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Improvements of muscle strength predicted benefits in HRQOL and postural balance in women with fibromyalgia: An 8-month randomized controlled trial
Rheumatology, 07/20/09

Tomas–Carus P et al. – Study demonstrates that a long–lasting exercise therapy in warm water produced relevant gains in muscle strength at low velocities of movements, some of which predicted improvements in physical problems, emotional problems, mental health and balance in women with fibromyalgia.

• An evaluation of whether changes in muscle strength due to aquatic training predicted improvements on health–related quality of life (HRQOL)
• 30 women with FM aged 50.8 ± 8.7 yrs randomly assigned to:
  • An experimental group (n=15), performing 3 weekly sessions of 60 min of warm–water exercise; or
  • A control group (n=15)
• HRQOL was evaluated using the SF–36
• Maximal unilateral isokinetic strength was measured at:
  • 60°/s and 210°/s in the knee extensors and flexors in concentric action and
  • at 60°/s in knee extensors eccentric action
• Postural balance was evaluated using the one–leg stance, eyes closed

• After 32 wks of water exercise therapy, an improvements occurred in concentric knee flexors and extensors strength at 60°/s, in eccentric knee extensors and in postural balance
• Treatment led to additional improvements in:
  • physical function, role physical problems, body pain,
  • general health, vitality, role emotional problems and mental health dimensions of SF–36
• Gains in the concentric knee flexors strength predicted improvements in role of physical problems
• Whereas those in concentric knee extensors did the same for mental health and role emotional problems
• Gains in eccentric knee extensors strength predicted improvements in postural balance

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