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Iván Darío Pinzón-Ríos
Adriana Angarita-Fonseca
Édgar Alonso Correa-Pérez

Objetivo: Evaluar los efectos de un programa de entrenamiento funcional de músculos core dirigido a las mujeres con fibromialgia. Materiales y métodos: Se realizó un ensayo cuasiexperimental de tipo antes y después de una intervención durante 20 semanas, con frecuencia de 3 días/semana y una duración de 60 minutos cada sesión. En un grupo único de 8 mujeres, se evaluaron los cambios en la fuerza muscular, dolor, calidad de vida relacionada con la salud y el nivel de actividad física. Resultados: Hubo aumento en las repeticiones de la prueba de flexión de tronco, el tiempo en las pruebas puente lateral derecho e izquierdo y puente en prono. Todas las características del dolor disminuyeron y según el S-FIQ hubo disminución en el cansancio matutino, la rigidez y la ansiedad. También los Met´s/minuto-semanas aumentaron después de la intervención. Conclusión: Estos datos sugieren que el programa de entrenamiento funcional de músculos core es eficaz en el aumento de la fuerza muscular, la modulación del dolor, la optimización de rendimiento funcional, así como el aumento de los niveles de actividad física en mujeres con fibromialgia.

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Pinzón-Ríos, I. D., Angarita-Fonseca, A., & Correa-Pérez, Édgar A. (2015). Efectos de un programa de entrenamiento funcional en la musculatura core en mujeres con fibromialgia. Revista Ciencias De La Salud, 13(01), 39-53. https://doi.org/10.12804/revsalud13.01.2015.03

Hernández JJ, Moreno C. Fibromialgia en la mujer. En: Gómez PI, Hernández JJ editor. Dolor en la mujer. Bogotá: ACED; 2008. p. 197-214.

Asociación Colombiana para el Estudio del Dolor. Quinto Estudio Nacional del Dolor [internet]. 2010. [citado 2013 jun 3]. Disponible en: http://dolor.org.co/encuesta/5ta%20Encuesta%20Nacional%20 de%20Dolor.pdf

Hernández JJ. El dolor en la mujer. Mujeres Reales-Dolores Reales. En Hernández JJ, Gómez PI, editor. Dolor en la mujer. Bogotá: ACED. 2008. p. 15-36.

Sánchez RJ, Uribe C, Li H, Alvir J, Deminski M, Chandran A, et al. Longitudinal evaluation of health care utilization and costs during the first three years after a new diagnosis of fibromyalgia. Curr Med Res Opin. 2011;27(3):663-71.

Wolfe F, Anderson J, Harkness D, Bennett RM, Caro XJ, Goldenberg DL, et al. A prospective, longitudinal, multicenter study of service utilization and costs in fibromyalgia. Arthritis Rheum. 1997;40(9):1560-70.

Sacks JJ, Luo YH, Helmick CG. Prevalence of specific types of arthritis and other rheumatic conditions in the ambulatory health care system in the United States, 2001-2005. Arthritis Care Res. 2010;62(4):460-4.

Restrepo JC, Ronda-Pérez E, Vives-Cases C, Gil-González D, Ballester-Laguna F. Comparison of rulings on permanent disability due to fibromyalgia in Spain: differences according to whether the resolution is favorable to the patient or to the National Institute of Social Security. Reumatol Clin. 2010;6(4):233-4.

Vicente-Herrero MT, Terradillos-García MJ, Capdevila-García LM, Ramírez-Iñiguez de la Torre MV, López-González AA. Fibromialgia y trabajo. Valoración en la legislación española. Rev Med Inst Mex Seguro Soc. 2011;49(5):511-6.

Homann D, Stefanello JM, Góes SM, Breda CA, Paiva Edos S, Leite N. Stress perception and depressive symptoms: functionality and impact on the quality of life of women with fibromyalgia. Rev Bras Reumatol. 2012;52(3):319-30.

Bernard Al, Prince A, Edsall P. Quality of life issues for fibromyalgia patients. Arthritis Care Res. 2000;13(1):42-50.

Picavet HS, Hoeymans N. Health related quality of life in multiple musculoskeletal diseases: SF-36 and EQ-5D in the DMC3 study. Ann Rheum Dis. 2004;63(6):723-9.

Schlenk EA, Erlen JA, Dunbar-Jacob J, McDowell J, Engberg S, Sereika SM, et al. Health-related quality of life in chronic disorders: a comparison across studies using the MOS SF-36. Qual Life Res. 1998;7(1):57-65.

Patten SB, Beck CA, Kassam A, Williams JV, Barbui C, Metz LM. Long-term medical conditions and major depression: strength of association for specific conditions in the general population. Can J Psychiatry. 2005;50(4):195-202.

Alegre de Miguel C, García J, Florez ML, Gomez JM, Blanco E, Gobbo M, et al. Documento de Consenso interdisciplinar para el tratamiento de la fibromialgia. Actas Esp Psiquiatr. 2010;38(2):108-20.

Angst F, Brioschi R, Main CJ, Lehmann S, Aeschlimann A. Interdisciplinary rehabilitation in fibromyalgia and chronic back pain: a prospective outcome study. J Pain. 2006;7(11):807-15.

Jones KD, Burckhardt CS, Deodhar AA, Perrin NA, Hanson GC, Bennett RM. A six-month randomized controlled trial of exercise and pyridostigmine in the treatment of fibromyalgia. Arthritis Rheum. 2008;58(2):612-22.

Cedraschi C, Desmeules J, Rapiti E, Baumgartner E, Cohen P, Finckh A, et al. Fibromyalgia: a randomized controlled trial of a treatment programme based on self-management. Ann Rheum Dis. 2004;63(3):290-6.

Schiltenwolf M, Häuser W, Felde E, Flügge C, Häfner R, Settan M, et al. Physiotherapy, exercise and strength training and physical therapies in the treatment of fibromyalgia síndrome. Schmerz. 2008;22(3):303-12.

Chong YY, Ng BY. Clinical aspects and management of fibromyalgia syndrome. Ann Acad Med Singapore. 2009;38(11):967-73.

Rivera J, Alegre C, Nishishinya MB, Pereda CA. Evidencias terapéuticas en fibromialgia. Reumatol Clin. 2006;2(1):34-7.

Castel A, Cascón R, Padrol A, Sala J, Rull M. Multicomponent cognitive-behavioral group therapy with hypnosis for the treatment of fibromyalgia: long-term outcome. J Pain. 2012;13(3):255-65.

Derbyshire SW, Whalley MG, Oakley DA. Fibromyalgia pain and its modulation by hypnotic and non-hypnotic suggestion: an fMRI analysis. Eur J Pain. 2009;13(5):542-50.

Martin DP, Sletten CD, Williams BA, Berger IH. Improvement in fibromyalgia symptoms with acupuncture: results of a randomized controlled trial. Mayo Clin Proc. 2006;81(6):749-57.

Forseth KO, Gran JT. Management of fibromyalgia what are the best treatment choices? Drugs. 2002;62(4):577-92.

Moretti FA, Heymann RE, Marvulle V, Pollak DF, Riera R. Assessing knowledge on fibromyalgia among internet users. Rev Bras Reumatol. 2011;51(1):7-19.

Imamura M, Cassius DA, Fregni F. Fibromyalgia: from treatment to rehabilitation. Eur J Pain. 2009;3(2):117-22.

Rubio J, Paredes JA. Fibromialgia. Modelo fisiopatológico fascial y ensayo clínico [internet]. 2004 [citado 2013 jun 3]. Disponible en: http://www.dameinfo.com/granja/fibromialgia.

Mannerkorpi K. Exercise in fibromyalgia. Curr Opin Rheumatol. 2005;17(2):190-4. 29. Jones KD, Burckhardt CS, Clark SR, Bennett RM, Potempa KM. A randomized controlled trial of muscle strengthening versus flexibility training in fibromyalgia. J Rheumatol. 2002;29(5):1041-8.

Häkkinen A, Häkkinen K, Hannonen P, Alen M. Strength training induced adaptations in neuromuscular function of premenopausal women with fibromyalgia: comparison with healthy women. Ann Rheum Dis. 2001;60(1):21-6.

Sato K, Mokha M. Does core strength training influence running kinetics, lower-extremity stability, and 5000-M performance in runners? J Strength Cond Res. 2009;23(1):133-40.

Iwai K, Okada T, Nakazato K, Fujimoto H, Yamamoto Y, Nakajima H. Sport-specific characteristics of trunk muscles in collegiate wrestlers and judokas. J Strength Cond Res. 2008;22(2):350-8.

Behm DG, Anderson KG. The role of instability with resistance training. J Strength Cond Res. 2006;20(3):716-22.

Panjabi MM. Clinical spinal inestability and low back pain. J Electromyogr Kinesil. 2003;13(4):374-9.

Danneels LA, Coorevits PL, Cools AM, Vanderstraeten GG, Cambier DC, Witvrouw EE, et al. Differences in electromyographic activity in the multifidus muscle and the iliocostalis lumbarum between healthy subjects and patients with sub-acute and chronic low back pain. Eur Spine J. 2002;11(1):13-9.

Danneels LA, Vanderstraeten GG, Cambier DC, Witvrouw EE, Bourgois J, Dankaerts W, et al. Effects of three different training modalities on the cross sectional area of the lumbar multifidus muscle muscle in patients with low back pain. Br J Sport Med. 2001;35(3):186-91.

Danneels LA, Vanderstraeten GG, Cambier DC, Witvrouw EE, De Cuyper HJ. CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects. Eur Spine J. 2000;9(4):266-72.

American College of Sports Medicine. Exercise prescription. En: ACSM’s Guidelines for Exercise Testing and Prescription. 8th ed. Philadelphia: Wolters Kluwer, Lippincott Williams & Wilkins; 2010. p. 133-165.

Colado JC, Chulvi I. Criterios para la planificación y el desarrollo de programas de acondicionamiento muscular en el ámbito de la salud. En: Rodríguez PL. Ejercicio físico en salas de acondicionamiento muscular. Bases científico-médicas para una práctica segura y saludable. Madrid: Editorial Médica Panamericana; 2008. p. 91-127.

De Paula Lima PO, de Oliveira RR, Costa LO, Laurentino GE. Measurement properties of the pressure biofeedback unit in the evaluation of transversus abdominis muscle activity: a systematic review. Physiotherapy. 2011;97(2):100-6.

Colombia, Ministerio de Salud. Resolución 8430 de 1993, Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud (1993 oct 4).

McGill S. Low Back Disorders. Evidenced-based prevention and rehabilitation. 2th ed. Champaign: Editorial Human Kinetics; 2002.

Schellenberg KL, Lang JM, Chan KM, Burnham RS. A clinical tool for office assessment of lumbar spine stabilization endurance: prone and supine bridge maneuvers. Am J Phys Med Rehabil. 2007;86(5):380-6.

Strand LI, Ljunggren AE, Bogen B, Ask T, Johnsen TB. The Short-Form McGill Pain Questionnaire as an outcome measure: test-retest reliability and responsiveness to change. Eur J Pain. 2008;12(7):917-25.

Monterdea S, Salvata I, Montulla S, Fernández-Ballart J. Validación de la versión española del Fibromyalgia Impact Questionnaire. Rev Esp Reumatol. 2004;31(9):507-513.

Lee PH, Macfarlane DJ, Lam TH, Stewart SM. Validity of the international physical activity questionnaire short form (IPAQ-SF): a systematic review. Int J Behav Nutr Phys Act. 2011;8:115.

Aparicio VA, Ortega FB, Heredia JM, Carbonell-Baeza A, Delgado-Fernandez M. Análisis de la composición corporal en mujeres con fibromialgia. Reumatol Clin. 2011;7(1):7-12.

Da Costa D, Abrahamowicz M, Lowensteyn I, Bernatsky S, Dritsa M, Fitzcharles MA, et al. A randomized clinical trial of an individualized home-based exercise programme for women with fibromyalgia. Rheumatology. 2005;44(11):1422-7.

Sekendiz B, Cug M, Korkusuz F. Effects of Swiss-ball core strength training on strength, endurance, flexibility, and balance in sedentary women. J Strength Cond Res. 2010;24(11):3032-40.

Drysdale CL, Earl JE, Hertel J. Surface electromyographic activity of the abdominal muscles during pelvic-tilt and abdominal-hollowing exercises. J Athl Train. 2004;39(1):32-6.

Hamlyn N, Behm DG, Young WB. Trunk muscle activation during dynamic weight-training exercises and isometric instability activities. J Strength Cond Res. 2007;21(4):1108-12.

Behm DG, Leonard AM, Young WB, Bonsey WA, MacKinnon SN. Trunk muscle electromyographic activity with unstable and unilateral exercises. J Strength Cond Res. 2005;19(1):193-201.

Marshall PW, Desai I. Electromyographic analysis of upper body, lower body, and abdominal muscles during advanced Swiss ball exercises. J Strength Cond Res. 2010;24(6):1537-45

Frontera WR, Hughes VA, Fielding RA, Fiatarone MA, Evans WJ, Roubenoff R. Aging of skeletal muscle: a 12-yr longitudinal study. J Appl Physiol. 2000;88(4):1321-6.

Hughes VA, Frontera WR, Wood M, Evans WJ, Dallal GE, Roubenoff R, et al. Longitudinal muscle strength changes in older adults: influence of muscle mass, physical activity, and health. J Gerontol A Biol Sci Med Sci. 2001;56(5):B209-17.

Landers KA, Hunter GR, Wetzstein CJ, Bamman MM, Weinsier RL. The interrelationship among muscle mass, strength, and the ability to perform physical tasks of daily living in younger and older women. J Gerontol A Biol Sci Med Sci. 2001;56(10):443-8.

Samson MM, Meeuwsen IB, Crowe A, Dessens JA, Duursma SA, Verhaar HJ. Relationships between physical performance measures, age, height and body weight in healthy adults. Age Ageing. 2000;29(3):235-42.

Deschenes MR. Effects of aging on muscle fiber type and size. Review. Sports Med. 2004;34:809-24.

Vandervoort AA. Aging of the human neuromuscular system. Review. Muscle Nerve. 2002;25:17-25.

Vierck CJ. A mechanism-based approach to prevention of and therapy for fibromyalgia. Pain Res Treat. 2012;2012:951354.

Kingsley JD, Panton LB, Toole T, Sirithienthad P, Mathis R, McMillan V. The effects of a 12-week strength-training program on strength and functionality in women with fibromyalgia. Arch Phys Med Rehabil. 2005;86(9):1713-21.

Busch AJ, Barber KA, Overend TJ, Peloso PM, Schachter CL. Exercise for treating fibromyalgia syndrome. Cochrane Database Syst Rev. 2007; 17(4): 1-76.

Geel SE, Robergs RA. The effect of graded resistance exercise on fibromyalgia symptoms and muscle bioenergetics: a pilot study. Arthritis Rheum. 2002;47:82-6.

Henriksen M, Lund H, Christensen R, Jespersen A, Dreyer L, Bennett RM, Danneskiold-Samsøe B, Bliddal H. Relationships between the fibromyalgia impact questionnaire, tender point count, and muscle strength in female patients with fibromyalgia: a cohort study. Arthritis Rheum. 2009;61(6):732-9.

Sañudo B, Galiano D, Carrasco L, De Hoyo M. Evidencias para la prescripción de ejercicio físico en pacientes con fibromialgia. Rev Andal Med Deporte. 2010;3(4):159-69.

Valkeinen H. Physical fitness, pain and fatigue in postmenopausal women with fibromyalgia. Studies in sport, physical education and health [internet]. Jyväskylä University Printing House, Jyväskylä 2007 [2013 jun 3]. Disponible en: https://jyx.jyu.fi/dspace/bitstream/handle/123456789/13486/9789513930318. pdf?sequence=1

Cadenas-Sánchez C, Ruiz-Ruiz J. Efecto de un programa de actividad física en pacientes con fibromialgia: revisión sistemática. Med Clin (Barc). 2014;(1):1-6.

Romero-Zurita A, Carbonell-Baeza A, Aparicio VA, Ruiz JR, Tercedor P, Delgado-Fernández M. Effectiveness of a tai-chi training and detraining on functional capacity, symptomatology and psychological outcomes in women with fibromyalgia. Evid Based Complementary Alternat Med. 2012;2012:614196.

Dannecker EA, Knoll V, Robinson ME. Sex differences in muscle pain: self-care behaviors and effects on daily activities. J Pain. 2008;9(3):200-9.

Zeller L, Abu-Shakra M, Weitzman D, Buskila D. The effect of exercise cessation on non-articular tenderness measures and quality of life in well-trained athletes. Isr Med Assoc J. 2011;13(1):44-7.

Ang DC, Kaleth AS, Bigatti S, Mazzuca S, Saha C, Hilligoss J, et al. Research to Encourage Exercise for Fibromyalgia (REEF): use of motivational interviewing design and method. Contemp Clin Trials. 2011;32(1):59-68.

Hodges PW, Cresswwll AG, Daggfeldt K, Thorstensson A. In vivo measurement of the effect of intraabdominal pressure on the human spine. J Biomech. 2001;34(3):347-53.

Arnold, LM. Biology and therapy of fibromyalgia. New therapies in fibromyalgia. Arthritis Res Ther. 2006;8(4):212.

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