<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1817-5996</journal-id>
<journal-title><![CDATA[Revista Cubana de Reumatología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cuba Reumatol]]></abbrev-journal-title>
<issn>1817-5996</issn>
<publisher>
<publisher-name><![CDATA[Editorial CIMEQ]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1817-59962022000300003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Ejercicios físicos terapéuticos domiciliarios en la atención a pacientes con fibromialgia durante la COVID-19]]></article-title>
<article-title xml:lang="en"><![CDATA[Home therapeutic physical exercises in the care of patients with fibromyalgia during COVID-19]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Gámez]]></surname>
<given-names><![CDATA[Juan Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez Guerra]]></surname>
<given-names><![CDATA[Darvin Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gordo Gómez]]></surname>
<given-names><![CDATA[Yusleidy Marlie]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Labrada]]></surname>
<given-names><![CDATA[Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Holguín Facultad de Cultura Física ]]></institution>
<addr-line><![CDATA[ Holguín]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana Centro Nacional de Neurociencias de Cuba ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<volume>24</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1817-59962022000300003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1817-59962022000300003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1817-59962022000300003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: El ejercicio físico sistemático constituye una herramienta indispensable para el tratamiento de los pacientes con fibromialgia, y más aún en la etapa de COVID-19.  Objetivo: Constatar la eficacia de los ejercicios físicos terapéuticos domiciliarios en la atención a pacientes con fibromialgia durante la COVID-19.  Métodos: Se realizó un prexperimento, con una muestra intencional de 20 pacientes con fibromialgia. Se utilizó el cuestionario de impacto de fibromialgia para conocer el impacto general de la enfermedad y la escala analógica visual del dolor para determinar la intensidad del dolor. Se conoció por medio de los exámenes físicos la condición física de los pacientes. Se aplicó la prueba no paramétrica de McNemar y Wilcoxon para identificar cambios producidos en los pacientes mediante la aplicación de ejercicios físicos terapéuticos domiciliarios.  Resultados: El promedio de edad fue de 47,85 años, con predominio del sexo femenino (95,0 %). Al inicio de la investigación las puntuaciones del cuestionario de impacto de fibromialgia determinaron que el 85,0 % de los pacientes tenían un impacto moderado y severo de la enfermedad. La escala analógica visual del dolor evidenció que los pacientes padecían dolor moderado y severo. La evaluación de los exámenes físicos demostró que en su mayoría los pacientes tenían una condición física inadecuada. Después de implementado los ejercicios físicos terapéuticos domiciliarios se demostró una mejoría de los parámetros evaluados, evidenciado mediante la estadística inferencial a través de la prueba McNemar ya que los resultados estuvieron a un nivel inferior (p = 0,005). Los resultados de Z de Wilcoxon tuvieron una significación bilateral de 0,000.  Conclusiones: Se evidenciaron cambios significativos en los pacientes con fibromialgia. Los ejercicios físicos terapéuticos domiciliarios fueron efectivos en los pacientes con fibromialgia durante el aislamiento por la COVID-19.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Systematic physical exercise constitutes an indispensable tool for the treatment of patients with fibromyalgia: and even more so in the COVID-19 stage.  Objective:  To verify the effectiveness of home therapeutic physical exercises in the care of patients with fibromyalgia during COVID-19.  Methods:  A pre-experiment was conducted with a purposive sample of 20 patients with fibromyalgia. A general characterization of the sample was performed. The Fibromyalgia Impact Questionnaire was used to know the general impact of the pathology and the Visual Analog Scale to determine the intensity of the patients' pain. Physical tests were used to determine the physical condition of the sample. The McNemar and Wilcoxon non-parametric test was applied to identify changes produced in the patients through the application of home therapeutic physical exercises.  Results:  The average age was 47.85 years with a predominance of the female sex (95.0%). At the beginning of the research, the Fibromyalgia Impact Questionnaire scores showed that 85.0% of the patients were in moderate and severe impact of the disease, as well as the Visual Analog Scale, which showed that the patients were in moderate and severe pain. The evaluation of the physical tests showed that most of the patients were in inadequate physical condition. After implementing the home therapeutic physical exercises, an improvement of the evaluated parameters was demonstrated, thus evidenced by the contracting of inferential statistics through McNemar since the results were at a lower level for p=0.005 and the Wilcoxon Z results resulted in a bilateral significance of 0.000.  Conclusions:  It is concluded that the results obtained evidenced significant changes in fibromyalgia patients, which can be said that home therapeutic physical exercises were effective in fibromyalgia patients during isolation by COVID-19.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[aislamiento social]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[fibromialgia]]></kwd>
<kwd lng="es"><![CDATA[ejercicios físicos]]></kwd>
<kwd lng="en"><![CDATA[social isolation]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[fibromyalgia]]></kwd>
<kwd lng="en"><![CDATA[physical exercises]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tang]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Xia]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Tang]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Bragazzi]]></surname>
<given-names><![CDATA[NL]]></given-names>
</name>
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[Q]]></given-names>
</name>
<name>
<surname><![CDATA[Sun]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The effectiveness of quarantine and isolation determine the trend of the COVID-19 epidemics in the final phase of the current outbreak in China]]></article-title>
<source><![CDATA[International Journal of Infectious Diseases]]></source>
<year>2020</year>
<volume>95</volume>
<page-range>288-93</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Galea]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Merchant]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Lurie]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Mental Health Consequences of COVID-19 and Physical Distancing The Need for Prevention and Early Intervention]]></article-title>
<source><![CDATA[JAMA Intern Med]]></source>
<year>2020</year>
<volume>180</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>817-8</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cabo-Meseguer]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cerdá-Olmedo]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Trillo-Mata]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fibromyalgia Prevalence, epidemiologic profiles and economic costs]]></article-title>
<source><![CDATA[Medicina Clínica (English Edition)]]></source>
<year>2017</year>
<volume>149</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>441-8</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Galvez-Sánchez]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Duschek]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[del Paso]]></surname>
<given-names><![CDATA[GA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Psychological impact of fibromyalgia Current perspectives]]></article-title>
<source><![CDATA[Psychology Research and Behavior Management]]></source>
<year>2019</year>
<volume>12</volume>
<page-range>117-27</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Álvarez-Mena]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Álvarez-Mena]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Montes-Reina]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Castillo-Jumbo]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Mafla-Andrade]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fibromialgia. Avances en su tratamiento]]></article-title>
<source><![CDATA[Rev Cubana Reumatol]]></source>
<year>2019</year>
<volume>21</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Popov]]></surname>
<given-names><![CDATA[SN]]></given-names>
</name>
</person-group>
<source><![CDATA[La cultura física terapéutica]]></source>
<year>1988</year>
<publisher-loc><![CDATA[Moscú ]]></publisher-loc>
<publisher-name><![CDATA[Editorial Raduga]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bennett]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Fibromyalgia Impact Questionnaire (FIQ): A review of its development, current version, operating characteristics and uses]]></article-title>
<source><![CDATA[Clin Exp Rheumatol]]></source>
<year>2005</year>
<volume>23</volume>
<numero>5^s39</numero>
<issue>5^s39</issue>
<supplement>39</supplement>
<page-range>S154-62</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yunus]]></surname>
<given-names><![CDATA[MB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A comprehensive medical evaluation of patients with fibromyalgia syndrome]]></article-title>
<source><![CDATA[Rheum Dis Clin North Am]]></source>
<year>2002</year>
<volume>28</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>201-17</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rikli]]></surname>
<given-names><![CDATA[RE]]></given-names>
</name>
<name>
<surname><![CDATA[Jones]]></surname>
<given-names><![CDATA[CJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Development and Validation of a Functional Fitness Test for Community-Residing Older Adults]]></article-title>
<source><![CDATA[Journal of Aging and Physical Activity]]></source>
<year>2019</year>
<volume>7</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>129-61</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Porro-Novo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Estévez-Pereira]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Rodriguez-García]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Suárez-Martín]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[González-Méndez]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Guía para la rehabilitación de la fibromialgia]]></article-title>
<source><![CDATA[Rev Cubana Reumatol]]></source>
<year>2015</year>
<volume>17</volume>
<numero>2^s1</numero>
<issue>2^s1</issue>
<supplement>1</supplement>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodríguez Gámez]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Gordo Gómez]]></surname>
<given-names><![CDATA[YM]]></given-names>
</name>
<name>
<surname><![CDATA[Ramírez Guerra]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
</person-group>
<source><![CDATA[Programa de ejercicios físicos para la rehabilitación de los pacientes con fibromialgia en la comunidad.]]></source>
<year>2019</year>
<publisher-loc><![CDATA[Holguín, Cuba ]]></publisher-loc>
<publisher-name><![CDATA[Universidad de Holguín]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernando Garijo]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<source><![CDATA[Efectos de un programa de tele rehabilitación basado en ejercicio terapéutico aeróbico en pacientes con fibromialgia durante la pandemia de la COVID-19]]></source>
<year>2021</year>
<publisher-loc><![CDATA[Valladolid ]]></publisher-loc>
<publisher-name><![CDATA[Universidad de Valladolid, España]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nadal Nicolás]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<source><![CDATA[Efectos del ejercicio terapéutico, terapia manual y estrategias dietético-nutricionales sobre la composición corporal y aspectos psicológicos en mujeres con fibromialgia]]></source>
<year>2021</year>
<publisher-loc><![CDATA[Murcia ]]></publisher-loc>
<publisher-name><![CDATA[Universidad Católica de Murcia, España]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hooten]]></surname>
<given-names><![CDATA[MW]]></given-names>
</name>
<name>
<surname><![CDATA[Qu]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Townsend]]></surname>
<given-names><![CDATA[CO]]></given-names>
</name>
<name>
<surname><![CDATA[Judd]]></surname>
<given-names><![CDATA[JW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effects of strength vs aerobic exercise on pain severity in adults with fibromyalgia a randomized equivalence trial]]></article-title>
<source><![CDATA[Pain]]></source>
<year>2012</year>
<volume>153</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>915-23</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sañudo]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Galiano]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Carrasco]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[de Hoyo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[McVeigh]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effects of a prolonged exercise program on key health outcomes in women with fibromyalgia: A randomized controlled trial]]></article-title>
<source><![CDATA[J Rehabil Med]]></source>
<year>2011</year>
<volume>43</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>521-6</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Izquierdo Alventosa]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[Estudio comparativo de los efectos del ejercicio físico de baja intensidad, de la estimulación magnética transcraneal y de la terapia con oxígeno hiperbárico en mujeres con fibromialgia. Ensayo clínico aleatorizado]]></source>
<year>2021</year>
<publisher-loc><![CDATA[Valencia, España ]]></publisher-loc>
<publisher-name><![CDATA[Universidad de Valencia]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Castillo-Ruiz]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Heredia-Aguirre]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Valle-Salazar]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Marcatoma-Roldan]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Actividad física y estado nutricional en pacientes reumáticos durante la pandemia de COVID-19]]></article-title>
<source><![CDATA[Rev Cubana Reumatol]]></source>
<year>2022</year>
<volume>24</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
