Original articleEffects of Concurrent Strength and Endurance Training on Physical Fitness and Symptoms in Postmenopausal Women With Fibromyalgia: A Randomized Controlled Trial
Section snippets
Participants
Altogether 180 postmenopausal women with FM who had previously visited an outpatient clinic were sent an invitation letter concerning the study. The main inclusion criteria were women, age over 50 years, and diagnosis of FM.23 A total of 71 women were willing to participate, and they were assessed for eligibility (fig 1). Thirty-three volunteers were excluded because of severe cardiovascular disease, diabetes, severe osteoarthritis of the large joints, disorders of thyroid gland, or any other
Results
Two subjects from the training group dropped out after few weeks of training because of moving away and cardiovascular symptoms unrelated to the present training. Thus, the results are presented from 13 subjects of the training group and 11 subjects of the control group, except the aerobic test results from 12 subjects of the training group because 1 subject felt uncomfortable with the face mask.
The baseline characteristics were comparable between the groups (table 2). The FM diagnosis had been
Discussion
Our results showed that aerobic performance as measured by maximal workload (Wmax) and work time, muscle strength as measured by concentric force of the leg extensors, and functional performance as assessed by walking and stair-climbing time improved in postmenopausal women with FM after concurrent strength and endurance training. The present training protocol loaded lower extremities and, thus, contributed to their improved function. Moreover, the training decreased fatigue. In addition, the
Conclusions
This study showed that postmenopausal women with FM were able to practice concurrent strength and endurance training with beneficial effects on symptoms and without training injuries. The observed changes in physical fitness were mainly seen as increased dynamic muscle strength of leg extensors, improved Wmax, work time, and walking and stair-climbing time because both training modes loaded the same muscle groups. However, the amount of strength training was most likely too low to improve the
References (31)
- et al.
The effects of a 12-week strength-training program on strength and functionality in women with fibromyalgia
Arch Phys Med Rehabil
(2005) - et al.
Management of fibromyalgia syndrome
JAMA
(2004) - et al.
Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association
Circulation
(2007) - et al.
Exercise physiology: energy, nutrition and human performance
(2001) - et al.
Effects of resistance training on older adults
Sports Med
(2004) - et al.
Possible stimuli for strength and power adaptation: acute metabolic responses
Sports Med
(2006) - et al.
Evidence for prescribing exercise as therapy in chronic disease
Scand J Med Sci Sports
(2006) - et al.
Strength training induced adaptations in neuromuscular function of premenopausal women with fibromyalgia: comparison with healthy women
Ann Rheum Dis
(2001) - et al.
A randomized controlled trial of muscle strengthening versus flexibility training in fibromyalgia
J Rheumatol
(2002) - et al.
Changes in knee extension and flexion force, EMG and functional capacity during strength training in older females with fibromyalgia and healthy controls
Rheumatology (Oxford)
(2004)
Muscle hypertrophy, strength development, and serum hormones during strength training in elderly women with fibromyalgia
Scand J Rheumatol
The effects of 20 weeks of physical fitness training in female patients with fibromyalgia
Clin Exp Rheumatol
The effects of exercise and education, individually or combined, in women with fibromyalgia
J Rheumatol
Aerobic fitness effects in fibromyalgia
J Rheumatol
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2015, Archives of Physical Medicine and RehabilitationMuscle strengthening activities and fibromyalgia: A review of pain and strength outcomes
2015, Journal of Bodywork and Movement TherapiesCitation Excerpt :At the end of the 21-week trial, the non-exercising control subjects with FM demonstrated no change in the number of tender points and had increased VAS pain scores. Strength outcomes appear to improve to significantly among study participants with FM when compared to non-exercising controls with FM (Valkieinen et al., 2008; Alen et al., 2001; Hakkinen et al., 2001). Likewise, individuals with FM engaging in MSA show similar strength increases when compared to healthy aged-matched individuals participating in MSA (Kingsley et al., 2010; Valkeinen et al., 2004; Hakkinen et al., 2002).
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Supported by the Ministry of Education of Finland and Peurunka-Medical Rehabilitation Foundation, Laukaa, Finland.
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.