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Effect of a randomized,controlled trial of exercise on mood and physical function in individuals with fibromyalgia
Authors:S. E. Gowans  A. deHueck  S. Voss  A. Silaj  S. E. Abbey  W. J. Reynolds
Abstract:

Objective

To evaluate the effect of exercise on mood and physical function in individuals with fibromyalgia.

Methods

Subjects were randomly assigned to an exercise (EX) or control (CTL) group. EX subjects participated in 3 30‐minute exercise classes per week for 23 weeks. Subjects were tested at entry and at 6, 12, and 23 weeks. Tests included the Beck Depression Inventory (BDI), 6‐minute walk, State‐Trait Anxiety Inventory (STAI), Mental Health Inventory (MHI), Fibromyalgia Impact Questionnaire (FIQ), Arthritis Self‐Efficacy Scale (ASES), and a measure of tender points and knee strength.

Results

Fifty subjects (27 EX, 23 CTL) completed the study, and 31 (15 EX, 16 CTL) met criteria for efficacy analyses. In efficacy analyses, significant improvements were seen for EX subjects in 6‐minute walk distances, BDI (total, cognitive/affective), STAI, FIQ, ASES, and MHI (3 of 5 subscales) scores. These effects were reduced but remained during intent‐to‐treat analyses.

Conclusion

Exercise can improve the mood and physical function of individuals with fibromyalgia.
Keywords:Fibromyalgia  Physical therapy  Exercise therapy  Depression  Anxiety
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