Land- and pool-based intervention in female fibromyalgia patients: A randomized-controlled trial

Özet

Objectives: The aim of this study was to assess the effect of a standard physical rehabilitation intervention (SPRI) program, in pool-based(SPRI-P) and land-based (SPRI-L) environments, applied to female fibromyalgia (FM) patients with mild-to-moderate symptoms during aperiod of 20 weeks.Patients and methods: Between September 2016 and September 2017, a total of 73 female FM patients (mean age 48.2±6.8 years;range, 30 to 59 years) who suffered from FM were included in this study on a voluntary basis. The SPRI program was applied to the patientsfor 20 weeks. The severity of FM was assessed using the Fibromyalgia Impact Questionnaire. The dependent variables including selfperceivedpain, perceived fatigue, aerobic capacity, depressive symptoms, and the overall impact of FM were evaluated.Results: Self-perceived pain, perceived fatigue, overall impact of FM (p<0.05) and depressive symptoms (p<0.001) of the participants in theSPRI-P program decreased in the post-test values, compared to the pre-test values. Using the SPRI-L program, a significant improvementin the aerobic capacity (maximum consumption of relative oxygen and distance in meters), overall impact of FM (p<0.05), and depressivesymptoms (p<0.01) was observed.Conclusion: Our study results indicated that the SPRI-P program yielded improvements in patients with FM in self-perceived pain, perceivedfatigue, depressive symptoms, and overall impact, as well as improving the aerobic capacity. In addition, in the SPRI-L program, theparticipants increased their capacities, self-perceived pain, and overall impact of FM.