Avaliação dos efeitos de um programa de exercícios funcionais no tratamento de pacientes com fibromialgia: um estudo controlado e randomizado.

• Ano de defesa: 2019
• Autor(a) principal: Fernandes, Giovana [UNIFESP]
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Fibromialgia; Tratamento; Exercício; Treino Funcional; Terapeutica
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=7777892; https://repositorio.unifesp.br/handle/11600/59964

Background: Fibromyalgia (FM) is a syndrome characterized mainly by chronic generalized pain that affects the physical fitness and functional capacity of patients. There is increasing evidence of the benefits of physical exercise in improving FM symptoms, making these interventions part of therapeutic arsenal. Objective: To evaluate the effectiveness of a program of functional exercises in reducing pain, improving functional capacity, increasing muscle strength, improving flexibility, balance and quality of life of patients with FM. Methods: It is a controlled and randomized study, with blind evaluator. A total of 82 female patients with FM were included, with age between 18 and 65 years, randomized into two groups, intervention and control. The intervention group (FEG) performed functional exercise training for 45 minutes twice a week for 14 weeks. The control group (SEG) performed stretching exercises with the same duration and frequency. Evaluation instruments were: VAS - Visual Analogue Scale for pain assessment; FIQ- Fibromyalgia Impact Questionnaire, for assessing healthrelated quality of life; Time-up and go test for functional performance evaluation; 1RM, for evaluation of muscle strength; Bank of Welss, for the assessment of flexibility; Berg Balance Scale, to evaluate balance; and SF- 36 to evaluate general quality of life. Also, the amount of analgesics used during the intervention period was assessed.Results:41 patients were randomized to the FEG and 41 patients to the SEG. After intervention, the FEG presented a reduction in pain and an improvement in the quality of life related to the disease, which was statistically significant compared to SEG. Regarding general quality of life, functional capacity, muscle strength, flexibility and balance, there was no difference between the groups. Conclusion: Functional exercise training proved to be effective in reducing pain and improving the health-related quality of life of patients with FM when compared to stretching exercises.