Núm. 65 (2017)

Fibromialgia y ejercicio terapeútico. Revisión sistemática cualitativ / Fibromyalgia and Therapeutic Exercise. Qualitative Systematic Review

Publicado marzo 6, 2017


14. Fisioterapia y rehabilitación / Physiotherapy and rehabilitation

Objetivos: El objetivo de esta revisión es determinar qué ejercicio es más eficaz  para reducir la sintomatología de la fibromialgia.

Estrategia de búsqueda: Se realizaron búsquedas en las principales bases de datos de las ciencias de la salud: PEDro, PubMed, Cochrane Plus, ISI (Web of Knowledge), y PsycINFO, y en las revistas no indexadas del área, entre marzo y octubre de 2013.

Resultados: Se analizó el nivel de evidencia y se aplicaron criterios de exclusión e inclusión para obtener 32 artículos en la revisión, clasificados en 5 categorías en función del tipo de ejercicio. Todos ellos eran ensayos clínicos aleatorios.

Conclusiones: El ejercicio terapéutico es eficaz para reducir la sintomatología de la fibromialgia. El ejercicio acuático, el combinado y las actividades alternativas parecen más eficaces para el tratamiento de puntos sensibles, de la depresión, y tiene mayores niveles de adherencia terapéutica. Para el tratamiento del resto de síntomas, todos los tipos de ejercicio tienen similares resultados.

PALABRAS CLAVE: Fibromialgia, tratamiento, fisioterapia, ejercicio, actividad física, deporte.



Objective: The goal of this review is to determine which exercise is the best to reduce the symptomatology of fibromyalgia.

Search Strategy: Intervention studies in fibromyalgia were retrieved through searches in the main health-science databases: PEDro, PubMed, Cochrane Plus, ISI (Web of Knowledge), y PsycINFO, and in in publications of the field, Fisioterapia y Cuestiones de Fisioterapia, between March and October 2013.

Results: After applying inclusion and exclusion criteria, and analyze the level of evidence, 32 publications were accepted in this review, classified in 5 different categories, depending on the type of activity. They were all randomized clinical trials.

Conclusions: Exercise is effective for reducing symptomatology of fibromyalgia. Aquatic and combined exercise, and alternative activities seem to be more accurate in the treatment of tender points, depression, and they have higher levels of adherence. Relating to the rest of the symptoms, every other type of exercise has similar results.

KEY WORDS: Fibromyalgia, treatment, physical therapy, exercise, physical activity, sport.


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