Effectiveness of Strength Training Versus Flexibility Training in Patients With Fibromyalgia

Fibromyalgia is defined as a chronic illness chracterized by widespread and persistent non-inflammatory musculoskeletal pain including both clinical and emotional symptoms.It is experienced by 2-4.7% of the general population. Commonly it occurs in females as compared to males with a ratio of 3:1 according to ACR criteria 1990.Regarding its clinical features fibromyalgia includes morning stiffness, fatigue, insomnia, mood disorders, anxiety, depression, headaches and other cognitive disorders.Different management strategies including physical therapy are used to treat fibromyalgia. In the recent years strength training and flexibility training are used . strength training is used to improve muscle strength, endurance, power or a combination of both whereas flexibility training improves the mobility of the joint to maintain the movement necessary for carrying out the daily tasks and physical activity. Different studies have shown postive effects of strength training and flexibility training in patients with fibromyalgia. However, there is a lack of literature on the combined effects of strength training and flexibility training according to guidelines of FITT protocol.So this study aims to investigate this aspect.

This Randomized controlled trial will be conducted in Rheumatology Opd of Fauji Foundation hospital using non probability purposive sampling. Initially pilot study with sample size of 10 will be calcullated. Then on the basis of mean difference of participants sample size will be calculated using open epi tool..Patients with diagnosed cases of fibromyalgia in the rheumatology opd of FFH will be recruited according to the eligibility criteria. Participants will be briefed regarding the study objectives, study procedures, risks and benefits of treatment, voluntary participation and right to withdraw. After taking informed consent, basic demographical data and baseline measurements, participants will be randomly allocated into one of the two groups using sealed envelope method. Control group will receive conventional physiotherapy along with flexibility training whereas the experimental group will receive Conventional physiotherapy along with strength training.

Group 1(Control group): TENS at a frequency of 2-125 Hz for 30 minutes, FITT protocol of flexibility training: frequency 5 times per week, intensity: stop before it becomes painful, time: 10-15min, hold for 15 secs and type : major muscle groups( trapezius, latissmus dorsi, gluteus maximus and medius, gastrocnemius, soleus and paraspinals(erector spinae and multifidi) through static stretching.

Group 2(Experimental group): TENS at a frequency of 2-125Hz for 30 minutes, FITT protocol for strength training: frequency 2-3 times per week, intensity :8-15 repetitions, time: 30 minutes for the whole session and type: major muscle groups( shoulder flexors and extensors, hip and knee flexors and extensors,hip abductors and adductors,foot plantar and dorsiflexors using resistance bands.

FREQUENCY:All these measures will be taken at baseline, after two weeks and then after the completion of 4 weeks.