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FİBROMİYALJİ HASTALARINDA DENGE-PROPRİOSEPSİYON VE AEROBİK EGZERSİZ UYGULAMALARININ FONKSİYONEL DURUM, AĞRI VE DENGE ÜZERİNE ETKİSİ- RANDOMİZE KONTROLLÜ ÇALIŞMA

Year 2023, Volume: 86 Issue: 4, 368 - 375, 01.12.2023

Hadi Yavuz Türker Şahinkaya Musa Doruk Mert Zure Şensu Dinçer Ayşegül Ketenci Gökhan Metin

https://doi.org/10.26650/IUITFD.1275105

Abstract

Amaç: Fibromiyalji hastalarında yaygın ağrıya ek olarak günlük aktiviteleri gerçekleştirmede güçlük ve denge kaybı sık görülen şikayetlerdir. Çalışmamızda fibromiyaljideki bu şikayetler üzerine etkili olabileceğini düşündüğümüz farklı tip egzersiz programlarının (aerobik ve denge-propriyosepsiyon) ağrı, fonksiyonel durum ve denge parametreleri üzerine etkilerini karşılaştırmayı amaçladık. Bu nedenle randomize kontrollü, paralel gruplar içeren, tek merkezli ve tek kör bir çalışma tasarladık.
Gereç ve Yöntem: Üniversitenin fizik tedavi ve rehabilitasyon bölümü kliniğine başvuran fibromiyalji sendromlu kadın hastalar uygunluk açısından değerlendirildi. Hastalar aerobik egzersiz grubu ve denge-propriyosepsiyon grubu olarak iki gruba ayrıldı. Bu iki grup haftada 3 gün fizyoterapist gözetiminde toplam 6 hafta egzersiz yaptı. Ağrı şiddeti için Visual Analog Scale (VAS), fonksiyonel durum değerlendirmesi için Fibromiyalji Etki Anketi (FEA), denge durumu değerlendirmesi için denge-stabilite sistemi (Biodex Balance System) kullanıldı. Her ölçüm tedavi öncesi ve sonrası olmak üzere iki kez tekrarlandı ve sonuçlar karşılaştırıldı.
Bulgular: Aerobik egzersiz grubunda 26 ve denge-propriyosepsiyon grubunda 25 hasta çalışmayı tamamladı. Hem aerobik egzersiz hem de denge propriyosepsiyon egzersiz gruplarında, FIQ'da (sırasıyla 34,63±11,85, 29,60±12,77) VAS'ta (sırasıyla 4,54±1,83; 4,28±1,92), gözler kapalı OSI (sırasıyla 0,85±0,53, 0,80±0,33, p<0,001), gözler kapalı MLSI (sırasıyla 0,41±043, 035,±0,19, p=0,39), gözler kapalı APSI (sırasıyla 0,65±0,32, 0,62±0,29, p<0,001), gözler açık MLSI (sırasıyla 0,15±0,07, 0,14±0,05) parametrelerinde iyileşme saptandı. Tedavi öncesi bulgulara benzer şekilde tedavi sonrasında da FIQ, VAS ve denge skorlarında gruplar arasında istatistiksel olarak anlamlı fark yoktu (p>0,05).
Sonuç: Hem aerobik egzersiz hem de denge-propriyosepsiyon egzersizleri, FMS'li hastaların ağrı, fonksiyonel durum ve denge yeteneklerini iyileştirmede etkili yöntemlerdir. FMS tedavisinde günümüzde sıklıkla reçete edilen aerobik egzersiz programlarının yanı sıra denge-propriyosepsiyon egzersizlerinden oluşan programlar da tercih edilebilir.

Keywords

Fibromiyalji aerobik egzersiz denge-propriyosepsiyon egzersizi ağrı fonksiyonel durum

References

  • Duruturk N, Tuzun EH, Culhaoglu B. Is balance exercise training as effective as aerobic exercise training in fibromyalgia syndrome? Rheumatol Int 2015;35(5):845-54. 2. google scholar
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  • Arnold LM, Hudson JI, Hess EV, Ware AE, Fritz DA, Auchenbach MB, et al. Family study of fibromyalgia. Arthritis Rheum 2004;50(3):944-52. google scholar
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  • Verbunt JA, Pernot DH, Smeets RJ. Disability and quality of life in patients with fibromyalgia. Health Qual Life Outcomes 2008;6(1):1-8. google scholar
  • Salaffi F, Sarzi-Puttini P, Girolimetti R, Atzeni F, Gasparini S, Grassi W. Health-related quality of life in fibromyalgia patients: a comparison with rheumatoid arthritis patients and the general population using the SF-36 health survey. Clin Exper Rheumatol 2009;27(5):S67. google scholar
  • Wolfe F, Clauw DJ, Fitzcharles MA, Goldenberg DL, Katz RS, Mease P, et al. The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res 2010;62(5):600-10. google scholar
  • Bidonde J, Busch AJ, Schachter CL, Overend TJ, Kim SY, Góes SM, et al. Aerobic exercise training for adults with fibromyalgia. Cochrane Database Syst Rev 2017(6). google scholar
  • Alarcon GS, Bradley LA. Advances in the Treatment of Fibromyalgia: Current Status and Future Directions. Am J Med Sci 1998;315(6):397-404. google scholar
  • Chaitow L. Fibromyalgia syndrome: A practitioner’s guide to treatment: Churchill-Livingston; 2010. google scholar
  • Clauw DJ. Fibromyalgia: a clinical review. JAMA. 2014;311(15):1547-55. google scholar
  • Busch AJ, Webber SC, Brachaniec M, Bidonde J, Bello-Haas VD, Danyliw AD, et al. Exercise therapy for fibromyalgia. Curr Pain Headache Rep 2011;15(5):358-67. google scholar
  • Segura‐Jiménez V, Borges‐Cosic M, Soriano‐Maldonado A, Estévez‐López F, Álvarez‐Gallardo I, Herrador‐Colmenero M, et al. Association of sedentary time and physical activity with pain, fatigue, and impact of fibromyalgia: the al‐Ándalus study. Scan J Med Sci Sports 2017;27(1):83-92. google scholar
  • Larsson A, Palstam A, Bjersing J, Lofgren M, Ernberg M, Kosek E, et al. Controlled, cross-sectional, multi-center study of physical capacity and associated factors in women with fibromyalgia. BMC Musculoskel Dis. 2018;19(1):1-8. google scholar
  • Ruiz JR, Segura-Jiménez V, Ortega FB, Álvarez-Gallardo IC, Camiletti-Moirón D, Aparicio VA, et al. Objectively measured sedentary time and physical activity in women with fibromyalgia: a cross-sectional study. BMJ open. 2013;3(6):e002722. google scholar
  • Bidonde J, Jean Busch A, Bath B, Milosavljevic S. Exercise for adults with fibromyalgia: an umbrella systematic review with synthesis of best evidence. Curr Rheumatol Rev 2014;10(1):4579. google scholar
  • Jones KD, Horak FB, Winters KS, Morea JM, Bennett RM. Fibromyalgia is associated with impaired balance and falls. Journal Clin Rheumatol 2009;15(1):16. google scholar
  • Kibar S, Yıldız HE, Ay S, Evcik D, Ergin ES. New approach in fibromyalgia exercise program: a preliminary study regarding the effectiveness of balance training. Arch Phys Med Rehabil 2015;96(9):1576-82. google scholar
  • Wolfe F, Clauw DJ, Fitzcharles M-A, Goldenberg DL, Häuser W, Katz RS, et al. Fibromyalgia criteria and severity scales for clinical and epidemiological studies: a modification of the ACR Preliminary Diagnostic Criteria for Fibromyalgia. J Rheumatol 2011;38(6):1113-22. google scholar
  • Borg, Gunnar. Borg’s perceived exertion and pain scales. Human kinetics, 1998. google scholar
  • Dinçer Ş, Altan M, Terzioğlu D, Uslu E, Karşidağ K, Batu Ş, “Effects of a regular exercise program on biochemical parameters of type 2 diabetes mellitus patients.” The Journal of Sports Medicine and Physical Fitness 56.11 (2015): 1384-91. google scholar
  • Pickerill ML, Harter RA. Validity and reliability of limitsof- stability testing: a comparison of 2 postural stability evaluation devices. J Ath Train 2011;46(6):600-6. google scholar
  • Biodex Medical Systems I. Balance System SD: Operation/ Service Manual. Biodex Medical Systems, Inc. Shirley, NY; 2008. google scholar
  • Parraca JA, Olivares Sánchez-Toledo PR, Carbonell Baeza A, Aparicio García-Molina VA, Adsuar Sala JC, Gusi Fuertes N. Test-Retest reliability of Biodex Balance SD on physically active old people. J Hum Sport Exerc 2011;6(2):444-51. google scholar
  • Rein S, Fabian T, Zwipp H, Rammelt S, Weindel S. Postural control and functional ankle stability in professional and amateur dancers. Clin Neurophysiol 2011;122(8):1602-10. google scholar
  • Paolucci T, Baldari C, Di Franco M, Didona D, Reis V, Vetrano M, et al. A new rehabilitation tool in fibromyalgia: the effects of perceptive rehabilitation on pain and function in a clinical randomized controlled trial. J Evid Based Complement Alternat Med 2016;2016:7574589. google scholar
  • Bennett RM, Bushmakin AG, Cappelleri JC, Zlateva G, Sadosky AB. Minimal clinically important difference in the fibromyalgia impact questionnaire. J Rheumatol 2009;36(6):1304-11. google scholar
  • Sosa-Reina MD, Nunez-Nagy S, Gallego-Izquierdo T, Pecos-Martín D, Monserrat J, Álvarez-Mon M. Effectiveness of therapeutic exercise in fibromyalgia syndrome: a systematic review and meta-analysis of randomized clinical trials. Biomed Res Int 2017;2017:2356346. google scholar
  • Rodríguez-Mansilla J, Mejías-Gil A, Garrido-Ardila EM, Jiménez-Palomares M, Montanero-Fernández J, González- google scholar
  • López-Arza MV. Effects of non-pharmacological treatment on pain, flexibility, balance and quality of life in women with fibromyalgia: a randomised clinical trial. J Clin Med 2021;10(17):3826. google scholar
  • Park H-K, Song M-K, Kim D-J, Choi I-S, Han J-Y. Comparison of core muscle strengthening exercise and stretching exercise in middle-aged women with fibromyalgia: A randomized, single-blind, controlled study. Medicine (Baltimore) 2021;100(50):e27854. google scholar
  • Arakaki J, Jennings F, Estrela G, Martinelli VC, Natour J. Strengthening exercises using swiss ball improve pain, health status, quality of life and muscle strength in patients with fibromyalgia: a randomized controlled trial. Reumatismo 2021;73(1):15-23. google scholar
  • Del-Moral-García M, Obrero-Gaitán E, Rodríguez-Almagro D, Rodríguez-Huguet M, Osuna-Pérez MC, Lomas-Vega R. Effectiveness of active therapy-based training to improve the balance in patients with fibromyalgia: a systematic review with meta-analysis. J Clin Med 2020;9(11):3771. google scholar
  • da Silva JM, de Barros BS, Almeida GJ, O’Neil J, Imoto AM. Dosage of resistance exercises in fibromyalgia: evidence synthesis for a systematic literature review up-date and meta-analysis. Rheumatol Int 2021:42(3):413-29. google scholar
  • Demir-Göçmen D, Altan L, Korkmaz N, Arabacı R. Effect of supervised exercise program including balance exercises on the balance status and clinical signs in patients with fibromyalgia. Rheumatol Int 2013;33(3):743-50. google scholar
  • Colledge N, Cantley P, Peaston I, Brash H, Lewis S, Wilson J. Ageing and balance: the measurement of spontaneous sway by posturography. Gerontology. 1994;40(5):273-8. google scholar
  • King GW, Abreu EL, Cheng AL, Chertoff KK, Brotto L, Kelly PJ, et al. A multimodal assessment of balance in elderly and young adults. Oncotarget 2016;7(12):13297-306. google scholar
  • Hernando-Garijo I, Ceballos-Laita L, Mingo-Gómez MT, Medrano-de-la-Fuente R, Estébanez-de-Miguel E, Martínez-Pérez MN, et al. Immediate effects of a telerehabilitation program based on aerobic exercise in women with fibromyalgia. Int J Environ Res Public Health. 2021;18(4):2075. google scholar

A COMPARISON OF THE EFFECTS OF BALANCE– PROPRIOCEPTION AND AEROBIC EXERCISES ON FUNCTIONAL STATUS, PAIN, AND BALANCE IN PATIENTS WITH FIBROMYALGIA SYNDROME - A RANDOMIZED CONTROLLED STUDY

Year 2023, Volume: 86 Issue: 4, 368 - 375, 01.12.2023

Hadi Yavuz Türker Şahinkaya Musa Doruk Mert Zure Şensu Dinçer Ayşegül Ketenci Gökhan Metin

https://doi.org/10.26650/IUITFD.1275105

Abstract

Objective: Difficulty in performing daily activities and loss of balance are common complaints in addition to generalized pain in fibromyalgia syndrome (FMS) patients. Exercise is an effective treatment for fibromyalgia. There are a variety of forms of exercise used to treat fibromyalgia. This study aimed to compare the effects of aerobic and balance-proprioception exercises on pain, functional status, and balance in female patients with fibromyalgia.
Material and Method: Female patients with fibromyalgia syndrome who applied to the university physical medicine and rehabilitation department clinic were evaluated for eligibility. Patients were allocated into two groups: the aerobic exercise group and balance-proprioception group. These two groups exercised under the supervision of a physiotherapist three days a week for a total of 6 weeks. Visual Analogue Scale (VAS) was used for pain severity, Fibromyalgia Impact Questionnaire (FIQ) was used for functional status assessment, and balance-stabilidisty system (Biodex Balance System) was used for balance status assessment. Each measurement was repeated twice, before and after the treatment, and the results were compared.
Result: Fifty-one patients were enrolled including 26 patients in the aerobic exercise group and 25 patients in the balance-proprioception group. Both aerobic exercise and balance proprioception exercise groups showed significant improvement following the treatment in FIQ ((34.63±11.85, 29.60±12.77, respectively, p<0.001) and VAS (4.54±1.83; 4.28±1.92, respectively, p<0.001), all Eyes-Closed Mediolateral Stability Index (EC-MLSI) (0.41±0.43, 0.35±0.19, respectively, p=0.39), Eyes Closed Overall Stability Index (EC-OSI) (0.85±0.53; 0.80±0.33, respectively, p<0,001), Eyes Closed Anteroposterior (EC-APSI) Stability Index (0.65±0.32, 0.62±0.29, respectively, p<0.001) and Eyes-Opened Mediolateral Stability (EO-MLSI) (0.15±0.07, 0.14±0.05, respectively, p=0.019). Similar to before-treatment findings, there was no statistically significant difference between groups in the FIQ, VAS, and balance scores after treatment (p>0.05).
Conclusion: Both aerobic exercise and balance-proprioception exercises are effective methods in improving pain, functional status, and balance abilities of patients with FMS. In addition to aerobic exercise programs that are often prescribed nowadays, programs consisting of balance–proprioception exercises can also be a preferable option in FMS treatment.

Keywords

Fibromyalgia aerobic exercise balance-proprioception exercise pain functional status

References

  • Duruturk N, Tuzun EH, Culhaoglu B. Is balance exercise training as effective as aerobic exercise training in fibromyalgia syndrome? Rheumatol Int 2015;35(5):845-54. 2. google scholar
  • Lawson K. Treatment options and patient perspectives in the management of fibromyalgia: future trends. Neuropsychiatr Dis Treat 2008;4(6):1059. google scholar
  • Arnold LM, Hudson JI, Hess EV, Ware AE, Fritz DA, Auchenbach MB, et al. Family study of fibromyalgia. Arthritis Rheum 2004;50(3):944-52. google scholar
  • Henriksson C, Gundmark I, Bengtsson A, Ek A-C. Living with fibromyalgia. Consequences for everyday life. Clin J Pain 1992;8(2):138-44 google scholar
  • Gormsen L, Rosenberg R, Bach FW, Jensen TS. Depression, anxiety, health-related quality of life and pain in patients with chronic fibromyalgia and neuropathic pain. Eur J Pain 2010;14(2):127.e1-8. google scholar
  • Verbunt JA, Pernot DH, Smeets RJ. Disability and quality of life in patients with fibromyalgia. Health Qual Life Outcomes 2008;6(1):1-8. google scholar
  • Salaffi F, Sarzi-Puttini P, Girolimetti R, Atzeni F, Gasparini S, Grassi W. Health-related quality of life in fibromyalgia patients: a comparison with rheumatoid arthritis patients and the general population using the SF-36 health survey. Clin Exper Rheumatol 2009;27(5):S67. google scholar
  • Wolfe F, Clauw DJ, Fitzcharles MA, Goldenberg DL, Katz RS, Mease P, et al. The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res 2010;62(5):600-10. google scholar
  • Bidonde J, Busch AJ, Schachter CL, Overend TJ, Kim SY, Góes SM, et al. Aerobic exercise training for adults with fibromyalgia. Cochrane Database Syst Rev 2017(6). google scholar
  • Alarcon GS, Bradley LA. Advances in the Treatment of Fibromyalgia: Current Status and Future Directions. Am J Med Sci 1998;315(6):397-404. google scholar
  • Chaitow L. Fibromyalgia syndrome: A practitioner’s guide to treatment: Churchill-Livingston; 2010. google scholar
  • Clauw DJ. Fibromyalgia: a clinical review. JAMA. 2014;311(15):1547-55. google scholar
  • Busch AJ, Webber SC, Brachaniec M, Bidonde J, Bello-Haas VD, Danyliw AD, et al. Exercise therapy for fibromyalgia. Curr Pain Headache Rep 2011;15(5):358-67. google scholar
  • Segura‐Jiménez V, Borges‐Cosic M, Soriano‐Maldonado A, Estévez‐López F, Álvarez‐Gallardo I, Herrador‐Colmenero M, et al. Association of sedentary time and physical activity with pain, fatigue, and impact of fibromyalgia: the al‐Ándalus study. Scan J Med Sci Sports 2017;27(1):83-92. google scholar
  • Larsson A, Palstam A, Bjersing J, Lofgren M, Ernberg M, Kosek E, et al. Controlled, cross-sectional, multi-center study of physical capacity and associated factors in women with fibromyalgia. BMC Musculoskel Dis. 2018;19(1):1-8. google scholar
  • Ruiz JR, Segura-Jiménez V, Ortega FB, Álvarez-Gallardo IC, Camiletti-Moirón D, Aparicio VA, et al. Objectively measured sedentary time and physical activity in women with fibromyalgia: a cross-sectional study. BMJ open. 2013;3(6):e002722. google scholar
  • Bidonde J, Jean Busch A, Bath B, Milosavljevic S. Exercise for adults with fibromyalgia: an umbrella systematic review with synthesis of best evidence. Curr Rheumatol Rev 2014;10(1):4579. google scholar
  • Jones KD, Horak FB, Winters KS, Morea JM, Bennett RM. Fibromyalgia is associated with impaired balance and falls. Journal Clin Rheumatol 2009;15(1):16. google scholar
  • Kibar S, Yıldız HE, Ay S, Evcik D, Ergin ES. New approach in fibromyalgia exercise program: a preliminary study regarding the effectiveness of balance training. Arch Phys Med Rehabil 2015;96(9):1576-82. google scholar
  • Wolfe F, Clauw DJ, Fitzcharles M-A, Goldenberg DL, Häuser W, Katz RS, et al. Fibromyalgia criteria and severity scales for clinical and epidemiological studies: a modification of the ACR Preliminary Diagnostic Criteria for Fibromyalgia. J Rheumatol 2011;38(6):1113-22. google scholar
  • Borg, Gunnar. Borg’s perceived exertion and pain scales. Human kinetics, 1998. google scholar
  • Dinçer Ş, Altan M, Terzioğlu D, Uslu E, Karşidağ K, Batu Ş, “Effects of a regular exercise program on biochemical parameters of type 2 diabetes mellitus patients.” The Journal of Sports Medicine and Physical Fitness 56.11 (2015): 1384-91. google scholar
  • Pickerill ML, Harter RA. Validity and reliability of limitsof- stability testing: a comparison of 2 postural stability evaluation devices. J Ath Train 2011;46(6):600-6. google scholar
  • Biodex Medical Systems I. Balance System SD: Operation/ Service Manual. Biodex Medical Systems, Inc. Shirley, NY; 2008. google scholar
  • Parraca JA, Olivares Sánchez-Toledo PR, Carbonell Baeza A, Aparicio García-Molina VA, Adsuar Sala JC, Gusi Fuertes N. Test-Retest reliability of Biodex Balance SD on physically active old people. J Hum Sport Exerc 2011;6(2):444-51. google scholar
  • Rein S, Fabian T, Zwipp H, Rammelt S, Weindel S. Postural control and functional ankle stability in professional and amateur dancers. Clin Neurophysiol 2011;122(8):1602-10. google scholar
  • Paolucci T, Baldari C, Di Franco M, Didona D, Reis V, Vetrano M, et al. A new rehabilitation tool in fibromyalgia: the effects of perceptive rehabilitation on pain and function in a clinical randomized controlled trial. J Evid Based Complement Alternat Med 2016;2016:7574589. google scholar
  • Bennett RM, Bushmakin AG, Cappelleri JC, Zlateva G, Sadosky AB. Minimal clinically important difference in the fibromyalgia impact questionnaire. J Rheumatol 2009;36(6):1304-11. google scholar
  • Sosa-Reina MD, Nunez-Nagy S, Gallego-Izquierdo T, Pecos-Martín D, Monserrat J, Álvarez-Mon M. Effectiveness of therapeutic exercise in fibromyalgia syndrome: a systematic review and meta-analysis of randomized clinical trials. Biomed Res Int 2017;2017:2356346. google scholar
  • Rodríguez-Mansilla J, Mejías-Gil A, Garrido-Ardila EM, Jiménez-Palomares M, Montanero-Fernández J, González- google scholar
  • López-Arza MV. Effects of non-pharmacological treatment on pain, flexibility, balance and quality of life in women with fibromyalgia: a randomised clinical trial. J Clin Med 2021;10(17):3826. google scholar
  • Park H-K, Song M-K, Kim D-J, Choi I-S, Han J-Y. Comparison of core muscle strengthening exercise and stretching exercise in middle-aged women with fibromyalgia: A randomized, single-blind, controlled study. Medicine (Baltimore) 2021;100(50):e27854. google scholar
  • Arakaki J, Jennings F, Estrela G, Martinelli VC, Natour J. Strengthening exercises using swiss ball improve pain, health status, quality of life and muscle strength in patients with fibromyalgia: a randomized controlled trial. Reumatismo 2021;73(1):15-23. google scholar
  • Del-Moral-García M, Obrero-Gaitán E, Rodríguez-Almagro D, Rodríguez-Huguet M, Osuna-Pérez MC, Lomas-Vega R. Effectiveness of active therapy-based training to improve the balance in patients with fibromyalgia: a systematic review with meta-analysis. J Clin Med 2020;9(11):3771. google scholar
  • da Silva JM, de Barros BS, Almeida GJ, O’Neil J, Imoto AM. Dosage of resistance exercises in fibromyalgia: evidence synthesis for a systematic literature review up-date and meta-analysis. Rheumatol Int 2021:42(3):413-29. google scholar
  • Demir-Göçmen D, Altan L, Korkmaz N, Arabacı R. Effect of supervised exercise program including balance exercises on the balance status and clinical signs in patients with fibromyalgia. Rheumatol Int 2013;33(3):743-50. google scholar
  • Colledge N, Cantley P, Peaston I, Brash H, Lewis S, Wilson J. Ageing and balance: the measurement of spontaneous sway by posturography. Gerontology. 1994;40(5):273-8. google scholar
  • King GW, Abreu EL, Cheng AL, Chertoff KK, Brotto L, Kelly PJ, et al. A multimodal assessment of balance in elderly and young adults. Oncotarget 2016;7(12):13297-306. google scholar
  • Hernando-Garijo I, Ceballos-Laita L, Mingo-Gómez MT, Medrano-de-la-Fuente R, Estébanez-de-Miguel E, Martínez-Pérez MN, et al. Immediate effects of a telerehabilitation program based on aerobic exercise in women with fibromyalgia. Int J Environ Res Public Health. 2021;18(4):2075. google scholar
There are 39 citations in total.

Details

Primary Language English
Subjects Health Services and Systems (Other)
Journal Section RESEARCH
Authors

Hadi Yavuz 0000-0002-1728-6258

Türker Şahinkaya 0000-0003-1466-381X

Musa Doruk 0000-0003-0524-2052

Mert Zure 0000-0003-1498-834X

Şensu Dinçer 0000-0003-1425-2543

Ayşegül Ketenci 0000-0003-3165-7358

Gökhan Metin 0000-0002-0770-2692

Publication Date December 1, 2023
Submission Date April 4, 2023
Published in Issue Year 2023 Volume: 86 Issue: 4

Cite

APA Yavuz, H., Şahinkaya, T., Doruk, M., Zure, M., et al. (2023). A COMPARISON OF THE EFFECTS OF BALANCE– PROPRIOCEPTION AND AEROBIC EXERCISES ON FUNCTIONAL STATUS, PAIN, AND BALANCE IN PATIENTS WITH FIBROMYALGIA SYNDROME - A RANDOMIZED CONTROLLED STUDY. Journal of Istanbul Faculty of Medicine, 86(4), 368-375. https://doi.org/10.26650/IUITFD.1275105
AMA Yavuz H, Şahinkaya T, Doruk M, Zure M, Dinçer Ş, Ketenci A, Metin G. A COMPARISON OF THE EFFECTS OF BALANCE– PROPRIOCEPTION AND AEROBIC EXERCISES ON FUNCTIONAL STATUS, PAIN, AND BALANCE IN PATIENTS WITH FIBROMYALGIA SYNDROME - A RANDOMIZED CONTROLLED STUDY. İst Tıp Fak Derg. December 2023;86(4):368-375. doi:10.26650/IUITFD.1275105
Chicago Yavuz, Hadi, Türker Şahinkaya, Musa Doruk, Mert Zure, Şensu Dinçer, Ayşegül Ketenci, and Gökhan Metin. “A COMPARISON OF THE EFFECTS OF BALANCE– PROPRIOCEPTION AND AEROBIC EXERCISES ON FUNCTIONAL STATUS, PAIN, AND BALANCE IN PATIENTS WITH FIBROMYALGIA SYNDROME - A RANDOMIZED CONTROLLED STUDY”. Journal of Istanbul Faculty of Medicine 86, no. 4 (December 2023): 368-75. https://doi.org/10.26650/IUITFD.1275105.
EndNote Yavuz H, Şahinkaya T, Doruk M, Zure M, Dinçer Ş, Ketenci A, Metin G (December 1, 2023) A COMPARISON OF THE EFFECTS OF BALANCE– PROPRIOCEPTION AND AEROBIC EXERCISES ON FUNCTIONAL STATUS, PAIN, AND BALANCE IN PATIENTS WITH FIBROMYALGIA SYNDROME - A RANDOMIZED CONTROLLED STUDY. Journal of Istanbul Faculty of Medicine 86 4 368–375.
IEEE H. Yavuz, “A COMPARISON OF THE EFFECTS OF BALANCE– PROPRIOCEPTION AND AEROBIC EXERCISES ON FUNCTIONAL STATUS, PAIN, AND BALANCE IN PATIENTS WITH FIBROMYALGIA SYNDROME - A RANDOMIZED CONTROLLED STUDY”, İst Tıp Fak Derg, vol. 86, no. 4, pp. 368–375, 2023, doi: 10.26650/IUITFD.1275105.
ISNAD Yavuz, Hadi et al. “A COMPARISON OF THE EFFECTS OF BALANCE– PROPRIOCEPTION AND AEROBIC EXERCISES ON FUNCTIONAL STATUS, PAIN, AND BALANCE IN PATIENTS WITH FIBROMYALGIA SYNDROME - A RANDOMIZED CONTROLLED STUDY”. Journal of Istanbul Faculty of Medicine 86/4 (December 2023), 368-375. https://doi.org/10.26650/IUITFD.1275105.
JAMA Yavuz H, Şahinkaya T, Doruk M, Zure M, Dinçer Ş, Ketenci A, Metin G. A COMPARISON OF THE EFFECTS OF BALANCE– PROPRIOCEPTION AND AEROBIC EXERCISES ON FUNCTIONAL STATUS, PAIN, AND BALANCE IN PATIENTS WITH FIBROMYALGIA SYNDROME - A RANDOMIZED CONTROLLED STUDY. İst Tıp Fak Derg. 2023;86:368–375.
MLA Yavuz, Hadi et al. “A COMPARISON OF THE EFFECTS OF BALANCE– PROPRIOCEPTION AND AEROBIC EXERCISES ON FUNCTIONAL STATUS, PAIN, AND BALANCE IN PATIENTS WITH FIBROMYALGIA SYNDROME - A RANDOMIZED CONTROLLED STUDY”. Journal of Istanbul Faculty of Medicine, vol. 86, no. 4, 2023, pp. 368-75, doi:10.26650/IUITFD.1275105.
Vancouver Yavuz H, Şahinkaya T, Doruk M, Zure M, Dinçer Ş, Ketenci A, Metin G. A COMPARISON OF THE EFFECTS OF BALANCE– PROPRIOCEPTION AND AEROBIC EXERCISES ON FUNCTIONAL STATUS, PAIN, AND BALANCE IN PATIENTS WITH FIBROMYALGIA SYNDROME - A RANDOMIZED CONTROLLED STUDY. İst Tıp Fak Derg. 2023;86(4):368-75.
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