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Aquatic therapy improves self-reported sleep quality in fibromyalgia patients: a systematic review and meta-analysis
Background This systematic review and meta-analysis aimed to evaluate the effectiveness of aquatic therapy on pain, sleep quality, psychological symptoms, quality of life, and health status in people diagnosed with fibromyalgia. Methods We searched PubMed, CINAHL, The Cochrane Library, PEDro and Sco...
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| Published in: | Sleep & breathing 2024-05, Vol.28 (2), p.565-583 |
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| container_end_page | 583 |
| container_issue | 2 |
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| container_title | Sleep & breathing |
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| creator | Bravo, Cristina Rubí-Carnacea, Francesc Colomo, Iolanda Sánchez-de-la-Torre, Manuel Fernández-Lago, Helena Climent-Sanz, Carolina |
| description | Background
This systematic review and meta-analysis aimed to evaluate the effectiveness of aquatic therapy on pain, sleep quality, psychological symptoms, quality of life, and health status in people diagnosed with fibromyalgia.
Methods
We searched PubMed, CINAHL, The Cochrane Library, PEDro and Scopus databases. Articles were eligible if they were randomised controlled trials (RCTs) analysing the effects of aquatic therapy in adult people diagnosed with fibromyalgia, and published by October of 2022 in English or Spanish. The Cochrane Risk of Bias tool was employed to conduct the methodological quality assessment of the encompassed studies, and the overall quality of evidence for each comparison was determined using the GRADE approach.
Results
Of 375 articles found, 22 met the inclusion criteria. Forest plot analysis of Pittsburgh sleep quality index at short- and mid-term follow-up showed a trend in favour of aquatic therapy, although not statistically significant, with weighted mean difference (WMD) = -1.71 (95% CI: -4.17 to -0.75,
p
= 0.17). Heterogeneity was substantial (χ
2
= 8.74, df = 5 (
p
< 0.000001;
I
2
= 95%). Relating the pain outcome by fibromyalgia impact questionnaire (FIQ) short term showed a trend in favour of the aquatic therapy group with WMD = −5.04 (95% CI: − 9.26 to − 0.82, p = = 0.02) with heterogeneity
χ
2
= 11.07, df = 4 (
p
= 0.03;
I
2
= 64%). Great heterogeneity was found between trials in medium term.
Conclusion
This systematic review and meta-analysis demonstrated the effectiveness of aquatic therapy as an adjunct treatment to usual care in people suffering from fibromyalgia. Aquatic therapeutic exercise improves the symptomats of sleep quality, pain, and quality of life of adults with fibromyalgia. Further research on long-term outcomes may contribute to the currently available evidence. |
| doi_str_mv | 10.1007/s11325-023-02933-x |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11136798</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3061512538</sourcerecordid><originalsourceid>FETCH-LOGICAL-c475t-fb57ac77655c8bb3994a001eb4e04d852d32d23b94e2114ffbcb498d754c4f663</originalsourceid><addsrcrecordid>eNp9kUtv1TAQRiNERUvhD7BAltiwSfEzjtmgqgKKVKmbdm05yeTWlfOox7lt_j3uvaU8FiwsW5rj4xl_RfGO0RNGqf6EjAmuSspFXkaI8uFFccQU5yXT1LzcnWlpFOOHxWvEW0qZrA17VRwKXUstZH1UpNO7xSXfknQD0c0r8cMcpy0gQQh9GWGeYoKOYACYSWaDTxkaSe-bOA2rCxvvyJwVMCb8TBzBFRMMO2eErYd74saODJBc6UYXVvT4pjjoXUB4-7QfF9ffvl6dnZcXl99_nJ1elK3UKpV9o7Rrta6UauumEcZIl2eARgKVXa14J3jHRWMkcMZk3zdtI03daSVb2VeVOC6-7L3z0gzQtbnF6IKdox9cXO3kvP27Mvobu5m2luWfrbSps-HjkyFOdwtgsoPHFkJwI0wLWl7rmhsulcnoh3_Q22mJeWK0glYsp6DEo5DvqTZOiBH6524YtY-p2n2qNqdqd6nah3zp_Z9zPF_5FWMGxB7AXBo3EH-__R_tTxQ2sPc</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3061512538</pqid></control><display><type>article</type><title>Aquatic therapy improves self-reported sleep quality in fibromyalgia patients: a systematic review and meta-analysis</title><source>Springer Link</source><creator>Bravo, Cristina ; Rubí-Carnacea, Francesc ; Colomo, Iolanda ; Sánchez-de-la-Torre, Manuel ; Fernández-Lago, Helena ; Climent-Sanz, Carolina</creator><creatorcontrib>Bravo, Cristina ; Rubí-Carnacea, Francesc ; Colomo, Iolanda ; Sánchez-de-la-Torre, Manuel ; Fernández-Lago, Helena ; Climent-Sanz, Carolina</creatorcontrib><description>Background
This systematic review and meta-analysis aimed to evaluate the effectiveness of aquatic therapy on pain, sleep quality, psychological symptoms, quality of life, and health status in people diagnosed with fibromyalgia.
Methods
We searched PubMed, CINAHL, The Cochrane Library, PEDro and Scopus databases. Articles were eligible if they were randomised controlled trials (RCTs) analysing the effects of aquatic therapy in adult people diagnosed with fibromyalgia, and published by October of 2022 in English or Spanish. The Cochrane Risk of Bias tool was employed to conduct the methodological quality assessment of the encompassed studies, and the overall quality of evidence for each comparison was determined using the GRADE approach.
Results
Of 375 articles found, 22 met the inclusion criteria. Forest plot analysis of Pittsburgh sleep quality index at short- and mid-term follow-up showed a trend in favour of aquatic therapy, although not statistically significant, with weighted mean difference (WMD) = -1.71 (95% CI: -4.17 to -0.75,
p
= 0.17). Heterogeneity was substantial (χ
2
= 8.74, df = 5 (
p
< 0.000001;
I
2
= 95%). Relating the pain outcome by fibromyalgia impact questionnaire (FIQ) short term showed a trend in favour of the aquatic therapy group with WMD = −5.04 (95% CI: − 9.26 to − 0.82, p = = 0.02) with heterogeneity
χ
2
= 11.07, df = 4 (
p
= 0.03;
I
2
= 64%). Great heterogeneity was found between trials in medium term.
Conclusion
This systematic review and meta-analysis demonstrated the effectiveness of aquatic therapy as an adjunct treatment to usual care in people suffering from fibromyalgia. Aquatic therapeutic exercise improves the symptomats of sleep quality, pain, and quality of life of adults with fibromyalgia. Further research on long-term outcomes may contribute to the currently available evidence.</description><identifier>ISSN: 1520-9512</identifier><identifier>ISSN: 1522-1709</identifier><identifier>EISSN: 1522-1709</identifier><identifier>DOI: 10.1007/s11325-023-02933-x</identifier><identifier>PMID: 37847348</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adult ; Clinical trials ; Dentistry ; Fibromyalgia ; Fibromyalgia - psychology ; Fibromyalgia - therapy ; Humans ; Hydrotherapy ; Internal Medicine ; Medicine ; Medicine & Public Health ; Meta-analysis ; Neurology ; Otorhinolaryngology ; Pain ; Pediatrics ; Pneumology/Respiratory System ; Quality control ; Quality of life ; Quality of Life - psychology ; Self Report ; Sleep ; Sleep Breathing Physiology and Disorders • Review ; Sleep Quality ; Statistical analysis ; Systematic review</subject><ispartof>Sleep & breathing, 2024-05, Vol.28 (2), p.565-583</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-fb57ac77655c8bb3994a001eb4e04d852d32d23b94e2114ffbcb498d754c4f663</citedby><cites>FETCH-LOGICAL-c475t-fb57ac77655c8bb3994a001eb4e04d852d32d23b94e2114ffbcb498d754c4f663</cites><orcidid>0000-0002-2962-8198</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37847348$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bravo, Cristina</creatorcontrib><creatorcontrib>Rubí-Carnacea, Francesc</creatorcontrib><creatorcontrib>Colomo, Iolanda</creatorcontrib><creatorcontrib>Sánchez-de-la-Torre, Manuel</creatorcontrib><creatorcontrib>Fernández-Lago, Helena</creatorcontrib><creatorcontrib>Climent-Sanz, Carolina</creatorcontrib><title>Aquatic therapy improves self-reported sleep quality in fibromyalgia patients: a systematic review and meta-analysis</title><title>Sleep & breathing</title><addtitle>Sleep Breath</addtitle><addtitle>Sleep Breath</addtitle><description>Background
This systematic review and meta-analysis aimed to evaluate the effectiveness of aquatic therapy on pain, sleep quality, psychological symptoms, quality of life, and health status in people diagnosed with fibromyalgia.
Methods
We searched PubMed, CINAHL, The Cochrane Library, PEDro and Scopus databases. Articles were eligible if they were randomised controlled trials (RCTs) analysing the effects of aquatic therapy in adult people diagnosed with fibromyalgia, and published by October of 2022 in English or Spanish. The Cochrane Risk of Bias tool was employed to conduct the methodological quality assessment of the encompassed studies, and the overall quality of evidence for each comparison was determined using the GRADE approach.
Results
Of 375 articles found, 22 met the inclusion criteria. Forest plot analysis of Pittsburgh sleep quality index at short- and mid-term follow-up showed a trend in favour of aquatic therapy, although not statistically significant, with weighted mean difference (WMD) = -1.71 (95% CI: -4.17 to -0.75,
p
= 0.17). Heterogeneity was substantial (χ
2
= 8.74, df = 5 (
p
< 0.000001;
I
2
= 95%). Relating the pain outcome by fibromyalgia impact questionnaire (FIQ) short term showed a trend in favour of the aquatic therapy group with WMD = −5.04 (95% CI: − 9.26 to − 0.82, p = = 0.02) with heterogeneity
χ
2
= 11.07, df = 4 (
p
= 0.03;
I
2
= 64%). Great heterogeneity was found between trials in medium term.
Conclusion
This systematic review and meta-analysis demonstrated the effectiveness of aquatic therapy as an adjunct treatment to usual care in people suffering from fibromyalgia. Aquatic therapeutic exercise improves the symptomats of sleep quality, pain, and quality of life of adults with fibromyalgia. Further research on long-term outcomes may contribute to the currently available evidence.</description><subject>Adult</subject><subject>Clinical trials</subject><subject>Dentistry</subject><subject>Fibromyalgia</subject><subject>Fibromyalgia - psychology</subject><subject>Fibromyalgia - therapy</subject><subject>Humans</subject><subject>Hydrotherapy</subject><subject>Internal Medicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meta-analysis</subject><subject>Neurology</subject><subject>Otorhinolaryngology</subject><subject>Pain</subject><subject>Pediatrics</subject><subject>Pneumology/Respiratory System</subject><subject>Quality control</subject><subject>Quality of life</subject><subject>Quality of Life - psychology</subject><subject>Self Report</subject><subject>Sleep</subject><subject>Sleep Breathing Physiology and Disorders • Review</subject><subject>Sleep Quality</subject><subject>Statistical analysis</subject><subject>Systematic review</subject><issn>1520-9512</issn><issn>1522-1709</issn><issn>1522-1709</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kUtv1TAQRiNERUvhD7BAltiwSfEzjtmgqgKKVKmbdm05yeTWlfOox7lt_j3uvaU8FiwsW5rj4xl_RfGO0RNGqf6EjAmuSspFXkaI8uFFccQU5yXT1LzcnWlpFOOHxWvEW0qZrA17VRwKXUstZH1UpNO7xSXfknQD0c0r8cMcpy0gQQh9GWGeYoKOYACYSWaDTxkaSe-bOA2rCxvvyJwVMCb8TBzBFRMMO2eErYd74saODJBc6UYXVvT4pjjoXUB4-7QfF9ffvl6dnZcXl99_nJ1elK3UKpV9o7Rrta6UauumEcZIl2eARgKVXa14J3jHRWMkcMZk3zdtI03daSVb2VeVOC6-7L3z0gzQtbnF6IKdox9cXO3kvP27Mvobu5m2luWfrbSps-HjkyFOdwtgsoPHFkJwI0wLWl7rmhsulcnoh3_Q22mJeWK0glYsp6DEo5DvqTZOiBH6524YtY-p2n2qNqdqd6nah3zp_Z9zPF_5FWMGxB7AXBo3EH-__R_tTxQ2sPc</recordid><startdate>20240501</startdate><enddate>20240501</enddate><creator>Bravo, Cristina</creator><creator>Rubí-Carnacea, Francesc</creator><creator>Colomo, Iolanda</creator><creator>Sánchez-de-la-Torre, Manuel</creator><creator>Fernández-Lago, Helena</creator><creator>Climent-Sanz, Carolina</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2962-8198</orcidid></search><sort><creationdate>20240501</creationdate><title>Aquatic therapy improves self-reported sleep quality in fibromyalgia patients: a systematic review and meta-analysis</title><author>Bravo, Cristina ; Rubí-Carnacea, Francesc ; Colomo, Iolanda ; Sánchez-de-la-Torre, Manuel ; Fernández-Lago, Helena ; Climent-Sanz, Carolina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-fb57ac77655c8bb3994a001eb4e04d852d32d23b94e2114ffbcb498d754c4f663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Clinical trials</topic><topic>Dentistry</topic><topic>Fibromyalgia</topic><topic>Fibromyalgia - psychology</topic><topic>Fibromyalgia - therapy</topic><topic>Humans</topic><topic>Hydrotherapy</topic><topic>Internal Medicine</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Meta-analysis</topic><topic>Neurology</topic><topic>Otorhinolaryngology</topic><topic>Pain</topic><topic>Pediatrics</topic><topic>Pneumology/Respiratory System</topic><topic>Quality control</topic><topic>Quality of life</topic><topic>Quality of Life - psychology</topic><topic>Self Report</topic><topic>Sleep</topic><topic>Sleep Breathing Physiology and Disorders • Review</topic><topic>Sleep Quality</topic><topic>Statistical analysis</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bravo, Cristina</creatorcontrib><creatorcontrib>Rubí-Carnacea, Francesc</creatorcontrib><creatorcontrib>Colomo, Iolanda</creatorcontrib><creatorcontrib>Sánchez-de-la-Torre, Manuel</creatorcontrib><creatorcontrib>Fernández-Lago, Helena</creatorcontrib><creatorcontrib>Climent-Sanz, Carolina</creatorcontrib><collection>SpringerOpen</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Sleep & breathing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bravo, Cristina</au><au>Rubí-Carnacea, Francesc</au><au>Colomo, Iolanda</au><au>Sánchez-de-la-Torre, Manuel</au><au>Fernández-Lago, Helena</au><au>Climent-Sanz, Carolina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Aquatic therapy improves self-reported sleep quality in fibromyalgia patients: a systematic review and meta-analysis</atitle><jtitle>Sleep & breathing</jtitle><stitle>Sleep Breath</stitle><addtitle>Sleep Breath</addtitle><date>2024-05-01</date><risdate>2024</risdate><volume>28</volume><issue>2</issue><spage>565</spage><epage>583</epage><pages>565-583</pages><issn>1520-9512</issn><issn>1522-1709</issn><eissn>1522-1709</eissn><abstract>Background
This systematic review and meta-analysis aimed to evaluate the effectiveness of aquatic therapy on pain, sleep quality, psychological symptoms, quality of life, and health status in people diagnosed with fibromyalgia.
Methods
We searched PubMed, CINAHL, The Cochrane Library, PEDro and Scopus databases. Articles were eligible if they were randomised controlled trials (RCTs) analysing the effects of aquatic therapy in adult people diagnosed with fibromyalgia, and published by October of 2022 in English or Spanish. The Cochrane Risk of Bias tool was employed to conduct the methodological quality assessment of the encompassed studies, and the overall quality of evidence for each comparison was determined using the GRADE approach.
Results
Of 375 articles found, 22 met the inclusion criteria. Forest plot analysis of Pittsburgh sleep quality index at short- and mid-term follow-up showed a trend in favour of aquatic therapy, although not statistically significant, with weighted mean difference (WMD) = -1.71 (95% CI: -4.17 to -0.75,
p
= 0.17). Heterogeneity was substantial (χ
2
= 8.74, df = 5 (
p
< 0.000001;
I
2
= 95%). Relating the pain outcome by fibromyalgia impact questionnaire (FIQ) short term showed a trend in favour of the aquatic therapy group with WMD = −5.04 (95% CI: − 9.26 to − 0.82, p = = 0.02) with heterogeneity
χ
2
= 11.07, df = 4 (
p
= 0.03;
I
2
= 64%). Great heterogeneity was found between trials in medium term.
Conclusion
This systematic review and meta-analysis demonstrated the effectiveness of aquatic therapy as an adjunct treatment to usual care in people suffering from fibromyalgia. Aquatic therapeutic exercise improves the symptomats of sleep quality, pain, and quality of life of adults with fibromyalgia. Further research on long-term outcomes may contribute to the currently available evidence.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>37847348</pmid><doi>10.1007/s11325-023-02933-x</doi><tpages>19</tpages><orcidid>https://orcid.org/0000-0002-2962-8198</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Springer Link |
| subjects | Adult Clinical trials Dentistry Fibromyalgia Fibromyalgia - psychology Fibromyalgia - therapy Humans Hydrotherapy Internal Medicine Medicine Medicine & Public Health Meta-analysis Neurology Otorhinolaryngology Pain Pediatrics Pneumology/Respiratory System Quality control Quality of life Quality of Life - psychology Self Report Sleep Sleep Breathing Physiology and Disorders • Review Sleep Quality Statistical analysis Systematic review |
| title | Aquatic therapy improves self-reported sleep quality in fibromyalgia patients: a systematic review and meta-analysis |
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