Myofascial Release of the Trunk Physiological Chains and Muscle Stretching on Pain, Quality of Life and Functional Capacity of Patients With Fibromyalgia: Randomized Controlled Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 38
- 试验地点
- 2
- 主要终点
- Quality of life score change
研究概览
简要总结
Muscle stretching is a therapeutic technique commonly used by physiotherapists, but for the treatment of fibromyalgia it still has weak evidence to support its real effect. On the other hand, myofascial mobilization in the location of tender points, as it is the solution for the population, demonstrating effects on the improvement of the symptoms, but not yet achieving the minimal clinically important change. In this context, myofascial release guided by physiological chains, so far not studied, is presented as an alternative to improve pain and quality of life in patients with fibromyalgia because it acts in a global way and, probably, more effective.
This study evaluates the effect of myofascial release of the trunk physiological chains and muscle stretching on pain, quality of life and functional capacity of patients with fibromyalgia when compared to the control group.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 59 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Confirmation of the diagnosis by rheumatologists according to the diagnostic criteria established by the American College of Rheumatology of 1990 and
- •Moderate to severe pain according to the Fibromyalgia Impact Questionnaire (≥ 4).
- •Prescribed treatment (drug and/or psychological) stable in the last month before the selection for those who perform.
- •Patients who live in the metropolitan area of Recife - Pernambuco, Brazil.
排除标准
- •Nonpharmacologic therapies, except for psychological treatment if prescribed by the doctor at the same time of the study.
- •Skin diseases.
- •Patients classified as "very active" by the International Physical Activity Questionnaire.
- •Women who use intrauterine devices (IUD).
- •Pregnant women.
- •Patients with other associated rheumatic disease or with modified posture due to congenital anatomic alteration.
- •Severe decompensated comorbidities (cancer, thyroid disease and diabetes).
- •Infection, fever, hypotension, respiratory alterations limiting treatment.
- •Cardiovascular event in the previous year.
- •Presence of cardiac, renal or hepatic insufficiency.
- •Arterial or peripheral venous insufficiency.
- •Presence of a hypertrophic scar on the trunk.
- •Obesity grade
- •Illiteracy.
- •Severe psychiatric illness.
研究组 & 干预措施
Myofascial release
Eight consecutive weekly sessions lasting 40-45 minutes of myofascial release of the trunk physiological chains. The connective tissue of the flexion chain and the posterior static chain will be released. The myofascial release will be obtained through the mechanical effect produced by the friction of the therapist's hand with a surface of the patient's body, which is performed through "traces" executed with the fingers (thumb supported or middle finger on the indicator to achieve effect local) following as addressed chains. The release will be repeated until the feeling of local relaxation of the tissue.
干预措施: Myofascial release (Other)
Muscle Stretching
The muscle stretching protocol described by Bressan (2008) will be followed, which consists of 8 consecutive weekly sessions, lasting 40-45 minutes. In dorsal decubitus or sitting, the triceps surae, hamstring, gluteal, paravertebral, latissimocondyloideus, pectoral, trapezius and respiratory muscles will be stretched. The exercises will be performed in a series of five repetitions for 30 seconds.
干预措施: Muscle stretching (Other)
Control
It will perform only the treatment prescribed by the responsable doctor, wich can be the use of drug and/or psychological treatment, and will be followed clinically by a rheumatologist during four medical appointments to monitor medication and follow in the analgesic's diary, according the standard procedure of attending the hospital where the patients will be recruited.
干预措施: Control (Other)
结局指标
主要结局
Quality of life score change
时间窗: Baseline, after 4 weeks since the beginning of the treatment, after 8 weeks since the beginning of the treatment, follow-up (after 12 weeks since the beginning of the treatment)
Evaluated by the Fibromyalgia Impact Questionnaire, wich evaluates aspects of functional capacity, work status, psychological disturbances and physical symptoms. The total score ranges from 0 to 100, where higher scores have a worst impact of fibromyalgia on quality of life and functional capacity.
Pain intensity level change
时间窗: Baseline, after 4 weeks since the beginning of the treatment, after 8 weeks since the beginning of the treatment, follow-up (after 12 weeks since the beginning of the treatment)
Self reported pain intensity measured by the Visual Analog Scale, wich ranges from 0 to 10, where 0 means absence of pain and 10 means the worst pain already felt
次要结局
- Amount of analgesic ingested(Up to 12 weeks)
研究者
Nina Bretas Bittar Schulze
Principal Investigator
Universidade Federal de Pernambuco