Analysis of aquatic exercise programmes for people with fibromyalgia
DOI:
https://doi.org/10.47197/retos.v48.97947Keywords:
Fibromyalgia, Aquatic exercise, Quality of lifeAbstract
Fibromyalgia causes a decrease in physical function, quality of life and a higher prevalence of mental health-related diseases. Pharmacological treatment is the most used in patients with fibromyalgia, but a correct approach to the therapeutic process should include the practice of physical exercise. Physical activity causes improvements in symptomatology, aerobic capacity, physical function and subjective perception of general well-being and self-efficacy. Therefore, the aim of the present study is to develop an update of the state of the art related to aquatic exercise in patients with fibromyalgia, as well as to know the main benefits of this type of interventions. For the search, compilation and selection of articles, the keywords "fibromyalgia" and "aquatic exercise" were used, which were entered in the Scopus, Web of Science and PubMed databases. To adjust the search to the object of study, a series of inclusion criteria were established for the scientific publications. The studies analyzed show that aquatic exercise is an effective and complementary alternative to conventional therapy. Among the benefits of aquatic exercise are a decrease in stress, a reduction in fatigue and an improvement in symptoms of depression and anxiety, as well as a decrease in pain and insomnia problems. In view of these results, it seems that aquatic physical exercise programs are a type of non-pharmacological treatment to be considered in the treatment of patients with fibromyalgia, improving symptoms and quality of life.
Keywords: Fibromyalgia; Aquatic exercise; Quality of life
References
Acosta-Gallego, A., Ruiz-Montero, P.J., & Castillo-Rodríguez, A. (2018). Land- and pool-based intervention in female fibromyalgia patients: A randomized-controlled trial. Turkish journal of physical medicine and rehabilitation, 64(4), 337–343. https://doi.org/10.5606/tftrd.2018.2314
Acosta-Gallego, A. Castillo-Rodríguez, A., & Chinchilla-Minguet, J.L. (2016). Análisis de un Programa de Intervención Físico-rehabilitadora Estandarizada (Ifre) en Medio Acuático en Mujeres con Fibromialgia. Archivos de Medicina, 12(1). https://doi.org/10.3823/1285
Ambrose, K.R., Lyden, A.K., & Clauw, D.J. (2003). Applying exercise to the management of fibromyalgia. Current Pain and Headache Report, 7, 348-54. https://doi.org/10.1007/s11916-003-0033-1
Ambrose, K.R., & Golightly, Y.M. (2015). Physical exercise as non-pharmacological treatment of chronic pain: Why and when. Best Practice & Research Clinical Rheumatology, 29(1), 120–130. https://doi.org/10.1016/j.berh.2015.04.022
Assis, M.R., Silva, L.E., Alves, A.M., Pessanha, A.P., Valim, V., Feldman, D., Neto, T.L., & Natour, J. (2006). A ran-domized controlled trial of deep water running: clinical effectiveness of aquatic exercise to treat fibromyalgia. Arthritis and rheumatism, 55(1), 57–65. https://doi.org/10.1002/art.21693
Ato, M., López-García, J.J., & Benavente, A. (2013). Un sistema de clasificación de los diseños de investigación en psicología. Anales de Psicología, 29(3), 1038–1059. https://doi.org/10.6018/analesps.29.3.178511
Bote, M.E., García, J.J., Hinchado, M D., & Ortega, E. (2014). An exploratory study of the effect of regular aquatic exer-cise on the function of neutrophils from women with fibromyalgia: role of IL-8 and noradrenaline. Brain, Behavior, and Immunity, 39, 107–112. https://doi.org/10.1016/j.bbi.2013.11.009
Bradley, L.A. (2009). Pathophysiology of fibromyalgia. The American Journal of Medicine, 122(12), S22-S30. https://doi-org/10.1016/j.amjmed.2009.09.008
Braz, A de S., de Paula, A.P., Diniz, M. de F., & de Almeida, R.N. (2011). Non-pharmacological therapy and complemen-tary and alternative medicine in fibromyalgia. Revista Brasileña de Reumatología, 51(3), 269-282.
Busch, A.J., Barber, K.A., Overend, T.J., Peloso, P.M., & Schachter, C.L. (2007). Exercise for treating fibromyalgia syn-drome. Cochrane Database Systematic Review 2007, 4(CD003786) https://doi.org/10.1002/14651858.CD003786.pub2
Clauw, D.J. (2009). Fibromyalgia: an overview. American Journal of Medicine, 122(12), S3-S13. https://doi.org/10.1016/j.amjmed.2009.09.006
Cuesta-Vargas, A.I., & Adams, N. (2011). A pragmatic community-based intervention of multimodal physiotherapy plus deep water running (DWR) for fibromyalgia syndrome: a pilot study. Clinical Rheumatology, 30, 1455–1462. https://doi.org/10.1007/s10067-011-1825-z
Davenport, D., & Velázquez, C.R. (2012). New directions in fibromyalgia. Missouri Medicine, 109(1), 49-52.
de Andrade, S.C., de Carvalho, R.F., Soares, A.S., de Abreu Freitas, R.P., de Medeiros Guerra, L.M., & Vilar, M.J. (2008). Thalassotherapy for fibromyalgia: a randomized controlled trial comparing aquatic exercises in sea water and water pool. Rheumatology International, 29, 147–152. https://doi.org/10.1007/s00296-008-0644-2
de Medeiros, S.A., de Almeida Silva, H.J., do Nascimento, R.M., da Silva Maia, J.B., de Almeida Lins, C.A., & de Souza, M. C. (2020). Mat Pilates is as effective as aquatic aerobic exercise in treating women with fibromyalgia: a clinical, ran-domized, and blind trial. Advances in Rheumatology, 60(21). https://doi.org/10.1186/s42358-020-0124-2
Evcik, D., Yigit, I., Pusak, H., & Kavuncu, V. (2008). Effectiveness of aquatic therapy in the treatment of fibromyalgia syndrome: a randomized controlled open study. Rheumatology International, 28, 885–890. https://doi.org/10.1007/s00296-008-0538-3
Gámez-Calvo, L., Hernández-Beltrán, V., Díaz-Valdes, J., & Gamonales, J.M. (2021). Evaluación del rendimiento deporti-vo en rugby en silla de ruedas. Revisión sistemática exploratoria. Anatomía Digital, 4(4), 49–68. https://doi.org/10.33262/anatomiadigital.v4i4.1890
Gámez-Calvo, L., Hernández-Beltrán, V., González-Coto, V.A., Acosta-Gallego, A., & Gamonales, J.M. (2022a). Ejerci-cio acuático y envejecimiento activo para el tratamiento de personas con fibromialgia: Revisión sistemática. Congreso In-ternacional “Envejecimiento Activo, Calidad de Vida y Bienestar en Áreas Rurales”. Cáceres, España.
Gámez-Calvo, L., Gamonales, J.M., Hernández-Beltrán, V., & Muñoz-Jiménez, J. (2022b). Beneficios de la hipoterapia para personas con Trastorno por Déficit de Atención e Hiperactividad en edad escolar. Revisión sistemática exploratoria. Retos. Nuevas Tendencias en Educación Física, Deporte y Recreación. (43), 88–97. https://doi.org/10.47197/retos.v44i0.91163
Gamonales, J.M., Durán-Vaca, M., Gámez-Calvo, L., Hernández-Beltrán, V., Muñoz-Jiménez, J., & León, K. (2021a). Fútbol para personas con amputaciones: revisión sistemática exploratoria. Retos. Nuevas Tendencias en Educación Física, Deportes y Recreación, (42), 145-153. https://doi.org/10.47197/retos.v42i0.86380
Gamonales, J.M., Martín-Casañas, E., Hernández-Beltrán, V., Gámez-Calvo, L., León, K., & Muñoz-Jiménez, J. (2021b). Walking football for older adults: Systematic review. E-balonmano Com, 17(3), 195–210
Gamonales, J.M., Muñoz-Jiménez, J., León, K., & Ibáñez, SJ (2018). 5-a-side football for individuals with visual impair-ments: A review of the literature. European Journal of Adapted Physical Activity, 11(1), 1-19. https://doi.org/10.5507/euj.2018.004
Gonzalez Gonzalez, J., del Teso Rubio, M. del M., Waliño Paniagua, C.N., Criado-Alvarez, J. J., & Sanchez Holgado, J. (2015). Tratamiento sintomático y del dolor en fibromialgia mediante abordaje multidisciplinar desde Atención Primaria. Reumatología Clínica, 11(1), 22–26. https://doi.org/10.1016/j.reuma.2014.03.005
Gowans, S.E. (2010). Increased regular physical activity as 'exercise' in fibromyalgia. Nature Reviews Rheumatology, 6, 499-500. https://doi.org/10.1038/nrrheum.2010.135
Gusi, N., & Tomas-Carus, P. (2008). Cost-utility of an 8-month aquatic training for women with fibromyalgia: a randomized controlled trial. Arthritis Research & Therapy, 10(1). https://doi.org/10.1186/ar2377
Gusi, N., Tomas-Carus, P., Häkkinen, A., Häkkinen, K., & Ortega-Alonso, A. (2006). Exercise in waist-high warm water decreases pain and improves health-related quality of life and strength in the lower extremities in women with fibromyalgia. Arthritis and Rheumatism, 55(1), 66–73. https://doi.org/10.1002/art.21718
Heidari, F., Afshari, M., & Moosazadeh, M. (2017). Prevalence of fibromyalgia in general population and patients, a systematic review and meta-analysis. Rheumatology International, 37, 1527-1539. https://doi.org/10.1007/s00296-017-3725-2
Hernández-Beltrán, V., Gámez-Calvo, L., Rojo-Ramos, J., & Gamonales, J.M. (2021). La Joëlette como herramienta de inclusión. Revisión de la literatura. E-Motion. Revista de Educación, Motricidad e Investigación, 16, 47–68. http://dx.doi.org/10.33776/rev.%20e-motion.v0i16.5127
Hernández-Beltrán, V., Muñoz-Jiménez, J., Gámez-Calvo, L., Castelli Correia de Campos, L.F., & Gamonales, J.M. (2022). Influencia de las lesiones y la clasificación funcional en el rendimiento deportivo de jugadores de baloncesto en silla de ruedas. Revisión sistemática. Retos. Nuevas Tendencias en Educación Física, Deporte y Recreación, (45), 1154–1164. https://doi.org/10.47197/retos.v45i0.94090
Hernández Forero, M., Tautiva, H., & Galindo, L. (2014). Subdiagnóstico de la fibromialgia en hombres: revisión de la literatura y reporte de un caso. Revista Colombiana de Medicina Física y Rehabilitación, 24(2), 158-166. https://doi.org/10.28957/rcmfr.v24n2a9
Hernando-Garijo, I., Jiménez-del-Barrio, S., Mingo-Gómez, T., Medrano-de-la-Fuente, R., & Ceballos-Laita, L. (2022). Effectiveness of non-pharmacological conservative therapies in adults with fibromyalgia: A systematic review of high-quality clinical trials. Journal of Back and Musculoskeletal Rehabilitation, 35(1), 3–20. https://doi.org/10.3233/BMR-200282
Ide, M.R., Laurindo, I.M., Rodrigues-Junior, A.L, & Tanak, C. (2008). Effect of aquatic respiratory exercise-based program in patients with fibromyalgia. International Journal of Rheumatic Disorder, 11(2), 131–40. https://doi-org.ezproxy.unex.es/10.1111/j.1756-185X.2008.00348.x
Imamura, M., Cassius, D.A., & Fregni, F. (2009). Fibromyalgia: From treatment to rehabilitation. European Journal of Pain, 3(2), 117-122. https://doi.org/10.1016/j.eujps.2009.08.011
Jansen, G.B, Linder, J., Ekholm, K.S., & Ekholm J. (2011). Differences in symptoms, functioning, and quality of life between women on long-term sick-leave with musculoskeletal pain with and without concomitant depression. Journal of Multidisciplinary Healthcare, 4, 281-292. https://doi.org/10.2147/JMDH.S21827
Jones, J., Rutledge, D.N., Jones, K.D., Matallana, L., & Rooks, D.S. (2008). Selfassessed physical function levels of women with fibromyalgia: a national survey. Womens Health Issues, 18(5), 406-412. https://doi.org/10.1016/j.whi.2008.04.005
Kurtze, N. (2004). Fibromyalgia effect of exercise. Journal of the Norwegian Medical Association, 124(19), 2475-2478.
Hall López, J.A., Ochoa Martínez, P.Y., Alarcón Meza, E.I., Moncada-Jiménez, J.A., García Bertruy O., & Martín Dantas E.H. (2017). Hydrogymnastics training program on physical fitness in elderly women. Revista Internacional de Medicina en Ciencias de la Actividad Física y del Deporte, 17(66), 283- 298. https://doi.org/10.15366/rimcafd2017.66.005
López-Rodríguez, M.M., Castro-Sánchez, A.M., Fernández-Martínez, M., Matarán-Peñarrocha, G.A., & Rodríguez-Ferrer, M.E. (2012). Comparison between aquatic-biodanza and stretching for improving quality of life and pain in pa-tions with fibromyalgia. Atención primaria, 44(11), 641–649. https://doi.org/10.1016/j.aprim.2012.03.002
Maher, C., Sherrington, C.D., Herbert, R., Moseley, A., & Elkins, M. (2003). Reliability of the PEDro scale for rating quality of randomized controlled trials. Physical Therapy, 83(8):713-721. https://doi.org/10.1093/ptj/83.8.713
Mas, A.J., Carmona, L., Valverde, M., Ribas, B., & EPISER Study Group (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. Clini-cal and Experimental Rheumatology, 26, 519-526.
McVeigh, J.G., McGaughey, H., Hall, M., & Kane, P. (2008). The effectiveness of hydrotherapy in the management of fibromyalgia syndrome: a systematic review. Rheumatology International, 29, 119-130. https://doi.org/10.1007/s00296-008-0674-9
Miranda, J.P., Quezada, P., Caballero, P., Jiménez, L., Morales, A., Bilbeny, N., & Vega, J.C. (2013). Revisión sistemáti-ca: epidemiología de dolor crónico no oncológico en Chile. Revista el Dolor, 59, 10–17.
Montero, I., & León, O. G. (2007). A guide for naming research studies in Psychology. International Journal of Clinical and Health Psychology, 7(3), 847–862.
Munguia-Izquierdo, D., & Legaz-Arrese, A. (2007). Exercise in warm water decreases pain and improves cognitive function in middle-aged women with fibromyalgia. Clinical and Experimental Rheumatology, 25, 823-830.
Munguía-Izquierdo, D., & Legaz-Arrese, A. (2008). Assessment of the effects of aquatic therapy on global symptomatology in patients with fibromyalgia syndrome: a randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 89(12), 2250–2257. https://doi.org/10.1016/j.apmr.2008.03.026
Muñiz, J., Hernández, A., & Ponsoda, V. (2015). New guidelines for test use: Research, quality control and security of tests. Papeles del Psicólogo, 36(3), 161–173.
Neumann, L., & Buskila, D. (2003). Epidemiology of fibromyalgia. Current Pain and Headache Reports, 7, 362-368. https://doi.org/10.1007/s11916-003-0035-z
Ortega, E., Bote, M.E., Giraldo, E., & García, J.J. (2012). Aquatic exercise improves the monocyte pro- and anti-inflammatory cytokine production balance in fibromyalgia patients. Scandinavian Journal of Medicine & Science in Sports, 22(1), 104–112. https://doi.org/10.1111/j.1600-0838.2010.01132.x
Perraton, L., Machotka, Z., & Kumar, S. (2009). Components of effective randomized controlled trials of hydrotherapy programs for fibromyalgia syndrome: A systematic review. Journal of Pain Research, 2, 165-173. https://doi.org/10.2147/jpr.s8052
Raffaelli, C., Milanese, C., Lanza, M., & Zamparo, P. (2016). Water- based training enhances both physical capacities and body composition in healthy young adult women. Sport Science Health, 12, 195- 207. https://doi.org/10.1007/s11332-016-0275-z
Rodríguez Fuentes, G., & Iglesias Santos, R. (2002). Physical bases of hydrotherapy. Fisioterapia, 24(2), 14-21. https://doi.org/10.1016/S0211-5638(01)73023-4
Salm, D.C., Belmonte, L., Emer, A.A., Leonel, L., de Brito, R.N., da Rocha, C.C., Martins, T.C., dos Reis, D.C., Moro, A., Mazzardo-Martins, L., Kviecinski, M.R., Bobinski, F., Salgado, A., Cidral-Filho, F.J., & Martins, D.F. (2019). Aquatic exercise and Far Infrared (FIR) modulates pain and blood cytokines in fibromyalgia patients: A double-blind, randomized, placebo-controlled pilot study. Journal of Neuroimmunology, 337, 577077. https://doi.org/10.1016/j.jneuroim.2019.577077
Sánchez, A., Nakakaneku, G., Miró, E., & Martínez, P. (2021). Tratamiento multidisciplinar para la fibromialgia y el síndrome de fatiga crónica: una revisión sistemática. Behavioral Psychology, 29(2), 455–488. https://doi.org/10.51668/bp.8321214s
Schlemmer, G.B., Biazus, J. de F., & Mai, C.M. (2018). Effects of aquatic therapy on respiratory muscle strength in individuals with fibromyalgia and its repercussions on old age. RevistaKairós-Gerontologia, 21(2), 341–356. http://dx.doi.org/10.23925/2176-901X.2018v21i2p341-356
Smith, H.S., Harris, R., & Clauw, D. (2011). Fibromyalgia: an afferent processing disorder leading to a complex pain gen-eralized syndrome. Pain Physician, 14, E217-E245.
Rivera, J., Alegre, C., Ballina, F.J., Carbonell, J., Carmona, L., Castel, B., Collado, A., Esteve, J.J., Martínez, F.G., Tone-ro, J., Vallejo, M.A., & Vidal, J. (2006). Documento de Consenso de la Sociedad Española de Reumatología sobre fi-bromialgia. Reumatología Clínica, 2(1), S55-S66. https://doi.org/10.1016/S1699-258X(06)73084-4
Staud, R. (2007). Treatment of fibromyalgia and its symptoms. Expert Opinion on Pharmacotherapy, 8(11), 1629-1642. https://doi.org/10.1517/14656566.8.11.1629
Tomas-Carus, P., Gusi, N., Leal, A., García, Y., & Ortega-Alonso, A. (2007). The fibromyalgia treatment with physical exercise in warm water reduces the impact of the disease on female patients’ physical and mental health. Reumatología Clínica, 3(1), 33-37. https://doi.org/10.1016/S1699-258X(07)73596-9
Tomas-Carus, P., Häkkinen, A., Gusi, N., Leal, A., Häkkinen, K., & Ortega-Alonso, A. (2007). Aquatic training and detraining on fitness and quality of life in fibromyalgia. Medicine and Science in Sports and Exercise, 39(7), 1044–1050. https://doi.org/10.1249/01.mss.0b0138059aec4
Uçeyler, N., Häuser, W., & Sommer, C. (2008). A systematic review on the effectiveness of treatment with antidepres-sants in fibromyalgia syndrome. Arthritis & Rheumatology, 59(9), 1279-1298. https://doi.org/10.1002/art.24000
White, K.P., & Harth, M. (2001). Classification, epidemiology, and natural history of fibromyalgia. Current Pain and Head-ache Reports, 5, 320-329. https://doi.org/10.1007/s11916-001-0021-2
Wolfe, F., Smythe, H.A., Yunus, M.B., Bennett, R.M., Bombardier, C., Goldenberg, D.L., Tugwell, P., Campbell, S.M., Abeles, M., Clark, P., Fam, A.G., Farber, S.J., Fiechtner, J.J., Franklin, C.M., Gatter, R.A., Hamaty, D., Lessard, J., Lichtbround, A.S., Masi, A.T., … Sheon, R.P. (1990). The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis & Rheumatology ,33(2), 160-172. https://doi.org/10.1002/art.1780330203
Wolfe, F., Allen, M., Bennett, R.M., Bombardier, C., Broadhurst, N., Cameron, R.S., Carette, S., Chalmers, A., Cohen, M., Crook, J., Ehrlich, G.E., Fam, A., Gillies, J., Goldenberg, D., Hendriksson, K. G., Janda, V., Littlejohn, G., McCain, G.A., Mease, P., ... Yunus, M.B. (1996). The fibromyalgia syndrome: a consensus report on fibromyalgia and disability.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Retos
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and ensure the magazine the right to be the first publication of the work as licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of authorship of the work and the initial publication in this magazine.
- Authors can establish separate additional agreements for non-exclusive distribution of the version of the work published in the journal (eg, to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Is allowed and authors are encouraged to disseminate their work electronically (eg, in institutional repositories or on their own website) prior to and during the submission process, as it can lead to productive exchanges, as well as to a subpoena more Early and more of published work (See The Effect of Open Access) (in English).
This journal provides immediate open access to its content (BOAI, http://legacy.earlham.edu/~peters/fos/boaifaq.htm#openaccess) on the principle that making research freely available to the public supports a greater global exchange of knowledge. The authors may download the papers from the journal website, or will be provided with the PDF version of the article via e-mail.