title: [Kinesiotherapy effect on quality of life, sexual function and climacteric symptoms in women with fibromyalgia].
abstract: OBJECTIVE
  To evaluate the effect of the kinesiotherapy in the quality of life, sexual function and menopause-related symptoms and compare in climacteric women with and without fibromyalgia (FM).
  
  
  METHODS
  the group was composed of 90 climacteric women divided in 2 groups: FM (47) and control (43). The patients were analyzed on their quality of life (Utian Quality of Life [UQoL]), sexual function (Sexual Quotient-Female Version [SQ-F] questionnaire) and intensity of the climacteric symptoms (Blatt-Kupperman menopausal index [BKMI]). Both groups performed pelvic floor kinesiotherapy, composed of 20 sessions, twice a week. Statistical analysis was performed using Student's t-test, mixed-design analysis of variance (ANOVA) and Cohen's Kappa.
  
  
  RESULTS
  In the quality of life, an improvement was noticed in both groups for all domains analyzed. In the comparison between groups it was noticed a difference in the emotional (p=0.01), health (p=0.03) and sexual (p=0.001) domains with considerable gains verified in the control group. Improvement was also noticed in the sexual function. In the analysis between groups, FM group showed a lower score compared to the control group (p < 0.001). With respect to the climacteric symptoms, there was no difference in the analysis between groups after the intervention (p < 0.001).
  
  
  CONCLUSIONS
  The pelvic floor kinesiotherapy promotes a positive effect in the domains of quality of life, sexual function and climacteric symptoms in women with and without fibromyalgia in the climacteric period; however, fibromyalgia seems to be a limiting factor to achieve better results in some of the aspects evaluated.
authors.affiliation: Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil; Departamento de Fisioterapia, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil; Curso de Fisioterapia, Universidade Potiguar (Laureate International Universities), Natal, RN, Brasil. Electronic address: lisboa.lilian@gmail.com.
authors.forename: Lilian Lira
authors.initials: LL
authors.lastname: Lisboa
authors.affiliation: Curso de Fisioterapia, Universidade Potiguar (Laureate International Universities), Natal, RN, Brasil.
authors.forename: Elisa
authors.initials: E
authors.lastname: Sonehara
authors.affiliation: Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil; Departamento de Tocoginecologia, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil.
authors.forename: Katia Cristina Araújo Nogueira de
authors.initials: KC
authors.lastname: Oliveira
authors.affiliation: Departamento de Fisioterapia, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil; Curso de Fisioterapia, Universidade Potiguar (Laureate International Universities), Natal, RN, Brasil.
authors.forename: Sandra Cristina de
authors.initials: SC
authors.lastname: Andrade
authors.affiliation: Programa de Pós-Graduação em Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil; Departamento de Morfologia, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil.
authors.forename: George Dantas
authors.initials: GD
authors.lastname: Azevedo
mesh_terms: D000368:Aged; D005260:Female; D005356:Fibromyalgia / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D008593:Menopause; D008875:Middle Aged; D026741:Physical Therapy Modalities; D011788:Quality of Life; D019529:Sexuality / Q000502:physiology
keywords: Abordagem sexual; Climacteric; Climatério; Fibromialgia; Fibromyalgia; Qualidade de vida; Quality of life; Sexual approach; Sexualidade; Sexuality