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Effects of strength training with progressive intensity on fibromyalgia impact: randomized controlled clinical trial

Grant number: 22/08646-6
Support Opportunities:Scholarships in Brazil - Doctorate
Start date: May 01, 2023
End date: February 28, 2026
Field of knowledge:Health Sciences - Physiotherapy and Occupational Therapy
Principal Investigator:Mariana Arias Avila Vera
Grantee:André Pontes Silva
Host Institution: Centro de Ciências Biológicas e da Saúde (CCBS). Universidade Federal de São Carlos (UFSCAR). São Carlos , SP, Brazil

Abstract

Context: Physical exercise is one of the main recommendations for fibromyalgia, but we know that muscle contraction can cause pain and interfere with treatment adherence. An alternative to reduce this is to progress the exercise intensity, as in resistance training, whose loads are added according to biological adaptations. However, to date, we do not know whether resistance training with progressive intensity, compared to constant intensity, promotes greater benefits in fibromyalgia symptoms. Our aim is to compare the effects of 24 sessions of progressive-intensity resistance training and constant-intensity exercise on the impact of fibromyalgia. Methods: Blind randomized controlled clinical trial. We will include individuals with fibromyalgia (according to the 2016 ACR) and aged e 18 years. We will assess the impact of fibromyalgia, sleep quality, anxiety, depression, cutaneous sensory threshold, wind-up mechanism, diffuse nociceptive inhibitory control, walking ability, muscle strength, muscle power, muscle endurance, and self-reported perception of treatment. The sample will be randomized into 3 groups. Group 1 (progressive intensity - experimental) will start resistance training with 50% of maximum strength; we will re-assess muscle strength every 4 weeks and add 20% of the observed value (kg) to the exercise intensity (1st month 50%; 2nd month 70%; 3rd month 90% of maximum strength). Group 2 (constant intensity - control A) will do the same procedures, however, the intensity (50% of the maximum force) will be maintained until the end of the treatment. Group 3 (walking - control B) will walk on the treadmill, lasting 40 minutes and at a light intensity, established by the walking speed corresponding to 50% of the maximum heart rate. Our results will help professionals to plan resistance training.

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Scientific publications (17)
(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)
ANSELMO-E-SILVA, CASSIUS IURY; SANTOS, LETICIA MENEGALLI; LOPES, ANDRE LUIZ; MACIEL, ERIKA DA SILVA; QUARESMA, FERNANDO RODRIGUES PEIXOTO; SANTOS-DE-ARAUJO, ALDAIR DARLAN; PONTES-SILVA, ANDRE. Comments on "Evaluation of functional parameters of the foot and ankle in elderly with sarcopenia". Revista da Associação Médica Brasileira, v. 69, n. 8, p. 2-pg., . (22/08646-6)
ANDRÉ PONTES-SILVA. Comments on “Criteria for selection and classification of studies in medical events”. Revista da Associação Médica Brasileira, v. 69, n. 8, . (22/08646-6)
PONTES-SILVA, ANDRE; SANTOS-DE-ARAUJO, ALDAIR DARLAN; TEIXEIRA, BRUNO C.; CARTERI, RANDHALL B.; RIBEIRO, GUSTAVO S.; LOPES, ANDRE L.. Is strength training more effective than aerobic exercise for improving glycaemic control and body composition in people with normal-weight type 2 diabetes?. Diabetologia, v. 67, n. 8, p. 2-pg., . (22/08646-6)
PONTES-SILVA, ANDRE; LOPES, ANDRE LUIZ. Is morning exercise really better for you?. JOURNAL OF PHYSIOLOGY-LONDON, v. 602, n. 12, p. 2-pg., . (22/08646-6)
PONTES-SILVA, ANDRE. Effects of exercise-based interventions on inflammatory markers in fibromyalgia: Designing new randomized controlled trials. SEMINARS IN ARTHRITIS AND RHEUMATISM, v. 71, p. 2-pg., . (22/08646-6)
ANDRÉ PONTES-SILVA. Evidence-based health: mathematical strategies for translating scientific findings into routine clinical care. Revista da Associação Médica Brasileira, v. 69, n. 12, . (22/08646-6)
PONTES-SILVA, ANDRE; DE CASTRO, GIOVANNA FERRANTI; AVILA, MARIANA ARIAS. Examining clinical and sociodemographic variables and social support on exercise adherence in women with fibromyalgia: a cohort study. SPORT SCIENCES FOR HEALTH, v. N/A, p. 10-pg., . (22/08646-6)
BARBOSA, ISADORA DE OLIVEIRA; PONTES-SILVA, ANDRE; PRATI, JOSE MARIO. Dysfunction of the glymphatic system and sleep disturbance in rheumatoid arthritis and musculoskeletal pain: A gap related to pain becoming chronic. AUTOIMMUNITY REVIEWS, v. 23, n. 2, p. 3-pg., . (22/05775-0, 22/08646-6)
PONTES-SILVA, ANDRE; DIBAI-FILHO, ALMIR VIEIRA; DE MELO, THAYNA SOARES; SANTOS, LETICIA MENEGALLI; DE SOUZA, MARCELO CARDOSO; DESANTANA, JOSIMARI MELO; AVILA, MARIANA ARIAS. Effects of progressive intensity resistance training on the impact of fibromyalgia: protocol for a blinded randomized controlled trial. BMC MUSCULOSKELETAL DISORDERS, v. 24, n. 1, p. 12-pg., . (22/08646-6)
PONTES-SILVA, ANDRE. Fibromyalgia: a new set of diagnostic criteria based on the biopsychosocial model. RHEUMATOLOGY, v. 63, n. 8, p. 3-pg., . (22/08646-6)
PONTES-SILVA, ANDRE. The ineffectiveness of stretching exercises in patients with fibromyalgia: a systematic review discussion. CLINICAL RHEUMATOLOGY, v. 43, n. 12, p. 2-pg., . (22/08646-6)
PONTES-SILVA, ANDRE. We are looking at fibromyalgia as usual: a discussion of the meaning and consequences of fibromyalgia in the biomedical model. SEMINARS IN ARTHRITIS AND RHEUMATISM, v. 63, p. 2-pg., . (22/08646-6)