Un Yildirim et al (2024) AB0147 CAN WATER HOLD THE KEY TO MANAGING FIBROMYALGIA – A SYSTEMATIC ANALYSIS OF AQUA THERAPY’S IMPACT ON PAIN, FATIGUE, AND OTHER SYMPTOMS

Fibromyalgia (FM) is a chronic pain syndrome characterized by widespread musculoskeletal pain, fatigue, sleep disturbances, and psychological symptoms. This systematic review examines the effects of hydrotherapy as a non-pharmacological treatment for managing FM symptoms. Nine randomized controlled trials (RCTs) meeting inclusion criteria were analyzed, with study durations of at least six weeks.

The results demonstrate significant improvements in various FM-related symptoms through hydrotherapy. These include reduced pain and fatigue, improved sleep quality, enhanced cognitive functions, and better physical fitness, particularly in upper and lower limb strength. Biodance in water also showed a positive impact on anxiety, body acceptance, and functional capacity. Hydrotherapy was effective in improving balance and proprioception, addressing newly recognized balance impairments in FM patients.

The water-based programs involved exercises performed at chest-level water for 60-minute sessions, three times a week. These sessions utilized water’s buoyancy and resistance properties to promote safe, effective rehabilitation. The review highlights the importance of consistent participation in such programs for maximizing benefits.

Hydrotherapy is presented as a viable and impactful treatment option for FM, complementing existing management strategies. However, further high-quality studies are recommended to strengthen the evidence base and standardize protocols.