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Efficacy of supervised exercise combined with transcutaneous electrical nerve stimulation in women with fibromyalgia: a prospective controlled study

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Abstract

The aim of this study was to investigate the results of a supervised exercise with transcutaneous electrical nerve stimulation (TENS) in an exercise controlled study in women with fibromyalgia. Sixty-six women with fibromyalgia who admitted to the outpatient clinic of our hospital were randomized into two treatment groups. The patients in both groups participated in a supervised combined exercise program for 12 weeks. The women in first group had additional TENS in the first 3 weeks of the study. All subjects were analyzed at the baseline, at the end of the 3rd and 12th weeks. Outcome measures were tender point count (TPC), myalgic pain score (MPS), Fibromyalgia Impact Questionnaire (FIQ) and Short Form-36 (SF-36) Health Survey. Sixty women with fibromyalgia completed the study. The patients in both groups showed improvement in terms of TPC, MPS, FIQ, physical and mental summary scores and total scores of SF-36 at the end of the 3rd and 12th weeks. The improvement in MPS at the third week was higher in the first group (p = 0.01). But there was no difference in terms of the improvement in MPS between the groups at the end of the 12th week control (p = 0.87). There was no significant difference between the improvement in the other outcome parameters of the two groups. As a result, supervised exercise program was successful to improve the myalgic pain, functional status and quality of life in women with fibromyalgia. Exercises combined with TENS might be useful due to quick myalgic pain relief in the treatment of fibromyalgia in everyday practice.

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References

  1. Topbas M, Cakırbay H, Gulec H (2005) The prevalence of fibromyalgia in women aged 20–64 in Turkey. Scand J Rheumatol 34:140–144

    PubMed  CAS  Google Scholar 

  2. Carville SF, Arendt-Nielsen S, Bliddal H, Blotman F, Branco JC, Buscila D et al (2008) EULAR evidence-based reccommendations fort the management of fibromyalgia syndrome. Ann Rheum Dis 67:536–541

    Article  PubMed  CAS  Google Scholar 

  3. Rooks DS (2007) Fibromyalgia treatment update. Curr Opin Rheumatol 19:111–117

    PubMed  Google Scholar 

  4. Imamura M, Cassius DA, Fregni F (2009) Fibromyalgia: from treatment to rehabilitation. Eur J Pain 3(2):117–122

    Article  PubMed  Google Scholar 

  5. Melzack R, Wall PD (1965) Pain mechanisms: a new theory. Science 150:971–979

    Article  PubMed  CAS  Google Scholar 

  6. Cheng J, Zhang C, Han JS, Stefano GB, Kream RM (2007) TENS stimulates constitutive nitric oxide release via opiate signaling in intervertebrate neural tissues. Med Sci Monit 13(8):B163–B167

    Google Scholar 

  7. Cramp AFL, Gilsenan C, Lowe AS, Walsh DM (2000) The effect of high- and low-frequency transcutaneous electrical nerve stimulation upon cutaneous blood flow and skin temperature in healty subjects. Clin Physiol 20(2):150–157

    Article  PubMed  CAS  Google Scholar 

  8. Walsh DM, Lowe AS, McCormack K, Willer JC, Baxter GD, Allen JM (1998) Transcutaneous electrical nerve stimulation: effect on peripheral nerve conduction, mechanical pain threshold, and tactile threshold in humans. Arch Phys Med Rehabil 79(9):1051–1058

    Article  PubMed  CAS  Google Scholar 

  9. Valim V, Oliveria L, Suda A, Silva L (2003) Aerobic fitness effects in fibromyalgia. J Rheumatol 30:1060–1069

    PubMed  Google Scholar 

  10. Jones K, Burckhardt C, Clark S (2002) A randomized controlled trial of muscle strengthening versus flexibility training in fibromyalgia. J Rheumatol 29:1041–1048

    PubMed  Google Scholar 

  11. Richards S, Scott D (2002) Prescribed exercise in people with fibromyalgia: parallel group randomised controlled trial. BMJ 325:185–187

    Article  PubMed  Google Scholar 

  12. Gowans SE, deHueck A, Voss S, Silaj A, Abbey E (2004) Six months and one year follow-up of 23 weeks of aerobic exercise for individuals with fibromyalgia. Arthritis Rheum 51(6):890–898

    Article  PubMed  CAS  Google Scholar 

  13. Busch AJ, Schachter CL, Overend TJ, Pelosa PM, Barber KA (2008) Exercise for fibromyalgia: a systematic review. J Rheumatol 35(6):1130–1144

    PubMed  Google Scholar 

  14. Sanudo B, Galiano D, Carrasco L, Blagojevic M, Hoyo M, Saxton J (2010) Aerobic exercise versus combined exercise therapy in women with fibromyalgia syndrome: a randomized controlled trial. Arch Phys Med Rehabil 91:1838–1843

    Article  PubMed  Google Scholar 

  15. Kelley GA, Kelley KS, Hootman JM, Jones DL (2010) Exercise and global well-being in community-dwelling adults with fibromyalgia: a systematic review with meta-analysis. BMC Public Health 10:198

    Article  PubMed  Google Scholar 

  16. Thomas EN, Blotman F (2010) Aerobic exercise in fibromyalgia: a practical review. Rheumatol Int 30:1143–1150

    Article  PubMed  Google Scholar 

  17. Wolfe F, Smythe HA, Yunus MB, Bennet RM, Bombardier C, Goldenberg DL et al (1990) The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Arthritis Rheum 33:160–172

    Article  PubMed  CAS  Google Scholar 

  18. Sarmer S, Ergin S, Yavuzer G (2000) The validity and reliability of the Turkish version of the Fibromyalgia Impact Questionnaire. Rheumatol Int 20:9–12

    Article  PubMed  CAS  Google Scholar 

  19. Koçyiğiit H, Aydemir Ö, Fisek G (1999) Kısa form-36 (KF-36)’nın Türkçe versiyonunun güvenilirliği ve geçerliliği (The reliability and validity of the Turkish version of SF-36). İlaç ve Tedavi Dergisi 12(2):102–106

    Google Scholar 

  20. Löfgren M, Norrbrink C (2009) Pain relief in women with fibromyalgia: a cross-over study of superficial warmth stimulation and transcutaneous electrical nerve stimulation. J Rehabil Med 41:557–562

    Article  PubMed  Google Scholar 

  21. Schachter CL, Busch AJ, Peloso PM, Sheppard MS (2003) Effects of short versus long bouts of aerobic exercise in sedantery women with fibromyalgia: a randomized controlled trial. Phys Ther 83(4):340–358

    PubMed  Google Scholar 

  22. Gowans SE (2004) deHueck A. Effectiveness of exercise in management of fibromyalgia. Curr Opin Rheumatol 16:138–142

    Article  PubMed  Google Scholar 

  23. Rooks DS, Gautam S, Romeling M, Cross ML, Stratigakis D, Evans B et al (2007) Group exercise, education, and combination self-management in women with fibromyalgia: a randomized trial. Arch Intern Med 167(20):2192–2200

    Article  PubMed  Google Scholar 

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Mutlu, B., Paker, N., Bugdayci, D. et al. Efficacy of supervised exercise combined with transcutaneous electrical nerve stimulation in women with fibromyalgia: a prospective controlled study. Rheumatol Int 33, 649–655 (2013). https://doi.org/10.1007/s00296-012-2390-8

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  • DOI: https://doi.org/10.1007/s00296-012-2390-8

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