{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T12:30:56Z","timestamp":1777465856753,"version":"3.51.4"},"reference-count":44,"publisher":"SAGE Publications","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMR"],"published-print":{"date-parts":[[2022,5,11]]},"abstract":"<jats:p>BACKGROUND: The effects of stretching exercises in fibromyalgia (FM) deserves further study. OBJECTIVE: To evaluate the effectiveness of a Physical Self-Care Support Program (PSCSP), with emphasis on stretching exercises, in the treatment of FM. METHODS: Forty-five women with FM were randomized to the PSCSP (n= 23) or to a control group (n= 22). The PSCSP consisted of weekly 90-minute learning sessions over 10\u00a0weeks, providing instructions on wellness, postural techniques, and active stretching exercises to be done at home. The control group was monitored through 3 medical appointments over 10\u00a0weeks and included in a waiting list. The primary outcomes were the Fibromyalgia Impact Questionnaire (FIQ), the Visual Analogue Scale (VAS) for pain, and the Sit and Reach Test (SRT) at the end of the study. RESULTS: Nineteen and 21 patients completed the trial in PSCSP and control groups, respectively. After 10 weeks, the PSCSP group showed significantly better FIQ (difference between adjusted means, -13.64, 95% CI, -21.78 to -5.49, P= 0.002) and SRT scores (7.24\u00a0cm, 3.12 to 11.37, P= 0.001) than the control group, but no significant difference in pain VAS (-1.41, -3.04 to 0.22, P= 0.088). Analysis using multiple imputation (MI) and delta-adjusted MI for missing outcomes rendered similar results. CONCLUSIONS: A PSCSP emphasizing stretching exercises significantly improved FIQ and SRT scores, and may be a helpful therapy for FM.<\/jats:p>","DOI":"10.3233\/bmr-191820","type":"journal-article","created":{"date-parts":[[2021,10,15]],"date-time":"2021-10-15T16:48:00Z","timestamp":1634316480000},"page":"495-504","source":"Crossref","is-referenced-by-count":8,"title":["Effects of a physical self-care support program for patients with fibromyalgia: A randomized controlled trial"],"prefix":"10.1177","volume":"35","author":[{"given":"Su\u00e9lem B.","family":"de Lorena","sequence":"first","affiliation":[{"name":"Post-Graduation Program in Health Sciences, Universidade Federal de Pernambuco, Recife, PE, Brazil"},{"name":"Faculdade Pernambucana de Sa\u00fade, Recife, PE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela L.B.P.","family":"Duarte","sequence":"additional","affiliation":[{"name":"Rheumatology Service, Hospital das Cl\u00ednicas da UFPE, Recife, PE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Bredemeier","sequence":"additional","affiliation":[{"name":"Rheumatology Service, Hospital Nossa Senhora da Concei\u00e7\u00e3o, Grupo Hospitalar Concei\u00e7\u00e3o, Porto Alegre, RS, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa M.","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Physiotherapy Graduation Course, Faculdade Maur\u00edcio de Nassau, Recife, PE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo A.S.","family":"Pimentel","sequence":"additional","affiliation":[{"name":"Physiotherapy Graduation Course, Faculdade Maur\u00edcio de Nassau, Recife, PE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cl\u00e1udia D.L.","family":"Marques","sequence":"additional","affiliation":[{"name":"Rheumatology Service, Hospital das Cl\u00ednicas da UFPE, Recife, PE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aline","family":"Ranzolin","sequence":"additional","affiliation":[{"name":"Rheumatology Service, Hospital das Cl\u00ednicas da UFPE, Recife, PE, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","reference":[{"issue":"2","key":"10.3233\/BMR-191820_ref1","doi-asserted-by":"crossref","first-page":"E217","DOI":"10.36076\/ppj.2011\/14\/E217","article-title":"Fibromyalgia: an afferent processing disorder leading to a complex pain generalized syndrome","volume":"14","author":"Smith","year":"2011","journal-title":"Pain Physician."},{"issue":"4","key":"10.3233\/BMR-191820_ref2","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1590\/S0482-50042011000400006","article-title":"Avalia\u00e7\u00e3o da qualidade de vida, for\u00e7a muscular e capacidade funcional em mulheres com fibromialgia","volume":"51","author":"Cardoso","year":"2011","journal-title":"Rev Bras Reumatol."},{"issue":"5","key":"10.3233\/BMR-191820_ref3","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","year":"2010","journal-title":"Arthritis Care & Research."},{"issue":"1","key":"10.3233\/BMR-191820_ref4","doi-asserted-by":"crossref","first-page":"29","DOI":"10.2174\/138161206775193280","article-title":"Physical therapy modalities in management of fibromyalgia","volume":"12","author":"G\u00fcr","year":"2006","journal-title":"Curr Pharm Des."},{"key":"10.3233\/BMR-191820_ref5","doi-asserted-by":"crossref","first-page":"485272","DOI":"10.1155\/2013\/485272","article-title":"Treatment of Fibromyalgia Syndrome: Recommendations of Recent Evidence-Based Interdisciplinary Guidelines with Special Emphasis on Complementary and Alternative Therapies","volume":"2013","author":"Ablin","year":"2013","journal-title":"Evid Based Complement Alternat Med."},{"issue":"6","key":"10.3233\/BMR-191820_ref6","first-page":"256","article-title":"Effect of a self-management program on patients with chronic disease","volume":"4","author":"Lorig","year":"2001","journal-title":"Eff Clin Pract."},{"key":"10.3233\/BMR-191820_ref8","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1186\/1741-7015-10-167","article-title":"Exercise therapy for bone and muscle health: an overview of systematic reviews","volume":"10","author":"Hagen","year":"2012","journal-title":"BMC Medicine."},{"issue":"4","key":"10.3233\/BMR-191820_ref9","first-page":"CD003786","article-title":"Exercise for treating fibromyalgia syndrome","volume":"17","author":"Busch","year":"2007","journal-title":"Cochrane Database Syst Rev."},{"key":"10.3233\/BMR-191820_ref10","unstructured":"Berssaneti AA. Exerc\u00edcios de alongamento e fortalecimento muscular no tratamento de pacientes com fibromialgia: um ensaio cl\u00ednico randomizado [tese de doutorado]. S\u00e3o Paulo: Faculdade de Medicina da Universidade de S\u00e3o Paulo. 2010."},{"key":"10.3233\/BMR-191820_ref11","unstructured":"Jones KD, Burckhardt CS, Clark SR, Bennett RM, Potempa KM. A randomized controlled trial of muscle strengthening versus flexibility training in fibromyalgia. The Journal of Rheumatology. 2002; 29(5): 10418."},{"issue":"4","key":"10.3233\/BMR-191820_ref12","doi-asserted-by":"crossref","first-page":"275","DOI":"10.4081\/reumatismo.2012.275","article-title":"Cognitive-behavioral and operant-behavioral therapy for people with fibromyalgia","volume":"64","author":"Thieme","year":"2012","journal-title":"Reumatism."},{"issue":"14","key":"10.3233\/BMR-191820_ref13","doi-asserted-by":"crossref","first-page":"160","DOI":"10.15603\/2176-0969\/pi.v14n14p160-169","article-title":"A t\u00e9cnica de grupos-operativos \u00e0 luz de Pichon-Rivi\u00e8re e Henri Wallon","volume":"14","author":"Bastos","year":"2010","journal-title":"Psic\u00f3logo Informa\u00e7\u00e3o."},{"key":"10.3233\/BMR-191820_ref14","unstructured":"Mendes EV. O cuidado das condi\u00e7\u00f5es cr\u00f4nicas na aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade: O imperativo da consolida\u00e7\u00e3o da estrat\u00e9gia da sa\u00fade da fam\u00edlia. Bras\u00edlia: Organiza\u00e7\u00e3o Pan-Americana da Sa\u00fade; 2012."},{"issue":"1","key":"10.3233\/BMR-191820_ref15","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1590\/S0482-50042006000100006","article-title":"Valida\u00e7\u00e3o da vers\u00e3o brasileira do Fibromyalgia Impact Questionnaire (FIBROMYALGIA IMPACT QUESTIONNAIRE)","volume":"46","author":"Marques","year":"2006","journal-title":"Rev Bras Reumatol"},{"issue":"2","key":"10.3233\/BMR-191820_ref16","first-page":"149","article-title":"Visual Analogue Measurement of Pain","volume":"59","author":"Campbell","year":"1990","journal-title":"Ulster Med J."},{"issue":"1","key":"10.3233\/BMR-191820_ref17","first-page":"115","article-title":"The sit and reach \u2013 a test of back and leg flexibility","volume":"23","author":"Wells","year":"1952","journal-title":"Res Quart."},{"issue":"18","key":"10.3233\/BMR-191820_ref18","first-page":"1","article-title":"Land- and water-based exercise intervention in women with fibromyalgia: the al-andalus physical activity randomised controlled trial","volume":"13","author":"Carbonell-Baeza","year":"2012","journal-title":"BMC Musculoskelet Disord."},{"key":"10.3233\/BMR-191820_ref19","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1186\/1471-2288-5-35","article-title":"Parametric versus non-parametric statistics in the analysis of randomized trials with non-normally distributed data","volume":"5","author":"Vickers","year":"2005","journal-title":"BMC Medical Research Methodology."},{"key":"10.3233\/BMR-191820_ref21","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1186\/1477-7525-4-67","article-title":"A comprehensive review of 46 exercise treatment studies in fibromyalgia (1988\u20132005)","volume":"4","author":"Jones","year":"2006","journal-title":"Health and Quality of Life Outcomes."},{"issue":"6","key":"10.3233\/BMR-191820_ref22","first-page":"1130","article-title":"Exercise for Fibromyalgia: A Systematic Review","volume":"35","author":"Busch","year":"2008","journal-title":"J Rheumatol."},{"issue":"8","key":"10.3233\/BMR-191820_ref23","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1056\/NEJMoa0912611","article-title":"A Randomized Trial of Tai Chi for Fibromyalgia","volume":"363","author":"Wang","year":"2010","journal-title":"N Engl J Med."},{"issue":"11","key":"10.3233\/BMR-191820_ref24","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1016\/j.aprim.2012.03.002","article-title":"Comparaci\u00f3n entre biodanza en medio acu\u00e1tico y stretchingen la mejora de la calidad de vida y dolor en los pacientes con fibromialgia","volume":"44","author":"L\u00f3pez-Rodr\u00edguez","year":"2012","journal-title":"Aten Primaria."},{"issue":"3","key":"10.3233\/BMR-191820_ref25","first-page":"311","article-title":"Complementary and alternative therapies for fibromyalgia syndrome","volume":"26","author":"Langhorst","year":"2012","journal-title":"Systematic review, meta-analysis and guideline. 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Eur J Phys Rehabil Med."},{"issue":"8","key":"10.3233\/BMR-191820_ref36","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1056\/NEJMoa0912611","article-title":"A randomized trial of tai chi for fibromyalgia","volume":"363","author":"Wang","year":"2010","journal-title":"N Engl J Med."},{"key":"10.3233\/BMR-191820_ref37","first-page":"S21","article-title":"Effects of pool-based exercise in fibromyalgia symptomatology and sleep quality: a prospective randomised comparison between stretching and Ai Chi","volume":"27","author":"Calandre","year":"2009","journal-title":"Clin Exp Rheumatol."},{"key":"10.3233\/BMR-191820_ref38","doi-asserted-by":"crossref","first-page":"2356346","DOI":"10.1155\/2017\/2356346","article-title":"Effectiveness of Therapeutic Exercise in Fibromyalgia Syndrome: A Systematic Review and Meta-Analysis of Randomized Clinical Trials","volume":"2017","author":"Sosa-Reina","year":"2017","journal-title":"Biomed Res Int."},{"issue":"5","key":"10.3233\/BMR-191820_ref39","doi-asserted-by":"crossref","first-page":"646","DOI":"10.23736\/S1973-9087.19.05291-2","article-title":"Effectiveness of movement and body awareness therapies in patients with fibromyalgia: a systematic review and meta-analysis","volume":"55","author":"Bravo","year":"2019","journal-title":"Eur J Phys Rehabil Med."},{"issue":"9","key":"10.3233\/BMR-191820_ref40","first-page":"CD013419","article-title":"Flexibility exercise training for adults with fibromyalgia","volume":"9","author":"Kim","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"issue":"1","key":"10.3233\/BMR-191820_ref41","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.jbmt.2009.08.003","article-title":"Fascia: A missing link in our understanding of the pathology of fibromyalgia","volume":"14","author":"Liptan","year":"2010","journal-title":"Journal of Bodywork & Movement Therapies."},{"issue":"2","key":"10.3233\/BMR-191820_ref42","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1016\/j.pain.2010.08.020","article-title":"A pilot randomized controlled trial of the Yoga of Awareness program in the management of fibromyalgia","volume":"151","author":"Carson","year":"2010","journal-title":"Pain."},{"issue":"5","key":"10.3233\/BMR-191820_ref43","doi-asserted-by":"crossref","first-page":"477","DOI":"10.2340\/16501977-1133","article-title":"Do fibromyalgia patients use active pain management strategies","volume":"45","author":"Gauffin","year":"2013","journal-title":"A cohort study. 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Z Rheumatol."},{"key":"10.3233\/BMR-191820_ref45","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1186\/1471-2474-10-64","article-title":"Prevalence of fibromyalgia in a low socioeconomic status population","volume":"10","author":"Assump\u00e7\u00e3o","year":"2009","journal-title":"BMC Musculoskelet Disord."},{"issue":"6","key":"10.3233\/BMR-191820_ref46","first-page":"1369","article-title":"Chronic musculoskeletal pain, prevalence rates and sociodemographic associations in Swedish population study","volume":"28","author":"Bergman","year":"2001","journal-title":"J Rheumatol."}],"container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"original-title":[],"link":[{"URL":"https:\/\/content.iospress.com\/download?id=10.3233\/BMR-191820","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:26:49Z","timestamp":1777382809000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/full\/10.3233\/BMR-191820"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,11]]},"references-count":44,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.3233\/bmr-191820","relation":{},"ISSN":["1878-6324","1053-8127"],"issn-type":[{"value":"1878-6324","type":"electronic"},{"value":"1053-8127","type":"print"}],"subject":[],"published":{"date-parts":[[2022,5,11]]}}}