Effects of Twelve Weeks of Virtual Square Stepping Exercises on Physical Function, Fibromyalgia’s Impact, Pain and Falls in Spanish Women with Fibromyalgia

Résumé fourni par la source

Severe fatigue, difficulty falling asleep, body stiffness, cognitive impairment, and widespread pain are some of the primary symptoms experienced by individuals with fibromyalgia (FM), leading to reduced physical function, increased frailty, and elevated fall risk. The present study aimed to evaluate the effects of the Virtual Square Step Exercise (V-SSE) program on physical function, frailty, FM impact, pain, fear, and risk of falling, and fall incidence in women with FM. A randomized controlled trial was conducted with 61 sedentary Spanish women with FM. Participants were randomly assigned to two groups: V-SSE and the control group. The V-SSE group completed an exercise program based on the V-SSE for 12 weeks (3 sessions/week), while the control group maintained their usual lifestyle and treatment. Physical function was assessed using the Timed Up and Go (TUG), Four-Step Square (FSST), 6-Minute Walking Test (6MWT), and others. Frailty was assessed with the Short Physical Performance Battery (SPPB). FM impact, pain, falls, and fear of falling were evaluated via questionnaires. Significant intergroup differences were only found in the 30 m Walking Test (p = 0.023; E.S. = 0.539), due to worsening in the control group. Although significant improvements were found in other variables in the V-SSE group, Dual Sit to Stand (p = 0.038), FM impact (p = 0.010), pain (p = 0.003) and falls (p = 0.037), these did not remain statistically significant after adjusting for multiple comparisons, nor were they corroborated in the intergroup comparison. A 12-week program based on the V-SSE was not effective in improving physical function, frailty, FM impact, pain, falls, fear, and risk of falling in Spanish women with FM.

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