Please use this identifier to cite or link to this item: https://observatorio.fm.usp.br/handle/OPI/4038
Title: The effectiveness of aquatic physical therapy in the treatment of fibromyalgia: a systematic review with meta-analysis
Authors: LIMA, Tarcisio BrandaoDIAS, Josilainne MarcelinoMAZUQUIN, Bruno FlesSILVA, Carla Tassiana daNOGUEIRA, Regiane Mazzarioli PereiraMARQUES, Amelia PasqualLAVADO, Edson LopesCARDOSO, Jefferson Rosa
Citation: CLINICAL REHABILITATION, v.27, n.10, p.892-908, 2013
Abstract: Objective: To assess the effectiveness of aquatic physical therapy in the treatment of fibromyalgia. Data sources: The search strategy was undertaken using the following databases, from 1950 to December 2012: MEDLINE, EMBASE, CINAHL, LILACS, SCIELO, WEB OF SCIENCE, SCOPUS, SPORTDiscus, Cochrane Library Controlled Trials Register, Cochrane Disease Group Trials Register, PEDro and DARE. Review methods: The studies were separated into groups: Group I - aquatic physical therapy x no treatment, Group II - aquatic physical therapy x land-based exercises and Group III - aquatic physical therapy x other treatments. Results: Seventy-two abstracts were found, 27 of which met the inclusion criteria. For the functional ability (Fibromyalgia Impact Questionnaire), three studies were considered with a treatment time of more than 20 weeks and a mean difference (MD) of -1.35 [-2.04; -0.67], P = 0.0001 was found in favour of the aquatic physical therapy group versus no treatment. The same results were identified for stiffness and the 6-minute walk test where two studies were pooled with an MD of -1.58 [-2.58; -0.58], P = 0.002 and 43.5 (metres) [3.8; 83.2], P = 0.03, respectively. Conclusion: Three meta-analyses showed statistically significant results in favour of the aquatic physical therapy (Fibromyalgia Impact Questionnaire, stiffness and the 6-minute walk test) during a period of longer than 20 weeks. Due to the low methodological rigor, the results were insufficient to demonstrate statistical and clinical differences in most of the outcomes.
Appears in Collections:Artigos e Materiais de Revistas Científicas - FM/MFT
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/34

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