{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T10:31:25Z","timestamp":1776681085334,"version":"3.51.2"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rehabilitation (Stuttg)"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>In der vorliegenden Pilotstudie wurde ein spezifisches, dreiw\u00f6chiges,\n                        multimodales Behandlungsprogramm f\u00fcr Patienten mit einem besonders schweren\n                        Verlauf eines Fibromyalgiesyndroms in Bezug auf die kardiopulmonale\n                        Ausdauerleistung evaluiert und die Ergebnisse wurden mit der Literatur\n                        verglichen.<\/jats:p><jats:p>Im Rahmen der retrospektiven, monozentrischen L\u00e4ngsschnittstudie wurde zu\n                        Beginn und am Ende der station\u00e4ren rheumatologischen Rehabilitation (3090\n                        Therapieminuten in 3 Wochen) ein 6-Minuten-Gehtest durchgef\u00fchrt und die\n                        Ergebnisse wurden verglichen.<\/jats:p><jats:p>Insgesamt wurden 71 Patient*innen (w=66, m=5) [w=weiblich, m=m\u00e4nnlich]\n                        eingeschlossen. Das Alter betrug 54,2\u00b17,7 Jahre. Die Erkrankung wurde vor\n                        7,56\u00b17,96 Jahren diagnostiziert. Es bestanden \u00dcbergewicht (BMI:\n                        30,91\u00b17,28\u2009kg\/m2), ein starkes Schmerzniveau (VAS: 7,43\u00b11,6), eine starke\n                        psychische Belastung (PHQ-4: 6,47\u00b13,0) und deutliche\n                        fibromyalgie-spezifische Beschwerden (FIQ: 65,65\u00b115,29). Die\n                        Alltagsaktivit\u00e4ten waren reduziert (FFbH: 63,27\u00b118,36). Die Muskelkraft war\n                        eingeschr\u00e4nkt (Handkraft rechts 15,24\u00b110,76\u2009kg; links: 13,16\u00b19,18\u2009kg). In\n                        allen 3 Subskalen des MFIS wurden mittel-hochgradige Werte f\u00fcr Fatigue\n                        ermittelt (MFIS-Physisch: 3,00\u00b10,63; MFIS-Kognitiv: 2,59\u00b10,72;\n                        MFIS-Psychosozial: 2,72\u00b10,88). Im 6-Minuten-Gehtest wurde zu Beginn der\n                        Rehama\u00dfnahme 464,72\u00b193,8\u2009m und am Ende der Reha 507,61\u00b1106,5\u2009m erreicht\n                        (p&lt;0,001), somit kam es zu einer Verbesserung um 42,89\u2009m.<\/jats:p><jats:p>Das \u201eFibro-Aktiv-Programm\u201c von 3 Wochen Dauer zeigt vergleichbare oder\n                        bessere Ergebnisse als die bislang publizierten Programme, die\n                        durchschnittlich 14 Wochen dauern.<\/jats:p>","DOI":"10.1055\/a-2548-1732","type":"journal-article","created":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T22:50:58Z","timestamp":1749595858000},"page":"129-138","source":"Crossref","is-referenced-by-count":1,"title":["Fibro-Aktiv: Trainingsprogramm f\u00fcr Patienten mit schwerer\n                    Fibromyalgie \u2013 Pilotstudie und Literatursuche"],"prefix":"10.1055","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3000-5836","authenticated-orcid":false,"given":"Martin","family":"Gehlen","sequence":"additional","affiliation":[{"name":"Abteilung Rheumatologie und Osteologie, Klinik Der F\u00fcrstenhof, Bad\n                    Pyrmont"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nina","family":"G\u00f6hle","sequence":"additional","affiliation":[{"name":"Abteilung Rheumatologie und Osteologie, Klinik Der F\u00fcrstenhof, Bad\n                    Pyrmont"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Schwarz-Eywill","sequence":"additional","affiliation":[{"name":"Abteilung Rheumatologie und Osteologie, Klinik Der F\u00fcrstenhof, Bad\n                    Pyrmont"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karin","family":"Mahn","sequence":"additional","affiliation":[{"name":"Abteilung Rheumatologie und Osteologie, Klinik Der F\u00fcrstenhof, Bad\n                    Pyrmont"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahin","family":"Zolfaghari","sequence":"additional","affiliation":[{"name":"Abteilung Rheumatologie und Osteologie, Klinik Der F\u00fcrstenhof, Bad\n                    Pyrmont"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim","family":"Below","sequence":"additional","affiliation":[{"name":"Sportwissenschaften, Universit\u00e4t Vechta"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,6,10]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"892","DOI":"10.1177\/0269215513484772","article-title":"The effectiveness of aquatic physical therapy in the treatment of fibromyalgia:\n                    a systematic review with meta-analysis","volume":"27","author":"T Lima","year":"2013","journal-title":"Clinical Rehabilitation"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18042075","article-title":"Immediate Effects of a Telerehabilitaion Program Based on Aerobic Exercise in\n                    Women with Fibromyalgia","volume":"18","author":"I Hernando-Garijo","year":"2021","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1384","DOI":"10.1164\/ajrccm.158.5.9710086","article-title":"Reference equations for the six-minute walk in healthy adults","volume":"158","author":"P L Enright","year":"1998","journal-title":"Am J Respir Crit Care Med"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1002\/acr.20140","article-title":"The American College of Rheumatology Preliminary Diagnostic Criteria for\n                    Fibromyalgia and measurement of symptom severity","volume":"62","author":"F Wolfe","year":"2010","journal-title":"Arthritis Care Res"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"613","DOI":"10.1176\/appi.psy.50.6.613","article-title":"An ultra-brief screening scale for anxiety and depression: the PHQ-4","volume":"50","author":"K Kroenke","year":"2009","journal-title":"Psychosomatics"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"15","DOI":"10.7224\/1537-2073.2012-019","article-title":"Psychometric Properties of the Modified Fatigue Impact Scale","volume":"15","author":"R Larson","year":"2013","journal-title":"Int J MS Care"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1055\/s-2001-12127","article-title":"Comparison of Hannover Functional Ability Questionnaire (FFbH) and the SF-36\n                    subscale \u201cPhysical Functioning\u201d","volume":"40","author":"I Haase","year":"2001","journal-title":"Rehabilitation"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"333","DOI":"10.1007\/s10067-012-2120-3.","article-title":"Not throwing out the baby with the bathwater: lessons from the Fibromyalgia\n                    Impact Questionnaire","volume":"32","author":"C P van Wilgen","year":"2013","journal-title":"Clin Rheumatol"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"310","DOI":"10.1055\/s-0035-1565106","article-title":"Schulung f\u00fcr Fibromyalgie-Betroffene -Eine partizipative Weiterentwicklung unter\n                    Ber\u00fccksichtigung der S3-Leitlinie. Physikalische Medizin","volume":"25","author":"I Ehlebracht-K\u00f6nig","year":"2015","journal-title":"Rehabilitation, Kurortmedizin"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000097","article-title":"Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA\n                    Statement","author":"D Moher","year":"2009"},{"key":"ref12","first-page":"72","article-title":"Effect of a 24-week physical training programme (in water and on land) on pain,\n                    functional capacity, body composition and quality of life in women with\n                    fibromyalgia","volume":"31","author":"P A Latorre","year":"2013","journal-title":"Clin Exp Rheumatol"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1002\/14651858.CD011336","article-title":"Aquatic exercise training for fibromyalgia","volume":"10","author":"J Bidonde","year":"2014","journal-title":"Cochrane Database of systematic Reviews"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"1781","DOI":"10.1589\/jpts.27.1781","article-title":"The effects of aquatic, isometric strength-stretching and aerobic exercise on\n                    physical and psychological parameters of female patients with fibromyalgia\n                    syndrome","volume":"27","author":"D Sevimli","year":"2015","journal-title":"The Journal of Phyical Therapy Science"},{"key":"ref15","first-page":"2620","article-title":"The Effects of Exercise and Education, Individually or Combined, in Women with\n                    Fibromyalgia. The","volume":"29","author":"S King","year":"2002","journal-title":"Journal of Rheumatology"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1002\/art1.10180","article-title":"The effects of Progressive Strength Training and Aerobic Exercise on Muscle\n                    Strength and Cardiovaskular Fitness in Women with Fribromyalgia: A Pilot\n                    Study","volume":"47","author":"D Rooks","year":"2002","journal-title":"Arthritis Care & Research"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"890","DOI":"10.1002\/art.20828","article-title":"Six-Month and One-Year Followup of 23 Weeks of Aerobic Exercise for Individuals\n                    with Fibromyalgia","volume":"51","author":"S E Gowans","year":"2004","journal-title":"Arthritis & Rheumatism"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/ar3159","article-title":"Does moderate-to-high intensity Nordic walking improve functional capacity and\n                    pain in fibromyalgia? A prospective randomized controlled trial","volume":"12","author":"K Mannerkorpi","year":"2010","journal-title":"Arthritis Research & Therapy"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1097\/ajp.0b013e318254ac76","article-title":"Research to Encourage Exercise for Fibromyalgia (REEF): Use of Motivational\n                    Interviewing, Outcomes from a Randomized Controlled Trial","volume":"29","author":"D Ang","year":"2013","journal-title":"Clin J Pain"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1007\/s00296-016-3597-x","article-title":"Functional status, physical activity level, and exercise regularity in patients\n                    with fibromyalgia after Multidisciplinary treatment: retrospective analysis of a\n                    randomized controlled trial","volume":"37","author":"I Salvat","year":"2016","journal-title":"Rheumatol International"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"3860","DOI":"10.1080\/09638288.2021.1891463","article-title":"The effects of a group exercise and education programme on symptoms and physical\n                    fitness in patients with fibromyalgia: a prospective observational cohort\n                    study","volume":"44","author":"N Loftus","year":"2022","journal-title":"Disability and Rehabilitation"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"469","DOI":"10.2165\/00007256-200939060-00003","article-title":"Lactate Threshold Concepts","volume":"39","author":"O Faude","year":"2009","journal-title":"Sports Med"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"1801","DOI":"10.1007\/s00421-018-3913-0","article-title":"Effects of a short-term aquatic exercise intervention on symptoms and exercise\n                    capacity in individuals with chronic fatigue syndrome\/ myalgic\n                    encephalomyelitis: a pilot study","volume":"118","author":"S Broadbent","year":"2017","journal-title":"European Journal of Applied Physiology"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"717","DOI":"10.2519\/jospt.2007.2607","article-title":"Changes Associated With a Quota-Based Approach on a Walking Program for\n                    Individuals with Fibromyalgia","volume":"37","author":"K Holtgrefe","year":"2007","journal-title":"Journal of Orthopaedic & Sports Physical Therapy"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"659","DOI":"10.1097\/01.phm.0000228677.46845.b2","article-title":"Functionally Oriented Rehabilitation Program for Patients with Fibromyalgia","volume":"85","author":"H Wennemer","year":"2006","journal-title":"American Journal of Physical Medicine &\n                    Rehabilitation"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"102392","DOI":"10.1016\/j.ctim.2020.102392","article-title":"Evidence Base of Clinical Studies on Qi Gong: A Bibliometric Analysis","volume":"50","author":"Y P Zhang","year":"2020","journal-title":"Complement Ther Med"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1097\/phm.0b013e31824faa03","article-title":"Effects of Exercise Training and Detraining in Patients with Fibromyalgia\n                    Syndrome","volume":"5","author":"B Sanudo","year":"2012","journal-title":"American Journal of Physical Medicine &\n                    Rehabilitation"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1055\/a-1935-6567","article-title":"F\u00fcr mehr Leichtigkeit in der Behandlung: Neues Konzept von\n                    K\u00f6rperbeschwerden","volume":"24","author":"N Lehnen","year":"2023","journal-title":"Psychotherapie im Dialog"}],"container-title":["Die Rehabilitation"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2548-1732.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T22:51:01Z","timestamp":1749595861000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2548-1732"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":27,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2025,6,10]]},"published-print":{"date-parts":[[2025,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2548-1732","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0034-3536","1439-1309"],"issn-type":[{"value":"0034-3536","type":"print"},{"value":"1439-1309","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6]]}}}