Cochrane · systematic review · CD011336
Aquatic exercise training for fibromyalgia
Bidonde, J, Busch, AJ, Webber, SC, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library
MusculoskeletalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
14
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 5 · 35.7%Low 7 · 50%Moderate 2 · 14.3%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Aquatic training compared to control
Population: adults with fibromyalgia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Multidimensional function Self report questionnaire FIQ ‐ total (range 0 to 100, lower scores indicate greater health) Aquatic training vs control | no estimate extracted | 7 studies · 367 participants | Moderate Downgraded: imprecision |
Self reported physical function FIQ physical function scale and SF‐36 physical function scale (transformed range 0 to 100, lower scores indicate greater health) Aquatic training vs control | no estimate extracted | 5 studies · 285 participants | Moderate Downgraded: imprecision |
Pain Self reported questionnaires (i.e., FIQ pain, SF‐36 bodily pain, current pain VAS) (transformed range 0 ‐ 100, lower scores indicate greater health). Aquatic training vs control | no estimate extracted | 7 studies · 382 participants | Low Downgraded: imprecision |
Stiffness Self reported questionnaire FIQ Stiffness scale (0 to 100 mm VAS, lower scores indicate greater health) Aquatic training vs control | no estimate extracted | 4 studies · 230 participants | Low Downgraded: imprecision, inconsistency |
Muscle strength Isokinetic strength of knee extension and hand grip. Higher scores indicate greater health Aquatic training vs control | no estimate extracted | 4 studies · 152 participants | Low Downgraded: imprecision |
Submaximal cardiorespiratory function 6‐minute walk test (distance in meters). Higher scores indicate greater health Aquatic training vs control | no estimate extracted | 3 studies · 213 participants | Low Downgraded: imprecision |
Withdrawals and adverse effects8 Aquatic training vs control | Risk ratio 1.13 [0.73, 1.77] | 8 studies · 472 participants | Low Downgraded: imprecision |
Aquatic training compared to land‐based training
Population: adults with fibromyalgia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Multidimensional function Self report questionnaire FIQ‐total (range 0 to 100 mm, higher scores mean worse function) Aquatic training vs land‐based training | no estimate extracted | 1 study · 61 participants | Very low Downgraded: imprecision |
Self reported physical function SF‐36 (0 to 100, transformed so higher scores mean poorer function) Aquatic training vs land‐based training | no estimate extracted | 2 studies · 74 participants | Very low Downgraded: imprecision |
Pain Self reported measures FIQ pain, SF‐36 bodily pain and VAS (transformed range 0 to 100, higher scores mean more pain) Aquatic training vs land‐based training | no estimate extracted | 4 studies · 169 participants | Low Downgraded: imprecision, inconsistency |
Stiffness Self reported measures FIQ stiffness (0 to 100 mm) Aquatic training vs land‐based training | no estimate extracted | 1 study · 34 participants | Very low Downgraded: imprecision |
Muscle strength Grip strength Kilo Pascals (kPa). Higher scores indicate greater health Aquatic training vs land‐based training | no estimate extracted | 1 study · 34 participants | Very low Downgraded: imprecision |
Submaximal cardiorespiratory function Walking time (seconds required to complete 100 meters) Aquatic training vs land‐based training | no estimate extracted | 1 study · 34 participants | Very low Downgraded: imprecision |
Withdrawals and adverse effects8 Aquatic training vs land‐based training | Risk ratio 0.91 [0.43, 1.91] | 4 studies · 217 participants | Low |