Efectividad de la biodanza acuática sobre la calidad del sueño, la ansiedad y otros síntomas en pacientes con fibromialgia / Effectiveness of aquatic biodance on sleep quality, anxiety and other symptoms in patients with fibromyalgia

Fundamento y objetivo: Analizar los efectos de un programa de biodanza en piscina sobre calidad del sueño, ansiedad, depresión, dolor y calidad de vida en fibromialgia. Pacientes y método: Estudio experimental con grupo control. Participaron 59 pacientes divididos en grupo experimental (biodanza acuática) y grupo control (stretching en suelo). Medimos calidad del sueño (cuestionario Pittsburgh), ansiedad (Inventario Ansiedad Estado), depresión (Escala del Centro para Estudios Epidemiológicos de la Depresión), dolor (escala visual analógica, algometría por presión y McGill) y calidad de vida (Cuestionario de Impacto de la Fibromialgia), antes y después de 12 semanas de tratamiento. Resultados: Tras el tratamiento, en el grupo experimental obtuvimos diferencias significativas (p < 0,05) en calidad del sueño (49,7%), ansiedad (14,1%), impacto de la fibromialgia (18,3%), dolor (27,9%), puntuación McGill (23,7%) y puntos dolorosos (34,4%). Conclusiones: Un programa de biodanza acuática aportó mejoras en calidad del sueño, ansiedad, dolor y otros síntomas de la fibromialgia (AU)

Background and objective: To analyze the effects of an aquatic biodance based therapy on sleep quality, anxiety, depression, pain and quality of life in fibromyalgia patients. Patients and method: Randomized controlled trial with 2 groups. Fifty-nine patients were assigned to 2 groups: experimental group (aquatic biodance) and control group (stretching). The outcome measures were quality of sleep (Pittsburgh questionnaire), anxiety (State Anxiety Inventory), depression (Center for Epidemiologic Studies Depression Scale), pain (visual analogue scale, pressure algometry and McGill) and quality of life (Fibromyalgia Impact Questionnaire) before and after a 12-week therapy. Results: After treatment, we observed significant differences in the experimental group (P < .05) on sleep quality (49.7%), anxiety (14.1%), impact of fibromyalgia (18.3%), pain (27.9%), McGill (23.7%) and tender points (34.4%). Conclusions: Aquatic biodance contributed to improvements in sleep quality, anxiety, pain and other fibromyalgia symptoms (AU)

[Effectiveness of aquatic biodance on sleep quality, anxiety and other symptoms in patients with fibromyalgia]. / Efectividad de la biodanza acuática sobre la calidad del sueño, la ansiedad y otros síntomas en pacientes con fibromialgia.

BACKGROUND AND OBJECTIVE: To analyze the effects of an aquatic biodance based therapy on sleep quality, anxiety, depression, pain and quality of life in fibromyalgia patients. PATIENTS AND METHOD: Randomized controlled trial with 2 groups. Fifty-nine patients were assigned to 2 groups: experimental group (aquatic biodance) and control group (stretching). The outcome measures were quality of sleep (Pittsburgh questionnaire), anxiety (State Anxiety Inventory), depression (Center for Epidemiologic Studies Depression Scale), pain (visual analogue scale, pressure algometry and McGill) and quality of life (Fibromyalgia Impact Questionnaire) before and after a 12-week therapy. RESULTS: After treatment, we observed significant differences in the experimental group (P<.05) on sleep quality (49.7%), anxiety (14.1%), impact of fibromyalgia (18.3%), pain (27.9%), McGill (23.7%) and tender points (34.4%). CONCLUSIONS: Aquatic biodance contributed to improvements in sleep quality, anxiety, pain and other fibromyalgia symptoms.

Comparación entre biodanza en medio acuático y stretching en la mejora de la calidad de vida y dolor en los pacientes con fibromialgia / Comparison between aquatic-biodanza and stretching for improving quality of life and pain in pations with fibromyalgia

Objetivo: Comparar qué grado de mejoría pueden alcanzar los pacientes con fibromialgia en las variables dolor, impacto de la fibromialgia y depresión, mediante la biodanza acuática frente al stretching. Diseño: Ensayo clínico aleatorio en ámbito comunitario, con 2 grupos de intervención. Emplazamiento: Cinco centros de salud (Almería). Pacientes: Contactamos con 82 pacientes entre 18 y 65 años con fibromialgia según los criterios de American College of Rheumatology. Doce declinaron participar. La muestra restante fue distribuida aleatoriamente en 2 grupos de 35 pacientes (biodanza acuática y stretching). Excluimos a quienes no participaron en al menos 14 sesiones o efectuaron cambios en su tratamiento farmacológico durante el estudio, constituyéndose una muestra final de 19 mujeres en biodanza acuática y 20 en stretching. Son limitaciones del diseño la evaluación no cegada de los resultados y el reducido tamaño muestral agravado por los abandonos. Mediciones principales: Recogimos datos sociodemográficos y medimos impacto (Cuestionario de Impacto de Fibromialgia), dolor (cuestionario McGill-Melzack y Escala Visual Analógica), algometría por presión (algómetro Wagner FPI10) y depresión (Inventario de Beck), realizadas antes, y tras 12 semanas de terapia. Resultados: La edad media de la población fue 55,41 años. El período medio desde el diagnóstico fue de 13,44 años. Toda la muestra estuvo formada por mujeres, en su mayor parte amas de casa. Se obtuvieron diferencias significativas entre ambos grupos en dolor (p < 0,01), en impacto de fibromialgia (p < 0,01) y depresión (p < 0,04) tras el tratamiento. Conclusiones: El tratamiento mediante biodanza acuática produjo una disminución del dolor y un aumento en la calidad de vida de los pacientes con fibromialgia(AU)

Objective: To determine the level of improvement, as regards pain, impact on fibromyalgia and depression, achieved by patients with fibromyalgia by comparing aquatic biodanza and stretching exercises. Design: Randomised controlled trial with two intervention groups. Location: Five health centres (Almeria). Patients: A total of 82 fibromyalgia patients between 18 and 65 years old, diagnosed by American College of Rheumatology criteria, were included, with 12 patients declining to take part in the study. The 70 remaining patients were randomly assigned to two groups of 35 patients each: aquatic biodanza and stretching exercises. Those who did not attend in at least 14 sessions or changed their treatment during the studio were excluded. The final sample consisted of 19 patients in aquatic biodanza group and 20 in stretching group. The limitations of the study included, the open evaluation design and a sample size reduced by defaults. Main measures: The outcome measures were sociodemographic data, quality of life (Fibromyalgia Impact Questionnaire), pain (McGill-Melzack questionnaire; and Visual Analogue Scale), pressure algometry (Wagner FPI10 algometer) and depression (Beck Inventory). These were carried out before and after a 12-week therapy .Results: The mean age of the sample was 55.41 years. The mean period from diagnosis was 13.44 years. The sample consisted mainly of housewives. There were significant differences (P<0.05) between groups, in pain (P<0.01), fibromyalgia impact (P<0.01), and depression (P<0.04) after the treatment. Conclusions: The biodanza aquatic exercises improve pain and quality of life in fibromyalgia patients(AU)

[Comparison between aquatic-biodanza and stretching for improving quality of life and pain in patients with fibromyalgia]. / Comparación entre biodanza en medio acuático y stretching en la mejora de la calidad de vida y dolor en los pacientes con fibromialgia.

OBJECTIVE: To determine the level of improvement, as regards pain, impact on fibromyalgia and depression, achieved by patients with fibromyalgia by comparing aquatic biodanza and stretching exercises. DESIGN: Randomised controlled trial with two intervention groups. LOCATION: Five health centres (Almeria). PATIENTS: A total of 82 fibromyalgia patients between 18 and 65 years old, diagnosed by American College of Rheumatology criteria, were included, with 12 patients declining to take part in the study. The 70 remaining patients were randomly assigned to two groups of 35 patients each: aquatic biodanza and stretching exercises. Those who did not attend in at least 14 sessions or changed their treatment during the studio were excluded. The final sample consisted of 19 patients in aquatic biodanza group and 20 in stretching group. The limitations of the study included, the open evaluation design and a sample size reduced by defaults. MAIN MEASURES: The outcome measures were sociodemographic data, quality of life (Fibromyalgia Impact Questionnaire), pain (McGill-Melzack questionnaire; and Visual Analogue Scale), pressure algometry (Wagner FPI10 algometer) and depression (Beck Inventory). These were carried out before and after a 12-week therapy. RESULTS: The mean age of the sample was 55.41 years. The mean period from diagnosis was 13.44 years. The sample consisted mainly of housewives. There were significant differences (P<.05) between groups, in pain (P<.01), fibromyalgia impact (P<.01), and depression (P<.04) after the treatment. CONCLUSIONS: The biodanza aquatic exercises improve pain and quality of life in fibromyalgia patients.