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Study of the biomechanical, sensorial, cardiorespiratory and quality of life adaptations associated to physical therapy intervention in the fibromyalgic syndrome


Fibromyalgia Syndrome (FS) is one condition that most affects functional performance, especially in women, due to alterations in the entire musculoskeletal system. Given that, Physical Therapy (PT) studies the human movement and its dysfunctions, and that FS, because of its complex chronic characteristic, impairs the affected individual's activities causing movement disorders, a PT professional must be part of the multidisciplinary team involved in the FS treatment. Nonetheless, as explained in the present proposal, several aspects still need clarification related to the PT role in this syndrome. Particularly, studies that analyze the biomechanical, sensorial and cardiorespiratory adaptations in individuals who undergo PT intervention still lack; those studies would contribute with scientific evidence to the clinical practice. According to recent systematic reviews, one of the most used therapies with positive effects on FS subjects is the hydrotherapy, which combines exercises and the water relaxing effects. Other alternative treatments have also been searched, in an attempt to decrease the painful picture presented, as the FS etiology and pathophysiology are not well known. The aim of this study is to evaluate the efficacy of different physical therapy resources in the FS, in two subprojects. The first will verify if hydrotherapy is effective in modifying movement variables (scapular kinematics and electromyography) and autonomic modulation. Other variables, such as pain level and quality of life in women with FS, will also be analyzed. The second study will evaluate the efficacy of the Shiatsu massage on pain, sleep quality, balance and quality of life of subjects with FS. (AU)

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Scientific publications (19)
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
RIBEIRO, IVANA LEAO; CARREIRA MOREIRA, ROBERTA FATIMA; FERRARI, ANGELICA VIANA; ALBURQUERQUE-SENDIN, FRANCISCO; CAMARGO, PAULA REZENDE; SALVINI, TANIA FATIMA. Effectiveness of early rehabilitation on range of motion, muscle strength and arm function after breast cancer surgery: a systematic review of randomized controlled trials. CLINICAL REHABILITATION, v. 33, n. 12, p. 1876-1886, . (11/22122-5, 15/50303-5)
AVILA, MARIANA ARIAS; CAMARGO, PAULA REZENDE; RIBEIRO, IVANA LEAO; ZAMUNER, ANTONIO ROBERTO; SALVINI, TANIA FATIMA. Three-dimensional scapular motion during arm elevation is altered in women with fibromyalgia. CLINICAL BIOMECHANICS, v. 29, n. 7, p. 815-821, . (11/22122-5)
FOCHI, A. G.; DAMAS, F.; BERTON, R.; ALVAREZ, I; MIQUELINI, M.; SALVINI, T. F.; LIBARDI, C. A.. Greater eccentric exercise-induced muscle damage by large versus small range of motion with the same end-point. BIOLOGY OF SPORT, v. 33, n. 3, p. 285-289, . (12/24499-1, 11/22122-5, 14/19594-0, 13/21218-4)
FORTI, MEIRE; ZAMUNER, ANTONIO R.; ANDRADE, CAROLINA P.; SILVA, ESTER. Lung Function, Respiratory Muscle Strength, and Thoracoabdominal Mobility in Women With Fibromyalgia Syndrome. Respiratory Care, v. 61, n. 10, p. 1384-1390, . (13/16008-0, 11/22122-5)
ANDRADE, CAROLINA PIERONI; ZAMUNER, ANTONIO ROBERTO; FORTI, MEIRE; DE FRANCA, THALITA FONSECA; DA SILVA, ESTER. Reliability of heart period and systolic arterial pressure variabilities in women with fibromyalgia syndrome. CLINICAL RHEUMATOLOGY, v. 35, n. 9, p. 2347-2352, . (13/17504-1, 11/22122-5)
TREVISAN, DEBORAH COLUCCI; DRIUSSO, PATRICIA; AVILA, MARIANA ARIAS; GRAMANI-SAY, KARINA; ARAUJO MOREIRA, FERNANDO MANUEL; PARIZOTTO, NIVALDO ANTONIO. Static postural sway of women with and without fibromyalgia syndrome: A cross-sectional study. CLINICAL BIOMECHANICS, v. 44, p. 83-89, . (11/22122-5)
CAROLINA PIERONI ANDRADE; ANTONIO ROBERTO ZAMUNÉR; MEIRE FORTI; THALITA FONSECA DE FRANÇA; ESTER DA SILVA. A escala CR-10 de Borg é viável para quantificar a intensidade do exercício aeróbio em mulheres com síndrome fibromiálgica. Fisioter. Pesqui., v. 24, n. 3, p. 267-272, . (11/22122-5, 13/17504-1)
ANDRADE, CAROLINA P.; ZAMUNER, ANTONIO R.; FORTI, MEIRE; TAMBURUS, NAYARA Y.; SILVA, ESTER. Effects of aquatic training and detraining on women with fibromyalgia: controlled randomized clinical trial. European Journal of Physical and Rehabilitation Medicine, v. 55, n. 1, p. 79-88, . (13/17504-1, 11/22122-5)
ANDRADE, CAROLINA P.; ZAMUNER, ANTONIO R.; FORTI, MEIRE; FRANCA, THALITA F.; TAMBURUS, NAYARA Y.; SILVA, ESTER. Oxygen uptake and body composition after aquatic physical training in women with fibromyalgia: a randomized controlled trial. European Journal of Physical and Rehabilitation Medicine, v. 53, n. 5, p. 751-758, . (13/17504-1, 11/22122-5)
AVILA, MARIANA ARIAS; CAMARGO, PAULA REZENDE; RIBEIRO, IVANA LEAO; ALBURQUERQUE-SENDIN, FRANCISCO; ZAMUNER, ANTONIO ROBERTO; SALVINI, TANIA FATIMA. Effects of a 16-week hydrotherapy program on three-dimensional scapular motion and pain of women with fibromyalgia: A single-arm study. CLINICAL BIOMECHANICS, v. 49, p. 145-154, . (15/50303-5, 11/22122-5)
J.P. FERREIRA; A.M.O. LEAL; F.A. VASILCEAC; C.D. SARTOR; I.C.N. SACCO; A.S. SOARES; T.F. SALVINI. Decreased muscle strength is associated with proinflammatory cytokines but not testosterone levels in men with diabetes. Brazilian Journal of Medical and Biological Research, v. 51, n. 9, . (11/22122-5)
ZAMUNER, ANTONIO ROBERTO; PORTA, ALBERTO; ANDRADE, CAROLINA PIERONI; MARCHI, ANDREA; FORTI, MEIRE; FURLAN, RAFFAELLO; BARBIC, FRANCA; CATAI, APARECIDA MARIA; SILVA, ESTER. Cardiovascular control in women with fibromyalgia syndrome: do causal methods provide nonredundant information compared with more traditional approaches?. AMERICAN JOURNAL OF PHYSIOLOGY-REGULATORY INTEGRATIVE AND COMPARATIVE PHYSIOLOGY, v. 309, n. 1, p. R79-R84, . (11/22122-5)
DANTAS, LUCAS OGURA; BREDA, CAROLINA CARREIRA; MENDES DA SILVA SERRAO, PAULA REGINA; ABURQUERQUE-SENDIN, FRANCISCO; SERAFIM JORGE, ANA ELISA; CUNHA, JONATHAN EMANUEL; BARBOSA, GERMANNA MEDEIROS; QUAGLIOTTI DURIGAN, JOAO LUIZ; SALVINI, TANIA DE FATIMA. Short-term cryotherapy did not substantially reduce pain and had unclear effects on physical function and quality of life in people with knee osteoarthritis: a randomised trial. JOURNAL OF PHYSIOTHERAPY, v. 65, n. 4, p. 215-221, . (11/22122-5, 15/21422-6)
ZAMUNER, A. R.; ANDRADE, C. P.; FORTI, M.; MARCHI, A.; MILAN, J.; AVILA, M. A.; CATAI, A. M.; PORTA, A.; SILVA, E.. Effects of a hydrotherapy programme on symbolic and complexity dynamics of heart rate variability and aerobic capacity in fibromyalgia patients. CLINICAL AND EXPERIMENTAL RHEUMATOLOGY, v. 33, n. 1, 88, p. S73-S81, . (11/22122-5)
REBELATTO, MARCELO NASCIMENTO; ALBURQUERQUE-SENDIN, FRANCISCO; GUIMARAES, JOAO FLAVIO; SALVINI, TANIA FATIMA. Pressure pain threshold is higher in hypertensive compared with normotensive older adults: A case-control study. Geriatrics & Gerontology International, v. 17, n. 6, p. 967-972, . (15/50303-5, 11/22122-5)
ZAMUNER, ANTONIO R.; FORTI, MEIRE; ANDRADE, CAROLINA P.; AVILA, MARIANA ARIAS; DA SILVA, ESTER. Respiratory Sinus Arrhythmia and its Association with Pain in Women with Fibromyalgia Syndrome. PAIN PRACTICE, v. 16, n. 6, p. 704-711, . (11/22122-5)
FERREIRA, JEAN P.; SARTOR, CRISTINA D.; LEAL, ANGELA M. O.; SACCO, ISABEL C. N.; SATO, TATIANA O.; RIBEIRO, IVANA L.; SOARES, ALICE S.; CUNHA, JONATHAN E.; SALVINI, TANIA F.. The effect of peripheral neuropathy on lower limb muscle strength in diabetic individuals. CLINICAL BIOMECHANICS, v. 43, p. 67-73, . (11/22122-5)
ZAMUNER, ANTONIO ROBERTO; PORTA, ALBERTO; ANDRADE, CAROLINA PIERONI; FORTI, MEIRE; MARCHI, ANDREA; FURLAN, RAFFAELLO; BARBIC, FRANCA; CATAI, APARECIDA MARIA; SILVA, ESTER. The degree of cardiac baroreflex involvement during active standing is associated with the quality of life in fibromyalgia patients. PLoS One, v. 12, n. 6, . (15/08445-7, 11/22122-5)

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