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- Development and validation of a physical exercise training program for women diagnosed with Fibromyalgia “Pessoas com Fibra” (People with Fiber). A pilot studyPublication . Sousa, Mónica; MOUTÃO, JOÃO; Oliveira, Rafael; Alves, SusanaFibromyalgia is a chronic disease that affects patients’ quality of life, leading to reduced physical activity levels. This problem can therefore be attenuated by promoting physical exercise training programs (PETP). The aim of this pilot study was to develop and validate a PETP, “Pessoas com Fibra”, designed to increase physical activity and improve the quality of life of women diagnosed with Fibromyalgia, aged between 30 and 60. The PETP was designed and validated by physical fitness specialists in accordance with Revised Guidelines for Reporting Criteria on the Development and Evaluation of Complex Health Interventions and the Consensus Guidelines on Physical Exercise Programme Reporting Model. It went through three phases: development, piloting and evaluation. This study presents an intervention proposal based on improving the participants' Fibromyalgia symptoms. “Pessoas com Fibra” program proposal presents suggestions for adaptation to the target population and exercises that can be replicated by professionals in the field of physical exercise and health.
- Effects of a combined training program on pain, stiffness, fatigue, and well-being in women with fibromyalgiaPublication . Sousa, Mónica; MOUTÃO, JOÃO; Oliveira, Rafael; Alves, SusanaFibromyalgia is a rheumatic disease characterized by chronic widespread muscle pain and its treatment is carried out through pharmacological interventions. Physical exercise and the adoption of a healthy lifestyle influence the reduction of the symptoms of the disease. The main objective of this study was to analyze the effects of a combined training program on health and functional capacity in female individuals diagnosed with Fibromyalgia. It was a quasi-experimental study with a duration of 8 months with a sample of six participants between 43 and 58 years old, who did not practice any type of physical exercise program. The following instruments were used in baseline and post intervention: Fibromyalgia Impact Questionnaire (FIQ), Short Form Health Survey Questionnaire (SF-36v2) and functional physical fitness tests (30-second chair stand, arm curl, sit and reach, 8-ft up-and-go, back scratch and 2-minute step test. Wilcoxon non-parametric test (intra-group comparison) was used, with a significance level of p<0.05 to compare baseline and post intervention effects. Significant improvements were observed: in 2-minute step test (p=0.21); physical function; physical performance; physical pain and general health, the mental component, vitality; social function of the SF-36v2 (all, p<0.05). Moreover, FIQ showed a significant reduction in all scales at the end of the program compared to the baseline (p<0.05). Combined training program can reduce the impact of fibromyalgia while improving health and aerobic performance.
- Effects of Combined Training Programs in Individuals with Fibromyalgia: A Systematic ReviewPublication . Sousa, Mónica; Oliveira, Rafael; Brito, João; Martins, Alexandre Duarte; MOUTÃO, JOÃO; Alves, SusanaFibromyalgia is a rheumatic disease characterised by chronic widespread muscular pain and its treatment is carried out by pharmacological interventions. Physical exercise and a healthy lifestyle act as an important mechanism in reducing the symptoms of the disease. The aims of this study were to analyse and systematise the characteristics of combined training programs (i.e., type and duration of interventions, weekly frequency, duration and structure of training sessions and prescribed intensities) and to analyse their effects on people diagnosed with fibromyalgia. A systematic literature search was performed using the PRISMA method and then randomised controlled trial articles that met the eligibility criteria were selected. The Physiotherapy Evidence Database scale was used to assess the quality and risk of the studies. A total of 230 articles were selected, and in the end, 13 articles met the defined criteria. The results showed different exercise interventions such as: combined training, high-intensity interval training, Tai Chi, aerobic exercise, body balance and strength training. In general, the different interventions were beneficial for decreasing physical symptoms and improving physical fitness and functional capacity. In conclusion, a minimum duration of 14 weeks is recommended for better benefits. Moreover, combined training programs were the most effective for this population, in order to reduce the symptoms of the disease with a duration between 60 and 90 min, three times a week with a light to moderate intensity