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Nakata T, Doi A, Uta D, Shin MC, Yoshimura M. Free gait in a shallow pool accelerates recovery after exercise in model mice with fibromyalgia. J Exerc Rehabil 2020; 16:398-409. [PMID: 33178641 PMCID: PMC7609855 DOI: 10.12965/jer.2040672.336] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Accepted: 09/20/2020] [Indexed: 11/30/2022] Open
Abstract
This study aimed to determine the effect of pool gait exercise using fibromyalgia-induced model mice. The sensory threshold, locomotive behavior, electrocardiogram, and onset time after the gait test in shallow water using male C57BL/6J mice (weight, 30–35 g; n=21) were investigated. To induce fibromyalgia in model mice, reserpine was injected intraperitoneally into wild-type mice once a day for 3 days. Subsequently, the fibromyalgia-induced model mice were randomly classified into two groups as follows: the control group (n=11) and the pool gait group (n=10). The mice in the pool gait group walked in the same cage containing shallow warm water 5 times per week. Both groups underwent sensory thresholds and video recordings to determine locomotive behaviors weekly. Further, both heart rate and video recordings for observation of a recovery after the gait test in shallow water were undertaken (control group; n=5, pool gait group; n=5). The pool gait did not affect sensory thresholds and locomotive behavior; however, in the pool gait group, both the recovery after the test, such as onset time and gait distance, were considerably better than those of the control group. Furthermore, changes in heart rate and heart rate irregularity after the test were more apparent in the control group than in the pool gait group. The free gait in a shallow pool accelerated recovery after exercise, unlike the sensory threshold.
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Affiliation(s)
- Taiki Nakata
- Department of Rehabilitation, Kumamoto-Saiseikai Hospital, Kumamoto, Japan.,Graduate School of Health Science, Kumamoto Health Science University, Kumamoto, Japan
| | - Atsushi Doi
- Graduate School of Health Science, Kumamoto Health Science University, Kumamoto, Japan.,Department of Rehabilitation, Kumamoto Health Science University, Kumamoto, Japan
| | - Daisuke Uta
- Department of Applied Pharmacology, Faculty of Pharmaceutical Sciences, University of Toyama, Toyama, Japan
| | - Min-Chul Shin
- Graduate School of Health Science, Kumamoto Health Science University, Kumamoto, Japan.,Department of Rehabilitation, Kumamoto Health Science University, Kumamoto, Japan
| | - Megumu Yoshimura
- Department of Orthopedic Surgery, Nakamura Hospital, Fukuoka, Japan
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Andrade A, Vilarino GT, Serafim TT, Pereira Júnior AA, de Souza CA, Sieczkowska SM. Modulation of Autonomic Function by Physical Exercise in Patients with Fibromyalgia Syndrome: A Systematic Review. PM R 2019; 11:1121-1131. [PMID: 30900831 DOI: 10.1002/pmrj.12158] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2018] [Accepted: 03/03/2019] [Indexed: 01/08/2023]
Abstract
OBJECTIVE To evaluate the effects of physical exercise on autonomic dysfunction in patients with fibromyalgia syndrome (FM). LITERATURE SURVEY AND METHODOLOGY A systematic review of experimental studies published until December 2017 that analyzed the effect of physical exercise on autonomic dysfunction in patients with FM was performed using the PubMed, Pedro, Scopus, ScienceDirect, and Web of Science databases. SYNTHESIS A total of 1105 articles were identified, 12 of which were included in the final analysis. The most analyzed exercise modalities were aerobic and resistance exercises. Overall, the studies demonstrated that aerobic exercise performed twice a week with moderate to high intensity was effective in reducing autonomic dysfunction by increasing heart rate variability. Resistance training was associated with reduced symptoms of anxiety and depression as well as increased muscle strength; however, it did not reduce autonomic dysfunction in these patients in the short or long term. CONCLUSIONS Preliminary evidence suggests that aerobic exercise reduces autonomic dysfunction in patients with FM, whereas resistance training reduces psychological symptoms such as anxiety and depression. LEVEL OF EVIDENCE I.
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Affiliation(s)
- Alexandro Andrade
- Department of Physical Education, Coordinator of the Laboratory of Sports and Exercise Psychology - LAPE, Department of Physical Education, Health and Sports Science Center, CEFID / Santa Catarina State University - UDESC, Florianópolis, Brazil
| | - Guilherme Torres Vilarino
- Department of Physical Education, Health and Sports Science Center, CEFID / Santa Catarina State University - UDESC, Florianópolis, Brazil
| | | | - Altair Argentino Pereira Júnior
- Department of Physical Education, Health and Sports Science Center, CEFID / Santa Catarina State University - UDESC, Florianópolis, Brazil
| | - Cícero Augusto de Souza
- Department of Physical Education, Health and Sports Science Center, Health and Sports Science Center, CEFID/ Santa Catarina State University - UDESC, Florianópolis, Brazil
| | - Sofia Mendes Sieczkowska
- Department of Physical Education, Health and Sports Science Center, CEFID / Santa Catarina State University - UDESC, Florianópolis, Brazil
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Andrade A, de Azevedo Klumb Steffens R, Sieczkowska SM, Peyré Tartaruga LA, Torres Vilarino G. A systematic review of the effects of strength training in patients with fibromyalgia: clinical outcomes and design considerations. Adv Rheumatol 2018; 58:36. [PMID: 30657077 DOI: 10.1186/s42358-018-0033-9] [Citation(s) in RCA: 40] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2018] [Accepted: 09/28/2018] [Indexed: 12/22/2022] Open
Abstract
BACKGROUND Fibromyalgia (FM) is characterized by chronic and generalized musculoskeletal pain. There is currently no cure for FM, but palliative treatments are available. One type of treatment is strength training (ST). However, there is a need for more information on optimal training protocols, intensity, and volume needed to improve symptoms. The aim of this study was to analyze the effects of ST in the treatment of FM through a systematic review of experimental research. METHODS Medical Subject Headings search terms and electronic databases including Scientific Electronic Library Online, PubMed, Science Direct, Web of Science, and Physiotherapy Evidence Database were used to identify studies. RESULTS The inclusion criteria were met by 22 eligible studies. Most of the studies were conducted in the United States (36%), Finland (23%), Brazil (18%), and Sweden (18%). The studies showed that ST reduces the number of tender points, fatigue, depression, and anxiety, and improves sleep quality and quality of life in patients with FM. The intervention period ranged from 3 to 21 weeks, with sessions performed 2 times a week in 81.81% of the studies, at initial intensities of 40% of 1-repetition maximum. The repetitions ranged from 4 to 20, with no specific protocol defined for ST in FM. CONCLUSION The main results included reduction in pain, fatigue, number of tender points, depression, and anxiety, with increased functional capacity and quality of life. Current evidence demonstrates that ST is beneficial and can be used to treat FM. TRIAL REGISTRATION CRD42016048480.
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Affiliation(s)
- Alexandro Andrade
- Health and Sports Science Center, CEFID / Santa Catarina State University - UDESC, Florianópolis, SC, Brazil. .,Laboratory of Sports and Exercise Psychology - LAPE, Florianópolis, SC, Brazil.
| | - Ricardo de Azevedo Klumb Steffens
- Health and Sports Science Center, CEFID / Santa Catarina State University - UDESC, Florianópolis, SC, Brazil.,Laboratory of Sports and Exercise Psychology - LAPE, Florianópolis, SC, Brazil.,Regional University of Blumenau - FURB, Blumenau, SC, Brazil
| | - Sofia Mendes Sieczkowska
- Health and Sports Science Center, CEFID / Santa Catarina State University - UDESC, Florianópolis, SC, Brazil.,Laboratory of Sports and Exercise Psychology - LAPE, Florianópolis, SC, Brazil
| | - Leonardo Alexandre Peyré Tartaruga
- Human Movement Sciences and Pneumological Sciences, UFRGS- Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.,Research Laboratory of Exercise - LAPEX, Porto Alegre, RS, Brazil
| | - Guilherme Torres Vilarino
- Health and Sports Science Center, CEFID / Santa Catarina State University - UDESC, Florianópolis, SC, Brazil.,Laboratory of Sports and Exercise Psychology - LAPE, Florianópolis, SC, Brazil
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Melo X, Fernhall B, Santos DA, Pinto R, Pimenta NM, Sardinha LB, Santa-Clara H. The acute effect of maximal exercise on central and peripheral arterial stiffness indices and hemodynamics in children and adults. Appl Physiol Nutr Metab 2016; 41:266-76. [PMID: 26842667 DOI: 10.1139/apnm-2015-0204] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
This study compared the effects of a bout of maximal running exercise on arterial stiffness in children and adults. Right carotid blood pressure and artery stiffness indices measured by pulse wave velocity (PWV), compliance and distensibility coefficients, stiffness index α and β (echo-tracking), contralateral carotid blood pressure, and upper and lower limb and central/aortic PWV (applanation tonometry) were taken at rest and 10 min after a bout of maximal treadmill running in 34 children (7.38 ± 0.38 years) and 45 young adults (25.22 ± 0.91 years) having similar aerobic potential. Two-by-two repeated measures analysis of variance and analysis of covariance were used to detect differences with exercise between groups. Carotid pulse pressure (PP; η(2) = 0.394) increased more in adults after exercise (p < 0.05). Compliance (η(2) = 0.385) decreased in particular in adults and in those with high changes in distending pressure, similarly to stiffness index α and β. Carotid PWV increased more in adults and was related to local changes in PP but not mean arterial pressure (MAP). Stiffness in the lower limbs decreased (η(2) = 0.115) but apparently only in those with small MAP changes (η(2) = 0.111). No significant exercise or group interaction effects were found when variables were adjusted to height. An acute bout of maximal exercise can alter arterial stiffness and hemodynamics in the carotid artery and within the active muscle beds. Arterial stiffness and hemodynamic response to metabolic demands during exercise in children simply reflect their smaller body size and may not indicate a particular physiological difference compared with adults.
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Affiliation(s)
- Xavier Melo
- a Faculty of Human Kinetics, University of Lisbon, CIPER - Exercise and Health Laboratory, Estrada da Costa, Cruz Quebrada, 1495-688 Lisbon, Portugal
| | - Bo Fernhall
- b College of Applied Health Sciences, University of Illinois at Chicago, 808 South Wood Street, CMET 169, MC 518, Chicago, IL 60612, USA
| | - Diana A Santos
- a Faculty of Human Kinetics, University of Lisbon, CIPER - Exercise and Health Laboratory, Estrada da Costa, Cruz Quebrada, 1495-688 Lisbon, Portugal
| | - Rita Pinto
- a Faculty of Human Kinetics, University of Lisbon, CIPER - Exercise and Health Laboratory, Estrada da Costa, Cruz Quebrada, 1495-688 Lisbon, Portugal
| | - Nuno M Pimenta
- a Faculty of Human Kinetics, University of Lisbon, CIPER - Exercise and Health Laboratory, Estrada da Costa, Cruz Quebrada, 1495-688 Lisbon, Portugal.,c Sport Sciences School of Rio Maior - Polytechnic Institute of Santarem, Health and Fitness, Av. Dr. Mário Soares, 2040-413 Rio Maior, Portugal
| | - Luís B Sardinha
- a Faculty of Human Kinetics, University of Lisbon, CIPER - Exercise and Health Laboratory, Estrada da Costa, Cruz Quebrada, 1495-688 Lisbon, Portugal
| | - Helena Santa-Clara
- a Faculty of Human Kinetics, University of Lisbon, CIPER - Exercise and Health Laboratory, Estrada da Costa, Cruz Quebrada, 1495-688 Lisbon, Portugal
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5
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Effects of age on arterial stiffness and central blood pressure after an acute bout of resistance exercise. Eur J Appl Physiol 2015; 116:39-48. [DOI: 10.1007/s00421-015-3242-5] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2015] [Accepted: 08/09/2015] [Indexed: 11/30/2022]
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Gerage AM, Ritti-Dias RM, do Nascimento MA, Pina FLC, Gonçalves CGS, Sardinha LB, Cyrino ES. Chronic resistance training does not affect post-exercise blood pressure in normotensive older women: a randomized controlled trial. AGE (DORDRECHT, NETHERLANDS) 2015; 37:63. [PMID: 26047957 PMCID: PMC4493716 DOI: 10.1007/s11357-015-9801-1] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/23/2015] [Accepted: 05/28/2015] [Indexed: 06/04/2023]
Abstract
Resistance training has been recommended for maintenance or improvement of the functional health of older adults, but its effect on acute cardiovascular responses remains unclear. Thus, the purpose of this study was to analyze the effect of 12 weeks of resistance training on post-exercise blood pressure (BP) in normotensive older women. Twenty-eight normotensive and physically inactive women (≥ 60 years) were randomly assigned to a training group (TG) or a control group (CG). The TG underwent a resistance training program (12 weeks, 8 exercises, 2 sets, 10-15 repetitions, 3 days/week), while the CG performed stretching exercises (12 weeks, 2 sets, 20 s each, 2 days/week). At baseline and after the intervention, participants were randomly submitted to two experimental sessions: a resistance exercise session (7 exercises, 2 sets, 10-15 repetitions) and a control session. BP was obtained pre- and post-sessions (90 min), through auscultation. Post-exercise hypotension was observed for systolic, diastolic, and mean BP in the TG (-6.1, -3.4, and -4.3 mmHg, respectively; P < 0.05) and in the CG (-4.1, -0.7, and -1.8 mmHg, respectively; P < 0.05). After the intervention period, the magnitude and pattern of this phenomenon for systolic, diastolic, and mean BP were similar between groups (TG -8.8, -4.1, and -5.7 mmHg, respectively; P < 0.05 vs CG -11.1, -5.8, and -7.6 mmHg, respectively; P < 0.05). These results indicate that a single session of resistance exercise promotes reduction in post-exercise BP and 12 weeks of resistance training program do not change the occurrence or magnitude of this hypotension. (ClinicalTrial.gov: NCT02346981).
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Affiliation(s)
- Aline Mendes Gerage
- Metabolism, Nutrition, and Exercise Laboratory, Physical Education and Sport Center, Londrina State University, Londrina, PR, Brazil,
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Sun P, Yan H, Ranadive SM, Lane AD, Kappus RM, Bunsawat K, Baynard T, Li S, Fernhall B. Blood pressure changes following aerobic exercise in Caucasian and Chinese descendants. Int J Sports Med 2014; 36:189-96. [PMID: 25329430 DOI: 10.1055/s-0034-1390493] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
Acute aerobic exercise produces post-exercise hypotension (PEH). Chinese populations have lower prevalence of cardiovascular disease compared to Caucasians. PEH may be associated cardiovascular disease through its influence on hypertension. The purpose of this study was to compare PEH between Caucasian and Chinese subjects following acute aerobic exercise. 62 (30 Caucasian and 32 Chinese, 50% male) subjects underwent measurement of peripheral and central hemodynamics as well as arterial and cardiac evaluations, 30 min and 60 min after 45 min of treadmill exercise. Caucasians exhibited significantly higher baseline BP than the Chinese. While the reduction in brachial artery systolic BP was greater in Caucasian than in the Chinese, there was no difference in changes in carotid systolic BP between the groups. The increase in cardiac output and heart rate was greater in the Chinese than Caucasians, but total peripheral resistance and leg pulse wave velocity decreased by a similar magnitude in the Chinese and Caucasian subjects. We conclude that acute aerobic exercise produces a greater magnitude of PEH in peripheral systolic BP in Caucasian compared to Chinese subjects. The different magnitude in PEH was caused by the greater increase in cardiac output mediated by heart rate, with no change in stroke volume. It is possible that initial BP differences between races influenced the findings.
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Affiliation(s)
- P Sun
- Key Laboratory of Adolescent Health Assessment and Exercise Intervention, Ministry of Education, East China Normal University, Shanghai, China
| | - H Yan
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana, United States
| | - S M Ranadive
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Urbana, United States
| | - A D Lane
- College of Applied Health Sciences, University of Illinois at Chicago, Chicago, United States
| | - R M Kappus
- Kinesiology, Nutrition and Rehabilitation, University of Illinois Chicago, Chicago, United States
| | - K Bunsawat
- College of Applied Health Sciences, University of Illinois at Chicago, Chicago, United States
| | - T Baynard
- Kinesiology & Nutrition, University of Illinois at Chicago, Chicago, United States
| | - S Li
- Key Laboratory of Adolescent Health Assessment and Exercise Intervention, Ministry of Education, East China Normal University, Shanghai, China
| | - B Fernhall
- Kinesiology, Nutrition and Rehabilitation, University of Illinois Chicago, Chicago, United States
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Busch AJ, Webber SC, Richards RS, Bidonde J, Schachter CL, Schafer LA, Danyliw A, Sawant A, Dal Bello‐Haas V, Rader T, Overend TJ. Resistance exercise training for fibromyalgia. Cochrane Database Syst Rev 2013; 2013:CD010884. [PMID: 24362925 PMCID: PMC6544808 DOI: 10.1002/14651858.cd010884] [Citation(s) in RCA: 110] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
BACKGROUND Fibromyalgia is characterized by chronic widespread pain that leads to reduced physical function. Exercise training is commonly recommended as a treatment for management of symptoms. We examined the literature on resistance training for individuals with fibromyalgia. Resistance training is exercise performed against a progressive resistance with the intention of improving muscle strength, muscle endurance, muscle power, or a combination of these. OBJECTIVES To evaluate the benefits and harms of resistance exercise training in adults with fibromyalgia. We compared resistance training versus control and versus other types of exercise training. SEARCH METHODS We searched nine electronic databases (The Cochrane Library, MEDLINE, EMBASE, CINAHL, PEDro, Dissertation Abstracts, Current Controlled Trials, World Health Organization (WHO) International Clinical Trials Registry Platform, AMED) and other sources for published full-text articles. The date of the last search was 5 March 2013. Two review authors independently screened 1856 citations, 766 abstracts and 156 full-text articles. We included five studies that met our inclusion criteria. SELECTION CRITERIA Selection criteria included: a) randomized clinical trial, b) diagnosis of fibromyalgia based on published criteria, c) adult sample, d) full-text publication, and e) inclusion of between-group data comparing resistance training versus a control or other physical activity intervention. DATA COLLECTION AND ANALYSIS Pairs of review authors independently assessed risk of bias and extracted intervention and outcome data. We resolved disagreements between the two review authors and questions regarding interpretation of study methods by discussion within the pairs or when necessary the issue was taken to the full team of 11 members. We extracted 21 outcomes of which seven were designated as major outcomes: multidimensional function, self reported physical function, pain, tenderness, muscle strength, attrition rates, and adverse effects. We evaluated benefits and harms of the interventions using standardized mean differences (SMD) or mean differences (MD) or risk ratios or Peto odds ratios and 95% confidence intervals (CI). Where two or more studies provided data for an outcome, we carried out a meta-analysis. MAIN RESULTS The literature search yielded 1865 citations with five studies meeting the selection criteria. One of the studies that had three arms contributed data for two comparisons. In the included studies, there were 219 women participants with fibromyalgia, 95 of whom were assigned to resistance training programs. Three randomized trials compared 16 to 21 weeks of moderate- to high-intensity resistance training versus a control group. Two studies compared eight weeks of progressive resistance training (intensity as tolerated) using free weights or body weight resistance exercise versus aerobic training (ie, progressive treadmill walking, indoor and outdoor walking), and one study compared 12 weeks of low-intensity resistance training using hand weights (1 to 3 lbs (0.45 to 1.36 kg)) and elastic tubing versus flexibility exercise (static stretches to major muscle groups).Statistically significant differences (MD; 95% CI) favoring the resistance training interventions over control group(s) were found in multidimensional function (Fibromyalgia Impact Questionnaire (FIQ) total decreased 16.75 units on a 100-point scale; 95% CI -23.31 to -10.19), self reported physical function (-6.29 units on a 100-point scale; 95% CI -10.45 to -2.13), pain (-3.3 cm on a 10-cm scale; 95% CI -6.35 to -0.26), tenderness (-1.84 out of 18 tender points; 95% CI -2.6 to -1.08), and muscle strength (27.32 kg force on bilateral concentric leg extension; 95% CI 18.28 to 36.36).Differences between the resistance training group(s) and the aerobic training groups were not statistically significant for multidimensional function (5.48 on a 100-point scale; 95% CI -0.92 to 11.88), self reported physical function (-1.48 units on a 100-point scale; 95% CI -6.69 to 3.74) or tenderness (SMD -0.13; 95% CI -0.55 to 0.30). There was a statistically significant reduction in pain (0.99 cm on a 10-cm scale; 95% CI 0.31 to 1.67) favoring the aerobic groups.Statistically significant differences were found between a resistance training group and a flexibility group favoring the resistance training group for multidimensional function (-6.49 FIQ units on a 100-point scale; 95% CI -12.57 to -0.41) and pain (-0.88 cm on a 10-cm scale; 95% CI -1.57 to -0.19), but not for tenderness (-0.46 out of 18 tender points; 95% CI -1.56 to 0.64) or strength (4.77 foot pounds torque on concentric knee extension; 95% CI -2.40 to 11.94). This evidence was classified low quality due to the low number of studies and risk of bias assessment. There were no statistically significant differences in attrition rates between the interventions. In general, adverse effects were poorly recorded, but no serious adverse effects were reported. Assessment of risk of bias was hampered by poor written descriptions (eg, allocation concealment, blinding of outcome assessors). The lack of a priori protocols and lack of care provider blinding were also identified as methodologic concerns. AUTHORS' CONCLUSIONS The evidence (rated as low quality) suggested that moderate- and moderate- to high-intensity resistance training improves multidimensional function, pain, tenderness, and muscle strength in women with fibromyalgia. The evidence (rated as low quality) also suggested that eight weeks of aerobic exercise was superior to moderate-intensity resistance training for improving pain in women with fibromyalgia. There was low-quality evidence that 12 weeks of low-intensity resistance training was superior to flexibility exercise training in women with fibromyalgia for improvements in pain and multidimensional function. There was low-quality evidence that women with fibromyalgia can safely perform moderate- to high-resistance training.
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Affiliation(s)
- Angela J Busch
- University of SaskatchewanSchool of Physical Therapy1121 College DriveSaskatoonCanadaS7N 0W3
| | - Sandra C Webber
- University of ManitobaSchool of Medical Rehabilitation, Faculty of MedicineR106‐771 McDermot AvenueWinnipegCanadaR3E 0T6
| | | | - Julia Bidonde
- University of SaskatchewanCommunity Health & Epidemiology107 Wiggins RdSaskatoonCanadaS7N 5E5
| | | | - Laurel A Schafer
- Central Avenue Physiotherapy302 Central Ave. NSwift CurrentCanadaS9H 0L4
| | | | - Anuradha Sawant
- London Health Sciences CenterDepartment of Renal/Clinical Neurosciences339 Windermere RdLondonCanadaN6A 5A5
| | - Vanina Dal Bello‐Haas
- McMaster UniversitySchool of Rehabilitation Science1400 Main Street West, 403/EHamiltonCanadaL8S 1C7
| | - Tamara Rader
- Cochrane Musculoskeletal GroupUniversity of Ottawa1 Stewart StreetOttawaCanadaK1N 6N5
| | - Tom J Overend
- University of Western OntarioSchool of Physical TherapyElborn College, Room 1588,School of Physical Therapy, University of Western OntarioLondonCanadaN6G 1H1
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Figueroa A, Kalfon R, Madzima TA, Wong A. Effects of whole-body vibration exercise training on aortic wave reflection and muscle strength in postmenopausal women with prehypertension and hypertension. J Hum Hypertens 2013; 28:118-22. [DOI: 10.1038/jhh.2013.59] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2013] [Revised: 05/24/2013] [Accepted: 06/03/2013] [Indexed: 12/21/2022]
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Blood flow restricted exercise and vascular function. Int J Vasc Med 2012; 2012:543218. [PMID: 23133756 PMCID: PMC3485988 DOI: 10.1155/2012/543218] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2012] [Revised: 08/03/2012] [Accepted: 08/06/2012] [Indexed: 11/18/2022] Open
Abstract
It is established that regular aerobic training improves vascular function, for example, endothelium-dependent vasodilatation and arterial stiffness or compliance and thereby constitutes a preventative measure against cardiovascular disease. In contrast, high-intensity resistance training impairs vascular function, while the influence of moderate-intensity resistance training on vascular function is still controversial. However, aerobic training is insufficient to inhibit loss in muscular strength with advancing age; thus, resistance training is recommended to prevent sarcopenia. Recently, several lines of study have provided compelling data showing that exercise and training with blood flow restriction (BFR) leads to muscle hypertrophy and strength increase. As such, BFR training might be a novel means of overcoming the contradiction between aerobic and high-intensity resistance training. Although it is not enough evidence to obtain consensus about impact of BFR training on vascular function, available evidences suggested that BFR training did not change coagulation factors and arterial compliance though with inconsistence results in endothelial function. This paper is a review of the literature on the impact of BFR exercise and training on vascular function, such as endothelial function, arterial compliance, or other potential factors in comparison with those of aerobic and resistance training.
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