title: Functional status, physical activity level, and exercise regularity in patients with fibromyalgia after Multidisciplinary treatment: retrospective analysis of a randomized controlled trial.
abstract: Multidisciplinary treatments have shown to be effective for fibromyalgia. We report detailed functional outcomes of patients with fibromyalgia who attended a 3-month Multidisciplinary treatment program. The hypothesis was that patients would have increased functional status, physical activity level, and exercise regularity after attending this program. We performed a retrospective analysis of a randomized, simple blinded clinical trial. The inclusion criteria consisted of female sex, a diagnosis of fibromyalgia, age 18-60  and 3-8 years of schooling. Measures from the Fibromyalgia Impact Questionnaire (FIQ) and the COOP/WONCA Functional Health Assessment Charts (WONCA) were obtained before and at the end of the treatment and at 3-, 6-, and 12-month follow-ups. Patients recorded their number of steps per day with pedometers. They performed the six-minute walk test (6 MW) before and after treatment. In total, 155 women participated in the study. Their median (interquartile interval) FIQ score was 68.0 (53.0-77.0) at the beginning of the treatment, and the difference between the Multidisciplinary and Control groups was statistically and clinically significant in all of the measures (except the 6-month follow-up). The WONCA charts showed significant clinical improvements in the Multidisciplinary group, with physical fitness in the normal range across almost all values. In that group, steps/day showed more regularity, and the 6 MW results showed improvement of -33.00 (-59.8 to -8.25) m, and the differences from the Control group were statistically significant. The patients who underwent the Multidisciplinary treatment had improved functional status, physical activity level, and exercise regularity. The functional improvements were maintained 1 year after treatment completion.
authors.affiliation: Department of Medicina i Cirurgia and Institut d'Investigació Sanitària Pere Virgili, University Rovira i Virgili, Tarragona, Spain. mariaisabel.salvat@urv.cat.|Centre Tecnològic de Nutrició i Salut, Avinguda Universitat, 3, 43204, Reus, Tarragona, Spain. mariaisabel.salvat@urv.cat.
authors.forename: I
authors.initials: I
authors.lastname: Salvat
authors.affiliation: Department of Medicina i Cirurgia and Institut d'Investigació Sanitària Pere Virgili, University Rovira i Virgili, Tarragona, Spain.
authors.forename: P
authors.initials: P
authors.lastname: Zaldivar
authors.affiliation: Department of Medicina i Cirurgia and Institut d'Investigació Sanitària Pere Virgili, University Rovira i Virgili, Tarragona, Spain.
authors.forename: S
authors.initials: S
authors.lastname: Monterde
authors.affiliation: Department of Medicina i Cirurgia and Institut d'Investigació Sanitària Pere Virgili, University Rovira i Virgili, Tarragona, Spain.
authors.forename: S
authors.initials: S
authors.lastname: Montull
authors.affiliation: Department of Medicina i Cirurgia and Institut d'Investigació Sanitària Pere Virgili, University Rovira i Virgili, Tarragona, Spain.
authors.forename: I
authors.initials: I
authors.lastname: Miralles
authors.affiliation: Hospital Universitari Joan XXIII, Institut d'Investigació Sanitària Pere Virgili, University Rovira i Virgili, Tarragona, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Castel
mesh_terms: D015444:Exercise; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D005356:Fibromyalgia / Q000534:rehabilitation*; D005500:Follow-Up Studies; D005684:Gait / Q000502:physiology; D006801:Humans; D008875:Middle Aged; D010809:Physical Fitness; D015397:Program Evaluation; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D000070857:Walk Test; D016138:Walking / Q000502:physiology*
keywords: Exercise therapy; Fibromyalgia; Pain clinics; Physical fitness; Physical therapy