title: Effects of functional training on pain, leg strength, and balance in women with fibromyalgia.
abstract: OBJECTIVE
  The aim of this study was to analyze the effect of 18-week functional training (FT) program consisting in two sessions a week of in-water exercise and one of on-land exercise on pain, strength, and balance in women with fibromyalgia.
  
  
  METHODS
  A sample consisting of 36 fibromyalgia patients was included in the study. The patients were allocated randomly into the experimental group (EG, n = 20), and control group (CG, n = 16). Standardized field-based fitness tests were used to assess muscle strength (30-s chair stand and handgrip strength) and agility/dynamic balance and static balance. Fibromyalgia impact and pain were analyzed by Fibromyalgia Impact Questionnaire (FIQ), tender points (TPs), visual analog scale (VAS).
  
  
  RESULTS
  We observed a significant reduction in the FIQ (p = 0.042), the algometer scale of TP (p = 0.008), TP (p < 0.001), and VAS (p < 0.001) in the EG. The EG shows better results in leg strength (p < 0.001), handgrip strength (p = 0.025), agility/dynamic balance (p = 0.032) and balance (p = 0.006).
  
  
  CONCLUSIONS
  An 18-week intervention consisting in two sessions of in-water exercise and one session of on-land exercise of FT reduces pain and improves functional capacity in FM patients. These results suggested that FT could play an important role in maintaining an independent lifestyle in patients with FM.
authors: a Department of Didactics of Corporal Expression , University of Jaen , Jaen , Spain.
authors: Pedro Ángel
authors: PÁ
authors: Latorre Román
authors: a Department of Didactics of Corporal Expression , University of Jaen , Jaen , Spain.
authors: María Aparecida
authors: MA
authors: Santos E Campos
authors: a Department of Didactics of Corporal Expression , University of Jaen , Jaen , Spain.
authors: Felipe
authors: F
authors: García-Pinillos
mesh_terms: D000328:Adult; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D005356:Fibromyalgia / Q000503:physiopathology / Q000534:rehabilitation*; D018737:Hand Strength / Q000502:physiology*; D006801:Humans; D007866:Leg / Q000503:physiopathology; D008875:Middle Aged; D053580:Muscle Strength / Q000502:physiology*; D010146:Pain / Q000503:physiopathology / Q000534:rehabilitation*; D010147:Pain Measurement; D004856:Postural Balance / Q000502:physiology*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: Agility; Balance; Fibromyalgia; Muscle Strength; Pain