Exercise, Acupuncture and Fibromyalgia

• quality of life [ Time Frame: 14 weeks ] [ Designated as safety issue: No ]
  Functional assessment of quality of life will be made by the Childhood Health Assessment Questionnaire (CHAQ) of pediatric Peds QL questionnaire that will be answered by the patients and their parents in age groups: 9-12 years and 13-18 years.
• strength [ Time Frame: 14 weeks ]
  will be assessed by means of 1-RM test

Set of real acupuncture treatment and supervised aerobic exercise have better efficacy in pediatric patients with fibromyalgia versus treatment with sham acupuncture and supervised aerobic exercise, as well as treatment versus combination with aerobic exercise and resistance exercise the major muscle groups, both supervised versus group control, who just get guidance for physical activity.

Fibromyalgia syndrome is a chronic musculoskeletal pain of unknown etiology. It is characterized by diffuse musculoskeletal pain or painful specific sites, usually accompanied by sleep disorders, fatigue, morning stiffness, chronic headaches, mental disorders and functional bowel. The diagnosis is essentially clinical, with no abnormal laboratory and radiological features Physical exercises are part of the treatment of fibromyalgia, but does not report studies in children. In general children with fibromyalgia are encouraged to a multidisciplinary treatment including medication, family education and child graduated aerobic exercise, psychotherapy, interventions to reduce pain, stress and improve sleep quality. To date no studies in medical literature with the use of acupuncture and supervised physical activity in juvenile fibromyalgia.

The significant sample of this disease, our recent publications in this research and the lack of systematic study of physical activity and acupuncture have stimulated this research. Assess pain reduction and improvement in quality of life in children and adolescents with juvenile fibromyalgia.

• Fibromyalgia
• Juvenile

• Procedure: exercise training
  exercise training comprises aerobic and strength training
  Other Names:

  • Multidisciplinary treatment including medication
  • Family education
  • Psychotherapy
  • Interventions to reduce pain
  • Improve sleep quality.
• Procedure: acupuncture
  acupuncture involves two sessions per week, during 14 weeks.
  Other Name: Systematic study of physical activity and acupuncture have stimulated
• Procedure: Exercise, Acupuncture and Fibromyalgia
  Set of real acupuncture treatment and supervised aerobic exercise have better efficacy in pediatric patients with fibromyalgia versus treatment with sham acupuncture and supervised aerobic exercise, as well as treatment versus combination with aerobic exercise and resistance exercise the major muscle groups, both supervised versus group control, we just get guidance for physical activity.
  Other Names:

  • Assess pain reduction
  • Improvement in quality of life in children and adolescents
  • Compare four treatment groups

• Experimental: acupuncture
  will be made with classic acupuncture needling in traditional points, surpassing the skin
  Interventions:

  • Procedure: acupuncture
  • Procedure: Exercise, Acupuncture and Fibromyalgia
• Experimental: sham acupuncture
  sham acupuncture will be done through a needle and a plastic device attached to skin in traditional acupuncture points.
  Intervention: Procedure: Exercise, Acupuncture and Fibromyalgia
• Experimental: exercise training resistance and aerobic
  Aerobic exercise for 1 hour and resistance exercises for major muscle groups.
  Interventions:

  • Procedure: exercise training
  • Procedure: Exercise, Acupuncture and Fibromyalgia
• No Intervention: healthy lifestyle
  Group 4 - will be the control group who receive follow-up and recommendation for physical activity, but without any intervention supervised.
  Intervention: Procedure: Exercise, Acupuncture and Fibromyalgia

Inclusion Criteria:

• Juvenile fibromyalgia diagnosis
• Age between ten to seventeen years and eleven months

Exclusion Criteria:

• Previous treatment with acupuncture;
• Treatment with psychotherapy, exercise training, use of antidepressant and anti-inflammatory drugs in the last month;
• Inflammatory diseases, hypothyroidism and hyperthyroidism