randomized controlled trials were pooled (n = 578) and a lower mean score was also shown in the group that underwent a pool-based exercise program (SMD = −0.29, 95% CI: −0.49 to −0.09). Limitations of this study include the small sample size and moderate dropout rates in currently available clinical trials. Pool-based exercise may provide some additional benefit for pain relief in adults with fibromyalgia as compared to either land-based or no physical exercise. Collectively, these findings suggest that pool-based exercise deserves further attention as a potential adjuvant therapeutic option for adults with fibromyalgia. 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source Oxford University Press Journals All Titles (1996-Current); MEDLINE
subjects Adult
Exercise - physiology
exercise therapy
Exercise Therapy - methods
Fibromyalgia
Fibromyalgia - pathology
Fibromyalgia - therapy
Humans
hydrotherapy
Pain
Pain Management - methods
Surveys and Questionnaires
Swimming Pools
title Pool-based exercise for amelioration of pain in adults with fibromyalgia syndrome: A systematic review and meta-analysis
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