{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T10:20:12Z","timestamp":1791195612496,"version":"4.1.0"},"reference-count":52,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2013,7,1]],"date-time":"2013-07-01T00:00:00Z","timestamp":1372636800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To assess the effectiveness of aquatic physical therapy in the treatment of fibromyalgia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources:<\/jats:title>\n                    <jats:p>The search strategy was undertaken using the following databases, from 1950 to December 2012: MEDLINE, EMBASE, CINAHL, LILACS, SCIELO, WEB OF SCIENCE, SCOPUS, SPORTDiscus, Cochrane Library Controlled Trials Register, Cochrane Disease Group Trials Register, PEDro and DARE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review methods:<\/jats:title>\n                    <jats:p>The studies were separated into groups: Group I \u2013 aquatic physical therapy \u00d7 no treatment, Group II \u2013 aquatic physical therapy \u00d7 land-based exercises and Group III \u2013 aquatic physical therapy \u00d7 other treatments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Seventy-two abstracts were found, 27 of which met the inclusion criteria. For the functional ability (Fibromyalgia Impact Questionnaire), three studies were considered with a treatment time of more than 20 weeks and a mean difference (MD) of \u22121.35 [\u22122.04; \u22120.67], P = 0.0001 was found in favour of the aquatic physical therapy group versus no treatment. The same results were identified for stiffness and the 6-minute walk test where two studies were pooled with an MD of \u22121.58 [\u22122.58; \u22120.58], P = 0.002 and 43.5 (metres) [3.8; 83.2], P = 0.03, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Three meta-analyses showed statistically significant results in favour of the aquatic physical therapy (Fibromyalgia Impact Questionnaire, stiffness and the 6-minute walk test) during a period of longer than 20 weeks. Due to the low methodological rigor, the results were insufficient to demonstrate statistical and clinical differences in most of the outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0269215513484772","type":"journal-article","created":{"date-parts":[[2013,7,2]],"date-time":"2013-07-02T00:29:05Z","timestamp":1372724945000},"page":"892-908","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":40,"title":["The effectiveness of aquatic physical therapy in the treatment of fibromyalgia: a systematic review with meta-analysis"],"prefix":"10.1177","volume":"27","author":[{"given":"Tarcisio Brand\u00e3o","family":"Lima","sequence":"first","affiliation":[{"name":"PAIFIT Research Group, Universidade Estadual de Londrina, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josilainne Marcelino","family":"Dias","sequence":"additional","affiliation":[{"name":"PAIFIT Research Group, Universidade Estadual de Londrina, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno Fles","family":"Mazuquin","sequence":"additional","affiliation":[{"name":"PAIFIT Research Group, Universidade Estadual de Londrina, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla Tassiana","family":"da Silva","sequence":"additional","affiliation":[{"name":"PAIFIT Research Group, Universidade Estadual de Londrina, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regiane Mazzarioli Pereira","family":"Nogueira","sequence":"additional","affiliation":[{"name":"Centro de Oncologia Bucal, Ara\u00e7atuba, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Am\u00e9lia Pasqual","family":"Marques","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Phonoaudiology and Occupational Therapy, Faculdade de Medicina da Universidade de Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edson Lopes","family":"Lavado","sequence":"additional","affiliation":[{"name":"PAIFIT Research Group, Universidade Estadual de Londrina, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jefferson Rosa","family":"Cardoso","sequence":"additional","affiliation":[{"name":"PAIFIT Research Group, Universidade Estadual de Londrina, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,7,1]]},"reference":[{"key":"bibr1-0269215513484772","doi-asserted-by":"publisher","DOI":"10.1001\/jama.292.19.2388"},{"key":"bibr2-0269215513484772","doi-asserted-by":"publisher","DOI":"10.1186\/ar3002"},{"key":"bibr3-0269215513484772","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/125485"},{"key":"bibr4-0269215513484772","first-page":"207","volume":"36","author":"Australian Physiotherapy Association","year":"1994","journal-title":"Aust J Physiother"},{"key":"bibr5-0269215513484772","doi-asserted-by":"publisher","DOI":"10.1097\/BOR.0b013e3280327944"},{"key":"bibr6-0269215513484772","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S8052"},{"key":"bibr7-0269215513484772","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-008-0674-9"},{"key":"bibr8-0269215513484772","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kep182"},{"key":"bibr9-0269215513484772","unstructured":"Higgins JPT, Green S (eds). 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