{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:53:43Z","timestamp":1777892023806,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2016,4,19]],"date-time":"2016-04-19T00:00:00Z","timestamp":1461024000000},"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":["Respir Care"],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Fibromyalgia syndrome (FMS) is associated with a variety of symptoms, such as fatigue and dyspnea, which may be related to changes in the respiratory system. The objective of this work was to evaluate pulmonary function, respiratory muscle strength, and thoracoabdominal mobility in women with FMS and its association with clinical manifestations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>The study included 23 women with FMS and 23 healthy women (control group). Pulmonary function, respiratory muscle strength, and thoracoabdominal mobility were assessed in all participants. Clinical manifestations such as number of active tender points, pain, fatigue, well-being, and general pressure pain threshold and pressure pain threshold in regions involved in respiratory function were also assessed. For data analysis, the Mann-Whitney test and Spearman correlation coefficient were used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      The FMS group showed lower values of maximum voluntary ventilation (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .030), maximal inspiratory pressure (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .003), and cirtometry at the axillary and xiphoid levels (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001 and\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001, respectively) as well as higher cirtometry at the abdominal level (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .005) compared with the control group. However, there was no significant difference between groups for maximum expiratory pressure. In predicted percentage, maximal inspiratory pressure showed significant positive correlation with axillary cirtometry (r = 0.41,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .049) and negative correlation with the number of active tender points (r = \u22120.44,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .031) and fatigue (r = \u22120.41,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .049).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Subjects with FMS had lower respiratory muscle endurance, inspiratory muscle strength, and thoracic mobility than healthy subjects. In addition, inspiratory muscle strength was associated with the number of active tender points, fatigue, and axillary mobility.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4187\/respcare.04401","type":"journal-article","created":{"date-parts":[[2016,4,20]],"date-time":"2016-04-20T00:05:04Z","timestamp":1461110704000},"page":"1384-1390","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":28,"title":["Lung Function, Respiratory Muscle Strength, and Thoracoabdominal Mobility in Women With Fibromyalgia Syndrome"],"prefix":"10.1177","volume":"61","author":[{"given":"Meire","family":"Forti","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, Federal University of S\u00e3o Carlos, S\u00e3o Carlos, S\u00e3o Paulo, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio R","family":"Zamun\u00e9r","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Federal University of S\u00e3o Carlos, S\u00e3o Carlos, S\u00e3o Paulo, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolina P","family":"Andrade","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Federal University of S\u00e3o Carlos, S\u00e3o Carlos, S\u00e3o Paulo, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ester","family":"Silva","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Federal University of S\u00e3o Carlos, S\u00e3o Carlos, S\u00e3o Paulo, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,4,19]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-013-0356-5"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780330203"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1090-3801(03)00082-X"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0300-2896(03)75404-0"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.113.1.246"},{"key":"e_1_3_2_7_2","doi-asserted-by":"crossref","unstructured":"\u00c7etin A Sivri A. Respiratory function and dyspnea in fibromyalgia syndrome. J Musculoskeletal Pain 2001; 9(1):7\u201315. doi: 10.1300\/J094v09n01_02.","DOI":"10.1300\/J094v09n01_02"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s100670200005"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1297-319X(03)00055-1"},{"key":"e_1_3_2_10_2","doi-asserted-by":"crossref","unstructured":"Sener U Ucok K Ulasli AM Genc A Karabacak H Coban NF et al. Evaluation of health-related physical fitness parameters and association analysis with depression anxiety and quality of life in patients with fibromyalgia. Int J Rheum Dis 2013 [Epub ahead of print] doi: 10.1111\/1756-185X.12237.","DOI":"10.1111\/1756-185X.12237"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.3233\/BMR-2011-0276"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1249\/01.MSS.0000078924.61453.FB"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0b013e318154b6ae"},{"key":"e_1_3_2_14_2","first-page":"S72","article-title":"Effect of a 24-week physical training programme (in water and on land) on pain, functional capacity, body composition and quality of life in women with fibromyalgia","volume":"31","author":"Latorre PA","year":"2013","unstructured":"Latorre PA, , Santos MA, , Heredia-Jim\u00e9nez JM, , Delgado-Fern\u00e1ndez M, , Soto VM, , Ma\u00f1as A, et al. Effect of a 24-week physical training programme (in water and on land) on pain, functional capacity, body composition and quality of life in women with fibromyalgia. Clin Exp Rheumatol, 2013; 31(6 Suppl 79):S72\u2013S80.","journal-title":"Clin Exp Rheumatol"},{"key":"e_1_3_2_15_2","doi-asserted-by":"crossref","unstructured":"Marques AP Santos AMB Assump\u00e7\u00e3o A Matsutani LA Lage LV Pereira CAB. Validation of the Brazilian version of the Fibromyalgia Impacto Questionnaire (FIQ). Rev Bras Reumatol 2006; 46(1):24\u201331. doi: 10.1590\/S0482-50042006000100006.","DOI":"10.1590\/S0482-50042006000100006"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.152.3.7663792"},{"key":"e_1_3_2_17_2","first-page":"S1","article-title":"Espirometria","volume":"28","author":"Pereira CAC","year":"2002","unstructured":"Pereira CAC. Espirometria. J Pneumol, 2002; 28(Suppl 3):S1\u2013S82.","journal-title":"J Pneumol"},{"issue":"5","key":"e_1_3_2_18_2","first-page":"696","article-title":"Maximal respiratory pressures: normal values and relationship to age and sex","volume":"99","author":"Black FL","year":"1969","unstructured":"Black FL, , Hyatt RE. Maximal respiratory pressures: normal values and relationship to age and sex. Am Rev Respir Dis, 1969; 99(5):696\u2013702.","journal-title":"Am Rev Respir Dis"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1590\/S0100-879X1999000600007"},{"key":"e_1_3_2_20_2","doi-asserted-by":"crossref","unstructured":"Paulin E Brunetto AF Carvalho CRF. Effects of a physical exercises program designed to increase thoracic mobility in patients with chronic obstructive pulmonary disease. J Pneumol 2003; 29(5):287\u2013294. doi: 10.1590\/S0102-35862003000500007.","DOI":"10.1590\/S0102-35862003000500007"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1590\/S1806-37132007000600011"},{"key":"e_1_3_2_22_2","volume-title":"Statistics without maths for psychology: using SPSS for Windows","author":"Dancey C","year":"2004","unstructured":"Dancey C, , Reidy J. Statistics without maths for psychology: using SPSS for Windows. London: Prentice Hall, 2004;Chapter 6, 168-2011."},{"key":"e_1_3_2_23_2","doi-asserted-by":"crossref","unstructured":"Moreno MA Catai AM Teodori RM Borges BLA Zuttin RS Silva E. Respiratory system adaptations relative to pulmonary function in response to a muscle stretching program using the Global Posture Reeducation method. Fisioter Pesqui 2009; 16(1):11\u201315. doi: 10.1590\/S1809-29502009000100003.","DOI":"10.1590\/S1809-29502009000100003"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.2206020"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2012.00142"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2796.1989.tb01392.x"},{"issue":"74","key":"e_1_3_2_27_2","first-page":"S44","article-title":"Abnormal muscle membrane function in fibromyalgia patients and its relationship to the number of tender points","volume":"30","author":"Klaver-Kr\u00f3l EG","year":"2012","unstructured":"Klaver-Kr\u00f3l EG, , Zwarts MJ, , Klooster PM, , Rasker JJ. Abnormal muscle membrane function in fibromyalgia patients and its relationship to the number of tender points. Clin Exp Rheumatol, 2012; 30(74):S44\u2013S50.","journal-title":"Clin Exp Rheumatol"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/41.7.721"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jelekin.2007.02.016"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1002\/1529-0131(199604)9:2<105::AID-ANR1790090206>3.0.CO;2-#"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.02415"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.04.00136104"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1002\/1529-0131(199901)42:1<76::AID-ANR10>3.0.CO;2-G"}],"container-title":["Respiratory Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.4187\/respcare.04401","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.04401","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.04401","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:17:29Z","timestamp":1777616249000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.4187\/respcare.04401"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,4,19]]},"references-count":32,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2016,10]]}},"alternative-id":["10.4187\/respcare.04401"],"URL":"https:\/\/doi.org\/10.4187\/respcare.04401","relation":{},"ISSN":["0020-1324"],"issn-type":[{"value":"0020-1324","type":"print"}],"subject":[],"published":{"date-parts":[[2016,4,19]]}}}