To analyze the effects of a Pilates exercise program in Spanish postmenopausal women with Fibromyalgia
This is a randomized clinical trial of single-blind with 2 arms (Control group and experimental group), in which a pre-treatment-postest design has been used. The study will define two groups: * A control group (CG) that will not be submitted to treatment, which will be evaluated in the pre and post phase of the study. Participants assigned to this group will receive general advice on the positive effects of regular physical activity and will be given a guide to recommendations for promoting physical activity. * An experimental group (GE) that after an initial evaluation will undergo a physical training program based on Pilates exercises. Once the intervention is finished, it will be submitted to a final evaluation to see if there is a difference or not with the results obtained at the beginning.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
50
The duration of the intervention is 12 weeks, with 2 sessions per week of Pilates. Each session lasts approximately 1 hour and is structured in three parts: initial warm-up, which reviews the basic principles of the Pilates Method (centralization, concentration, movement control, breathing, movement precision and fluency) of 10 minutes duration, a 40-45 minute Pilates session and finally 10 minutes of guided relaxation. No complement was used (magic rings, fitball, elastic bands, etc.) during classes
AFIXA
Jaén, Spain
Dynamometer
Dynamometer will be employed to assess hand grip stregth
Time frame: At the beginning and at three months
ABC-16 (Activities Specific Balance Confidence Scale)
Questionnaire that assesses balance confidence in performing activities of daily living. It is calculated by adding up the 16 responses of the questionnaire, with 0 being the minimum score and 100 being the maximum score. The higher value represents a better result.
Time frame: At the beginning and at three months
FES-I (Falls Efficacy Scale-International)
Questionnaire that evaluates the fear of falling. It is calculated by adding up all the answers in the questionnaire, 16 being the minimum score and 64 the maximum score. The higher value represents a worse result.
Time frame: At the beginning and at three months
FSS (Fatigue Severity Scale)
A self-report scale describing the severity of fatigue and the impact of fatigue on activities of daily living. It is calculated by adding up the 9 answers of the questionnaire, being 9 the minimum score and 63 the maximum score. The higher value represents a worse result.
Time frame: At the beginning and at three months
FIQ (Fybromialgia Impact Questionnaire)
A questionnarie that evaluates the impact of fibromyalgia on the patient's quality of life.The total score is the addition of the scores of all its sections. In the case that there were left some unanswered, all the other ones are added up and the score is divided by the number of items answered and multiplied by 10, with the result that the final score of the FIQ is from 0 to 100. A higher score means a greater impact of the disease on the patient.
Time frame: At the beginning and at three months
VAS-Fatigue
Fatigue assessed by a Visual Analogue Scale (10 cm). The patient marks the intensity of the fatigue on a numerical scale of 0-10, with 0 being the minimum score and 10 being the maximum score. The higher value represents a worse result.
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Time frame: At the beginning and at three months
VAS-pain
Pain assessed by a Visual Analogue Scale (10 cm). The patient on a numerical scale of 0-10 marks the intensity of the pain, with 0 being the minimum score and 10 the maximum score. The higher value represents a worse result.
Time frame: At the beginning and at three months
PSQI (Pittsburgh Sleep Quality Index)
A simple and valid assessment of both sleep quality and disturbance that might affect. They consist of 10 questions divided into four subscales: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep discomfort, medication use and daytime dysfunctions, adding up to a total score. The higher value represents a worse result.
Time frame: At the beginning and at three months
HADS (The Hospital Anxiety And Depression)
A reliable, valid and practical screening tool for identifying and quantifying anxiety and/or depression in non- patients. It is calculated by the sum of the 14 questions in the questionnaire divided into two subscales: anxiety (questions 1, 3, 5, 7, 9, 11, 13) and depression (questions 2, 4, 6, 8, 10, 12, 14). The higher value represents a worse result.
Time frame: At the beginning and at three months
SF-36 (The Short Form-36 Health Survey)
Used extensively for assessing health-related quality of life. It is calculated by adding the 36 questionnaires divided into 9 subscales: general health, health change, physical function, physical role, role or emotional performance, social function, physical or body pain, vitality and mental health. Each item is rated 0-1-2-3-4 points with 0 being the best score.
Time frame: At the beginning and at three months
INBODY
Valid and reliable tool to quantify and measure the 4 major components of body composition: Water, Protein, Minerals and Fat
Time frame: At the beginning and at three months
Bone Mineral Content (BMC)
Is mineral mass in bone
Time frame: At the beginning and at three months
Body Weight: is the sum of Body Fat and Fat Free Mass.
Is the sum of Body Fat and Fat Free Mass
Time frame: At the beginning and at three months
Skeletal Muscle Mass (kg)
Is computed based on muscle mass of the limbs, which is almost composed of skeletal muscle and takes up about 70% of total body skeletal muscle
Time frame: At the beginning and at three months
Lean Body Mass
The amount of lean body mass
Time frame: At the beginning and at three months
Body Fat Mass
The standard range of Body Fat Mass is ascertained by calculating an examinee Body Fat Mass as compared to the standard weight and standard Body Fat Mass
Time frame: At the beginning and at three months
Percent of Body Fat (%)
Indicates the percentage of body fat to body weight
Time frame: At the beginning and at three months
BMI (Body Mass Index)
Is calculated from the formula, Weight (kg) / Height2 (m2), whose unit is kg/m2. It is a rough indicator of total body fat
Time frame: At the beginning and at three months
Segmental Analysis
Is the technology that assumes the body as five cylinders of four limbs and trunk and measures the impedance of these parts separately. Segmental body composition analysis provides segmental measurement of body water, muscle mass, and fat free mass
Time frame: At the beginning and at three months
TUG (Timed Up and Go test)
Is a simple test used to assess a person's mobility and physical function
Time frame: At the beginning and at three months
CT10P
Test that evaluates the balance by walking along a straight line
Time frame: At the beginning and at three months
MRS (Menopause Rating Scale)
assesses the severity of menopause-related complaints and the impact on health-related quality of life. Calculated by adding up the 11 questions in the questionnaire. Each item has a score of 0-1-2-3-4, with 4 being the worst score.
Time frame: At the beginning and at three months
STABILOMETRIC PLATFORM
instrument composed of resistive pressure sensors, used to measure the static or postural balance. The test was performed under both eyes-open and eyes-closed conditions
Time frame: At the beginning and at three months
X mean
Mean value of the lateral oscillations of the Pressure Center
Time frame: At the beginning and at three months
Y mean
Mean value of the anteroposterior oscillations of the Pressure Center
Time frame: At the beginning and at three months
RMS X
Mean position of the center of pressure in the mediolateral plane
Time frame: At the beginning and at three months
Length
Length of the path described by the center of pressure
Time frame: At the beginning and at three months
Area
Area of the path described by the center of pressure
Time frame: At the beginning and at three months
Velocity
Is an estimate of the average velocity of displacement of the center of pressures of the subject during the whole test
Time frame: At the beginning and at three months
Chair Sit and Reach Test
To test low back and hamstring flexibility
Time frame: At the beginning and at three months
Back Scratch Test
To measure general shoulder range of motion
Time frame: At the beginning and at three months
30-Second Chair Stand Test
To test leg strength and endurance
Time frame: At the beginning and at three months
Height
The distance between the lowest and highest points of a person standing upright
Time frame: At the beginning and at three months
Wais Circumference
Is used to assess central fat distribution and degree of abdominal obesity
Time frame: At the beginning and at three months
Hip Circumference
It is the greatest circumference of hip
Time frame: At the beginning and at three months
Waist-To-Hip Ratio
Is the dimensionless ratio of the circumference of the waist to that of the hips. This is calculated as waist measurement divided by hip measurement
Time frame: At the beginning and at three months