RT journal article
T1 Effectiveness of Exercise on Fatigue and Sleep Quality in Fibromyalgia: A Systematic Review and Meta-analysis of Randomized Trials
A1 Estévez López, Fernando
A1 Maestre Cascales, Cristina
A1 Russell, Deborrah
A1 Álvarez Gallardo, Inmaculada Concepción
A1 Rodriguez-Ayllon, María
A1 Hughes, Ciara M.
A1 Davison, Gareth W.
A1 Sañudo, Borja
A1 McVeigh, Joseph G.
A2 Didáctica de la Educación FísicaPlástica y Musical
AB Objectives: To determine the effects of exercise on fatigue and sleep quality in fibromyalgia (primary aim) and to identify which type of exerciseis the most effective in achieving these outcomes (secondary aim).Data Sources: PubMed and Web of Science were searched from inception until October 18, 2018.Study Selection: Eligible studies contained information on population (fibromyalgia), intervention (exercise), and outcomes (fatigue or sleep).Randomized controlled trials (RCT) testing the effectiveness of exercise compared with usual care and randomized trials (RT) comparing theeffectiveness of 2 different exercise interventions were included for the primary and secondary aims of the present review, respectively. Twoindependent researchers performed the search, screening, and final eligibility of the articles. Of 696 studies identified, 17 RCTs (nZ1003) wereincluded for fatigue and 12 RCTs (nZ731) for sleep. Furthermore, 21 RTs compared the effectiveness of different exercise interventions (nZ1254).Data Extraction: Two independent researchers extracted the key information from each eligible study.Data Synthesis: Separate random-effect meta-analyses were performed to examine the effects from RCTs and from RTs (primary and secondaryaims). Standardized mean differences (SMD) effect sizes were calculated using Hedges’ adjusted g. Effect sizes of 0.2, 0.4, and 0.8 were consideredsmall, moderate, and large. Compared with usual care, exercise had moderate effects on fatigue and a small effect on sleep quality (SMD, e0.47; 95%confidence interval [CI], e0.67 to e0.27; P<.001 and SMD, e0.17; 95% CI, e0.32 to e0.01; PZ.04). RTs in which fatigue was the primary outcomewere the most beneficial for lowering fatigue. Additionally, meditative exercise programs were the most effective for improving sleep quality.Conclusions: Exercise is moderately effective for lowering fatigue and has small effects on enhancing sleep quality in fibromyalgia. Meditativeexercise programs may be considered for improving sleep quality in fibromyalgia
PB American Congress of Rehabilitation Medicine
YR 2020
FD 2020-07
LK http://hdl.handle.net/10498/24584
UL http://hdl.handle.net/10498/24584
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 12-nov-2026