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Effectiveness and cost-effectiveness of modified Pilates Method versus aerobic exercise in the treatment of fibromyalgia: a randomized controlled trial

Grant number: 15/21590-6
Support type:Scholarships in Brazil - Doctorate
Effective date (Start): May 01, 2017
Effective date (End): March 31, 2019
Field of knowledge:Health Sciences - Physiotherapy and Occupational Therapy
Cooperation agreement: Coordination of Improvement of Higher Education Personnel (CAPES)
Principal researcher:Cristina Maria Nunes Cabral
Grantee:Katherinne Ferro Moura Franco
Home Institution: Pró-Reitoria de Pós-Graduação, Pesquisa e Extensão. Universidade Cidade de São Paulo (UNICID). São Paulo , SP, Brazil
Associated scholarship(s):18/14109-8 - Exercise prescription for patients with chronic pain: a systematic review and Delphi study, BE.EP.DR


Introduction: Fibromyalgia is a rheumatic disease characterized by chronic widespread pain, hyperalgesia and allodynia. Physical exercise is the first choice of non-pharmacological therapy. Purpose: To evaluate the effectiveness and cost-effectiveness of the modified exercises Pilates compared to aerobic exercise in patients with fibromyalgia. Methods: The following outcomes will be assessed in 98 patients by a blinded evaluator at baseline, eight weeks, six and twelve months after randomization: impact of fibromyalgia assessed by the Fibromyalgia Impact Questionnaire, pain intensity by Pain Numerical Rating Scale, kinesiophobia by Tampa Scale of Kinesiophobia, specific disability by Patient-Specific Functional Scale, functional capacity by the Walk Test 6 minutes, quality of sleep by the Pittsburgh Sleep Quality Index and health-related quality of life by EQ-5D-3L and SF-6D questionnaires. Participants will be randomly divided into Aerobic Group, who will perform aerobic exercise on treadmills and / or stationary bicycle, and Pilates Group, which will hold the modified Pilates exercises, all being treated for eight weeks, twice a week. Expected results: It is expected that the Pilates method of exercise may prove as effective as aerobic exercise in improving clinical outcomes, and that this improvement is maintained in the medium and long term; and that aerobic exercise will be more cost-effective. (AU)

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Scientific publications
(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)
DO NASCIMENTO, BRUNA; FRANCO, KATHERINNE; FRANCO, YURI; NUNES CABRAL, CRISTINA. Can psychological factors be associated with the severity of pain and disability in patients with fibromyalgia? A cross-sectional study. PHYSIOTHERAPY THEORY AND PRACTICE, MAY 2020. Web of Science Citations: 0.

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