PMID- 33646917
OWN - NLM
STAT- MEDLINE
DCOM- 20220804
LR  - 20220823
IS  - 1464-5165 (Electronic)
IS  - 0963-8288 (Linking)
VI  - 44
IP  - 15
DP  - 2022 Jul
TI  - The effects of a group exercise and education programme on symptoms and physical 
      fitness in patients with fibromyalgia: a prospective observational cohort study.
PG  - 3860-3867
LID - 10.1080/09638288.2021.1891463 [doi]
AB  - PURPOSE: Given the limited attention on a combined exercise and education 
      approach for those with chronic musculoskeletal pain disorder such as 
      fibromyalgia, the purpose of this was to evaluate the efficacy of a combined 
      exercise and education programme on symptoms and physical fitness in participants 
      with fibromyalgia. MATERIALS AND METHODS: Using a prospective observational 
      cohort study, participants with fibromyalgia (n = 75) volunteered. The 
      6-minute-walk-test (6MWT) and revised-fibromyalgia-impact-questionnaire (FIQR) 
      were used before, after (6 weeks) and 6-months post an exercise and education 
      programme. RESULTS: Forty-three participants (age = 49.7 +/- 15.2 y) completed the 
      6-week programme, with improvements observed for the 6MWT (67 m, p < 0.001) and 
      FIQR (11 AU, p < 0.001), though only two (6MWT) and five (FIQR) participants, 
      respectively, achieved the minimal clinically important difference (MCID). Using 
      74% of the intial sample, a small-to-moderate improvement in scores were observed 
      across the 6-month period for the 6MWT (37 m, p = 0.002) and FIQR (3 AU, 
      p = 0.01), with only two participants achieving the MCID for the 6MWT. 
      CONCLUSIONS: The results in this study indiciate small-to-moderate improvements 
      in the 6MWT and FIQR after a combined exercise and education programme, with 
      direct delivery being more effective.Implications for rehabilitationA six-week 
      exercise and education programme elicited moderate, short-term (6 weeks) benefits 
      on physical fitness and key symptoms in patients with fibromyalgia.On average, 
      these benefits were sustained in the long-term (6 months) following the programme 
      but were small-to-moderate and lower than the MCID.Regular follow-up may be 
      required to improve adherence to the education and exercise programme and 
      maintain or increase the observed improvements in 6MWT and FIQR.
FAU - Loftus, Nadia
AU  - Loftus N
AUID- ORCID: 0000-0002-0081-435X
AD  - Therapies Department, Broadgreen Hospital, Liverpool University Hospitals NHS 
      Foundation Trust, Liverpool, UK.
AD  - The Walton Centre NHS Foundation Trust, Pain Management Programme Department, 
      Liverpool, UK.
FAU - Dobbin, Nick
AU  - Dobbin N
AUID- ORCID: 0000-0001-7975-2093
AD  - Department of Health Professions, Manchester Metropolitan University, Manchester, 
      UK.
FAU - Crampton, Jennifer Susan
AU  - Crampton JS
AUID- ORCID: 0000-0001-7508-1683
AD  - Department of Health Professions, Manchester Metropolitan University, Manchester, 
      UK.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20210301
PL  - England
TA  - Disabil Rehabil
JT  - Disability and rehabilitation
JID - 9207179
SB  - IM
MH  - Adult
MH  - Chronic Disease
MH  - *Fibromyalgia/therapy
MH  - Humans
MH  - Middle Aged
MH  - Pain
MH  - Pain Measurement
MH  - Physical Fitness
MH  - Prospective Studies
OTO - NOTNLM
OT  - Fibromyalgia
OT  - aerobic fitness
OT  - fatigue
OT  - response variability
OT  - self-management
EDAT- 2021/03/02 06:00
MHDA- 2022/08/05 06:00
CRDT- 2021/03/01 17:09
PHST- 2021/03/02 06:00 [pubmed]
PHST- 2022/08/05 06:00 [medline]
PHST- 2021/03/01 17:09 [entrez]
AID - 10.1080/09638288.2021.1891463 [doi]
PST - ppublish
SO  - Disabil Rehabil. 2022 Jul;44(15):3860-3867. doi: 10.1080/09638288.2021.1891463. 
      Epub 2021 Mar 1.