Rheumatology International

, Volume 29, Issue 2, pp 147–152 | Cite as

Thalassotherapy for fibromyalgia: a randomized controlled trial comparing aquatic exercises in sea water and water pool

  • Sandra Cristina de AndradeEmail author
  • Ranulfo Fiel Pereira Pessoa de Carvalho
  • Aluízio Silvio Soares
  • Rodrigo Pegado de Abreu Freitas
  • Luís Marcos de Medeiros Guerra
  • Maria José Vilar
Original Article


The aim of this study was to evaluate the effectiveness of aerobic exercise in water pool compared with aerobic exercise performed in sea by women with fibromyalgia (FM). A total of 46 patients were randomly allocated into two groups: pool group (23 patients) and sea group (23 patients) that performed the same aerobic exercise program. Patients were evaluated baseline and after 12 weeks using: VAS, number of tender points, FIQ, SF-36, PSQI, and BDI. Both groups improved significantly in post-treatment for all the evaluated variables. There were no significant differences between two groups, except for BDI (F = 2.418, < 0.0001). Aerobic exercise program performed in water (pool or sea) was effective for patients with FM. However, sea water exercises have been shown to bring more advantages related to emotional aspects. Then, exercise performed sea water (thalassotherapy) is an option for effective treatment with low cost for patients with FM.


Fibromyalgia Aerobic exercise Hydrotherapy Thalassotherapy 


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Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Sandra Cristina de Andrade
    • 1
    • 2
    Email author
  • Ranulfo Fiel Pereira Pessoa de Carvalho
    • 1
  • Aluízio Silvio Soares
    • 1
  • Rodrigo Pegado de Abreu Freitas
    • 1
  • Luís Marcos de Medeiros Guerra
    • 1
  • Maria José Vilar
    • 1
  1. 1.Division of Rheumatology, Department of Clinical Medicine, Postgraduate Program in Health SciencesFederal University of Rio Grande do NorteNatalBrazil
  2. 2.Departamento de FisioterapiaUniversidade PotiguarNatalBrazil

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