Exercise in warm water decreases pain and improves cognitive function in middle-aged women with fibromyalgia

To compare the cognitive function performance in patients with fibromyalgia (FM) with respect healthy controls and to evaluate the short-term efficacy of exercise therapy in a warm, chest-high pool on pain and cognitive function in women with FM. Sixty middle-aged women with FM were randomly assigne...

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Bibliographic Details
Published in:Clinical and experimental rheumatology 2007-11, Vol.25 (6), p.823-830
Main Authors: MUNGUIA-IZQUIERDO, D, LEGAZ-ARRESE, A
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Cognition - physiology
Diseases of the osteoarticular system
Exercise Therapy - methods
Female
Fibromyalgia - physiopathology
Fibromyalgia - psychology
Fibromyalgia - therapy
Hot Temperature
Humans
Medical sciences
Middle Aged
Miscellaneous. Osteoarticular involvement in other diseases
Neuropsychological Tests
Pain Management
Pain Measurement
Surveys and Questionnaires
Water
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Summary:To compare the cognitive function performance in patients with fibromyalgia (FM) with respect healthy controls and to evaluate the short-term efficacy of exercise therapy in a warm, chest-high pool on pain and cognitive function in women with FM. Sixty middle-aged women with FM were randomly assigned to either an exercise training group (n = 35) to perform 3 sessions per week of aquatic training (32 degrees C) including mobility, aerobic, strengthening, and relaxation exercises for 16 weeks, or a control group (n = 25). Twenty-five healthy women matched for age, weight, body mass index, and educational and physical activity levels were recruited. Pain was assessed in patients using a syringe calibrated like a pressure dolorimeter, and a visual analog scale. The severity of FM was evaluated using the Fibromyalgia Impact Questionnaire. Cognitive function was measured in healthy individuals and patients using several standardized neuropsychological tests. All patients were measured at baseline and post-treatment. At baseline, the healthy group evidenced cognitive performance that was significantly superior to the group of patients with FM in all of the neuropsychological tests. The exercise group significantly improved their pain threshold, tender point count, self-reported pain, severity of FM, and cognitive function, while in the control group the differences were not significant. An exercise therapy three times per week for 16 weeks in a warm-water pool is an adequate treatment to decrease the pain and severity of FM well as to improve cognitive function in previously unfit women with FM and heightened painful symptomatology.
ISSN:0392-856X
1593-098X