Browsing by Author "Andrade, Alexandro"
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- Effects of different protocols of physical exercise on fibromyalgia syndrome treatment: systematic review and meta-analysis of randomized controlled trialsPublication . Albuquerque, Maria Luiza L.; Monteiro, Diogo; Marinho, Daniel A.; Vilarino, Guilherme T.; Andrade, Alexandro; Neiva, Henrique P.Physical exercise has been used as a form of treatment for fbromyalgia, however, the results indicate the need for further investigations on the efect of exercise on diferent symptoms. The aim of the study was to synthesize and analyse studies related to the efect of exercise in individuals with fbromyalgia and provide practical recommendations for practitioners and exercise professionals. A search was carried out in the Web of Science, PubMed, and Scopus databases in search of randomized clinical trials (RCT) written in English. A meta-analysis was performed to determine the efectiveness of different types of exercise on the fbromyalgia impact questionnaire (FIQ), and the protocol period and session duration on the pain outcome. Eighteen articles were eligible for a qualitative assessment and 16 were included in the meta-analysis. The exercise showed large evidence for the association with a reduction in the FIQ (SMD −0.98; 95% CI −1.49 to −0.48). Protocols between 13 and 24 weeks (SMD −1.02; 95% CI −1.53 to −0.50), with a session time of less than 30 min (SMD −0.68 95% CI −1.26 to −0.11) or>30 min and<60 min (SMD −1.06; 95% CI −1.58 to −0.53) presented better results. Better results were found after combined training protocols and aerobic exercises. It is suggested that exercise programs lasting 13–24 weeks should be used to reduce pain, and each session should last between 30 and 60 min. In addition, the intensity should always be carried out gradually and progressively
- Effects of strength training in fibromyalgia on balance, neuromuscular performance, and symptomatic analysis: a 12-week study protocolPublication . Albuquerque, Maria Luiza L.; Monteiro, Diogo; Alvarez, Marcos; Vilarino, Guilherme Torres; Andrade, Alexandro; Neiva, Henrique P.Fibromyalgia affects skeletal muscles presenting with muscle stiffness, pain, and fatigue. The exercise practice is wellstabilized and suggested for the reduction of symptoms. However, there are some gaps in the literature related to balance and neuromuscular performance in a strength training protocol. The aim of this study is to structure a protocol to verify the effects of strength training applied over a short period, on balance, neuromuscular performance, and fibromyalgia symptoms. Additionally, we intend to analyze the effects of a short period of cessation of training. Participants will be recruited through flyers, internet advertisements, clinical referrals, health professionals, and email outreach. Volunteers will be randomly assigned to the control group or experimental group. Before the training period, symptoms (Fibromyalgia Impact Questionnaire, Visual Analog Scale), balance (force plate), and neuromuscular performance (medicine ball throw and vertical jump) will be assessed. Participants in the experimental group will perform strength training twice a week (50 min each), on alternate days, for 8 weeks (16 sessions). Then, 4 weeks of detraining will be completed. This training program will be carried out online, using real-time videos, and the participants will be divided into two groups with different schedules. The Borg scale will be used to monitor perceived effort in each session. There is a gap in the literature about exercise prescriptions for fibromyalgia. The supervised online intervention enables a wide range of participation. The strength exercises used (without the use of external materials and/or machines) and load (few repetitions per set) represent a novelty to training programming. Moreover, this training program respects the limitations and individuality of the volunteers, providing exercise adaptations. With positive results, the present protocol could be an easy-to-apply guideline with clear instructions on the details related to exercise prescription. Also, ensure the effectiveness of a low-cost and feasible treatment, especially for fibromyalgia patients.
- Resistance training on postural balance, physical fitness, and fibromyalgia impact: pilot study of online interventionPublication . Albuquerque, Maria; Monteiro, Diogo; Alvarez, Marcos; Vilarino, Guilherme Torres; Andrade, Alexandro; Neiva, Henrique P.is a chronic disease with diverse physical and psychological symptoms and impairments. The present pilot study aims to evaluate the implementation of a previously protocoled online resistance training program in postural balance, physical fitness, and fibromyalgia impact, as well as adaptations and strategies necessary for a better followup of the participant during the program. Three participants with an average age of 53.67 (SD=5.51) years and medical diagnosis of fibromyalgia performed eight weeks of online resistance training exercises (2/week). Physical fitness and postural balance (force platform), fibromyalgia impact (FIQ), and symptoms (VAS) were evaluated before the exercises and after 16 sessions. The variation from pre- to post-training intervention was determined by calculating the percentage of change in each variable. All participants showed gains in countermovement jump (11 to 46%) and reduced pain intensity (10 to 19%). Two out of three participants showed improvement in the countermovement jump with free arms (4 and 28%), medicine ball throw (2 and 42%), mood state (20 to 32%), also a reduction in FIQ (4 and 27%), center of pressure (COP) velocity with eyes open (10 and 7%), COP displacement with eyes open (6 and 9%), anxiety (15 to 84%) and fatigue (10 to 41%). Only one participant has shown improvements in sleep quality (6%). Changes in balance with eyes closed were not found. The online resistance training program protocol showed promising results in this pilot study, with potential gains in neuromuscular performance and balance, and reducing the negative symptoms associated with fibromyalgia. Adaptations were necessary throughout the program for better applicability.