Dr. Laxer has received consultant fees, speaking fees, and/or honoraria (less than $10,000) from Bristol-Myers Squibb.
Feasibility and effectiveness of an aerobic exercise program in children with fibromyalgia: Results of a randomized controlled pilot trial†
Article first published online: 29 SEP 2008
Copyright © 2008 by the American College of Rheumatology
Arthritis Care & Research
Volume 59, Issue 10, pages 1399–1406, 15 October 2008
How to Cite
Stephens, S., Feldman, B. M., Bradley, N., Schneiderman, J., Wright, V., Singh-Grewal, D., Lefebvre, A., Benseler, S. M., Cameron, B., Laxer, R., O'brien, C., Schneider, R., Silverman, E., Spiegel, L., Stinson, J., Tyrrell, P. N., Whitney, K. and Tse, S. M. L. (2008), Feasibility and effectiveness of an aerobic exercise program in children with fibromyalgia: Results of a randomized controlled pilot trial. Arthritis & Rheumatism, 59: 1399–1406. doi: 10.1002/art.24115
ClinicalTrials.gov identifier: NCT00312234.
- Issue published online: 29 SEP 2008
- Article first published online: 29 SEP 2008
- Manuscript Accepted: 7 JUL 2008
- Manuscript Received: 14 FEB 2008
- Hospital for Sick Children Foundation
- Complementary and Alternative Health Care and Pediatrics research grant
To determine the feasibility of conducting a randomized controlled trial of a 12-week exercise intervention in children with fibromyalgia (FM) and to explore the effectiveness of aerobic exercise on physical fitness, function, pain, FM symptoms, and quality of life (QOL).
FM patients ages 8–18 years were randomized to a 12-week exercise intervention of either aerobics or qigong. Both groups participated in 3 weekly training sessions. Program adherence and safety were monitored at each session. Data were collected at 3 testing sessions, 2 prior to and 1 after the intervention, and included FM symptoms, function, pain, QOL, and fitness measures.
Thirty patients participated in the trial. Twenty-four patients completed the program; 4 patients dropped out prior to training and 2 dropped out of the aerobics program. Better adherence was reported in the aerobics group than in the qigong group (67% versus 61%). Significant improvements in physical function, functional capacity, QOL, and fatigue were observed in the aerobics group. Anaerobic function, tender point count, pain, and symptom severity improved similarly in both groups.
It is feasible to conduct an exercise intervention trial in children with FM. Children with FM tolerate moderate-intensity exercise without exacerbation of their disease. Significant improvements in physical function, FM symptoms, QOL, and pain were demonstrated in both exercise groups; the aerobics group performed better in several measures compared with the qigong group. Future studies may need larger sample sizes to confirm clinical improvement and to detect differences in fitness in childhood FM.