Rheumatology Medical News about Fibromyalgia; Resistance Training; Chiropractic Treatment

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Effects of resistance training and chiropractic treatment in women with fibromyalgia
Journal of Alternative and Complementary Medicine, 03/06/09

Panton LB et al. - In women with fibromyalgia (FM), resistance training (RES) improves strength, FM impact, and strength domains of functionality. The addition of chiropractic treatment improved adherence and dropout rates to it, and facilitated greater improvements in the domains of functionality.

Methods

Study to evaluate RES and RES combined with chiropractic treatment (RES-C) on FM impact and functionality in women with FM
Subjects: mean age 48 yrs; were randomly assigned to RES (n=10) or RES-C (n=11)
Both groups completed 16 wks of RES consisting of 10 exercises performed x2/wk
RES-C received RES plus chiropractic treatment x2/wk
Strength was assessed using one repetition max for the chest press and leg extension
FM impact was measured using the FM impact questionnaire, myalgic score, and no. of active tender points
Functionality was assessed using the 10-item Continuous Scale Physical Functional Performance test
Analyses of variance with repeated measures compared groups before and after the intervention

Results

6 participants discontinued the study: 5 from RES and 1 from RES-C
Adherence to training was higher in RES-C vs RES
Both groups increased upper and lower body strength
Similar improvements in FM impact in both groups
No group interactions for the functionality measures
Both groups improved in the strength domains
Only RES-C improved in the pre- to postfunctional domains of flexibility, balance and coordination, and endurance

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