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Complement Ther Med. 2016 Oct;28:1-7. doi: 10.1016/j.ctim.2016.07.003. Epub 2016 Jul 9.  Effect of low-impact aerobic exercise combined with music therapy on patients with fibromyalgia. A pilot study.  Espí-López GV1, Inglés M2, Ruescas-Nicolau MA3, Moreno-Segura N4.

1Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Calle Gascó Oliag, 5, E46010 Valencia, Spain. Electronic address: gemma.espi@uv.es.

2Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Calle Gascó Oliag, 5, E46010 Valencia, Spain. Electronic address: marta.ingles@uv.es.

3Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Calle Gascó Oliag, 5, E46010 Valencia, Spain. Electronic address: arancha.ruescas@uv.es.

4Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Calle Gascó Oliag, 5, E46010 Valencia, Spain. Electronic address: nomose@alumni.uv.es.

OBJECTIVE: Fibromyalgia is a pathological entity characterized by chronic widespread musculoskeletal pain and the presence of "tender points". It constitutes a significant health problem because of its prevalence and economic impact. The aim of the present study was to determine the therapeutic benefits of low impact aerobic exercise alone or in combination with music therapy in patients with fibromyalgia.

METHODS:  A single-blind randomized controlled pilot trial was performed. Thirty-five individuals with fibromyalgia were divided into three groups:

(G1) therapeutic aerobic exercise with music therapy (n=13);

(G2) therapeutic aerobic exercise at any rhythm (n=13) and

(CG) control (n=9).

The intervention period lasted eight weeks. Depression, quality of life, general discomfort and balance were assessed before and after intervention.

RESULTS:  At post-intervention, group G1 improved in all variables (depression (p=0.002), quality of life (p=0.017), general discomfort (p=0.001), and balance (p=0.000)), while group G2 improved in general discomfort (p=0.002). The change observed in balance was statistically different between groups (p=0.01).

CONCLUSION:  Therapeutic aerobic exercise is effective in improving depression and general discomfort in individuals with fibromyalgia. However, effectiveness is higher when combined with music therapy, which brings about further improvements in quality of life and balance.

Copyright © 2016 Elsevier Ltd. All rights reserved.

KEYWORDS:

Balance; Depression; Exercise therapy; Fibromyalgia; Music therapy; Pain; Quality of life

PMID:  27670863