Research: EKICI and COLLEAGUES,

Listed in Issue 271

Abstract

EKICI and COLLEAGUES, 1. a Faculty of Health Science , Hacettepe University , Ankara , Turkey; 2. b Department of Physiotherapy and Rehabilitation, Faculty of Health Science , Hacettepe University , Ankara , Turkey; 3. c Department of Biostatistics, Faculty of Medicine, Hacettepe University , Ankara , Turkey conducted a study to compare the effects of Pilates exercises and connective tissue massage (CTM) on pain intensity; pain-pressure threshold; and tolerance, anxiety, progress, and health-related quality of life in females with fibromyalgia.

Background

The authors of this study compared the effects of Pilates exercises and connective tissue massage (CTM) on pain intensity; pain-pressure threshold; and tolerance, anxiety, progress, and health-related quality of life in females with fibromyalgia.

Methodology

It was a pilot, assessor masked, randomized controlled trial conducted between January and August of 2013. Twenty-one women with fibromyalgia were randomly assigned to the Pilates exercise program (six of whom did not complete the program), and 22 were randomly assigned to CTM (one of whom did not complete this program). Each group received the assigned intervention three times per week during a 4-week period. The Visual Analogue Scale, algometry, State-Trait Anxiety Inventory, Fibromyalgia Impact Questionnaire, and Nottingham Health Profile were used at baseline and at the end of treatments.

Results

Significant improvements were found in both groups for all parameters. However, the scores for pain-pressure threshold were significantly elevated and the symptoms of anxiety were significantly diminished in the exercise group compared to the massage group. Thus, exercise and massage might be used to provide improvements in women with fibromyalgia.

Conclusion

The exercise group showed more advantages than the massage group and thus might be preferred for patients with fibromyalgia. However, an adequately powered trial is required to determine this with certainty.

References

Ekici G1, Unal E2, Akbayrak T2, Vardar-Yagli N2, Yakut Y2, Karabulut E3. Effects of active/passive interventions on pain, anxiety, and quality of life in women with fibromyalgia: Randomized controlled pilot trial. Women Health.; 57(1):88-107. Jan 2017. Epub Feb 16 2016.

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