Center of Health Sciences, Universidade do Sagrado Coração, USC, Bauru, Brasil -
Department of Kinesiology, Catholic University of Maule, Talca, Chile.
Eur J Phys Rehabil Med. 2019 Feb;55(1):79-88. doi: 10.23736/S1973-9087.18.05041-4. Epub 2018 Jul 6.
Aquatic physical training (APT) promotes improvement of clinical symptoms and aerobic functional capacity in women with fibromyalgia syndrome (FMS). However, there are controversial studies that refer to the maintenance of adaptations obtained from APT after a detraining period.
To evaluate variables oxygen uptake (VO2) relative to lean body mass (LBM) and clinical symptomatology in women with FMS submitted to APT and after 16 weeks of detraining period, and to evaluate the association between the magnitude of VO2 improvement relative to LBM and clinical symptomatology.
Blind randomized controlled trial.
Department of Physical Therapy of the Federal University of São Carlos.
Fifty-four women with FMS were randomly assigned into trained group (27) and control group (27).
All women underwent cardiopulmonary exercise test (CPET) and body composition assessment to estimate VO2 and LBM respectively, and clinical symptoms were assessed before and after 16 weeks of training and detraining. trained group was submitted to APT program, performed twice a week for 16 weeks.
After APT, trained group presented an increase in VO2 relative to LBM (P=0.01), in addition to an increase in pressure pain threshold (PPT) (P=0.02) and Visual Analogue Scale (VAS) pain (P=0.01), VAS well-being (P<0.01) well-being and lower Fibromyalgia Impact Questionnaire Score (FIQ) (P=0.04). However, these improvements were not maintained after the 16-week detraining period (P>0.05). In addition, no significant correlations were observed between improvement of clinical manifestations and increased VO2 relative to LBM after APT (P>0.05).
APT contributed both to increase VO2 at VAT and peak CPET, and improved clinical symptoms, but no association was observed. However, after 16 weeks of detraining, these variables were reduced near baseline.
The results of the present study suggest that APT should be continuously performed in order to improve clinical symptomatology and increase the aerobic functional capacity in women with FMS.
水上体能训练（APT）可改善纤维肌痛综合征（FMS）女性的临床症状和有氧功能能力。然而，有一些有争议的研究提到了在停训期后，从 APT 获得的适应性的维持。
评估接受 APT 训练的 FMS 女性在 16 周停训期后的相对瘦体重（LBM）和临床症状的摄氧量（VO2）相关变量，并评估 VO2 相对于 LBM 的改善程度与临床症状之间的相关性。
盲法随机对照试验。
圣保罗联邦大学物理治疗系。
54 名 FMS 女性被随机分配到训练组（27 人）和对照组（27 人）。
所有女性均接受心肺运动测试（CPET）和身体成分评估，分别估计 VO2 和 LBM，在训练和停训 16 周前后评估临床症状。训练组接受 APT 方案，每周进行两次，共进行 16 周。
APT 后，训练组 VO2 相对于 LBM 增加（P=0.01），压力疼痛阈值（PPT）（P=0.02）和视觉模拟评分（VAS）疼痛（P=0.01）、VAS 舒适度（P<0.01）和较低的纤维肌痛影响问卷评分（FIQ）（P=0.04）也增加。然而，在 16 周的停训期后，这些改善没有维持（P>0.05）。此外，APT 后，临床症状改善与 VO2 相对于 LBM 的增加之间没有观察到显著相关性（P>0.05）。
APT 不仅有助于增加 VAT 和 CPET 峰值时的 VO2，还改善了临床症状，但没有相关性。然而，在 16 周的停训后，这些变量接近基线水平。
本研究结果表明，为了改善 FMS 女性的临床症状和提高有氧功能能力，APT 应持续进行。
