I would like to include a patient in my walking program. However, he has fibromyalgia and experiences pain in his legs. Can he still gets benefits from walking? What training recommendations would you make?
Thank you very much. Is exercise at Ventilatory threshold recommended?
The patient performed an exercise test (6MWT) where he was supposed to be at Ventilatory Threshold. However, because of muscular pain, he quoted a score of 19 (very very hard) on the Borg scale of perceived exertion! Can I suggest an interval training (e.g: 5min at VT, 5min recovery)?
Hi,
We tested a FM school that included exercise in group of patients with different clinical tableau and found that, as stated by dr Rey here, that starting slowly and increasing the intensity at a slow pace is working very well. Most of the patient had a persistent pain reduction at the end of the program. We also realized that the type of exercise doesn't seem to be important as long as it fit with the patient interest.
Serge
After adjustment of comprehensive treatment protocol , The suitable exercise for FM is 1-stretching exercise at 2-3 of VAS ,
2- Low impact aerobic exercise training
3- Endurance training if needed
Visual Analogue Scale, often used for patients to rate pain or distress from other symptoms. Can be numerical, with 0 to 10 marks, 0 being no pain, 10 the most pain a person has ever experienced, or smiley face/sad face at ends of the scale.
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