Britto André, Rodrigues Vandilson, Dos Santos Alcione M, Rizzini Marta, Britto Paula, Britto Lucio, Garcia João B S
School of Medicine, Federal University of Maranhão, Pinheiro, Brazil.
Department of Morphology, Federal University of Maranhão, São Luís, Brazil.
Musculoskeletal Care. 2020 Dec;18(4):459-466. doi: 10.1002/msc.1481. Epub 2020 Jun 23.
Fibromyalgia (FM) is consistently associated with fatigue, sleep disturbances, morning stiffness, and anxiety and depression, affecting physical capacities and skills and thereby reducing quality of life. The aim of this study was to compare the effects of water-based and land-based therapies as an adjuvant treatment for women with FM in relation to quality of life and physical aspects.
FM women were randomized into a water-based exercise group (WG) and land-based exercise group (LG). The interventions were conducted for 8 weeks, three times a week, and each therapy session had a 60-min duration. Evaluations were performed before and after intervention using the Fibromyalgia Impact Questionnaire, the Visual Analogue Scale, the number of tender points (TPs), and the Wells bench sit and reach test score.
Both interventions produced significantly positive clinical effects in most aspects evaluated. However, only WG obtained significant improvements for the variables functional capacity, number of TPs, and flexibility.
The findings suggest that water-based exercise is effective as an adjuvant FM treatment, including FM-related physical and psychological health aspects.
纤维肌痛（FM）一直与疲劳、睡眠障碍、晨僵以及焦虑和抑郁相关，影响身体能力和技能，从而降低生活质量。本研究的目的是比较水基疗法和陆地疗法作为FM女性辅助治疗方法对生活质量和身体方面的影响。
FM女性被随机分为水基运动组（WG）和陆地运动组（LG）。干预为期8周，每周三次，每次治疗时长60分钟。干预前后使用纤维肌痛影响问卷、视觉模拟量表、压痛点（TPs）数量以及韦尔斯板凳坐姿体前屈测试分数进行评估。
两种干预在大多数评估方面均产生了显著的积极临床效果。然而，只有WG在功能能力、TPs数量和灵活性变量方面取得了显著改善。
研究结果表明，水基运动作为FM的辅助治疗方法是有效的，可以改善与FM相关的身体和心理健康方面。
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