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Titre : | Effectiveness of Land- and Water-based Exercise on Fatigue and Sleep Quality in Women With Fibromyalgia: The al-Ándalus Quasi-Experimental Study (2023) |
Auteurs : | Blanca Gavilán-Carrera ; Milkana Borges-Cosic ; Inmaculada C. Álvarez-Gallardo ; Alberto Soriano-Maldonado ; Pedro Acosta-Manzano ; Daniel Camiletti-Moirón ; Ana Carbonell-Baeza ; Antonio J. Casimiro ; María José Girela-Rejón ; Brian Walitt ; Fernando Estévez-López |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 11, 2023) |
Article en page(s) : | p. 1775-1784 |
Note générale : | https://doi.org/10.1016/j.apmr.2023.04.028 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Douleur chronique ; Exercice physique ; Management ; Réadaptation |
Résumé : | Objective To assess the effectiveness of 24 weeks of land- and water-based exercise on fatigue and sleep quality in women with fibromyalgia, and the persistence of changes 12 weeks after exercise cessation. Design Quasi-experimental study. Setting University facilities and fibromyalgia associations. Participants Women with fibromyalgia (N=250; 50.8+7.6 years old). Interventions Participants were assigned to land-based exercise (n=83), water-based exercise (n=85), or no exercise control (n=82) groups. The intervention groups engaged in a similar multicomponent exercise program for 24 weeks. Main Outcome Measures The Multidimensional Fatigue Inventory and Pittsburgh Sleep Quality Index were used. Results Intention-to-treat analyses revealed that, compared with the control group, at week 24: (i) the land-based exercise group improved physical fatigue (mean difference -0.9 units; 95% confidence interval -1.7 to -0.1; Cohen's d=0.4) and (ii) the water-based exercise group improved general fatigue (-0.8; -1.4 to -0.1, d=0.4), and global sleep quality (-1.6; -2.7 to -0.6, d=0.6). Additionally, compared with the land-based exercise group, the water-based exercise group improved global sleep quality (-1.2; -2.2 to -0.1, d=0.4). Changes were generally not sustained at week 36. Conclusion Land-based multicomponent exercise improved physical fatigue, whereas water-based exercise improved general fatigue and sleep quality. The magnitude of the changes was small-to-medium, and no benefits were maintained after exercise cessation. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999323003064 |