Aplicación del ejercicio físico como terapia en medicina del trabajo para pacientes con fibromialgia

  1. Delfín Galiano Orea 1
  2. Borja Sañudo Corrales 2
  1. 1 Ibermutuamur
  2. 2 Universidad de Sevilla
    info

    Universidad de Sevilla

    Sevilla, España

    ROR https://ror.org/03yxnpp24

Revue:
Medicina y seguridad del trabajo

ISSN: 0465-546X 1989-7790

Année de publication: 2013

Volumen: 59

Número: 232

Pages: 310-321

Type: Article

DOI: 10.4321/S0465-546X2013000300003 DIALNET GOOGLE SCHOLAR lock_openAccès ouvert editor

D'autres publications dans: Medicina y seguridad del trabajo

Objectifs de Développement Durable

Résumé

Purpose: To determine groups in women with fibromyalgia syndrome (FM) based on symptomatology and determine cardiovascular parameters during treadmill exercise to prescribe them physical activity. Methods: Women (N =32, age =53.3 ± 6.6yr) were assigned into two different groups according to their functional capacity and symptomatology. During incremental treadmill exercise test, exercise intensity was increased until participants achieved volitional exhaustion (VO2max). Expired respiratory gases, ventilator parameters and heart rate (HR) were measured continuously during exercise and RPE was assessed each minute during the test. Results: Peak VO2 values for the group 1 were significantly different than for group 2 (24,9 ± 3,2 ml•kg-1•min-1 (Group 1) and 21,5 ± 2,1 ml•kg-1•min-1(Group 2)) similar ones to the found in other studies with women with FM, altough lower than anther populations without this pathology. On the other hand, if we take into account the VO2VT, we found no significant differences between groups in both trials. We found also differences in all the evaluated parameters. Conclusion: Depending on the level of affectation and the symptomatology of the FM patients, their aerobic capacities were differents; therefore, we are not be able to prescribe physical activity with the same intensity for both groups. According to those results, professionals could prescribe physical activity with a high security and control.

Références bibliographiques

  • 1. Marder, W.D., Meenan, R.F., y Felson, D.T. (1991). The present and future adequacy of rheumatology manpower. Arthritis Rheum, 34, 1204-1217.
  • 2. Calabozo, R.M. (1998). Protocolo de actuación en fibromialgia. Protocolos de actuación en Reumatología. Burgos: Sociedad Española de Reumatología, 93-103.
  • 3. Reilly, P.A., y Littlejohn, G.O. (1992). Peripheral arthralgic presentation of fibrositis/fibromyalgia syndrome. J Rheumatol, 19(2), 281-3.
  • 4. White, K.P., Harth, M. y Teasell, R.W. (1995). Work Disability Evaluation and the Fibromyalgia Syndrome. Arthritis Rheum, 24(6), 371-381.
  • 5. White, K.P., y Harth, M. (1998). The fibromyalgia problem. J Rheumatol, 25(5), 1022-1023.
  • 6. Buskila, D., Neumann, L., Odes, L.R., Schleifer, E., Depsames, R., y Abu-Shakra, M. (2001). The prevalence of musculoskeletal pain and fibromyalgia in patients hospitalized on internal medicine wards. Sem Arthritis Rheum, 30, 411-417.
  • 7. White, K.P., y Thompson, J. (2003). Fibromyalgia syndrome in an Amish community: a controlled study to determine disease and symptom prevalence. J Rheumatol, 30, 1835-40.
  • 8. EPISER. (2001). Prevalencia e impacto de las enfermedades reumáticas en la población adulta española. Madrid: Sociedad Española de Reumatología.
  • 9. Carmona, L., Ballina, J., Gabriel, R., Laffon, A. (2001). The burden of musculoeskeletal diseases in the general population of Spain: result from o nacional survey. Ann Rheum Dis, 60, 1040-5.
  • 10. Gamero, F., Gabriel, R., Carbonell, J., Tornero, J., Sánchez-Magro, I. (2004). El dolor en las consultas de Reumatología españolas: estudio epidemiológico EPIDOR. Rev Clin Esp., 205(4):157-63.
  • 11. Collado, A., Alijotas, J., Benito, P., Alegre, A., Romera, M., Sañudo, I., et al. (2002). Documento de consenso sobre el diagnóstico de la fibromialgia en Cataluña. Med Clin (Barc), 118, 745-9.
  • 12. White, K.P., Nielson, W.R., Harth, M., Ostbye, T., y Speechley, M. (2002). Chronic widespread musculoskeletal pain with or without Wbromyalgia: psychological distress in a representative community adult sample. J Rheumatol, 29, 588-594.
  • 13. Oliver, K., Cronan, T.A., Walen, H.R., y Tomita, M. (2001). Effects of social support and education on health care costs for patients with fibromyalgia. J Rheumatol, 28, 2711-9.
  • 14. Penrod, J.R., Bernatsky, S., Adam, V., Baron, M., Dayan, N., y Dobkin, P.L. (2004). Health services costs and their determinants in women with fibromyalgia. J Rheumatol, 31(7), 1391-8.
  • 15. Wolfe, F., Anderson, J., Harkness, D., Bennett, R.M., Caro, X.J., Goldenberg, D.L., Russell, I.J., y Yunus, M.B. (1997b). A prospective, longitudinal, multicenter study of service utilization and costs in fibromyalgia. Arthr Rheum, 40(9), 1560-1570.
  • 16. Albornoz, J., Povedano, J., Quijada, J., De la Iglesia, J.L., Fernández, A., Pérez-Vilchez, D., et al. (1997). Características clínicas y sociolaborales de la fibromialgia en España: descripción de 193 pacientes. Rev Esp Reumatol, 24, 38-44.
  • 17. Goldenberg, D.L. (1999). Fibromyalgia syndrome a decade later; what have we learned?. Arch Intern Med, 159(8), 777–785.
  • 18. Robinson, R.L., Birnbaum, H.G., Morley, M.A., Sisitsky, T., Greenberg, P.E., y Claxton, A.J. (2003). Economic cost and epidemiological characteristics of patients with fibromyalgia. J Rheumatol, 30, 1318- 1325.
  • 19. Ubago, L., Ruiz, P., Bermejo, P., Olry, A., y Plazaola, C. (2005). Características clínicas y psicosociales de personas con fibromialgia. Repercusión del diagnóstico sobre sus actividades. Rev Esp Salud Pública, 79(6), 683-95.
  • 20. Wigers, G.H., Stiles, T.C., y Vogel, P.A. (1996). Effects of aerobic exercise versus stress management treatment in fibromyalgia: a 4.5 year prospective study. Scand J Rheumatol, 25, 77-86.
  • 21. Rivera, J., Alegre, C., Ballina, F.J., Carbonell, J., Carmona, L., Castel, B., et al. (2006). Documento de consenso de la Sociedad Española de Reumatología sobre la fibromialgia. Reumatol Clin, 2(Supl 1), S55-66.
  • 22. Brosseau, L., Wells, G.A., Tugwell, P., Egan, M., Wilson, K.G., Dubouloz, C.J., et al. (2008b). Ottawa Panel Members.Ottawa Panel evidence-based clinical practice guidelines for strengthening exercises in the management of fibromyalgia: part 2. Phys Ther, 88(7), 873-86.
  • 23. Brosseau, L., Wells, G.A., Tugwell, P., Egan, M., Wilson, K.G., Dubouloz, C.J., et al. (2008a). Ottawa Panel Members.Ottawa Panel evidence-based clinical practice guidelines for aerobic fitness exercises in the management of fibromyalgia: part 1. Phys Ther, 88(7), 857-71.
  • 24. Busch, A.J., Schachter, C.L., Overend, T.J., Peloso, P.M., y Barber, K.A. (2008). Exercise for fibromyalgia: a systematic review. J Rheumatol, 35(6), 1130-44.
  • 25. Turk, D.C., Monarch, E.S., y Williams, A.D. (2002). Psychological evaluation of patients diagnosed with fibromyalgia syndrome: a comprehensive approach. Rheum Dis Clin North Am, 28, 219-33.
  • 26. Valim, V., Oliveira, L., Suda, A., Silva, L., de Assis, M., Barros, T., Feldman, D., y Natour, J. (2003). Aerobic fitness effects in fibromyalgia. J Rheumatol, 30(5), 1060-9.
  • 27. Da Costa, D., Abrahamowicz, M., Lowensteyn, I., Bernatsky, S., Dritsa, M., Fitzcharles, M.A., y Dobkin, P.L. (2005). A randomized clinical trial and individualized home-based exercise programme for women with fibromyalgia. Rheumatol (Oxford), 44, 1422-1427.
  • 28. Tomas-Carus, P., Gusi, N., Häkkinen, A., Häkkinen, K., Leal, A., y Ortega-Alonso, A. (2008). Eight months of physical training in warm water improves physical and mental health in women with fibromyalgia: a randomized controlled trial. J Rehabil Med, 40(4), 248-52.
  • 29. Sañudo B, Galiano D, Carrasco L, Bragojevic M, de Hoyo M, Saxton J. Aerobic exercise versus combined exercise therapy in women with fibromyalgia syndrome: a randomized controlled trial. Arch Phys Med Rehab. 2010; 91(12):1838-43.
  • 30. Schachter, C.L., Busch, A.J., Peloso, P.M., y Sheppard, M.S. (2003). Effects of short versus long bouts of aerobic exercise in sedentary women with fibromyalgia: a randomized controlled trial. Phys Ther, 83, 340-358.
  • 31. Valkeinen, H., Alen, M., Hannonen, P., Häkkinen, A., Airaksinen, O., y Häkkinen, K. (2004). Changes in knee extension and flexion force, EMG and functional capacity during strength training in older females with fibromyalgia and healthy controls. Rheumatology (Oxford), 43, 225-228.
  • 32. Van Santen, M., Bolwijn, P., Landewe, R., Verstappen, F., Bakker, C., Hidding, A., et al. (2002b). High or low intensity aerobic fitness training in fibromyalgia: does it matter? J Rheumatol, 29, 582-587.
  • 33. Bircan, C., Karasel, S.A., Akgün, B., El, O., y Alper, S. (2008). Effects of muscle strengthening versus aerobic exercise program in fibromyalgia. Rheumatol Int, 28(6), 527-32.
  • 34. Assis, M.R., Silva, L.E., Alves, A.M., Pessanha, A.P., Valim, V., Feldman, D., et al. (2006) A randomized controlled trial of deep water running: clinical effectiveness of aquatic exercise to treat fibromyalgia. Arthritis Rheum, 55, 57-65.
  • 35. Nishishinya, M.B., Rivera, J., Alegre, C., y Pereda, C.A. (2006). Intervenciones no farmacológicas y tratamientos alternativos en la fibromialgia. Med Clin (Barc), 127, 295-9.
  • 36. Rooks, D.S. (2008). Talking to patients with fibromyalgia about physical activity and exercise. Curr Opin Rheumatol, 20(2), 208-12.
  • 37. Harris, R.E., Williams, D.A., McLean, S.A., Sen, A., Hufford, M., Gendreau, R.M., et al. (2005). Characterization and consequences of pain variability in individuals with fibromyalgia. Arthritis Rheum, 52(11), 3670-4.
  • 38. Consejería de Salud. (2005). Fibromialgia: Proceso asistencial integrado. Sevilla: Junta de Andalucía.
  • 39. Monterde S, Salvat I, Montull S, Ballart J. (2004). Validación de la versión española del Fibromyalgia Impact Questionnaire. Rev Esp Reumatol. 31(9):507-513.
  • 40. Kaminsky LA, Roecker MS, Whaley MH, Dwyer GB. (1993). Evaluation of the BSU/Bruce ramp protocol. Med Sci Sports Exerc. 25:S13.
  • 41. Thieme K, Spies C, Sinha P, Turk D, Flor H. (2005). Predictors of Pain Behaviors in Fibromyalgia Syndrome. Arthritis Care Res. 53(3):343-350.
  • 42. Nielens H, Boisset V, Masquelier E. (2000). Fitness and Perceived Exertion in Patients With Fibromyalgia Syndrome. Clin J Pain. 16(3):209-13.
  • 43. Bennett RM, Clark SR, Goldberg L. (1989). Aerobic fitness in patients with fibromyalgia-a controlled study of respiratory gas exchange and 133xenon clearance from exercising muscle. Arthritis Rheum. 32:454-60.
  • 44. Sietsema KE, Cooper DM, Caro X, Leibling MR, Louie JS. (1993). Oxygen uptake during exercise in patients with primary fibromyalgia syndrome. J Rheumatol. 20(5): 860-5.
  • 45. Meiworm L, Jakob E, Walker UA, Peter HH. (2000). Patients with flbromyalgia benefit from aerobic endurance exercise. Clin Rheumatol. 19:253-257.
  • 46. American College of Sports Medicine. American College of Sports Medicine position stand. (1998). The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Med. Sci Sports and Exerc. 30:975-91.
  • 47. Sanada K, Kuchiki TM, Miyachi MK, McGrath K, Higuchi M, Ebashi H. (2007). Effects of age on ventilatory threshold and peak oxygen uptake normalised for regional skeletal muscle mass in Japanese men and women aged 20–80 years. Eur J Appl Physiol. 99:475-483
  • 48. Koltyn KF, Arbogast RW. (1998). Perception of pain alter resistance exercise. Br J Sports Med. 32(1):20-24.
  • 49. Mannerkorpi K. (2005).Exercise in fibromyalgia. Curr Opin Rheumatol. 17:190-194.
  • 50. Busch A, Schachter CL, Peloso PM, Bombardier C. (2007). Ejercicios para el tratamiento del síndrome de fibromialgia. (Revisión Cochrane traducida). En: La Biblioteca Cochrane Plus, número 1. Oxford, Update Software Ltd. Disponible en: http://www.update-software.com. (Traducida de The Cochrane Library, Issue 1. Chichester, UK: John Wiley & Sons, Ltd.)
  • 51. Sañudo B, Galiano D (2009). Using cardiovascular parameters and symptom severity to prescribe physical activity in women with fibromyalgia. Clin Exp Rheumatol 2009: 27 (Suppl. 56): S62-S66.