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Vassão PG, Credidio BM, Balão AB, Santos TIR, Carvalho C, Ribeiro DA, Parisi JR, Franco FS, Laakso EL, Avila MA, Renno ACM. Effects of photobiomodulation and an aerobic exercise on the level of pain and quality of life in women with fibromyalgia. Lasers Med Sci 2024; 39:189. [PMID: 39039318 DOI: 10.1007/s10103-024-04126-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2024] [Accepted: 06/25/2024] [Indexed: 07/24/2024]
Abstract
To evaluate the effectiveness of photobiomodulation (PBM) in conjunction with an aerobic exercise program (AEP) on the level of pain and quality of life of women with fibromyalgia (FM). METHODS A double-blinded randomized controlled trial in which 51 participants with FM were allocated into 4 groups: control group (CG) (n = 12); active PBM group (APG) (n = 12); AEP and placebo PBM group (EPPG) (n = 13); AEP and active PBM group (EAPG) (n = 14). AEP was performed on an ergometric bicycle; and a PBM (with an increase dosage regime) [20 J, 32 J and 40 J] was applied using a cluster device. Both interventions were performed twice a week for 12 weeks. A mixed generalized model analysis was performed, evaluating the time (initial and final) and group (EAPG, EPPG, APG and CG) interaction. All analyses were based on intent-to-treat for a significance level of p ≤ 0.05. RESULTS The intra-group analysis demonstrated that all treated groups presented a significant improvement in the level of pain and quality of life comparing the initial and final evaluation (p < 0.05). Values for SF-36 and 6-minute walk test increased significant in intragroup analysis for EPPG comparing the initial and final evaluation. No intergroup differences were observed. CONCLUSIONS Both exercised and PBM irradiated volunteers present improvements in the variables analyzed. However, further studies should be performed, with other PBM parameters to determine the best regime of irradiation to optimize the positive effects of physical exercises in FM patients.
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Affiliation(s)
- Patricia Gabrielli Vassão
- Departamento de Biociências, Universidade Federal de São Paulo - Campus Baixada Santista, R. Silva Jardim, 136, Vila Mathias, Santos, São Paulo, 11015-020, Brazil
| | - Beatriz M Credidio
- Departamento de Biociências, Universidade Federal de São Paulo - Campus Baixada Santista, R. Silva Jardim, 136, Vila Mathias, Santos, São Paulo, 11015-020, Brazil
| | - Ana Beatriz Balão
- Departamento de Biociências, Universidade Federal de São Paulo - Campus Baixada Santista, R. Silva Jardim, 136, Vila Mathias, Santos, São Paulo, 11015-020, Brazil
| | - Thatiane Izabele Ribeiro Santos
- Departamento de Biociências, Universidade Federal de São Paulo - Campus Baixada Santista, R. Silva Jardim, 136, Vila Mathias, Santos, São Paulo, 11015-020, Brazil
| | - Cristiano Carvalho
- Departamento de Biociências, Universidade Federal de São Paulo - Campus Baixada Santista, R. Silva Jardim, 136, Vila Mathias, Santos, São Paulo, 11015-020, Brazil
| | - Daniel Araki Ribeiro
- Departamento de Biociências, Universidade Federal de São Paulo - Campus Baixada Santista, R. Silva Jardim, 136, Vila Mathias, Santos, São Paulo, 11015-020, Brazil
| | - Julia R Parisi
- Departmento de Fisioterapia, Universidade Metropolitana de Santos, Santos, Brazil
| | - Fabio S Franco
- Sociedade Brasileira de Psicanalise de São Paulo, Instituto de Psicanálise "Durval Marcondes", São Paulo, Brazil
| | - E-Liisa Laakso
- Mater Research Institute-University of Queensland, South Brisbane, Australia Menzies Health Institute Queensland, Griffith University, Brisbane, Australia
| | - Mariana A Avila
- Programa de Pós-Graduação de Fisioterapia, Universidade Federal de São Carlos, São Carlos, Brazil
| | - Ana Cláudia Muniz Renno
- Departamento de Biociências, Universidade Federal de São Paulo - Campus Baixada Santista, R. Silva Jardim, 136, Vila Mathias, Santos, São Paulo, 11015-020, Brazil.
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Galvez-Sánchez CM, Castelli L, Montoro CI. An Integrative Neuropsychological Approach to Chronic Pain, Emotions, and Clinical Symptoms. Behav Neurol 2023; 2023:9786372. [PMID: 38187817 PMCID: PMC10771914 DOI: 10.1155/2023/9786372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Accepted: 06/27/2023] [Indexed: 01/09/2024] Open
Affiliation(s)
| | - Lorys Castelli
- Department of Psychology, University of Turin, Turin, Italy
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