Aerobic Dance Exercises in Fibromyalgia Syndrome

To measure the impact of the disease on daily life, a 20-question assessment tool was utilized, focusing on domains such as physical capacity, occupational health, and psychological well-being. Additionally, the scale screens for pain intensity, stiffness, sleep quality, and overall vitality. The scoring system is structured such that higher results indicate more pronounced symptoms and lower functional capacity, while lower scores reflect better health status. Total scores range from 0 to 100, with higher scores indicating greater disease impact and poorer functional status.

To characterize the nature and intensity of the pain, the McGill-Melzack scale was utilized. This assessment encompasses a detailed analysis of pain topography, its sensory qualities, and duration. It also accounts for specific triggers or modifiers of pain frequency. Scoring is interpreted such that higher cumulative values reflect more profound pain symptoms and increased clinical severity.Total scores range from 0 to 78, with higher scores indicating greater pain severity and pain-related distress

The Short Form-36 Health Survey is a comprehensive 36-item questionnaire used to assess health-related quality of life, including physical functioning, psychosocial functioning, pain, and mental health status. Each subscale is scored on a scale ranging from 0 to 100, with higher scores indicating better functional status and improved overall health-related quality of life.

The PSQI was utilized to measure participants' self-reported sleep quality and related disturbances. The scale comprises 19 items that form seven sub-scores, which are then aggregated into a single global score between 0 and 21. While lower scores are indicative of better sleep quality, a cumulative score higher than five is clinically interpreted as a sign of significant sleep dysfunction.

To evaluate participants' depressive states, the BDI, which consists of 21 questions, was utilized. Each item is scored between 0 and 3, and the total score is used to determine the intensity of the symptoms. Clinical classifications were made based on the total score: 0-9 points as no depression, 10-16 points as mild, 17-23 points as moderate, and any value 24 or above as severe depression.

The International Physical Activity Questionnaire-Short Form will be used to assess participants' physical activity levels. The questionnaire evaluates the frequency and duration of walking, moderate-intensity activity, vigorous-intensity activity, and sedentary behavior over the last 7 days. Total physical activity is calculated in metabolic equivalent (MET)-minutes/week. Higher scores indicate higher levels of physical activity.

To evaluate the impact of fatigue, the FSS, which views fatigue severity as a single-dimensional construct, was administered. Participants responded to nine statements using a scoring range from 1 to 7. The overall fatigue score was derived from the average of these ratings; consequently, an increase in the total score indicates a greater level of perceived fatigue.