The Effect of Aerobic Exercise Accompanied by Music on Pain, Quality of Life, and Well-Being in Patients with Fibromyalgia Syndrome

Abstract

Fibromyalgia is a medical issue characterised by increased sensitivity to all stimuli. This sensitivity often manifests as joint stiffness, chronic pain at multiple tender points, and systemic symptoms such as cognitive dysfunction, sleep disorders, anxiety, fatigue, and depressive episodes. Fibromyalgia occurs without any identifiable underlying organic disease. Listening to music while exercising has been found to have many advantages in various of physical activities. It may enhance good emotions, enhance physical performance, decrease the perception of effort, and improve physiological efficiency. Furthermore, music has beneficial impact on patients neurological and endocrine systems, evoking significant emotional and cognitive reactions. It also regulates the mental and physiological functions of humans and provides a balance between oxygen and blood in the brain, and wordless music is effective for training pain. In this article, the effects of physical activity accompanied by music on the body in patients with fibromyalgia syndrome, the results of studies on music and exercise, and possible results obtained when music and exercise are used together are discussed. Bacause of the literature review, physical activity with music was found to have a positive effect on reducing fibromyalgia symptoms.

Keywords

• Fibromyalgia
• physical exercise
• music
• pain
• quality of life
• psychological well-being

References

1. 1. Siracusa R, Paola R Di, Cuzzocrea S, Impellizzeri D. Fibromyalgia: Pathogenesis, mechanisms, diagnosis and treatment options update. Int J Mol Sci 2021; 22(8): 3891. https://doi.org/10.3390/ ijms22083891 google scholar
2. 2. Buskila D, Atzeni F, Sarzi-Puttini P. Etiology of fibromyalgia: The possible role of infection and vaccination. Autoimmunity Reviews 2008; 8(1): 41-3. https://doi.org/10.1016/j.autrev.2008.07.023 google scholar
3. 3. Bellato E, Marini E, Castoldi F, Barbasetti N, Mattei L, Bonasia DE et al. Fibromyalgia Syndrome: Etiology, pathogenesis, diagnosis, and treatment. Pain Research and Treatment 2012; 1-17. https://doi.org/10.1155/2012/426130 google scholar
4. 4. Tekintaş NS, Yanartaş Ö, Durmuş FB, Sayar K. Functional somatic symptoms and their predictors in patients with major depressive disorder and fibromyalgia syndrome. Archives of Neuropsychiatry 2022; 59(4): 274-80. https://doi.org/10.29399/ npa.28057 google scholar
5. 5. Chen J, Han B, Wu C. On the superiority of a combination of aerobic and resistance exercise for fibromyalgia syndrome: A network meta-analysis. Frontiers in Psychology 2022;13: 949256. google scholar
6. 6. Graham W. The fibrosits syndrome. Bulletin on the Rheumatic Diseases 1953;3(8): 33-4. google scholar
7. 7. Chinn S, Caldwell W, Gritsenko K. Fibromyalgia pathogenesis and treatment options update. Current Pain and Headache Reports 2016; 20(4): 25. https://doi.org/10.1007/s11916-016-0556-x google scholar
8. 8. Dymon TE. Fibromyalgia. ACSAP Neurologic and Psychiatric Care, 2015; 5-18. google scholar

9. 9. Topbas M, Cakirbay H, Gulec H, Akgol E, Ak I, Can G. The prevalence of fibromyalgia in women aged 20-64 in Turkey. Scand J Rheumatol 2005; 34(2): 140-44. google scholar
10. 10. Bhargava J, Hurley JA. Fibromyalgia, in StatPearls Publishing, 2.d., 2021. google scholar
11. 11. Maffei ME. Fibromyalgia: Recent advances in diagnosis, classification, pharmacotherapy and alternative remedies. Int J Mol Sci 2020;21(21): 7877. https://doi.org/10.3390/ ijms21217877 google scholar
12. 12. Gür A. Etiopathogenesis in fibromyalgia. Turk J Phys Med Rehab 2008; 1: 4-11. google scholar
13. 13. Bradley LA. Pathophysiology of fibromyalgia. Am J Med 2009;122(12): S22-S30. https://doi.org/10.1016/j.amjmed.2009.09.008 google scholar
14. 14. Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL, et al. The American College ff Rheumatology 1990 criteria for the classification of fibromyalgia. Arthritis & Rheumatism 1990; 33(2):160-172. https://doi.org/10.1002/ art.1780330203 google scholar
15. 15. Macfarlane GJ, Kronisch C, Dean LE, Atzeni F, Häuser W, Fluß E, et al. EULAR revised recommendations for the management of fibromyalgia. Ann Rheum Dis 2017;76(2): 318-28. https://doi. org/10.1136/annrheumdis-2016-209724 google scholar
16. 16. Smythe HA, Moldofsky H. Two contributions to understanding of the” fibrositis” syndrome. Bulletin on the Rheumatic Diseases 1977; 28(1): 928-31. google scholar
17. 17. Araújo FM, DeSantana JM. Physical therapy modalities for treating fibromyalgia. F1000Res 2019;8: 2030. https://doi. org/10.12688/f1000research.17176.1 google scholar
18. 18. Sindel D, Saral I, Esmaeilzadeh S. Management approaches in fibromyalgia syndrome. Journal of Physical Medicine & Rehabilitation Sciences 2012; 58(2): 136-42. Am J Phys Med Rehabil google scholar
19. 19. Espí-López GV, Inglés M, Ruescas-Nicolau M-A, Moreno-Segura N. Effect of low-impact aerobic exercise combined with music therapy on patients with fibromyalgia. A pilot study. Complement Ther Med 2016; 28: 1-7. https://doi. org/10.1016/j.ctim.2016.07.003 google scholar
20. 20. Penrod JR, Bernatsky S, Adam V, Baron M, Dayan N, Dobkin PL. Health services costs and their determinants in women with fibromyalgia. J Rheumatol 2004; 31(7):1391-98. google scholar
21. 21. Norouzi E, Hosseini F, Vaezmosavi M, Gerber M, Pühse U, Brand S. Zumba dancing and aerobic exercise can improve working memory, motor function, and depressive symptoms in female patients with fibromyalgia. Eur J Sport Sci 2020; 20(7): 981-91. google scholar
22. 22. Yazici D. The effects of music on human brain. Int JCSS 2017;3(1): 88-103. google scholar
23. 23. Ooishi Y, Mukai H, Watanabe K, Kawato S, Kashino M. Increase in salivary oxytocin and decrease in salivary cortisol after listening to relaxing slow-tempo and exciting fast-tempo music. PLOS ONE 2017;12(12): e0189075. https://doi.org/10.1371/journal. pone.0189075 google scholar
24. 24. Jones L, Tiller NB, Karageorghis CI. Psychophysiological effects of music on acute recovery from high-intensity interval training. Physiol Behav 2017;170:106-14. https://doi.org/10.1016/j. physbeh.2016.12.017 google scholar
25. 25. Geniel Ö. Music therapy. Kastamonu Med J 2006;14(2): 697706. google scholar
26. 26. Karamizrak N. Healing effects of sound and music on the organs. Ko^uyolu Heart J 2014; 17(1): 54-7. google scholar
27. 27. Granot R. Music, pleasure, and social affiliation: Hormones and neurotransmitters. The Routledge Companion to Music Cognition: Routledge, 2017; 101-11. google scholar
28. 28. Tarr B, Launay J, Dunbar RIM. Music and social bonding: “self-other” merging and neurohormonal mechanisms. Front psychol 2014; 5(1096):1-10. https://doi.org/10.3389/fpsyg.2014.01096 google scholar
29. 29. Tarr B, Launay J, Dunbar RIM. Silent disco: dancing in synchrony leads to elevated pain thresholds and social closeness. Evol Hum Behav 2016; 37(5), 343-49. https://doi.org/10.1016/j. evolhumbehav.2016.02.004 google scholar
30. 30. Orlowski DD, Can ÜK, Bağci H. The analysis of scientific publications on music therapy in Germany (2010-2019). The Motif Foundation of Folklore Education 2021;14(33): 266-86. google scholar
31. 31. Fujioka T, Hunt AM. Mechanisms of music therapy and musicbased interventions. in music therapy and music-based interventions in neurology: Perspectives on research and practice (pp. 9-21). Cham: Springer International Publishing; 2024 google scholar
32. 32. Clark IN, Baker FA, Taylor NF. The modulating effects of music listening on health-related exercise and physical activity in adults: a systematic review and narrative synthesis. Nord J Music Ther 2016; 25(1): 76-104. https://doi.org/10.1080/08098131.20 15.1008558 google scholar
33. 33. Hutchinson JC, Jones L, Vitti SN, Moore A, Dalton PC. The influence of self-selected music on affect-regulated exercise intensity and remembered pleasure during treadmill running. Sport Exerc Perform Psychol 2018; 7(1): 80-92. https://doi. org/10.1037/spy0000115 google scholar
34. 34. Terry PC, Karageorghis CI, Curran ML, Martin OV, Parsons-Smith RL. Effects of music in exercise and sport: A meta-analytic review. Psychol Bull 2020;146(2): 91-117. https://doi. org/10.1037/bul0000216 google scholar
35. 35. Soenarti S, Kurniawati VM, Zakiya FA, Pramesta MS, Sulistyaningsih, R., Lestari, H. The First Experience and Benefits of the 12-week VIVIFRAIL Exercise and Its Workout Music Selection for Elder Adults in the Community of Ardirejo, Kepanjen. Jurnal Kedokteran Brawijaya 2024; 23-30. google scholar
36. 36. Martin-Saavedra JS, Vergara-Mendez LD, Pradilla I, Velez-van-Meerbeke A, Talero-Gutierrez C. Standardizing music characteristics for the management of pain: A systematic review and meta-analysis of clinical trials. Complement Ther Med 2018; 41, 81-89. https://doi.org/10.1016/j.ctim.2018.07.008 google scholar
37. 37. Çelik Ç, Karabilgin BN. Examining the effects of music on athletes. Düzce University Journal of Sports Science 2022; 2(1):38-44. google scholar
38. 38. Centala J, Pogorel C, Pummill SW, Malek MH. Listening to fast-tempo music delays the onset of neuromuscular fatigue. J Strength Cond Res 2020; 34(3): 617-22. https://doi. org/10.1519/JSC.0000000000003417 google scholar
39. 39. Karageorghis CI, Bigliassi M, Guerin SMR, Delevoye-Turrell Y. Brain mechanisms that underlie music interventions in the exercise domain. Prog Brain Res 2018; 240: 109-125. google scholar
40. 40. Düzgün G, Karadakovan A. Effect of music on pain in cancer patients in palliative care service: a randomized controlled study. OMEGA-Journal of Death and Dying 2024; 88(3): 10851100. google scholar
41. 41. Nguyen KT, Hoang HT, Bui QV, Chan DN, Choi KC, Chan CW. Effects of music intervention combined with progressive muscle relaxation on anxiety, depression, stress and quality of life among women with cancer receiving chemotherapy: A pilot randomized controlled trial. Plos one 2023;18(11), e0293060. google scholar
42. 42. Covington H, Crosby C. Music Therapy as a Nursing Intervention. J Psychosoc Nurs Ment Health Serv 1997; 35(3), 34-37. https://doi.org/10.3928/0279-3695-19970301-22 google scholar
43. 43. Covington H. Therapeutic Music for Patients with Psychiatric Disorders. Holist Nurs Pract 2001; 15(2), 59-69. https://doi. org/10.1097/00004650-200101000-00009 google scholar
44. 44. Werner LM, Skouras S, Bechtold L, Pallesen S, Koelsch S. Sensorimotor synchronization to music reduces pain. Plos One 2023; 18(7), e0289302. https://doi.org/10.1371/journal.pone.0289302 google scholar
45. 45. Edworthy J, Waring H. The effects of music tempo and loudness level on treadmill exercise. Ergonomics 2006; 49(15), 1597-1610. google scholar
46. 46. Karageorghis CI, Priest DL. Music in the exercise domain: a review and synthesis (Part I). Int Rev Sport Exerc Psychol 2012; 5(1), 44-66. 54-57. https://doi.org/10.4274/khj.4775 google scholar
47. 47. Gavi MBRO, Vassalo DV, Amaral FT, Macedo DCF, Gava PL, Dantas EM et al. Strengthening exercises improve symptoms and quality of life but do not change autonomic modulation in fibromyalgia: a randomized clinical trial. PloS one 2014; 9(3), e90767. google scholar
48. 48. Assumpcao A, Matsutani LA, Yuan S L, Santo AS, Sauer J, Mango P et al. Muscle stretching exercises and resistance training in fibromyalgia: which is better? A three-arm randomized controlled trial. Eur J Phys Rehabil Med 2017; 54(5), 663-670. google scholar
49. 49. Busch AJ, Schachter CL, Overend TJ, Peloso PM, Barber KA. Exercise for fibromyalgia: a systematic review. J Rheumatol 2008;35(6): 1130-44. google scholar
50. 50. Izquierdo-Alventosa R, Inglés M, Cortés-Amador S, Gimeno-Mallench L, Chirivella-Garrido J, Kropotov J et al. Low-intensity physical exercise improves pain catastrophizing and other psychological and physical aspects in women with fibromyalgia: a randomized controlled trial. Int J Environ Res Public Health 2020;17(10): 3634. https://doi.org/10.3390/ijerph17103634 google scholar
51. 51. López-Roig S, Pastor-Mira MÁ, Núñez R, Nardi A, Ivorra S, León E. et al. Assessing self-efficacy for physical activity and walking exercise in women with fibromyalgia. Pain Manag Nurs 2021; 22(5): 571-78. google scholar
52. 52. Polat M, Kahveci A, Muci B, Günendi Z, Kaymak Karata? G. The effect of virtual reality exercises on pain, functionality, cardiopulmonary capacity, and quality of life in fibromyalgia syndrome: a randomized controlled study. Games health j 2021;10(3): 165-73. google scholar
53. 53. Medeiros SAD, Silva HJDA, Nascimento RMD, Maia JBDS, Lins CADA, Souza MCD. Mat Pilates is as effective as aquatic aerobic exercise in treating women with fibromyalgia: a clinical, randomized, and blind trial. Adv rheumatol 2020; 60: 21. google scholar
54. 54. Lepping RJ, McMillan ML, Chadwick AL, Mansour ZM, Martin LE, Gustafson KM. Autonomic nervous system markers of music-elicited analgesia in people with fibromyalgia: A double-blind randomized pilot study. Front Pain Res 2022;3: 953118. google scholar