Respiratory muscle strenght and functional capacity in fibromyalgia

Authors

  • Fernanda Pesce de Souza FCHS/PUC-SP
  • Fábio Jorge Renovato França FCHS/PUC-SP
  • Mayron Faria Oliveira PUC-SP Instituto Dante Pazzanese de Cardiologia

Keywords:

muscle strength, respiration, respiratory muscle, fibromyalgia, physiotherapy, rehabilitation

Abstract

Background: Fibromyalgia (FM) is a complex syndrome with skeletal muscle impairment. However, respiratory muscles responses are unknown. Purpose: we aimed to study strength resistance in both respiratory and skeletal muscles in FM and healthy controls. Methods: fifteen women with FM - FG group - (50 ± 11 years) and 10 healthy controls - CG - (48 ± 11 years) underwent clinical evaluation, skeletal muscle strength and resistance tests, respiratory tests, six-minute walk test and step test. Results: both groups were similar in demographic and anthropometric variables. Respiratory muscle strength was significantly lower in FG (46 ± 6 cm HO) compared to CG (80 ± 8 cm HO; p < 0.05). Similarly, 22 skeletal muscle (71 ± 8 vs 167 ± 24 repetitions, p < 0.05) and respiratory muscle strength (29 ± 4 vs 56 ± 6 repetitions, p < 0.05) were lower in FG compared to CG. Moreover, CG showed greater distance on 6 - minute walk test (551 ± 36 vs 460 ± 86 m; p < 0.05) and higher number of steps (102 ± 9 vs 76 ± 13 steps; p < 0.05). Only FG showed significantly correlation between skeletal muscle and respiratory muscle strength (r = 0.64; p < 0.001). Conclusion: FM syndrome showed an impairment in both respiratory muscle strength and resistance, which could impair exercise tolerance in these patients.

Downloads

Download data is not yet available.

Author Biographies

Fernanda Pesce de Souza, FCHS/PUC-SP

Acadêmica do curso de Fisioterapia FCHS/PUC-SP

Mayron Faria Oliveira, PUC-SP Instituto Dante Pazzanese de Cardiologia

Supervisor responsável da pós graduação em "Fisioterapia na Reabilitação Cardiovascular" no setor de Reabilitação Cardiovascular do Instituto Dante Pazzanese de Cardiologia. Pesquisador e orientador no Instituto Dante Pazzanese de Cardiologia nas áreas de reabilitação, insuficiência cardíaca e UTI. Professor do curso de Fisioterapia daPUC-SP e vice-coordenador do curso de Fisioterapia da PUC-SP

References

Wolfe F, Ross K, Anderson J, Russell IJ, Hebert L. The prevalence and characteristics of fibromyalgia in the general population. Arthritis Rheum. 1995;38:19-28.

Homann D, Stefanello JM, Goes 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;52:319-30.

Wolfe F, Clauw DJ, Fitzcharles MA, Goldenberg DL, Katz RS, Mease P, et al. The American College Of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res. 2010;62:600-10.

Lund E, Kendall SA, Janerot-Sjoberg B, Bengtsson A. Muscle metabolism in fibromyalgia studied by p-31 magnetic resonance spectroscopy during aerobic and anaerobic exercise. Scand J Rheumatol. 2003;32:138-45.

Valkeinen H, Hakkinen A, Hannonen P, Hakkinen K, Alen M. Acute heavy-resistance exercise-induced pain and neuromuscular fatigue in elderly women with fibromyalgia and in healthy controls: effects of strength training. Arthritis Rheum. 2006;54:1334-9.

Cardoso FS, Curtolo M, Natour J, Júnior IL. Assessment of quality of life, muscle strength and functional capacity in women with fi bromyalgia. Rev Bras Reumatol. 2011;51:338-50.

Lorena SB, Lima MC, Ranzolin A, Duarte AL. Effects of muscle stretching exercises in the treatment of fibromyalgia: a systematic review. Rev Bras Reumatol. 2015;55:167-73.

Okumus M, Gokoglu F, Kocaoglu S, Ceceli E, Yorgancioglu ZR. Muscle performance in patients with fibromyalgia. Singapore Med J. 2006;47:752-6.

Letieri RV, Furtado GE, Letieri M, Goes SM, Pinheiro CJ, Veronez SO, et al. Pain, quality of life, self perception of health and depression in patients with fibromyalgia, submited to hydrocinesiotherapy. Rev Bras Reumatol. 2013;53:494-500.

Nordenskiold UM, Grimby G. Grip force in patients with rheumatoid arthritis and fibromyalgia and in healthy subjects: a study with the grippit instrument. Scand J Rheumatol. 1993;22:14-9.

Sanudo B, Galiano D, Carrasco L, Blagojevic M, Hoyo M, Saxton J. Aerobic exercise versus combined exercise therapy in women with fibromyalgia syndrome: A randomized controlled trial. Arch Phys Med Rehabil. 2010;91:1838-43.

Lurie M, Caidahl K, Johansson G, Bake B. Respiratory function in chronic primary fibromyalgia. Scand J Rehabil Med. 1990;22:151-5.

Caidahl KLM, Bake B, Johansson G, Wetterqvist H. Dyspnoea in chronic primary fibromyalgia. Journal of internal medicine. 1989;226:265-270.

Ats statement: Guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002;166:111-117.

Borg GA. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982;14:377-381.

Neder JA, Andreoni S, Lerario MC, Nery LE. Reference values for lung function tests. Ii. Maximal respiratory pressures and voluntary ventilation. Braz J Med Biol Res = Rev Bras Pesq Méd Biol. 1999;32:719-27.

Lindman RHM, Bengtsson A. Capillarry structure and mitochondrial volume density in the trapezius muscle of chronic trapezius myalgia, fibromyalgia and healthy subjects. J Musculoskelet Pain. 1995;3:5-22.

Lund N BA, Thorborg P. Muscle tissue oxygen pressure in primary fibromyalgia. Scand J Rheumatol. 1986;15:165-73.

Mclver KL EC, Kraus RM, Ispas L, Sciotti VM, Hickner RC. No mediated alteration in skeletal muscle nutritive blood flow and lactate metabolism in fibromyalgia. Pain. 2006;120:161-9.

Esposito F, Mathieu-Costello O, Shabetai R, Wagner PD, Richardson RS. Limited maximal exercise capacity in patients with chronic heart failure: Partitioning the contributors. J Am Coll Cardiol. 2010;55:1945-54.

Poole DC, Hirai DM, Copp SW, Musch TI. Muscle oxygen transport and utilization in heart failure: Implications for exercise (in)tolerance. Am J Physiol: Heart Circ Physiol. 2012;302:H1050-63.

Olson TP, Joyner MJ, Dietz NM, Eisenach JH, Curry TB, Johnson BD. Effects of respiratory muscle work on blood flow distribution during exercise in heart failure. J Physiol. 2010;588:2487-501.

Lindh MH JL, Hedberg M, Grimby GL. Studies on maximal voluntary muscle contraction in patients with fibromyalgia. Arch Phys Med Rehabil. 1994;75:1217-22.

Sahin GUB, Calikoglu M, Erdogan C. Handgrip strength, pulmonary function tests, and pulmonary muscle strength in fibromyalgia syndrome: Is there any relationship? Southern Med J. 2004;97:25-9.

Lurie MCK, Johansson G, Bake B. Respiratory function in chronic primary fibromyalgia. Scand J Rehabil Med. 1990;22:151-5.

Ozgocmen SCO, Ardicoglu O. Relationship between chest expansion and respiratory muscle strength in patients with primary fibromyalgia. Clin Rheumatol. 2002;21:19-22.

Jacobsen SWG, Danneskiold-Samsoe B. Isokinetic and isometric muscle strength combined with transcutaneous electrical muscle stimulation in primary fibromyalgia syndrome. J Rheumatol. 1991;18:1390-3.

Geenen R, Jacobs JW, Bijlsma JW. Evaluation and management of endocrine dysfunction in fibromyalgia. Rheum Dis Clin North Am. 2002;28:389-404.

Bote ME, Garcia JJ, Hinchado MD, Ortega E. Inflammatory/stress feedback dysregulation in women with fibromyalgia. Neuroimmunomodulation. 2012;19:343-51.

Bote ME, Garcia JJ, Hinchado MD, Ortega E. Fibromyalgia: anti-inflammatory and stress responses after acute moderate exercise. PLoS One. 2013;8:e74524.

Flodin P, Martinsen S, Lofgren M, Bileviciute-Ljungar I, Kosek E, Fransson P. Fibromyalgia is associated with decreased connectivity between pain- and sensorimotor brain areas. Brain Connect. 2014;4:587-94.

Jensen KB, Loitoile R, Kosek E, Petzke F, Carville S, Fransson P, et al. Patients with fibromyalgia display less functional connectivity in the brain's pain inhibitory network. Mol Pain. 2012;8:32.

Staud R. Brain imaging in fibromyalgia syndrome. Clin Exp Rheumatol. 2011;29:S109-17.

Amann M, Regan MS, Kobitary M, Eldridge MW, Boutellier U, Pegelow DF, et al. Impact of pulmonary system limitations on locomotor muscle fatigue in patients with copd. Am J Physiol: Reg Integr Comp Physiol. 2010;299:R314-24.

Moreno AM, Castro RR, Silva BM, Villacorta H, Sant'Anna Junior M, Nobrega AC. Intercostal and forearm muscle deoxygenation during respiratory fatigue in patients with heart failure: Potential role of a respiratory muscle metaboreflex. Braz J Med Biol Res = Rev Bras Pesq Med Biol. 2014;47:972-6.

Heymann RE, Paiva ES, Helfenstein M Jr., Pollak DF, Martinez JE, Provenza JR, et al. Brazilian Consensus On The Treatment Of Fibromyalgia. Rev Bras Reumatol. 2010;50:56-66.

Published

2015-12-11

How to Cite

1.
Souza FP de, França FJR, Oliveira MF. Respiratory muscle strenght and functional capacity in fibromyalgia. Rev. Fac. Ciênc. Méd. Sorocaba [Internet]. 2015Dec.11 [cited 2024Sep.18];17(4):199-205. Available from: https://revistas.pucsp.br/index.php/RFCMS/article/view/24095

Issue

Section

Original Article