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Breathing Exercises Must Be a Real and Effective Intervention to Consider in Women with Fibromyalgia: A Pilot Randomized Controlled Trial.

Abstract

BACKGROUND/OBJECTIVE

Respiratory problems can aggravate pain located in the coincident areas with tender points in the upper half of the body in patients with fibromyalgia (FM) and easily become fatigued, thus can lead to a decrease in the functionality of daily activities. The purpose of this study was to examine the effects of a breathing exercises program on pain thresholds tolerance on tender points and FM impact on daily life.

METHODS/DESIGN

Thirty-five women with FM (age 34-67 years) were randomly assigned to an exercise group (n = 18), performing breathing exercises (30 min/session, 7 times/week; for 12 weeks), or to a control group (n = 17). Pain thresholds tolerance on tender points were measured by the physician using digital pressure algometer and FM impact on daily life was evaluated with the Portuguese version of the Fibromyalgia Impact Questionnaire (FIQ).

RESULTS

After 12 weeks of breathing exercises significant improvements were observed in the mean values of the treatment effects on pain thresholds tolerance on tender points and in the functional capacity to perform daily life, pain, and fatigue in favor of the exercise group. Gains in second rib, occiput, and supraspinatus pairs of the tender points predict improvements in the functional capacity, pain, and fatigue.

CONCLUSION

Our study demonstrated that breathing exercises produced relevant benefits on pain thresholds tolerance on tender points located in the upper half of the body, some of which predicted improvements in the impact of FM in the functional capacity to perform daily life, pain, and fatigue. These results provide further support of an idea that breathing exercises are a real and effective intervention to consider in women with FM.

TRIAL REGISTRATION

International Standard Randomized Controlled Trial Number ISRCTN37081460, available information in www.isrctn.com/ ISRCTN37081460.

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  • Authors+Show Affiliations

    ,

    1 Departamento de Desporto e Saúde, Escola de Ciência e Tecnologia, Universidade de Évora , Évora, Portugal . 2 Research Centre for Sports, Health and Human Development, CIDESD, University of Évora , Évora, Portugal . 3 Comprehensive Health Research Centre (CHRC), University of Évora , Évora, Portugal .

    ,

    4 CEDOC, NOVA Medical School, Faculdade Ciências Médicas, Universidade Nova de Lisboa, Serviço de Reumatologia, CHLO, EPE-Hospital Egas Moniz , Lisboa, Portugal .

    ,

    1 Departamento de Desporto e Saúde, Escola de Ciência e Tecnologia, Universidade de Évora , Évora, Portugal . 2 Research Centre for Sports, Health and Human Development, CIDESD, University of Évora , Évora, Portugal . 3 Comprehensive Health Research Centre (CHRC), University of Évora , Évora, Portugal .

    ,

    1 Departamento de Desporto e Saúde, Escola de Ciência e Tecnologia, Universidade de Évora , Évora, Portugal . 2 Research Centre for Sports, Health and Human Development, CIDESD, University of Évora , Évora, Portugal . 3 Comprehensive Health Research Centre (CHRC), University of Évora , Évora, Portugal .

    ,

    1 Departamento de Desporto e Saúde, Escola de Ciência e Tecnologia, Universidade de Évora , Évora, Portugal . 2 Research Centre for Sports, Health and Human Development, CIDESD, University of Évora , Évora, Portugal . 3 Comprehensive Health Research Centre (CHRC), University of Évora , Évora, Portugal .

    5 Instituto de Geriatria e Gerontologia (IGG) , Pontifícia Universidade Católica do Rio Grande do Sul-PUCRS, Porto Alegre, Brasil.

    Source

    MeSH

    Adult
    Breathing Exercises
    Female
    Fibromyalgia
    Humans
    Middle Aged
    Pain Threshold
    Pilot Projects
    Surveys and Questionnaires

    Pub Type(s)

    Journal Article
    Randomized Controlled Trial

    Language

    eng

    PubMed ID

    29653069

    Citation

    Tomas-Carus, Pablo, et al. "Breathing Exercises Must Be a Real and Effective Intervention to Consider in Women With Fibromyalgia: a Pilot Randomized Controlled Trial." Journal of Alternative and Complementary Medicine (New York, N.Y.), vol. 24, no. 8, 2018, pp. 825-832.
    Tomas-Carus P, Branco JC, Raimundo A, et al. Breathing Exercises Must Be a Real and Effective Intervention to Consider in Women with Fibromyalgia: A Pilot Randomized Controlled Trial. J Altern Complement Med. 2018;24(8):825-832.
    Tomas-Carus, P., Branco, J. C., Raimundo, A., Parraca, J. A., Batalha, N., & Biehl-Printes, C. (2018). Breathing Exercises Must Be a Real and Effective Intervention to Consider in Women with Fibromyalgia: A Pilot Randomized Controlled Trial. Journal of Alternative and Complementary Medicine (New York, N.Y.), 24(8), pp. 825-832. doi:10.1089/acm.2017.0335.
    Tomas-Carus P, et al. Breathing Exercises Must Be a Real and Effective Intervention to Consider in Women With Fibromyalgia: a Pilot Randomized Controlled Trial. J Altern Complement Med. 2018;24(8):825-832. PubMed PMID: 29653069.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Breathing Exercises Must Be a Real and Effective Intervention to Consider in Women with Fibromyalgia: A Pilot Randomized Controlled Trial. AU - Tomas-Carus,Pablo, AU - Branco,Jaime C, AU - Raimundo,Armando, AU - Parraca,José A, AU - Batalha,Nuno, AU - Biehl-Printes,Clarissa, Y1 - 2018/04/13/ PY - 2018/4/14/pubmed PY - 2018/9/22/medline PY - 2018/4/14/entrez KW - FIQ KW - breathing exercises KW - daily life KW - fibromyalgia KW - pain thresholds tolerance SP - 825 EP - 832 JF - Journal of alternative and complementary medicine (New York, N.Y.) JO - J Altern Complement Med VL - 24 IS - 8 N2 - BACKGROUND/OBJECTIVE: Respiratory problems can aggravate pain located in the coincident areas with tender points in the upper half of the body in patients with fibromyalgia (FM) and easily become fatigued, thus can lead to a decrease in the functionality of daily activities. The purpose of this study was to examine the effects of a breathing exercises program on pain thresholds tolerance on tender points and FM impact on daily life. METHODS/DESIGN: Thirty-five women with FM (age 34-67 years) were randomly assigned to an exercise group (n = 18), performing breathing exercises (30 min/session, 7 times/week; for 12 weeks), or to a control group (n = 17). Pain thresholds tolerance on tender points were measured by the physician using digital pressure algometer and FM impact on daily life was evaluated with the Portuguese version of the Fibromyalgia Impact Questionnaire (FIQ). RESULTS: After 12 weeks of breathing exercises significant improvements were observed in the mean values of the treatment effects on pain thresholds tolerance on tender points and in the functional capacity to perform daily life, pain, and fatigue in favor of the exercise group. Gains in second rib, occiput, and supraspinatus pairs of the tender points predict improvements in the functional capacity, pain, and fatigue. CONCLUSION: Our study demonstrated that breathing exercises produced relevant benefits on pain thresholds tolerance on tender points located in the upper half of the body, some of which predicted improvements in the impact of FM in the functional capacity to perform daily life, pain, and fatigue. These results provide further support of an idea that breathing exercises are a real and effective intervention to consider in women with FM. TRIAL REGISTRATION: International Standard Randomized Controlled Trial Number ISRCTN37081460, available information in www.isrctn.com/ ISRCTN37081460. SN - 1557-7708 UR - https://www.unboundmedicine.com/medline/citation/29653069/Breathing_Exercises_Must_Be_a_Real_and_Effective_Intervention_to_Consider_in_Women_with_Fibromyalgia:_A_Pilot_Randomized_Controlled_Trial_ L2 - https://www.liebertpub.com/doi/full/10.1089/acm.2017.0335?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -