The effectiveness of stretching exercises in patients with fibromyalgia: A systematic review.
Exercise
Fibromyalgia
Pain
Quality of Life
Stretching
Journal
Clinical rheumatology
ISSN: 1434-9949
Titre abrégé: Clin Rheumatol
Pays: Germany
ID NLM: 8211469
Informations de publication
Date de publication:
06 Aug 2024
06 Aug 2024
Historique:
received:
31
05
2024
accepted:
10
07
2024
revised:
24
06
2024
medline:
7
8
2024
pubmed:
7
8
2024
entrez:
6
8
2024
Statut:
aheadofprint
Résumé
Fibromyalgia is one of the most prevalent chronic pain disorders. Fibromyalgia is characterised by generalised pain. In addition, patients with fibromyalgia often have co-morbidity. Since no cure is available, the treatment is based on symptom management, with physical exercise being the recommended first-line treatment. Different exercise modalities have been examined, including the practice of stretching exercises. The aim of the systematic review is to summarise the efficacy of stretching exercises on fibromyalgia symptoms and to study the content and the quality of the current evidence. The review followed the recommendations of the PRISMA statement. The search for articles was performed in April 2023. We searched on MEDLINE, PubMed, CINAHL, Web of Science, SCOPUS, AMED, PEDro, ClinicalTrials.gov and the Cochrane Collaboration Trials Register. The search was updated in March 2024. The protocol was registered in PROSPERO. Risk of Bias was assessed using the Cochrane Risk of Bias tool, and quality assessment was performed using the GRADE approach. In total, 2586 studies were found in the database searches, of which nine were included in the analysis. The primary outcome was pain. Secondary outcomes were self-reported quality of life, fatigue and physical and mental functioning. The available evidence shows that stretching exercises may improve pain, health-related quality of life and physical and mental functioning, but the level of evidence is low. The main limitation is due to issues with the heterogeneity of the interventions and small sample sizes. Trial registration: PROSPERO registration number CRD42023399614. Key Points • Stretching exercises show promise in the treatment of fibromyalgia. They may improve pain, health-related quality of life, physical functioning and mental health, but the level of evidence is low. • This study goes beyond previous research by presenting a more comprehensive and detailed analysis of the content and methodological quality of the current evidence. • Further research with clearly outlined protocols must be carried out to advance our understanding of the benefits of stretching exercises on fibromyalgia symptoms.
Identifiants
pubmed: 39107536
doi: 10.1007/s10067-024-07066-4
pii: 10.1007/s10067-024-07066-4
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Frimodt-Heineke Fonden
ID : 4203107082
Informations de copyright
© 2024. The Author(s), under exclusive licence to International League of Associations for Rheumatology (ILAR).
Références
Häuser W, Fitzcharles M (2018) Facts and myths pertaining to fibromyalgia. Dialogues Clin Neurosci 20:53–62
pubmed: 29946212
pmcid: 6016048
doi: 10.31887/DCNS.2018.20.1/whauser
Maugars Y, Berthelot JM, Le Goff B, Darrieutort-Laffite C (2021) Fibromyalgia and associated disorders: from pain to chronic suffering, from subjective hypersensitivity to hypersensitivity syndrome. Front Med 8:666914
doi: 10.3389/fmed.2021.666914
Adams N, McVeigh JG, Cuesta-Vargas A, Abokdeer S (2023) Evidence-based approaches for the management of fibromyalgia syndrome: a scoping review. Phys Ther Rev 28:1–17
doi: 10.1080/10833196.2022.2157945
Littlejohn G, Guymer E (2020) Key milestones contributing to the understanding of the mechanisms underlying fibromyalgia. Biomedicines 8:1–12
doi: 10.3390/biomedicines8070223
Littlejohn G, Guymer E (2018) Neurogenic inflammation in fibromyalgia. Semin Immunopathol 40:291–300
pubmed: 29556959
doi: 10.1007/s00281-018-0672-2
Vaerøy H, Helle R, Førre Ø, Kåss E, Terenius L (1988) Elevated CSF levels of substance P and high incidence of Raynaud phenomenon in patients with fibromyalgia: new features for diagnosis. Pain 32:21–26
pubmed: 2448729
doi: 10.1016/0304-3959(88)90019-X
Julien N, Goffaux P, Arsenault P, Marchand S (2005) Widespread pain in fibromyalgia is related to a deficit of endogenous pain inhibition. Pain 114:295–302
pubmed: 15733656
doi: 10.1016/j.pain.2004.12.032
Lavín MM (2022) Centralized nociplastic pain causing fibromyalgia: an emperor with no cloths? Clin Rheumatol. 41(12):3915–7
doi: 10.1007/s10067-022-06407-5
Montoro CI, Galvez-Sánchez CM (2022) The mediating role of depression and pain catastrophizing in the relationship between functional capacity and pain intensity in patients with fibromyalgia. Behav Neurol. 2022(1):9770047
pubmed: 35880039
pmcid: 9308507
Macfarlane GJ, Kronisch C, Dean LE, Atzeni F, Häuser W, Flub E et al (2017) EULAR revised recommendations for the management of fibromyalgia. Ann Rheum Dis 76:318–328
pubmed: 27377815
doi: 10.1136/annrheumdis-2016-209724
Sarzi-Puttini P, Giorgi V, Marotto D, Atzeni F (2020) Fibromyalgia: an update on clinical characteristics, aetiopathogenesis and treatment. Nat Rev Rheumatol 16:645–660
pubmed: 33024295
doi: 10.1038/s41584-020-00506-w
Clauw DJ (2014) Fibromyalgia: a clinical review. JAMA - J Am Med Assoc 311:1547–1555
doi: 10.1001/jama.2014.3266
Siracusa R, Di Paola R, Cuzzocrea S, Impellizzeri D (2021) Fibromyalgia: pathogenesis, mechanisms, diagnosis and treatment options update. Int J Mol Sci 22(8):3891
pubmed: 33918736
pmcid: 8068842
doi: 10.3390/ijms22083891
Ram PR, Jeyaraman M, Jeyaraman N, Nallakumarasamy A, Khanna M, Gupta A, Yadav S (2023) Beyond the Pain: A Systematic Narrative Review of the Latest Advancements in Fibromyalgia Treatment. Cureus 15(10):e48032. https://doi.org/10.7759/cureus.48032
Mohebi S, Parham M, Sharifirad G, Gharlipour Z (2018) Social support and self - care behavior study. J Educ Health Promot 7(1):48
pubmed: 29693029
pmcid: 5903155
doi: 10.4103/jehp.jehp_73_17
Galvez-Sánchez CM, Montoro CI (2023) Psychoeducation for fibromyalgia syndrome: a systematic review of emotional, clinical and functional related-outcomes. Behav Sci (Basel). 13(5):415
pubmed: 37232652
pmcid: 10215575
doi: 10.3390/bs13050415
Antunes MD, Schmitt ACB, Marques AP (2022) Amigos de Fibro (Fibro Friends): development of an educational program for the health promotion of fibromyalgia patients. Prim Heal Care Res Dev 23:e44
doi: 10.1017/S1463423621000773
Bidonde J, Aj B, Cl S, Tj O, Sy K, Sm G, et al (2017) Aerobic exercise training for adults with fibromyalgia (Review) Summary of findings for the main comparison. Cochrane Database Syst Rev Aerob :127
Bidonde J, Busch AJ, Schachter CL, Webber SC, Musselman KE, Overend TJ, Góes SM, Dal Bello- Haas V BC (2019) Mixed exercise training for adults with fibromyalgia. Cochrane Database Syst Rev 2019
Sundhedsstyrelsen (2018) National clinical guideline for the examination and treatment/rehabilitation of patients with generalized musculoskeletal pain. Sundhedsstyrelsen 1–120
Dobkin PL, Da Costa D, Abrahamowicz M, Dritsa M, Du Berger R, Fitzcharles MA et al (2006) Adherence during an individualized home based 12-week exercise program in women with fibromyalgia. J Rheumatol 33:333–341
pubmed: 16465666
Cardenas-Rojas A, Castelo-Branco L, Pacheco-Barrios K, Shaikh ES, Uygur-Kucukseymen E, Giannoni-Luza S et al (2021) Recruitment characteristics and non-adherence associated factors of fibromyalgia patients in a randomized clinical trial: a retrospective survival analysis. Contemp Clin Trials Commun. 24:100860
pubmed: 34849424
pmcid: 8609141
doi: 10.1016/j.conctc.2021.100860
Jack K, McLean SM, Moffett JK, Gardiner E (2010) Barriers to treatment adherence in physiotherapy outpatient clinics: a systematic review. Man Ther 15:220–228
pubmed: 20163979
pmcid: 2923776
doi: 10.1016/j.math.2009.12.004
Taylor SJ, Steer M, Ashe SC, Furness PJ, Haywood-Small S, Lawson K (2019) Patients’ perspective of the effectiveness and acceptability of pharmacological and non-pharmacological treatments of fibromyalgia. Scand J Pain 19:167–181
pubmed: 30315738
doi: 10.1515/sjpain-2018-0116
López I, Lilian G, Lorena V, Carmen G, Patricia É, Peñacoba C (2023) Symptoms in women with fibromyalgia after performing physical activity: the role of pain catastrophizing and disease impact. Clin Rheumatol. 42:225–32
doi: 10.1007/s10067-022-06342-5
Konrad A, Alizadeh S, Daneshjoo A, Anvar SH, Graham A, Zahiri A et al (2023) Chronic effects of stretching on range of motion with consideration of potential moderating variables: a systematic review with meta-analysis. J Sport Heal Sci. https://doi.org/10.1016/j.jshs.2023.06.002
doi: 10.1016/j.jshs.2023.06.002
Thomas E, Bianco A, Paoli A, Palma A (2018) The relation between stretching typology and stretching duration: the effects on range of motion. Int J Sports Med 39:243–254
pubmed: 29506306
doi: 10.1055/s-0044-101146
Behm DG, Kay AD, Trajano GS, Alizadeh S, Blazevich AJ (2021) Effects of acute and chronic stretching on pain control. J Clin Exerc Physiol 10:15–159
Støve MP, Thomsen JL, Magnusson SP, Riis A (2024) The effect of six-weeks regular stretching exercises on regional and distant pain sensitivity: an experimental longitudinal study on healthy adults - in review. BMC Sports Sci Med Rehabil
Støve MP, Hirata RP, Palsson TS (2024) Regional and widespread pain sensitivity decreases following stretching in both men and women – indications of stretch-induced hypoalgesia. J Bodyw Mov Ther. https://doi.org/10.1016/j.jbmt.2024.02.003 .
Tompra N, van Dieën JH, Coppieters MW (2016) Central pain processing is altered in people with Achilles tendinopathy. Br J Sports Med 50:1004–1007
pubmed: 26701922
doi: 10.1136/bjsports-2015-095476
Behm DG, Alizadeh S, Daneshjoo A, Anvar SH, Graham A, Zahiri A et al (2023) Acute effects of various stretching techniques on range of motion: a systematic review. Sport Med-Open 9(1):107
doi: 10.1186/s40798-023-00652-x
Liguori G, Feito Y, Fountaine C, Roy BA (2021) ACSM’s guidelines for exercise testing and prescription. Eleventh e. Philadelphia: Wolters Kluwer
Kim S, Busch A, Overend T, Schachter C, Foulds H (2019) Flexibility exercise training for adults with fibromyalgia ( Review ). Cochrane Database Syst Rev Flex. https://doi.org/10.1002/14651858.CD013419.www.cochranelibrary.com
doi: 10.1002/14651858.CD013419.www.cochranelibrary.com
Behm DG (2018) The science and physiology of flexibility and stretching: implications and applications in sport performance and health. Routledge, New York, NY
doi: 10.4324/9781315110745
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, The PRISMA et al (2020) statement: an updated guideline for reporting systematic reviews. BMJ 2021:372
Sterne JAC, Savović J, Page MJ, Elbers RG, Blencowe NS, Boutron I et al (2019) RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ 366:1–8
Sterne JAC, Sutton AJ, Ioannidis JPA, Terrin N, Jones DR, Lau J et al (2011) Recommendations for examining and interpreting funnel plot asymmetry in meta-analyses of randomised controlled trials. BMJ 343:1–8
doi: 10.1136/bmj.d4002
Matsutani LA, Marques AP, Ferreira EAG, Assumpção A, Lage LV, Casarotto RA et al (2007) Effectiveness of muscle stretching exercises with and without laser therapy at tender points for patients with fibromyalgia. Clin Exp Rheumatol 25:410–415
pubmed: 17631737
Genc A, Tur BS, Aytur YK, Oztuna D, Erdogan MF (2015) Does aerobic exercise affect the hypothalamicpituitary-adrenal hormonal response in patients with fibromyalgia syndrome? J Phys Ther Sci 27:2225–2231
pubmed: 26311959
pmcid: 4540854
doi: 10.1589/jpts.27.2225
Rooks DS, Gautam S, Romeling M, Cross ML, Stratigakis D, Evans B et al (2007) Group exercise, education, and combination self-management in women with fibromyalgia: a randomized trial. Arch Intern Med 167:2192–2200
pubmed: 17998491
doi: 10.1001/archinte.167.20.2192
da Costa BO, Andrade LS, Botton CE, Alberton CL (2023) Effects of a telehealth stretching exercise program on pain, sleep, depression, and functionality of women with fibromyalgia during the COVID-19 pandemic: a randomized clinical trial. Sustainability 15(3):2604
doi: 10.3390/su15032604
Bashir MS, Manzoor B, Noor R, Bashir MI (2017) Comparative study of treatment of fibromyalgia: a randomized clinical trial. Rawal Med J 42:490
Kibar S, Yildiz HE, Ay S, Evcik D, Ergin ES (2015) New approach in fibromyalgia exercise program: a preliminary study regarding the effectiveness of balance training presented as a poster to the European League Against Rheumatism, June 11–14, 2014, Paris France. Arch Phys Med Rehabil 96:1576–1582
pubmed: 26002204
doi: 10.1016/j.apmr.2015.05.004
Altan L, Korkmaz N, Bingol Ü, Gunay B (2009) Effect of Pilates training on people with fibromyalgia syndrome: a pilot study. Arch Phys Med Rehabil 90:1983–1988
pubmed: 19969158
doi: 10.1016/j.apmr.2009.06.021
Kolak E, Ardıç F, Fındıkoğlu G (2022) Effects of different types of exercises on pain, quality of life, depression, and body composition in women with fibromyalgia: a three-arm, parallel-group, randomized trial. Arch Rheumatol 37:444–455
pubmed: 36589612
pmcid: 9791552
doi: 10.46497/ArchRheumatol.2022.9190
Martín J, Torre F, Padierna A, Aguirre U, González N, García S et al (2012) Six-and 12-month follow-up of an interdisciplinary fibromyalgia treatment programme: results of a randomised trial. Clin Exp Rheumatol. 30(SUPPL.74):S103-11
Park HK, Song MK, Kim DJ, Choi IS, Han JY (2021) Comparison of core muscle strengthening exercise and stretching exercise in middle-aged women with fibromyalgia: a randomized, single-blind, controlled study. Med (United States) 100:E27854
De Lorena SB, Duarte ALBP, Bredemeier M, Fernandes VM, Pimentel EAS, Marques CDL et al (2022) Effects of a physical self-care support program for patients with fibromyalgia: a randomized controlled trial. J Back Musculoskelet Rehabil 35:495–504
pubmed: 34657869
doi: 10.3233/BMR-191820
Da Costa D, Abrahamowicz M, Lowensteyn I, Bernatsky S, Dritsa M, Fitzcharles MA et al (2005) A randomized clinical trial of an individualized home-based exercise programme for women with fibromyalgia. Rheumatology 44:1422–1427
pubmed: 16030079
doi: 10.1093/rheumatology/kei032
Wang C, Schmid CH, Rones R, Kalish R, Yinh J, Goldenberg DL, Lee Y, McAlindon T (2010) A randomized trial of Tai Chi for fibromyalgia. Dtsch Zeitschrift fur Akupunkt. 53:40–1
doi: 10.1016/j.dza.2010.10.003
Andrade A, Steffens RD, Vilarino GT, Miranda R, Benetti M, Coimbra DR (2020) Preferred exercise and mental health of the patients with fibromyalgia syndrome. Complement Ther Clin Pract. 40:101195
pubmed: 32891275
doi: 10.1016/j.ctcp.2020.101195
De CMS, Carvalho LC, Menezes FDS, Frazin A, Gomes EDC, Iunes DH (2020) Effects of exergames in women with fibromyalgia: a randomized controlled study. Games Health J 9:358–367
doi: 10.1089/g4h.2019.0108
Calandre EP, Rodriguez-Claro ML, Rico-Villademoros F, Vilchez JS, Hidalgo J, Delgado-Rodriguez A (2009) Effects of pool-based exercise in fibromyalgia symptomatology and sleep quality: a prospective randomized comparison between stretching and Tai Chi. Clin Exp Rheumatol 27(5 SUPPL.):56
Bressan LR, Matsutani LA, Assumpção A, Marques AP, Cabral CMN (2008) Effects of muscle stretching and physical conditioning as physical therapy treatment for patients with fibromyalgia. Rev Bras Fisioter 12:88–93
Gavi MBRO, Vassalo DV, Amaral FT, Macedo DCF, Gava PL, Dantas EM et al (2014) Strengthening exercises improve symptoms and quality of life but do not change autonomic modulation in fibromyalgia: a randomized clinical trial. PLoS One. 9:e90767
pubmed: 24651512
pmcid: 3961245
doi: 10.1371/journal.pone.0090767
Jones KD, Burckhardt CS, Clark SR, Bennett RM, Potempa KM (2002) A randomized controlled trial of muscle strengthening versus flexibility training in fibromyalgia. J Rheumatol 29:1041–1048
pubmed: 12022321
Arakaki JS, Jennings F, Estrela GQ, Cruz Martinelli VDG, Natour J (2021) Strengthening exercises using swiss ball improve pain, health status, quality of life and muscle strength in patients with fibromyalgia: a randomized controlled trial. Reumatismo 73:15–23
pubmed: 33874643
doi: 10.4081/reumatismo.2021.1357
Valim V, Oliveira L, Suda A, Silva L, De Assis M, Neto TB et al (2003) Aerobic fitness effects in fibromyalgia. J Rheumatol 30:1060–1069
pubmed: 12734907
Assumpção A, Matsutani LA, Yuan SL, Santo AS, Sauer J, Mango P et al (2018) Muscle stretching exercises and resistance training in fibromyalgia: which is better? A three-arm randomized controlled trial. Eur J Phys Rehabil Med 54:663–670
pubmed: 29185675
doi: 10.23736/S1973-9087.17.04876-6
Schulze NBB, Barreto T do NP, Alencar GG de, da Silva TA, Duarte ALBP, Ranzolin A, et al. The effect of myofascial release of the physiological chains on the pain and health status in patients with fibromyalgia, compared to passive muscle stretching and a control group: a randomized controlled clinical trial. Disabil Rehabil. 2023;0:1–14
Couto N, Monteiro D, Cid L, Bento T (2022) Effect of different types of exercise in adult subjects with fibromyalgia: a systematic review and meta-analysis of randomised clinical trials. Sci Rep 12:10391
pubmed: 35725780
pmcid: 9209512
doi: 10.1038/s41598-022-14213-x
Granot M, Weissman-Fogel I, Crispel Y, Pud D, Granovsky Y, Sprecher E et al (2008) Determinants of endogenous analgesia magnitude in a diffuse noxious inhibitory control (DNIC) paradigm: do conditioning stimulus painfulness, gender and personality variables matter? Pain 136:142–149
pubmed: 17720319
doi: 10.1016/j.pain.2007.06.029
Støve MP, Hirata RP, Palsson TS (2021) The tolerance to stretch is linked with endogenous modulation of pain. Scand J Pain 21:355–363
pubmed: 34387949
doi: 10.1515/sjpain-2020-0010