Fibromyalgia
Conditions
Keywords
fibromyalgia syndrome, core exercise, aerobic exercise, pressure pain threshold
Brief summary
the purpose of this study is to investigate the effect of core exercises on health status, pain, pressure pain thresholds and functional capacity in patients with FM
Detailed description
Fibromyalgia (FM) is a chronic non-degenerative disease of unknown etiology without effective medical treatment that mostly affects women. At present, the diagnostic and classification criteria are still under debate. As a result, the treatments for FM are also under investigation. No single treatment has achieved a reduction in the symptoms. Its occurrence increases with age. Exercise is one of the treatment approaches where effectiveness in the management of FM is supported by stronger evidence. Besides, recent reviews found that exercise has a positive effect on pain, physical function and health-related quality of life .with no associated adverse effects. Among the different exercise modalities available, core stability training has shown its effectiveness by improving static and dynamic balance, functionality and risk of falls, pain and quality of life. so This study will be conducted to investigate the effect of core exercises on health status, pain, pressure pain thresholds and functional capacity in patients with FM
Interventions
the patients will receive seven exercises performed in crook lying and side lying position on exercise mats. Cushions were used to allow the participants to be comfortable in all positions. The exercises in the crook lying position were core activation with breathing, single-leg lift with knees bent, single-leg slides, bridging and knee drop sideways. The exercises completed in side lying included hip external rotation with knees bent and hip abduction with knees straight.
the patients will receive : an active warm-up including low intensity movements and dynamic stretching; choreographed aerobic training, progressing gradually from low to moderate intensity; and a cool-down involving low intensity movements, and dynamic and static stretching
Sponsors
Study design
Intervention model description
core exerscie
Eligibility
Inclusion criteria
* 1\. Patient referred from rheumatologist with a history of widespread bilateral musculoskeletal pain both above and below the waist for a minimum of three months and pain in at least 11 of 18 specific tender points 2. moderate or greater tenderness reported on digital palpation with 4 kg/cm2 of force 3. 21\_43 years old patients
Exclusion criteria
\- 1. presence of other systemic, somatic, or psychiatric diseases. 2. pregnant or were planning a pregnancy during the study period. 3. patients with acute disease including high fever and uncontrolled medical conditions (such as severe infection and cardiovascular disease including unstable angina. 4\. surgical history for previous 6 months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pressure pain thresholds | up to 8 weeks | pressure algometer will be used for assessment of pressure pain threshold |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| pain intensity | up to 8 weeks | visual analogue scale will be used for assessment of pain intensity |
| health status | up to 8 weeks | Fibromyalgia Impact Questionnaire (FIQ) will be used for assessment of health status |
| function state | up to 8 weeks | The six-minute walk test (6 MWT) will be used for assessment of function state |
Countries
Egypt