{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T22:30:38Z","timestamp":1785796238706,"version":"3.56.0"},"reference-count":38,"publisher":"FapUNIFESP (SciELO)","issue":"10","license":[{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"abstract":"<jats:p>SUMMARY  OBJECTIVE  We reported our multidisciplinary protocol for the management of fibromyalgia associated with imbalance. Our aim was to verify the effectiveness of a proprioceptive training program as a complementary therapy for a traditional protocol of education, mindfulness, and exercise training for the management of fibromyalgia associated with imbalance.  METHODS  Retrospective cohort study on 84 women, with primary fibromyalgia associated to imbalance. A group of patients performed traditional exercise training; in a second group the training was supplemented with proprioception exercises. Each session lasted from 40 to 60 minutes and was performed three times a week for 12 weeks.  RESULTS  After three months of training and eight months after the end of the training, the balance evaluation revealed signi\ufb01cant differences in the comparison of the Timed Up and Go test, Berg Balance Scale, and Tinetti scale with the baseline, there was a better improvement in the proprioceptive training group (p&lt;0.05). A reduction in pain and improvement in functional and muscular performance and quality of life were observed in both groups (p&lt;0.05), but with no significant differences between them in the Numeric Pain Rating Scale, Fibromyalgia Impact Questionnaire, and Short Form Health Survey (p&gt;0.05). Fifteen months after the end of the program, the effects of training were not maintained.  CONCLUSION  The present study revealed that training supplemented with proprioception exercises has beneficial effects on clinical \ufb01ndings and improves balance in patients with fibromyalgia, even if the positive results did not persist after the interruption of the rehabilitative program in the long term.<\/jats:p>","DOI":"10.1590\/1806-9282.65.10.1265","type":"journal-article","created":{"date-parts":[[2019,11,6]],"date-time":"2019-11-06T19:32:57Z","timestamp":1573068777000},"page":"1265-1274","source":"Crossref","is-referenced-by-count":16,"title":["Multidisciplinary protocol for the management of fibromyalgia associated with imbalance. Our experience and literature review"],"prefix":"10.1590","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1256-7605","authenticated-orcid":false,"given":"Rita","family":"Chiaramonte","sequence":"first","affiliation":[{"name":"University of Catania,  Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8322-248X","authenticated-orcid":false,"given":"Marco","family":"Bonfiglio","sequence":"additional","affiliation":[{"name":"ASP Siracusa,  Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9447-1406","authenticated-orcid":false,"given":"Sergio","family":"Chisari","sequence":"additional","affiliation":[{"name":"University of Catania,  Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2019,10]]},"reference":[{"issue":"6","key":"ref1","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1016\/j.jpain.2018.10.008","article-title":"AAPT diagnostic criteria for fibromyalgia","volume":"20","author":"Arnold LM","year":"2019","journal-title":"J Pain"},{"issue":"5","key":"ref2","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1002\/acr.20140","article-title":"The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity","volume":"62","author":"Wolfe F","year":"2010","journal-title":"Arthritis Care Res"},{"issue":"8","key":"ref3","doi-asserted-by":"crossref","DOI":"10.1007\/s11916-013-0356-5","article-title":"Worldwide epidemiology of \ufb01bromyalgia","volume":"17","author":"Queiroz LP","year":"2013","journal-title":"Curr Pain Headache Rep"},{"issue":"1","key":"ref4","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1097\/RHU.0b013e318190f991","article-title":"Fibromyalgia is associated with impaired balance and falls","volume":"15","author":"Jones KD","year":"2009","journal-title":"J Clin Rheumatol"},{"issue":"4","key":"ref5","first-page":"225","article-title":"Otoneurologic and audiologic findings in fibromyalgia","volume":"28","author":"Rosenhall U","year":"1996","journal-title":"Scand J Rehabil Med"},{"issue":"8","key":"ref6","doi-asserted-by":"crossref","first-page":"555","DOI":"10.3109\/09593980802668050","article-title":"Pilot study assessing balance in women with fibromyalgia syndrome","volume":"25","author":"Russek LN","year":"2009","journal-title":"Physiother Theory Pract"},{"key":"ref7","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2474-8-27","article-title":"An internet survey of 2,596 people with fibromyalgia","volume":"8","author":"Bennett RM","year":"2007","journal-title":"BMC Musculoskelet Disord"},{"issue":"9S","key":"ref8","article-title":"Fibromyalgia patients report many symptoms other than pain and fatigue","volume":"56","author":"Katz R","year":"2007","journal-title":"Arthritis Rheum"},{"issue":"2","key":"ref9","first-page":"149","article-title":"Postural control and balance self-efficacy in women with fibromyalgia: are there differences?","volume":"51","author":"Muto LH","year":"2015","journal-title":"Eur J Phys Rehabil Med"},{"key":"ref10","series-title":"Guideline for the management of \ufb01bromyalgia syndrome. 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maximum number of levels needed in pain intensity measurement?","volume":"58","author":"Jensen MP","year":"1994","journal-title":"Pain"},{"issue":"4","key":"ref15","first-page":"181","article-title":"Psychometric evaluation of the Italian version of the Berg Balance Scale in rehabilitation inpatients","volume":"39","author":"Ottonello M","year":"2003","journal-title":"Europa Medicophysica"},{"issue":"6","key":"ref16","doi-asserted-by":"crossref","first-page":"P239","DOI":"10.1093\/geronj\/45.6.P239","article-title":"Falls efficacy as a measure of fear of falling","volume":"45","author":"Tinetti ME","year":"1990","journal-title":"J Gerontol"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.gaitpost.2012.12.061","article-title":"Timed up and go test (TUG) temporal phases assessment using a wireless device (free4act\u00ae): Method validation in healthy subjects","volume":"37","author":"Ferraresi G","year":"2013","journal-title":"Gait 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