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 Opportunities: Scholarships in Brazil - Doctorate
• Start date: May 01, 2017
• End date: March 31, 2019
• Field of knowledge: Health Sciences - Physiotherapy and Occupational Therapy
• Agreement: Coordination of Improvement of Higher Education Personnel (CAPES)
• Principal Investigator: Cristina Maria Nunes Cabral
• Grantee: Katherinne Ferro Moura Franco
• Host 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

Abstract

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)

Scientific publications

(5)

(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)

MOURA FRANCO, KATHERINNE FERRO; MIYAMOTO, GISELA CRISTIANE; DOS SANTOS FRANCO, YURI RAFAEL; ESPIRITO SANTO SALVADOR, EVANY MAIRA; BRAJON DO NASCIMENTO, BRUNA CRISTINA; MENTEN, LAURA ALVES; NUNES CABRAL, CRISTINA MARIA. Is Pilates more effective and cost-effective than aerobic exercise in the treatment of patients with fibromyalgia syndrome? A randomized controlled trial with economic evaluation. EUROPEAN JOURNAL OF PAIN, v. 27, n. 1, p. 18-pg., 2022-09-23. (19/09593-0, 16/12962-0, 15/21590-6, 18/07599-9)

MOURA FRANCO, KATHERINNE FERRO; DOS SANTOS FRANCO, YURI RAFAEL; ESPIRITO SANTO SALVADOR, EVANY MAIRA; BRAJON DO NASCIMENTO, BRUNA CRISTINA; MIYAMOTO, GISELA CRISTIANE; NUNES CABRAL, CRISTINA MARIA. Effectiveness and cost-effectiveness of the modified Pilates method versus aerobic exercise in the treatment of patients with fibromyalgia: protocol for a randomized controlled trial. BMC RHEUMATOLOGY, v. 3, n. 1, p. 9-pg., 2019-01-01. (16/12962-0, 15/21590-6)

DO NASCIMENTO, BRUNA; FRANCO, KATHERINNE; FRANCO, YURI; NUNES CABRAL, CRISTINA. an psychological factors be associated with the severity of pain and disability in patients with fibromyalgia? A cross-sectional stud. PHYSIOTHERAPY THEORY AND PRACTICE, v. 38, n. 3, MAY 2020. (15/21590-6, 16/12962-0)

MOURA FRANCO, KATHERINNE FERRO; NUNES CABRAL, CRISTINA MARIA; ESPIRITO SANTO SALVADOR, EVANY MAIRA; MIYAMOTO, GISELA CRISTIANE. omparison between different health state utility instruments in patients with fibromyalgi. BRAZILIAN JOURNAL OF PHYSICAL THERAPY, v. 25, n. 5, p. 573-582, SEP-OCT 2021. (16/12962-0, 19/09593-0, 18/07599-9, 15/21590-6)

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, v. 38, n. 3, p. 10-pg., 2020-05-22. (16/12962-0, 15/21590-6)