{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:21:09Z","timestamp":1785457269662,"version":"3.56.0"},"reference-count":42,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,6,23]],"date-time":"2020-06-23T00:00:00Z","timestamp":1592870400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Fibromyalgia (FM) is consistently associated with fatigue, sleep disturbances, morning stiffness, and anxiety and depression, affecting physical capacities and skills and thereby reducing quality of life. The aim of this study was to compare the effects of water\u2010based and land\u2010based therapies as an adjuvant treatment for women with FM in relation to quality of life and physical aspects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>FM women were randomized into a water\u2010based exercise group (WG) and land\u2010based exercise group (LG). The interventions were conducted for 8 weeks, three times a week, and each therapy session had a 60\u2010min duration. Evaluations were performed before and after intervention using the Fibromyalgia Impact Questionnaire, the Visual Analogue Scale, the number of tender points (TPs), and the Wells bench sit and reach test score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Both interventions produced significantly positive clinical effects in most aspects evaluated. However, only WG obtained significant improvements for the variables functional capacity, number of TPs, and flexibility.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The findings suggest that water\u2010based exercise is effective as an adjuvant FM treatment, including FM\u2010related physical and psychological health aspects.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.1481","type":"journal-article","created":{"date-parts":[[2020,6,23]],"date-time":"2020-06-23T14:51:12Z","timestamp":1592923872000},"page":"459-466","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Effects of water\u2010 and land\u2010based exercises on quality of life and physical aspects in women with fibromyalgia: A randomized clinical trial"],"prefix":"10.1002","volume":"18","author":[{"given":"Andr\u00e9","family":"Britto","sequence":"first","affiliation":[{"name":"School of Medicine Federal University of Maranh\u00e3o  Pinheiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6785-7864","authenticated-orcid":false,"given":"Vandilson","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Department of Morphology Federal University of Maranh\u00e3o  S\u00e3o Lu\u00eds Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9711-0182","authenticated-orcid":false,"given":"Alcione M.","family":"dos Santos","sequence":"additional","affiliation":[{"name":"Collective Health Graduate Program Federal University of Maranh\u00e3o  S\u00e3o Lu\u00eds Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Rizzini","sequence":"additional","affiliation":[{"name":"Collective Health Graduate Program Federal University of Maranh\u00e3o  S\u00e3o Lu\u00eds Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Britto","sequence":"additional","affiliation":[{"name":"Physiotherapy Service Club Sante  S\u00e3o Lu\u00eds Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucio","family":"Britto","sequence":"additional","affiliation":[{"name":"Physiotherapy Service Club Sante  S\u00e3o Lu\u00eds Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3597-6471","authenticated-orcid":false,"given":"Jo\u00e3o B. 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