RESUMO JUSTIFICATIVA E OBJETIVOS: As dúvidas e questionamentos sobre os aspectos gerais da dor, crenças mal adaptativas, conhecimento sobre neurofisiologia da dor e seu impacto na realização de exercícios são comuns nas pacientes com fibromialgia. O objetivo deste estudo foi avaliar o conhecimento sobre dor em mulheres com fibromialgia, por meio do jogo DolorÔmetro. MÉTODOS: Estudo quase-experimental com abordagem quali-quantitativa. Foram avaliadas 20 mulheres com diagnóstico clínico de fibromialgia com idade de 18 a 60 anos. As pacientes responderam duas perguntas no momento inicial e final do jogo. A intervenção consistiu no uso de 9 cartas a partir dos 6 domínios aceitação, atitudes, cinesiofobia, conhecimento, ansiedade e catastrofismo, do jogo DolorÔmetro para motivar as discussões sobre a temática. RESULTADOS: A média de idade foi 50,6±9,6 anos e o tempo diagnóstico de 6,5±4,6 anos. Foi avaliado o número de acertos e erros de cada domínio. No domínio “aceitação” foram 4 erros na afirmação 1 e 12 erros na afirmação 2. No domínio “atitudes”, 2 na afirmação 4 e 1 na afirmação 8. No domínio “cinesiofobia”, nenhum acerto na afirmação 2. No domínio “conhecimento”, 19 erraram a afirmação 3. No domínio “ansiedade”, 15 erraram a afirmação 1. No domínio “catastrofismo” 10 erraram a afirmação 2. CONCLUSÃO: Realizar educação em dor, com duração de uma hora em único momento, contribuiu para as participantes expressarem suas dúvidas e questionamentos prévios e após o momento de educação, porém persistiram dúvidas referentes aos domínios aceitação, cinesiofobia, conhecimento e ansiedade.

ABSTRACT BACKGROUND AND OBJECTIVES: Doubts and questions about the general aspects of pain, maladaptive beliefs, knowledge about pain neurophysiology, and its impact on exercise are common in fibromyalgia patients. This study aimed to evaluate the knowledge about pain in women with fibromyalgia through the DolorÔmetro game. METHODS: A quasi-experimental study with a qualitative and quantitative approach. Twenty women with a clinical diagnosis of fibromyalgia and aged 18 to 60 years were evaluated. The patients answered two questions at the beginning and end of the game. The intervention consisted of the use of 9 cards from the six domains of the game DolorÔmetro to motivate discussions about the theme. RESULTS: The sample had a mean age of 50.6±9.6 years and a diagnostic time of 6.5±4.6 years. The number of hits and errors in each domain was observed. In the “acceptance” domain, four errors were found in statement 1 and twelve in statement 2. In the “attitudes” domain, only two in statement 4 and one in statement 8. In the “kinesiophobia” domain, all errors were only in statement 2. In the “knowledge” domain, nineteen women missed statement 3. In the “anxiety” domain, fifteen women missed statement 1. Finally, in the “catastrophic” domain, ten women missed statement 2. CONCLUSION: Conducting an education in pain, lasting in one hour in a single moment, contributed to the participants expressing their doubts and previous questions and after the moment of education, however doubts persisted in the domains of acceptance, kinesiophobia, knowledge and anxiety.

Abstract Background: The mat Pilates method is the therapeutic modalities which can be used in fibromyalgia treatment. Although there are no well-designed studies that prove the effectiveness of the mat Pilates method in this population. The objective was to evaluate the effectiveness of the mat Pilates method for improving symptoms in women with fibromyalgia. Methods: A single blind randomized controlled trial in which 42 women with fibromyalgia were randomized into two groups: mat Pilates and aquatic aerobic exercise. The exercises were performed twice a week for 12 weeks. Two evaluations were performed: one at baseline (T0), and another at 12 weeks after randomization (T12). The primary outcome was pain measured by the Visual Analogue Scale (VAS). Secondary outcomes were function (Fibromyalgia Impact Questionnaire), sleep (Pittsburgh Sleep Quality Index [PSQI]), quality of life (Short Form 36 [SF-36]), fear avoidance (Fear Avoidance Beliefs Questionnaire [FABQ-BR]) and pain catastrophizing (Pain-Related Catastrophizing Thoughts Scale [PRCTS]). Results: There was improvement in both groups in relation to pain and function (p < 0.05). The aspects related to quality of life and the FABQ questionnaire only showed improvement in the mat Pilates group (p < 0.05). There was improvement in the PSQI and PRCTS variables only in the aquatic aerobic exercise group (p < 0.05), but no differences were observed between the groups for any of the evaluated variables. Conclusion: Significant improvements were observed in the two groups in relation to the disease symptoms, and no differences were observed between mat Pilates and aquatic aerobic exercise in any of the measured variables. Trial registration: ClinicalTrials.gov Identifier (NCT03149198), May 11, 2017. Approved by the Ethics Committee of FACISA/UFRN (Number: 2.116.314).