Ejercicio físico en la fibromialgia
Physical exercise in fibromyalgia
B. Alonso Álvarez
Autor para correspondencia
balonso@fisiogestion.com
Correspondencia: Instituto de Rehabilitación Médica C/ Cea Bermúdez, 66, planta calle 28003 Madrid Correo electrónico:
Correspondencia: Instituto de Rehabilitación Médica C/ Cea Bermúdez, 66, planta calle 28003 Madrid Correo electrónico:
Instituto de Rehabilitación Médica. Corporación Fisiogestión. Madrid
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"apellidos" => "Alonso Álvarez" "email" => array:1 [ 0 => "balonso@fisiogestion.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Instituto de Rehabilitación Médica. Corporación Fisiogestión. Madrid" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Instituto de Rehabilitación Médica C/ Cea Bermúdez, 66, planta calle 28003 Madrid Correo electrónico:" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Physical exercise in fibromyalgia" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2003-05-09" "fechaAceptado" => "2003-09-11" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras Clave" "identificador" => "xpalclavsec229294" "palabras" => array:4 [ 0 => "Fibromialgia" 1 => "Ejercicio" 2 => "Rehabilitación" 3 => "Tratamiento" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec229295" "palabras" => array:4 [ 0 => "Fibromyalgia" 1 => "Exercise" 2 => "Rehabilitation" 3 => "Treatment" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La fibromialgia (FM) es un enfermedad crónica cuya patogenia es desconocida, y por tanto su tratamiento es fundamentalmente sintomático y no se encuentra en la actualidad bien estandarizado.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El manejo de la enfermedad, en nuestra práctica diaria, incluye diferentes medidas, entre las cuales el ejercicio físico es quizás la primera estrategia, no farmacológica, recomendada a los pacientes, dados los resultados positivos encontrados en diferentes estudios.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Sin embargo, a pesar de los numerosos trabajos publicados que demuestran los beneficios sintomáticos del ejercicio físico en la enfermedad, no existen protocolos ni pautas de dosificación concretas de los mismos que podamos aplicar en todos los casos.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La indicación debería ser por tanto individualizada en cuanto a tipo, intensidad, duración (de cada sesión) y frecuencia del ejercicio, según la capacidad de cada paciente.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">En cualquier caso, podemos tener en cuenta ciertas recomendaciones comúnmente aceptadas, que nos facilitan la prescripción de ejercicio a nuestros pacientes.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Fibromyalgia (FM) is a chronic disease whose pathogeny is unknown, and thus its treatment is basically symptomatic and is not presently well standardized.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Management of the disease in our daily practice includes different measures, among which physical exercise may be the first non-pharmacological strategy recommended for the patients, given the positive results found in different studies.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">However, in spite of the many studies published that demonstrate the symptomatic benefits of physical exercise in the disease, there are no protocols or specific dosage regimes for them that we can apply in all the cases.</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Therefore, the indication should be individualized in regards to type, intensity, duration (of each session) and frequency of the exercise, according to the capacity of each patient.</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">In any event, we can consider certain commonly accepted recommendations that facilitate the prescription of exercise to our patients.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:128 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Octubre | 0 | 32 | 32 |
| 2024 Septiembre | 0 | 67 | 67 |
| 2024 Agosto | 0 | 69 | 69 |
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| 2024 Enero | 0 | 81 | 81 |
| 2023 Diciembre | 1 | 82 | 83 |
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| 2023 Agosto | 0 | 80 | 80 |
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| 2023 Junio | 0 | 153 | 153 |
| 2023 Mayo | 0 | 109 | 109 |
| 2023 Abril | 0 | 57 | 57 |
| 2023 Marzo | 9 | 42 | 51 |
| 2023 Febrero | 0 | 27 | 27 |
| 2023 Enero | 0 | 39 | 39 |
| 2022 Diciembre | 0 | 25 | 25 |
| 2022 Noviembre | 0 | 24 | 24 |
| 2022 Octubre | 0 | 32 | 32 |
| 2022 Septiembre | 0 | 47 | 47 |
| 2022 Agosto | 0 | 30 | 30 |
| 2022 Julio | 0 | 26 | 26 |
| 2022 Junio | 0 | 29 | 29 |
| 2022 Mayo | 0 | 29 | 29 |
| 2022 Abril | 0 | 42 | 42 |
| 2022 Marzo | 0 | 33 | 33 |
| 2022 Febrero | 0 | 28 | 28 |
| 2022 Enero | 0 | 52 | 52 |
| 2021 Diciembre | 0 | 34 | 34 |
| 2021 Noviembre | 0 | 53 | 53 |
| 2021 Octubre | 0 | 51 | 51 |
| 2021 Septiembre | 0 | 39 | 39 |
| 2021 Agosto | 0 | 35 | 35 |
| 2021 Julio | 0 | 48 | 48 |
| 2021 Junio | 0 | 39 | 39 |
| 2021 Mayo | 0 | 43 | 43 |
| 2021 Abril | 0 | 138 | 138 |
| 2021 Marzo | 0 | 67 | 67 |
| 2021 Febrero | 0 | 46 | 46 |
| 2021 Enero | 0 | 71 | 71 |
| 2020 Diciembre | 0 | 43 | 43 |
| 2020 Noviembre | 0 | 95 | 95 |
| 2020 Octubre | 0 | 37 | 37 |
| 2020 Septiembre | 0 | 56 | 56 |
| 2020 Agosto | 0 | 28 | 28 |
| 2020 Julio | 0 | 18 | 18 |
| 2020 Junio | 0 | 10 | 10 |
| 2020 Mayo | 0 | 26 | 26 |
| 2020 Abril | 0 | 14 | 14 |
| 2020 Marzo | 0 | 8 | 8 |
| 2020 Febrero | 0 | 8 | 8 |
| 2020 Enero | 0 | 6 | 6 |
| 2019 Diciembre | 0 | 29 | 29 |
| 2019 Noviembre | 0 | 5 | 5 |
| 2019 Octubre | 0 | 5 | 5 |
| 2019 Septiembre | 0 | 4 | 4 |
| 2019 Agosto | 1 | 8 | 9 |
| 2019 Julio | 0 | 27 | 27 |
| 2019 Junio | 0 | 13 | 13 |
| 2019 Mayo | 0 | 66 | 66 |
| 2019 Abril | 0 | 34 | 34 |
| 2019 Marzo | 0 | 7 | 7 |
| 2019 Febrero | 0 | 10 | 10 |
| 2019 Enero | 0 | 6 | 6 |
| 2018 Diciembre | 0 | 10 | 10 |
| 2018 Noviembre | 0 | 9 | 9 |
| 2018 Octubre | 0 | 9 | 9 |
| 2018 Marzo | 3 | 2 | 5 |
| 2018 Febrero | 12 | 6 | 18 |
| 2018 Enero | 16 | 7 | 23 |
| 2017 Diciembre | 19 | 3 | 22 |
| 2017 Noviembre | 31 | 10 | 41 |
| 2017 Octubre | 25 | 7 | 32 |
| 2017 Septiembre | 33 | 13 | 46 |
| 2017 Agosto | 26 | 19 | 45 |
| 2017 Julio | 25 | 7 | 32 |
| 2017 Junio | 38 | 20 | 58 |
| 2017 Mayo | 65 | 11 | 76 |
| 2017 Abril | 48 | 15 | 63 |
| 2017 Marzo | 33 | 32 | 65 |
| 2017 Febrero | 37 | 10 | 47 |
| 2017 Enero | 30 | 6 | 36 |
| 2016 Diciembre | 57 | 8 | 65 |
| 2016 Noviembre | 74 | 10 | 84 |
| 2016 Octubre | 62 | 6 | 68 |
| 2016 Septiembre | 16 | 7 | 23 |
| 2016 Agosto | 14 | 10 | 24 |
| 2016 Julio | 56 | 7 | 63 |
| 2016 Junio | 82 | 12 | 94 |
| 2016 Mayo | 82 | 13 | 95 |
| 2016 Abril | 90 | 12 | 102 |
| 2016 Marzo | 73 | 19 | 92 |
| 2016 Febrero | 56 | 13 | 69 |
| 2016 Enero | 88 | 19 | 107 |
| 2015 Diciembre | 69 | 15 | 84 |
| 2015 Noviembre | 77 | 10 | 87 |
| 2015 Octubre | 80 | 29 | 109 |
| 2015 Septiembre | 64 | 12 | 76 |
| 2015 Agosto | 83 | 13 | 96 |
| 2015 Julio | 61 | 6 | 67 |
| 2015 Junio | 44 | 4 | 48 |
| 2015 Mayo | 59 | 9 | 68 |
| 2015 Abril | 68 | 12 | 80 |
| 2015 Marzo | 60 | 7 | 67 |
| 2015 Febrero | 43 | 4 | 47 |
| 2015 Enero | 45 | 2 | 47 |
| 2014 Diciembre | 86 | 5 | 91 |
| 2014 Noviembre | 61 | 2 | 63 |
| 2014 Octubre | 54 | 1 | 55 |
| 2014 Septiembre | 52 | 2 | 54 |
| 2014 Agosto | 66 | 6 | 72 |
| 2014 Julio | 57 | 2 | 59 |
| 2014 Junio | 54 | 2 | 56 |
| 2014 Mayo | 46 | 2 | 48 |
| 2014 Abril | 26 | 2 | 28 |
| 2014 Marzo | 46 | 6 | 52 |
| 2014 Febrero | 39 | 2 | 41 |
| 2014 Enero | 38 | 4 | 42 |
| 2013 Diciembre | 34 | 1 | 35 |
| 2013 Noviembre | 39 | 3 | 42 |
| 2013 Octubre | 47 | 4 | 51 |
| 2013 Septiembre | 34 | 9 | 43 |
| 2013 Agosto | 34 | 6 | 40 |
| 2013 Julio | 29 | 1 | 30 |
| 2003 Noviembre | 1531 | 0 | 1531 |
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