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function and alleviate symptoms in women with fibromyalgia, according to a new article. These benefits
appear to be enhanced when exercise is combined with education about managing the disease.
Fibromyalgia affects approximately 3.4 percent of women and 0.5 percent of men in the United States,
according to background information in the article. Patients with fibromyalgia experience chronic pain
throughout their bodies for at least three months, along with specific sites of tenderness. Causes and
mechanisms are poorly understood.
"Even with the recent approval of pregabalin by the Food and Drug Administration to treat fibromyalgia
symptoms, pharmacotherapy is often insufficient to resolve persistent symptoms or improve functional
limitations and quality of life," the authors write.
Daniel S. Rooks, Sc.D., from Brigham & Women's Hospital and Harvard Medical School, Boston, and
now with Novartis Institutes for Biomedical Research, Inc., Cambridge, Mass., and colleagues recruited
207 women taking medication for fibromyalgia between 2002 and 2004.
performed aerobic and flexibility exercises only; 51 added in strength
training; 50 received a self-help course on managing fibromyalgia; and
55 participated in all the exercises and the education course. The
exercise groups met twice weekly, gradually increasing the length and
intensity of their workouts, with instructions to perform a third day of
exercise on their own.
A total of 135 women completed the study and underwent a six-month
follow-up assessment. As measured by two self-assessment
questionnaires and one performance test, women who participated in
all forms of exercise improved their physical function, an effect that was
larger in the combined education and exercise group. "Social function,
mental health, fatigue, depression and self-efficacy also improved," the
authors write. "The beneficial effect on physical function of exercise
alone and in combination with education persisted at six months."
movements and stretching activities are effective at improving physical, emotional and
social function, key symptoms and self-efficacy in women with fibromyalgia who are
being actively treated with medication," the authors write. "Furthermore, the benefits of
exercise are enhanced when combined with targeted self-management education,
and improvements in physical function continue for six months after completion of the
intervention. Our findings suggest the need for inclusion of appropriate exercise and
patient education in the treatment of individuals with fibromyalgia."
Journal reference: Arch Intern Med. 2007;167(20):2192-2200.
This research was supported by an Arthritis Foundation Investigator Award (Dr.
Rooks) and National Institutes of Health grants.
ScienceDaily.com
13 November 2007
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