Eduarda Moretti

Efficacy of the whole-body vibration for pain, fatigue and quality of life in women with fibromyalgia: a systematic review

Abstract Purpose: To determine the quality of evidence on the use of whole-body vibration (WBV) in controlling pain, fatigue and quality of life in women with fibromyalgia. Methods: The search involved MEDLINE/PubMed, LILACS, CINAHL, CENTRAL and PEDro, without temporal or language restriction. The terms “fibromyalgia” and “whole-body vibration” were used. Trials (randomized or quasi-randomized) that compared a group of women with fibromyalgia who received WBV to a control group with no intervention were included. The quality of evidence was assessed using the GRADE system. The quantitative evaluation by meta-analysis was also used, whenever possible. Results: Three studies were included. Regarding the outcome pain, it has not been possible to assess the magnitude of effect of treatment. The result of the outcome fatigue showed no difference between the groups after the proposed intervention (Mean Difference: 0.01; 95% CI: −0.11 to 0.09). The meta-analysis for the outcome quality of life showed a small difference between groups, favoring the WBV group (Standard Mean Difference: 0.4943; p = 0.05; 95% CI: 0.0045 to 0.9841). Conclusions: The results, based on very low quality of evidence, were inconclusive regarding pain, and showed no clinically important effects on the control of fatigue and improvement of quality of life. Implications for rehabilitation There is no evidence to support the use of whole-body vibration for pain treatment of women with fibromyalgia. The use of whole-body vibration in women with fibromyalgia showed no clinically important effects in the control of fatigue and improvement of quality of life.

Efficacy of proprioceptive neuromuscular facilitation compared to other stretching modalities in range of motion gain in young healthy adults: A systematic review

ABSTRACT The objective of this study was to evaluate the efficacy of proprioceptive neuromuscular facilitation (PNF) on range of motion (ROM) gain in young healthy adults. We performed a systematic review of randomized controlled trials and quasi-randomized trials, including young healthy adults. The interventions were: PNF compared with different PNF techniques, control, other muscle stretching exercises and musculoskeletal manipulations. The outcome measures were: articular ROM and adverse effects. The final number of included studies was 46, involving 1,864 adults. There was difference on ROM comparing assisted hold-relax (HR) on diagonal plane to control, based on very low-quality evidence. There was also difference on ROM comparing assisted HR to self-HR; self-contract-relax (CR) to control; assisted CR contract to control; and assisted HR contract to control, based on low-quality evidence. Moderate-quality evidence shows that results differ between self HR and control (SMD: 0.95; 95%CI 0.03, 1.86; I249%; P = 0.16) in terms of ROM gain. When performing the other comparisons, the results were based on low or very low-quality evidence and do not allow to state if PNF is more or less effective than other stretches for improving ROM in healthy young adults. No adverse effects were mentioned.

Universal Goniometer and smartphone app for evaluation of elbow joint motion: Reproducibility analysis

This study aims to evaluate the reproducibility of measurements of the range of motion (ROM) of elbow flexion, comparing the measurements between the Universal Goniometer (UG) and the app Goniometer-Pro (G-Pro). It consists in a cross-sectional study with a sample of 387 healthy individuals. The measurements were carried out simultaneously, using the G-Pro and the UG. Two trained evaluators performed the sampling, in which the volunteers were instructed to perform the movement of elbow flexion. The first evaluator obtained the angles with both tools, and then asked to repeat the movement. Then, the second evaluator performed the same assessment, resulting in two collections with four measurements of each evaluator. All descriptive analysis was performed using the Statistical Package for Social Sciences (SPSS Inc. Version 18). To assess the reproducibility, we calculated the coefficient of variation (CV) for each evaluator in both measurements. It was possible to evaluate the variability between the instruments using the coefficient of variation. Based on the results, the UG presented lower values of CV, indicating greater precision than the app G-Pro.

Electromyographic assessment of women's pelvic floor: What is the best place for a superficial sensor?

To compare the electromyographic signal of different surface electrodes and to identify the channel that presents the highest level of electromyographic activity through the mean and peak of Root Mean Square (RMS).

Efeitos da pompage associada ao exercício aeróbico sobre dor, fadiga e qualidade do sono em mulheres com fibromialgia: um estudo piloto

Para evaluar los efectos de la pompage como terapia complementaria a los ejercicios aerobicos y de estiramiento en el dolor, fatiga y en la calidad de sueno de mujeres con fibromialgia (MF), se dividieron veintitres mujeres con este diagnostico en grupos al alzar: Grupo Experimental (GE, n=13) y Grupo Control (GC, n=10). Despues les aplicaron el Cuestionario de dolor McGill, el Cuestionario de fatiga de Chalder y el Inventario del sueno. Durante 12 semanas, dos veces a la semana, el GE hizo pompage, ejercicios aerobicos y estiramientos, mientras que el GC solo hizo ejercicios aerobicos y estiramientos. Se repitio la evaluacion despues de 6 y 12 semanas. La cantidad de participantes redujo para 15 (GE, n=7, GC, n=8). En el analisis estadistico se empelo la ANOVA para medidas iguales, la prueba t para las muestras independientes, en las cuales presentaron diferencias significantes (p ≤ 0,05). En la puntuacion de dimension mixta del Cuestionario de dolor McGill tras 12 semanas presento reduccion significativa en el GE comparado al GC. En los demas items evaluados, dolor, fatiga y calidad de sueno, no se observaron diferencias significantes. Asi que la pompage como terapia complementaria a ejercicios aerobicos y de estiramiento no presento efectos relevantes en mujeres con FM, debido a que solamente uno de los items de dolor evaluados ha presentado mejora. Son necesarios estudios con muestras mas grandes para un analisis mas detenido de los items evaluados.Aiming at evaluating the effects of pompage as a complementary therapy to aerobic exercises and stretching on pain, fatigue, and sleep quality in women with fibromyalgia, 23 women with this diagnosis were allocated randomly in the groups: Experimental (EG, n = 13) and Control (CG, n = 10). Subsequently, they were assessed using McGill Pain Questionnaire, Chalder Fatigue Questionnaire, and Sleep Inventory. For 12 weeks, twice a week, the EG made pompage, aerobic exercises, and stretching, while the CG only aerobic exercises and stretching. Evaluation was repeated after 6 and 12 weeks. We had sample losses totaling 15 individuals (EG, n=7/CG, n=8). We used ANOVA for repeated measurements in the statistical analysis, followed by the T test for independent samples with significant differences (p≤0.05). There was a significant reduction of McGill Pain Questionnaire joint score after 12 weeks in the EG compared with CG. There were not significant changes in other aspects evaluated for pain, fatigue and sleep quality. Therefore, we suggest that pompage as a complementary therapy to aerobic exercises and stretching did not have beneficial effects on women with fibromyalgia, since there was improvement in only one aspect of the pain evaluated. Studies with larger samples are necessary for a more consistent analysis of the results investigated.Aiming at evaluating the effects of pompage as a complementary therapy to aerobic exercises and stretching on pain, fatigue, and sleep quality in women with fibromyalgia, 23 women with this diagnosis were allocated randomly in the groups: Experimental (EG, n = 13) and Control (CG, n = 10). Subsequently, they were assessed using McGill Pain Questionnaire, Chalder Fatigue Questionnaire, and Sleep Inventory. For 12 weeks, twice a week, the EG made pompage, aerobic exercises, and stretching, while the CG only aerobic exercises and stretching. Evaluation was repeated after 6 and 12 weeks. We had sample losses totaling 15 individuals (EG, n=7/CG, n=8). We used ANOVA for repeated measurements in the statistical analysis, followed by the T test for independent samples with significant differences (p≤0.05). There was a significant reduction of McGill Pain Questionnaire joint score after 12 weeks in the EG compared with CG. There were not significant changes in other aspects evaluated for pain, fatigue and sleep quality. Therefore, we suggest that pompage as a complementary therapy to aerobic exercises and stretching did not have beneficial effects on women with fibromyalgia, since there was improvement in only one aspect of the pain evaluated. Studies with larger samples are necessary for a more consistent analysis of the results investigated.

Effects of pompage associated with aerobic exercises on pain, fatigue, and sleep quality in female patients with fibromyalgia: a pilot study

Para evaluar los efectos de la pompage como terapia complementaria a los ejercicios aerobicos y de estiramiento en el dolor, fatiga y en la calidad de sueno de mujeres con fibromialgia (MF), se dividieron veintitres mujeres con este diagnostico en grupos al alzar: Grupo Experimental (GE, n=13) y Grupo Control (GC, n=10). Despues les aplicaron el Cuestionario de dolor McGill, el Cuestionario de fatiga de Chalder y el Inventario del sueno. Durante 12 semanas, dos veces a la semana, el GE hizo pompage, ejercicios aerobicos y estiramientos, mientras que el GC solo hizo ejercicios aerobicos y estiramientos. Se repitio la evaluacion despues de 6 y 12 semanas. La cantidad de participantes redujo para 15 (GE, n=7, GC, n=8). En el analisis estadistico se empelo la ANOVA para medidas iguales, la prueba t para las muestras independientes, en las cuales presentaron diferencias significantes (p ≤ 0,05). En la puntuacion de dimension mixta del Cuestionario de dolor McGill tras 12 semanas presento reduccion significativa en el GE comparado al GC. En los demas items evaluados, dolor, fatiga y calidad de sueno, no se observaron diferencias significantes. Asi que la pompage como terapia complementaria a ejercicios aerobicos y de estiramiento no presento efectos relevantes en mujeres con FM, debido a que solamente uno de los items de dolor evaluados ha presentado mejora. Son necesarios estudios con muestras mas grandes para un analisis mas detenido de los items evaluados.Aiming at evaluating the effects of pompage as a complementary therapy to aerobic exercises and stretching on pain, fatigue, and sleep quality in women with fibromyalgia, 23 women with this diagnosis were allocated randomly in the groups: Experimental (EG, n = 13) and Control (CG, n = 10). Subsequently, they were assessed using McGill Pain Questionnaire, Chalder Fatigue Questionnaire, and Sleep Inventory. For 12 weeks, twice a week, the EG made pompage, aerobic exercises, and stretching, while the CG only aerobic exercises and stretching. Evaluation was repeated after 6 and 12 weeks. We had sample losses totaling 15 individuals (EG, n=7/CG, n=8). We used ANOVA for repeated measurements in the statistical analysis, followed by the T test for independent samples with significant differences (p≤0.05). There was a significant reduction of McGill Pain Questionnaire joint score after 12 weeks in the EG compared with CG. There were not significant changes in other aspects evaluated for pain, fatigue and sleep quality. Therefore, we suggest that pompage as a complementary therapy to aerobic exercises and stretching did not have beneficial effects on women with fibromyalgia, since there was improvement in only one aspect of the pain evaluated. Studies with larger samples are necessary for a more consistent analysis of the results investigated.Aiming at evaluating the effects of pompage as a complementary therapy to aerobic exercises and stretching on pain, fatigue, and sleep quality in women with fibromyalgia, 23 women with this diagnosis were allocated randomly in the groups: Experimental (EG, n = 13) and Control (CG, n = 10). Subsequently, they were assessed using McGill Pain Questionnaire, Chalder Fatigue Questionnaire, and Sleep Inventory. For 12 weeks, twice a week, the EG made pompage, aerobic exercises, and stretching, while the CG only aerobic exercises and stretching. Evaluation was repeated after 6 and 12 weeks. We had sample losses totaling 15 individuals (EG, n=7/CG, n=8). We used ANOVA for repeated measurements in the statistical analysis, followed by the T test for independent samples with significant differences (p≤0.05). There was a significant reduction of McGill Pain Questionnaire joint score after 12 weeks in the EG compared with CG. There were not significant changes in other aspects evaluated for pain, fatigue and sleep quality. Therefore, we suggest that pompage as a complementary therapy to aerobic exercises and stretching did not have beneficial effects on women with fibromyalgia, since there was improvement in only one aspect of the pain evaluated. Studies with larger samples are necessary for a more consistent analysis of the results investigated.

Los efectos de la pompage con ejercicios aeróbicos en el dolor, fatiga y en la calidad de sueño de mujeres con fibromialgia: un estudio piloto

Para evaluar los efectos de la pompage como terapia complementaria a los ejercicios aerobicos y de estiramiento en el dolor, fatiga y en la calidad de sueno de mujeres con fibromialgia (MF), se dividieron veintitres mujeres con este diagnostico en grupos al alzar: Grupo Experimental (GE, n=13) y Grupo Control (GC, n=10). Despues les aplicaron el Cuestionario de dolor McGill, el Cuestionario de fatiga de Chalder y el Inventario del sueno. Durante 12 semanas, dos veces a la semana, el GE hizo pompage, ejercicios aerobicos y estiramientos, mientras que el GC solo hizo ejercicios aerobicos y estiramientos. Se repitio la evaluacion despues de 6 y 12 semanas. La cantidad de participantes redujo para 15 (GE, n=7, GC, n=8). En el analisis estadistico se empelo la ANOVA para medidas iguales, la prueba t para las muestras independientes, en las cuales presentaron diferencias significantes (p ≤ 0,05). En la puntuacion de dimension mixta del Cuestionario de dolor McGill tras 12 semanas presento reduccion significativa en el GE comparado al GC. En los demas items evaluados, dolor, fatiga y calidad de sueno, no se observaron diferencias significantes. Asi que la pompage como terapia complementaria a ejercicios aerobicos y de estiramiento no presento efectos relevantes en mujeres con FM, debido a que solamente uno de los items de dolor evaluados ha presentado mejora. Son necesarios estudios con muestras mas grandes para un analisis mas detenido de los items evaluados.Aiming at evaluating the effects of pompage as a complementary therapy to aerobic exercises and stretching on pain, fatigue, and sleep quality in women with fibromyalgia, 23 women with this diagnosis were allocated randomly in the groups: Experimental (EG, n = 13) and Control (CG, n = 10). Subsequently, they were assessed using McGill Pain Questionnaire, Chalder Fatigue Questionnaire, and Sleep Inventory. For 12 weeks, twice a week, the EG made pompage, aerobic exercises, and stretching, while the CG only aerobic exercises and stretching. Evaluation was repeated after 6 and 12 weeks. We had sample losses totaling 15 individuals (EG, n=7/CG, n=8). We used ANOVA for repeated measurements in the statistical analysis, followed by the T test for independent samples with significant differences (p≤0.05). There was a significant reduction of McGill Pain Questionnaire joint score after 12 weeks in the EG compared with CG. There were not significant changes in other aspects evaluated for pain, fatigue and sleep quality. Therefore, we suggest that pompage as a complementary therapy to aerobic exercises and stretching did not have beneficial effects on women with fibromyalgia, since there was improvement in only one aspect of the pain evaluated. Studies with larger samples are necessary for a more consistent analysis of the results investigated.Aiming at evaluating the effects of pompage as a complementary therapy to aerobic exercises and stretching on pain, fatigue, and sleep quality in women with fibromyalgia, 23 women with this diagnosis were allocated randomly in the groups: Experimental (EG, n = 13) and Control (CG, n = 10). Subsequently, they were assessed using McGill Pain Questionnaire, Chalder Fatigue Questionnaire, and Sleep Inventory. For 12 weeks, twice a week, the EG made pompage, aerobic exercises, and stretching, while the CG only aerobic exercises and stretching. Evaluation was repeated after 6 and 12 weeks. We had sample losses totaling 15 individuals (EG, n=7/CG, n=8). We used ANOVA for repeated measurements in the statistical analysis, followed by the T test for independent samples with significant differences (p≤0.05). There was a significant reduction of McGill Pain Questionnaire joint score after 12 weeks in the EG compared with CG. There were not significant changes in other aspects evaluated for pain, fatigue and sleep quality. Therefore, we suggest that pompage as a complementary therapy to aerobic exercises and stretching did not have beneficial effects on women with fibromyalgia, since there was improvement in only one aspect of the pain evaluated. Studies with larger samples are necessary for a more consistent analysis of the results investigated.