Effect of low-impact aerobic exercise combined with music therapy on patients with fibromyalgia. A pilot study.
OBJECTIVE
Fibromyalgia is a pathological entity characterized by chronic widespread musculoskeletal pain and the presence of "tender points". It constitutes a significant health problem because of its prevalence and economic impact. The aim of the present study was to determine the therapeutic benefits of low impact aerobic exercise alone or in combination with music therapy in patients with fibromyalgia.


METHODS
A single-blind randomized controlled pilot trial was performed. Thirty-five individuals with fibromyalgia were divided into three groups: (G1) therapeutic aerobic exercise with music therapy (n=13); (G2) therapeutic aerobic exercise at any rhythm (n=13) and (CG) control (n=9). The intervention period lasted eight weeks. Depression, quality of life, general discomfort and balance were assessed before and after intervention.


RESULTS
At post-intervention, group G1 improved in all variables (depression (p=0.002), quality of life (p=0.017), general discomfort (p=0.001), and balance (p=0.000)), while group G2 improved in general discomfort (p=0.002). The change observed in balance was statistically different between groups (p=0.01).


CONCLUSIONS
Therapeutic aerobic exercise is effective in improving depression and general discomfort in individuals with fibromyalgia. However, effectiveness is higher when combined with music therapy, which brings about further improvements in quality of life and balance.
Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Calle Gascó Oliag, 5, E46010 Valencia, Spain. Electronic address: gemma.espi@uv.es.
Gemma V
GV
Espí-López
Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Calle Gascó Oliag, 5, E46010 Valencia, Spain. Electronic address: marta.ingles@uv.es.
Marta
M
Inglés
Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Calle Gascó Oliag, 5, E46010 Valencia, Spain. Electronic address: arancha.ruescas@uv.es.
María-Arántzazu
MA
Ruescas-Nicolau
Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Calle Gascó Oliag, 5, E46010 Valencia, Spain. Electronic address: nomose@alumni.uv.es.
Noemí
N
Moreno-Segura
D000293:Adolescent; D000328:Adult; D000368:Aged; D003863:Depression / Q000628:therapy; D015444:Exercise / Q000502:physiology*; D005081:Exercise Therapy / Q000379:methods; D005260:Female; D005356:Fibromyalgia / Q000628:therapy*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009147:Music Therapy / Q000379:methods; D010865:Pilot Projects; D011446:Prospective Studies; D011788:Quality of Life; D016037:Single-Blind Method
Balance; Depression; Exercise therapy; Fibromyalgia; Music therapy; Pain; Quality of life