Evidence map›Paper›PMID 41674030›Full record

Trial reportMusculoskeletal care2025

Strength Training Versus Walking on the Fibromyalgia Impact: A Blinded Randomised Controlled Trial.

André Pontes-Silva, Almir Vieira Dibai-Filho, Thayná Soares de Melo, Leticia Menegalli-Santos, Josimari Melo DeSantana, Marcelo Cardoso de Souza, Mariana Arias Avila

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Musculoskeletal care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

André Pontes-SilvaDepartment of Physical Therapy, Study Group on Chronic Pain (NEDoC), Laboratory of Research on Electrophysical Agents (LAREF), Postgraduate Program in Physical Therapy, Universidade Federal de São Carlos (UFSCar), São Carlos, São Paulo, Brazil.ORCID 0000-0002-3983-5342
Almir Vieira Dibai-FilhoDepartment of Physical Education, Postgraduate Program in Physical Education, Universidade Federal do Maranhão, São Luís, Maranhão, Brazil.ORCID 0000-0001-5403-8248
Thayná Soares de MeloDepartment of Physical Therapy, Study Group on Chronic Pain (NEDoC), Laboratory of Research on Electrophysical Agents (LAREF), Postgraduate Program in Physical Therapy, Universidade Federal de São Carlos (UFSCar), São Carlos, São Paulo, Brazil.ORCID 0000-0003-4279-0197
Leticia Menegalli-SantosDepartment of Physical Therapy, Study Group on Chronic Pain (NEDoC), Laboratory of Research on Electrophysical Agents (LAREF), Postgraduate Program in Physical Therapy, Universidade Federal de São Carlos (UFSCar), São Carlos, São Paulo, Brazil.ORCID 0000-0003-4973-7276
Josimari Melo DeSantanaDepartment of Physical Therapy, Laboratory of Research on Neuroscience (LAPENE), Graduate Program in Health Science, Graduate Program in Physiological Science, Universidade Federal de Sergipe, Aracaju, Sergipe, Brazil.ORCID 0000-0003-1432-0737
Marcelo Cardoso de SouzaDepartment of Physical Therapy, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.ORCID 0000-0002-9268-8353
Mariana Arias AvilaDepartment of Physical Therapy, Study Group on Chronic Pain (NEDoC), Laboratory of Research on Electrophysical Agents (LAREF), Postgraduate Program in Physical Therapy, Universidade Federal de São Carlos (UFSCar), São Carlos, São Paulo, Brazil.ORCID 0000-0002-5081-5326

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the effect of 24 sessions of progressive intensity strength training on the impact of fibromyalgia (primary outcome). Furthermore, we evaluated its effects on sleep, anxiety, depression, wind-up mechanism, conditioned pain modulation, cutaneous sensory threshold, musculoskeletal performance, walking ability, perceived improvement, and treatment adherence (secondary outcomes).

designA blinded randomised controlled trial.

settingAfter blinded outcome assessments, 66 people were randomised and concealed and allocated to progressive (n = 22), constant (n = 22), or walking (n = 22) strength training groups.

participantsPeople with fibromyalgia.

interventionsIn the progressive group, exercise intensity increased by 20% of maximum strength each month: 50% in the first month, 70% in the second month, and 90% in the third month. In the constant or walking exercise groups, moderate intensity was maintained at the end of the treatment. Each person received 24 individual exercise sessions (2x/week), with three months of exercise and three months of no exercise.

main outcome measureFibromyalgia impact.

resultsGroups were similar at baseline. There were no significant between-group differences in the primary outcome at any time point. In within-group comparisons, we observed significant differences indicating that all three types of exercise reduced fibromyalgia symptoms; however, no variable achieved a minimal clinically important difference. In between-group comparisons for the secondary outcomes, groups reported a positive perception of improvement, but most of each group did not adhere to treatment and/or did not answer about adherence after follow-up without exercise.

conclusionsTwenty-four sessions of progressive intensity strength training did not provide a greater reduction in the fibromyalgia impact than constant intensity or walking exercises.

trial registrationBrazilian Registry of Clinical Trials (ReBEC): RBR-9pbq9fg, date of registration: October 06, 2022. PROTOCOL PUBLICATION: BMC Musculoskeletal Disorders: Doi - 10.1186/s12891-023-06952-3 | Published: Volume 24, article number 816, October 14, 2023.

Indexed as

Exercise TherapyFibromyalgiaResistance TrainingWalkingAdultFemaleHumansMaleMiddle AgedSingle-Blind Methodaerobic exercisemusculoskeletal systempainquality of liferehabilitation

Identifiers

PMID41674030
PMCPMC12894804

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.