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Is balance exercise training as effective as aerobic exercise training in fibromyalgia syndrome?

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Abstract

The aim was to compare the effect of aerobic and balance exercises on pain severity, myalgic score, quality of life, exercise capacity and balance in fibromyalgia syndrome (FMS). A total of 33 females diagnosed with FMS by the American College of Rheumatology criteria were recruited in this randomised controlled study and allocated to aerobic exercise (AE) or balance exercise (BE) groups. Exercises were performed three times a week, for 6 weeks on a treadmill or with a Tetrax interactive balance system (TIBS). Outcome measures were characterised by myalgic score, visual analogue scale, Fibromyalgia Impact Questionnaire (FIQ), exercise testing, Timed Up-Go (TUG) and TIBS measurements. Comparisons from baseline to 6 weeks were evaluated using Wilcoxon test. Mann–Whitney U test was used to compare differences between groups. Effect sizes were also calculated. Improvements in pain, myalgic score and FIQ were found in both groups (p < 0.05). While comparing groups, myalgic score was significant (p = 0.02, d = −1.77), the value was higher in AE. Exercise duration, Borg scale, resting blood pressures (RBP) and maximal heart rate were significant in AE. In BE, Borg scale, exercise duration was significant (p < 0.05). While comparing groups, diastolic RBP (p = 0.04, d = −0.92), exercise duration (p = 0.00, d = −1.64) were significant, with higher values in AE. TUG significantly changed in groups (p < 0.05, d ≥ −1.22). Stability scores, eyes open while standing on elastic pads (p = 0.00, d = −0.98) and head back (p = 0.03, d = −0.74), were significant, with higher values in BE. This study showed that BE provided some improvements in FMS, but AE training led to greater gains. BE training should be included in comprehensive programs.

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Acknowledgments

This study was supported by Baskent University Research Fund.

Conflict of interest

Authors reported no conflicts of interest.

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Authors and Affiliations

  1. Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Baskent University, Ankara, Turkey

    Neslihan Duruturk

  2. Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Kırıkkale University, Kirikkale, Turkey

    Emine Handan Tuzun

  3. Department of Physical Therapy and Rehabilitation, Baskent University Hospital, Ankara, Turkey

    Belde Culhaoglu

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  1. Neslihan Duruturk
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  2. Emine Handan Tuzun
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  3. Belde Culhaoglu
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Correspondence to Neslihan Duruturk.

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Duruturk, N., Tuzun, E.H. & Culhaoglu, B. Is balance exercise training as effective as aerobic exercise training in fibromyalgia syndrome?. Rheumatol Int 35, 845–854 (2015). https://doi.org/10.1007/s00296-014-3159-z

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  • DOI: https://doi.org/10.1007/s00296-014-3159-z

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