{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T15:50:54Z","timestamp":1793202654686,"version":"4.5.0"},"reference-count":50,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:00:00Z","timestamp":1770768000000},"content-version":"vor","delay-in-days":72,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001807","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de S\u00e3o Paulo","doi-asserted-by":"publisher","award":["2022\/08646\u20106"],"award-info":[{"award-number":["2022\/08646\u20106"]}],"id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare the effect of 24 sessions of progressive intensity strength training on the impact of fibromyalgia (primary outcome). Furthermore, we evaluated its effects on sleep, anxiety, depression, wind\u2010up mechanism, conditioned pain modulation, cutaneous sensory threshold, musculoskeletal performance, walking ability, perceived improvement, and treatment adherence (secondary outcomes).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A blinded randomised controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>\n                      After blinded outcome assessments, 66 people were randomised and concealed and allocated to progressive (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a022), constant (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a022), or walking (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a022) strength training groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>People with fibromyalgia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>In the progressive group, exercise intensity increased by 20% of maximum strength each month: 50% in the first month, 70% in the second month, and 90% in the third month. In the constant or walking exercise groups, moderate intensity was maintained at the end of the treatment. Each person received 24 individual exercise sessions (2x\/week), with three months of exercise and three months of no exercise.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure<\/jats:title>\n                    <jats:p>Fibromyalgia impact.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Groups were similar at baseline. There were no significant between\u2010group differences in the primary outcome at any time point. In within\u2010group comparisons, we observed significant differences indicating that all three types of exercise reduced fibromyalgia symptoms; however, no variable achieved a minimal clinically important difference. In between\u2010group comparisons for the secondary outcomes, groups reported a positive perception of improvement, but most of each group did not adhere to treatment and\/or did not answer about adherence after follow\u2010up without exercise.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Twenty\u2010four sessions of progressive intensity strength training did not provide a greater reduction in the fibromyalgia impact than constant intensity or walking exercises.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>Brazilian Registry of Clinical Trials (ReBEC): RBR\u20109pbq9fg, date of registration: October 06, 2022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Protocol Publication<\/jats:title>\n                    <jats:p>BMC Musculoskeletal Disorders: Doi \u2013 10.1186\/s12891\u2010023\u201006952\u20103 | Published: Volume 24, article number 816, October 14, 2023.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/msc.70186","type":"journal-article","created":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T06:11:04Z","timestamp":1770876664000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Strength Training Versus Walking on the Fibromyalgia Impact: A Blinded Randomised Controlled Trial"],"prefix":"10.1002","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3983-5342","authenticated-orcid":false,"given":"Andr\u00e9","family":"Pontes\u2010Silva","sequence":"first","affiliation":[{"name":"Department of Physical Therapy Study Group on Chronic Pain (NEDoC) Laboratory of Research on Electrophysical Agents (LAREF) Postgraduate Program in Physical Therapy Universidade Federal de S\u00e3o Carlos (UFSCar)  S\u00e3o Carlos S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5403-8248","authenticated-orcid":false,"given":"Almir Vieira","family":"Dibai\u2010Filho","sequence":"additional","affiliation":[{"name":"Department of Physical Education Postgraduate Program in Physical Education Universidade Federal do Maranh\u00e3o  S\u00e3o Lu\u00eds Maranh\u00e3o Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4279-0197","authenticated-orcid":false,"given":"Thayn\u00e1 Soares de","family":"Melo","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy Study Group on Chronic Pain (NEDoC) Laboratory of Research on Electrophysical Agents (LAREF) Postgraduate Program in Physical Therapy Universidade Federal de S\u00e3o Carlos (UFSCar)  S\u00e3o Carlos S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4973-7276","authenticated-orcid":false,"given":"Leticia","family":"Menegalli\u2010Santos","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy Study Group on Chronic Pain (NEDoC) Laboratory of Research on Electrophysical Agents (LAREF) Postgraduate Program in Physical Therapy Universidade Federal de S\u00e3o Carlos (UFSCar)  S\u00e3o Carlos S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1432-0737","authenticated-orcid":false,"given":"Josimari Melo","family":"DeSantana","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy Laboratory of Research on Neuroscience (LAPENE) Graduate Program in Health Science Graduate Program in Physiological Science Universidade Federal de Sergipe  Aracaju Sergipe Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9268-8353","authenticated-orcid":false,"given":"Marcelo Cardoso","family":"de Souza","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy Universidade Federal do Rio Grande do Norte  Natal Rio Grande do Norte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5081-5326","authenticated-orcid":false,"given":"Mariana Arias","family":"Avila","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy Study Group on Chronic Pain (NEDoC) Laboratory of Research on Electrophysical Agents (LAREF) Postgraduate Program in Physical Therapy Universidade Federal de S\u00e3o Carlos (UFSCar)  S\u00e3o Carlos S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,11]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00296\u2010022\u201005140\u20101"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2018.304745"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s42358\u2010018\u20100033\u20109"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2017.09.012"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.081090"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2010.04.020"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.cd013340"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD012700"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD011336"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD010884"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.4783"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181849dbe"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00296\u2010021\u201005025\u20109"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s42358\u2010022\u201000271\u20102"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/3985154"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13075\u2010016\u20101041\u2010y"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0304\u20103959(01)00349\u20109"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2011.07.005"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e318213fefb"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40798\u2010020\u201000260\u2010z"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2024.1413038"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2015.22"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000000485"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD013419"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/function\/zqac030"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2020.09.002"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1519\/JSC.0000000000003231"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0288830"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2016.1207106"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1590\/s0034\u201070942007000100006"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2020.0848"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/1529\u20100131(200010)13:5<291::aid\u2010anr8>3.0.co;2\u2010x"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jped.2016.06.006"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2010.03.034"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891\u2010023\u201006952\u20103"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671231201123"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2018.01097"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2023.1170621"},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjpt.2025.101226"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010020\u201060227\u20108"},{"key":"e_1_2_13_42_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnhum.2022.992742"},{"key":"e_1_2_13_43_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzab200"},{"key":"e_1_2_13_44_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2023.2201510"},{"key":"e_1_2_13_45_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2018-eular.5492"},{"key":"e_1_2_13_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbmt.2019.05.024"},{"key":"e_1_2_13_47_1","doi-asserted-by":"publisher","DOI":"10.1080\/24708593.2017.1300205"},{"key":"e_1_2_13_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2023.06.002"},{"key":"e_1_2_13_49_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067\u2010021\u201005738\u2010z"},{"key":"e_1_2_13_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2016.08.012"},{"key":"e_1_2_13_51_1","doi-asserted-by":"publisher","DOI":"10.23736\/S1973\u20109087.25.08817\u20103"}],"container-title":["Musculoskeletal Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/msc.70186","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/msc.70186","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/msc.70186","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T03:57:42Z","timestamp":1771387062000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/msc.70186"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":50,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1002\/msc.70186"],"URL":"https:\/\/doi.org\/10.1002\/msc.70186","archive":["Portico"],"relation":{},"ISSN":["1478-2189","1557-0681"],"issn-type":[{"value":"1478-2189","type":"print"},{"value":"1557-0681","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"2025-09-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70186"}}