Development and validation of a physical exercise training program for women diagnosed with Fibromyalgia “Pessoas com Fibra” (People with Fiber). A pilot study
DOI:
https://doi.org/10.47197/retos.v62.107160Keywords:
Fibromyalgia, Exercise, Health, Complex Intervention, Multicomponent Training, Aerobic Training, Strength TrainingAbstract
Fibromyalgia is a chronic disease that affects patients’ quality of life, leading to reduced physical activity levels. This problem can therefore be attenuated by promoting physical exercise training programs (PETP). The aim of this pilot study was to develop and validate a PETP, “Pessoas com Fibra”, designed to increase physical activity and improve the quality of life of women diagnosed with Fibromyalgia, aged between 30 and 60. The PETP was designed and validated by physical fitness specialists in accordance with Revised Guidelines for Reporting Criteria on the Development and Evaluation of Complex Health Interventions and the Consensus Guidelines on Physical Exercise Programme Reporting Model. It went through three phases: development, piloting and evaluation. This study presents an intervention proposal based on improving the participants' Fibromyalgia symptoms. “Pessoas com Fibra” program proposal presents suggestions for adaptation to the target population and exercises that can be replicated by professionals in the field of physical exercise and health.
References
Achten, J., & Jeukendrup, A. E. (2003). Heart Rate Monitoring: Applications and Limitations. Sports Medicine, 33(7), 517–538. https://doi.org/10.2165/00007256-200333070-00004
ACSM. (2021). ACSM’s Guidelines for Exercise Testing and Prescription (11th ed.).
Albuquerque, M. L. L., Monteiro, D., Marinho, D. A., Vilarino, G. T., Andrade, A., & Neiva, H. P. (2022). Effects of differ-ent protocols of physical exercise on fibromyalgia syndrome treatment: Systematic review and meta-analysis of ran-domized controlled trials. Rheumatology International, 42(11), 1893–1908. https://doi.org/10.1007/s00296-022-05140-1
Atan, T., & Karavelioğlu, Y. (2020a). Effectiveness of High-Intensity Interval Training vs Moderate-Intensity Continuous Training in Patients With Fibromyalgia: A Pilot Randomized Controlled Trial. Archives of Physical Medicine and Rehabilita-tion, 101(11), 1865–1876. https://doi.org/10.1016/j.apmr.2020.05.022
Atan, T., & Karavelioğlu, Y. (2020b). Effectiveness of High-Intensity Interval Training vs Moderate-Intensity Continuous Training in Patients With Fibromyalgia: A Pilot Randomized Controlled Trial. Archives of Physical Medicine and Rehabilita-tion, 101(11), Artigo 11. https://doi.org/10.1016/j.apmr.2020.05.022
Bernardino, S., Saramago, N., Catela, D., Branco, M., & Mercê, C. (2024). Development and validation of a hip hop intervention programme for pre-school children: Crescer+ (Grow+). Retos, 55, 212–225. https://doi.org/10.47197/retos.v55.103575
Bidonde, J., Busch, A. J., Schachter, C. L., Webber, S. C., Musselman, K. E., Overend, T. J., Góes, S. M., Dal Bello-Haas, V., & Boden, C. (2019). Mixed exercise training for adults with fibromyalgia. The Cochrane Database of Systematic Re-views, 5(5), CD013340. https://doi.org/10.1002/14651858.CD013340
Bompa, T., & Buzzichelli, C. (2019). Periodization: Theory and Methodology of Training (6a).
Bonnabesse, A. L. F., Cabon, M., L’Heveder, G., Kermarrec, A., Quinio, B., Woda, A., Marchand, S., Dubois, A., Giroux-Metges, M.-A., Rannou, F., Misery, L., & Bodéré, C. (2019). Impact of a specific training programme on the neuro-modulation of pain in female patient with fibromyalgia (DouFiSport): A 24-month, controlled, randomised, double-blind protocol. BMJ Open, 9(1), e023742. https://doi.org/10.1136/bmjopen-2018-023742
Borg, G. A. (1982). Psychophysical bases of perceived exertion. Medicine and Science in Sports and Exercise, 14(5), 377–381.
Branco, J. C., Rodrigues, A. M., Gouveia, N., Eusébio, M., Ramiro, S., Machado, P. M., Da Costa, L. P., Mourão, A. F., Silva, I., Laires, P., Sepriano, A., Araújo, F., Gonçalves, S., Coelho, P. S., Tavares, V., Cerol, J., Mendes, J. M., Carmona, L., Canhão, H., & on behalf of the EpiReumaPt study group. (2016). Prevalence of rheumatic and musculoskeletal diseases and their impact on health-related quality of life, physical function and mental health in Portugal: Results from EpiReumaPt– a national health survey. RMD Open, 2(1), e000166. https://doi.org/10.1136/rmdopen-2015-000166
Britto, A., Rodrigues, V., Dos Santos, A. M., Rizzini, M., Britto, P., Britto, L., & Garcia, J. B. S. (2020). Effects of water‐ and land‐based exercises on quality of life and physical aspects in women with fibromyalgia: A randomized clinical tri-al. Musculoskeletal Care, 18(4), Artigo 4. https://doi.org/10.1002/msc.1481
Busch, A. J., Webber, S. C., Brachaniec, M., Bidonde, J., Bello-Haas, V. D., Danyliw, A. D., Overend, T. J., Richards, R. S., Sawant, A., & Schachter, C. L. (2011). Exercise therapy for fibromyalgia. Current Pain and Headache Reports, 15(5), 358–367. https://doi.org/10.1007/s11916-011-0214-2
Buskila, D., Neumann, L., Sibirski, D., & Shvartzman, P. (1997). Awareness of diagnostic and clinical features of fibrom-yalgia among family physicians. Family Practice, 14(3), 238–241. https://doi.org/10.1093/fampra/14.3.238
Chafer, S., & Hamilton, F. (2015a). Efficacy of Physical Exercise Therapy as a Treatment for Fibromyalgia Patients An Evaluation of the Evidence. Journal of Physical Therapy and Health Promotion, 3, 1–10.
Chafer, S., & Hamilton, F. (2015b). Efficacy of Physical Exercise Therapy as a Treatment for Fibromyalgia Patients An Evaluation of the Evidence. Journal of Physical Therapy and Health Promotion, 3, 1–10.
Chang, K.-V., Hung, C.-H., Sun, W.-Z., Wu, W.-T., Lai, C.-L., Han, D.-S., & Chen, C.-C. (2020). Evaluating soreness symptoms of fibromyalgia: Establishment and validation of the Revised Fibromyalgia Impact Questionnaire with Inte-gration of Soreness Assessment. Journal of the Formosan Medical Association, 119(7), 1211–1218. https://doi.org/10.1016/j.jfma.2019.10.018
Chica, A., González-Guirval, F., Reigal, R. E., Carranque, G., & Hernández-Mendo, A. (2019). Effects of a Spanish dance program on women with fibromyalgia. Cuadernos de Psicología del Deporte, 19(2), 52–63.
Doerr, J. M., Fischer, S., Nater, U. M., & Strahler, J. (2017). Influence of stress systems and physical activity on different dimensions of fatigue in female fibromyalgia patients. Journal of Psychosomatic Research, 93, 55–61. https://doi.org/10.1016/j.jpsychores.2016.12.005
Exercise, J. of H. S. and. (2024). Proceedings of the II Congresso Internacional de Atividade Física (International Congress of Physi-cal Activity), 28, 29, 30 of September 2023, Castelo Branco, Portugal. https://doi.org/10.14198/jhse.2024.191.20
Exercise, J. of H. S. &. (2024). Proceedings of the II Congresso Internacional de Atividade Física (International Congress of Physical Activity), 28, 29, 30 of September 2023, Castelo Branco, Portugal. Journal of Human Sport and Exercise, 19(1), Artigo 1. https://doi.org/10.14198/jhse.2024.191.20
Ferreira, A. C. P. L., & Nunes, M. M. J. C. (2012). Qualidade do sono da pessoa portadora de fibromialgia [masterThesis, Instituto Politécnico de Viseu, Escola Superior de Saúde de Viseu]. https://repositorio.ipv.pt/handle/10400.19/1640
Fitzcharles, M.-A. (2003). Inaccuracy in the diagnosis of fibromyalgia syndrome: Analysis of referrals. Rheumatology, 42(2), 263–267. https://doi.org/10.1093/rheumatology/keg075
Gowans, S. E., deHueck, A., Voss, S., Silaj, A., Abbey, S. E., & Reynolds, W. J. (2001). Effect of a randomized, controlled trial of exercise on mood and physical function in individuals with fibromyalgia. Arthritis and Rheumatism, 45(6), 519–529. https://doi.org/10.1002/1529-0131(200112)45:6<519::aid-art377>3.0.co;2-3
Hakkinen, A. (2001). Strength training induced adaptations in neuromuscular function of premenopausal women with fibromyalgia: Comparison with healthy women. Annals of the Rheumatic Diseases, 60(1), 21–26. https://doi.org/10.1136/ard.60.1.21
Lapa Rosado, M., Pascoalinho Pereira, J., Fonseca, J. P., & Branco, J. (2006). Adaptação Cultural E Validação Do «Fibromyalgia Impact Questionnaire» – Versão Portuguesa. http://repositorio-cientifico.uatlantica.pt/handle/10884/540
Larsson, A., Palstam, A., Löfgren, M., Ernberg, M., Bjersing, J., Bileviciute-Ljungar, I., Gerdle, B., Kosek, E., & Mannerkorpi, K. (2015). Resistance exercise improves muscle strength, health status and pain intensity in fibromyal-gia—A randomized controlled trial. Arthritis Research & Therapy, 17(1), 161. https://doi.org/10.1186/s13075-015-0679-1
Maestre-Cascales, C., Lozano, A. B. P., & González, J. J. R. (2019). Effects of a strength training program on daily living in women with fibromyalgia. Journal of Human Sport and Exercise, 14(4), Artigo 4. https://doi.org/10.14198/jhse.2019.144.03
Marques, A. P., Santo, A. de S. do E., Berssaneti, A. A., Matsutani, L. A., & Yuan, S. L. K. (2017). A prevalência de fibromialgia: Atualização da revisão de literatura. Revista Brasileira de Reumatologia, 57(4), 356–363. https://doi.org/10.1016/j.rbr.2016.10.004
Medicine, A. C. of S. (2014). ACSM’s Guidelines for Exercise Testing and Prescription. Lippincott Williams & Wilkins.
Möhler, R., Köpke, S., & Meyer, G. (2015a). Criteria for Reporting the Development and Evaluation of Complex Inter-ventions in healthcare: Revised guideline (CReDECI 2). Trials, 16(1), 204. https://doi.org/10.1186/s13063-015-0709-y
Möhler, R., Köpke, S., & Meyer, G. (2015b). Criteria for Reporting the Development and Evaluation of Complex Inter-ventions in healthcare: Revised guideline (CReDECI 2). Trials, 16, 204. https://doi.org/10.1186/s13063-015-0709-y
Norouzi, E., Hosseini, F., Vaezmosavi, M., Gerber, M., Pühse, U., & Brand, S. (2020). Zumba dancing and aerobic exer-cise can improve working memory, motor function, and depressive symptoms in female patients with Fibromyalgia. European Journal of Sport Science, 20(7), 981–991. https://doi.org/10.1080/17461391.2019.1683610
O’Dwyer, T., Maguire, S., Mockler, D., Durcan, L., & Wilson, F. (2019). Behaviour change interventions targeting physi-cal activity in adults with fibromyalgia: A systematic review. Rheumatology International, 39(5), 805–817. https://doi.org/10.1007/s00296-019-04270-3
Santos, J. M., Mendonça, V. A., Ribeiro, V. G. C., Tossige-Gomes, R., Fonseca, S. F., Prates, A. C. N., Flor, J., Oliveira, A. C. C., Martins, J. B., Garcia, B. C. C., Leite, H. R., Figueiredo, P. H. S., Bernardo-Filho, M., & Lacerda, A. C. R. (2019). Does whole body vibration exercise improve oxidative stress markers in women with fibromyalgia? Brazilian Journal of Medical and Biological Research, 52, e8688. https://doi.org/10.1590/1414-431X20198688
Santos-Rocha, R., Freitas, J., Ramalho, F., Pimenta, N., Costa Couto, F., & Apóstolo, J. (2020a). Development and valida-tion of a complex intervention: A physical exercise programme aimed at delaying the functional decline in frail older adults. Nursing Open, 7(1), Artigo 1. https://doi.org/10.1002/nop2.388
Santos-Rocha, R., Freitas, J., Ramalho, F., Pimenta, N., Costa Couto, F., & Apóstolo, J. (2020b). Development and valida-tion of a complex intervention: A physical exercise programme aimed at delaying the functional decline in frail older adults. Nursing Open, 7(1), 274–284. https://doi.org/10.1002/nop2.388
Sañudo, B., Carrasco, L., de Hoyo, M., & McVeigh, J. G. (2012). Effects of exercise training and detraining in patients with fibromyalgia syndrome: A 3-yr longitudinal study. American Journal of Physical Medicine & Rehabilitation, 91(7), Ar-tigo 7. https://doi.org/10.1097/PHM.0b013e31824faa03
Slade, S. C., Dionne, C. E., Underwood, M., Buchbinder, R., Beck, B., Bennell, K., Brosseau, L., Costa, L., Cramp, F., Cup, E., Feehan, L., Ferreira, M., Forbes, S., Glasziou, P., Habets, B., Harris, S., Hay-Smith, J., Hillier, S., Hinman, R., … White, C. (2016). Consensus on Exercise Reporting Template (CERT): Modified Delphi Study. Physical Therapy, 96(10), 1514–1524. https://doi.org/10.2522/ptj.20150668
Sosa-Reina, M. D., Nunez-Nagy, S., Gallego-Izquierdo, T., Pecos-Martín, D., Monserrat, J., & Álvarez-Mon, M. (2017). Effectiveness of Therapeutic Exercise in Fibromyalgia Syndrome: A Systematic Review and Meta-Analysis of Random-ized Clinical Trials. BioMed Research International, 2017, 2356346. https://doi.org/10.1155/2017/2356346
Sousa, M., Moutão, J., Oliveira, R., & Alves, S. (2024). Effects of a combined training program on pain, stiffness, fatigue and well-being in women with fibromyalgia. Proceedings of the II International Congress of Physical Activity, 19, Artigo 1. https://doi.org/10.14198/jhse.2024.191.20
Sousa, M., Oliveira, R., Brito, J. P., Martins, A. D., Moutão, J., & Alves, S. (2023a). Effects of Combined Training Pro-grams in Individuals with Fibromyalgia: A Systematic Review. Healthcare (Basel, Switzerland), 11(12), Artigo 12. https://doi.org/10.3390/healthcare11121708
Sousa, M., Oliveira, R., Brito, J. P., Martins, A. D., Moutão, J., & Alves, S. (2023b). Effects of Combined Training Pro-grams in Individuals with Fibromyalgia: A Systematic Review. Healthcare (Basel, Switzerland), 11(12), 1708. https://doi.org/10.3390/healthcare11121708
Sousa, M., Oliveira, R., Brito, J. P., Martins, A. D., Moutão, J., & Alves, S. (2023c). Effects of Combined Training Pro-grams in Individuals with Fibromyalgia: A Systematic Review. Healthcare, 11(12), Artigo 12. https://doi.org/10.3390/healthcare11121708
Toprak Celenay, S., Anaforoglu Kulunkoglu, B., Yasa, M. E., Sahbaz Pirincci, C., Un Yildirim, N., Kucuksahin, O., Ugurlu, F. G., & Akkus, S. (2017). A comparison of the effects of exercises plus connective tissue massage to exercises alone in women with fibromyalgia syndrome: A randomized controlled trial. Rheumatology International, 37(11), Artigo 11. https://doi.org/10.1007/s00296-017-3805-3
Triñanes, Y., González-Villar, A., Gómez-Perretta, C., & Carrillo-de-la-Peña, M. T. (2014). Profiles in fibromyalgia: Al-gometry, auditory evoked potentials and clinical characterization of different subtypes. Rheumatology International, 34(11), 1571–1580. https://doi.org/10.1007/s00296-014-3007-1
Wolfe, F. (2010). New American College of Rheumatology Criteria for Fibromyalgia: A Twenty‐Year Journey. Arthritis Care & Research, 62(5), 583–584. https://doi.org/10.1002/acr.20156
Wolfe, F., Ross, K., Anderson, J., Russell, I. J., & Hebert, L. (1995). The prevalence and characteristics of fibromyalgia in the general population. Arthritis and Rheumatism, 38(1), 19–28. https://doi.org/10.1002/art.1780380104
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Mónica Sousa, João Moutão, Rafael Oliveira, Susana Alves

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and ensure the magazine the right to be the first publication of the work as licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of authorship of the work and the initial publication in this magazine.
- Authors can establish separate additional agreements for non-exclusive distribution of the version of the work published in the journal (eg, to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Is allowed and authors are encouraged to disseminate their work electronically (eg, in institutional repositories or on their own website) prior to and during the submission process, as it can lead to productive exchanges, as well as to a subpoena more Early and more of published work (See The Effect of Open Access) (in English).
This journal provides immediate open access to its content (BOAI, http://legacy.earlham.edu/~peters/fos/boaifaq.htm#openaccess) on the principle that making research freely available to the public supports a greater global exchange of knowledge. The authors may download the papers from the journal website, or will be provided with the PDF version of the article via e-mail.
 
						 
							