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Therapeutic Neuroscience Education in Individuals With Fibromyalgia

Not Applicable
Completed
Conditions
Fibromyalgia
Interventions
Behavioral: Therapeutic Neuroscience Education
Registration Number
NCT05435807
Lead Sponsor
Pamukkale University
Brief Summary

The aim of this study was to investigate the effects of Therapeutic Neuroscience Education (TNE) in individuals with Fibromyalgia (FM). The study included 25 females with FM, randomly separated into two groups as the intervention group (Clinical Pilates Exercises+TNE, n=11) and the control group (Clinical Pilates Exercises, n=14).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
25
Inclusion Criteria
  • age between 18-65 years,
  • female gender,
  • a VAS of at least 40mm to report the pain intensity of the last week,
  • having been diagnosed with FM for at least 1 year to present a range of somatic and cognitive symptoms in addition to widespread pain,
  • using a fixed dose of medication for at least the past 6 months (serotonin noradrenaline reuptake inhibitors [Ex, duloxetine, milnacipran]; alpha 2-delta receptor ligand [Ex, pregabalin]; gabapentinoids).
Exclusion Criteria
  • the presence of another disease which may affect the physical condition,
  • cognitive impairment at a level preventing cooperation,
  • being pregnant,
  • inability to understand or speak Turkish,
  • concurrent autoimmune or inflammatory disease,
  • the presence of a central nervous system disease (eg multiple sclerosis, Parkinson's disease),
  • serious psychiatric conditions (eg, psychotic disorders) that would prevent participation,
  • participation in a rehabilitation program in the past year,
  • have been exercising regularly for 6 months,
  • not participating in at least 75% of treatments.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
intervention groupTherapeutic Neuroscience EducationClinical Pilates Exercises+TNE
control groupTherapeutic Neuroscience EducationClinical Pilates Exercises
Primary Outcome Measures
NameTimeMethod
Brief Pain Inventory7 min

This is a short and easy-to-apply inventory that can be used to assess pain, which consists of the two sections of Pain Severity (4 items) and Pain Interference (7 items). The total score in both categories ranges from 0 to 10, with higher scores indicating more pain and more pain causes more disability.

Tampa Scale for Kinesiophobia10 min

The total score ranges from 17 to 68, with a higher score indicating high kinesiophobia.

Widespread Pain Index10 min

The WPI evaluates the patient's pain in the last week in terms of 19 regions and is scored between 0-19.

Symptom Severity Scale7 min

The SSS is scored between 0-12.

Fibromyalgia Impact Questionnare10 min

Total score ranging from 0 to 100. Higher scores indicate worse functional status

Visual Analogue Scale5 min

VAS is used to convert values that cannot be measured numerically, such as pain, into numerical values. Two end definitions of the parameter to be evaluated are written at the two ends of a 10 cm line and the patient is asked to mark this line indicating the appropriate level of their condition. In this study, 0='no pain' and 10='worst possible pain' were defined.

Pain Catastrophizing Scale10 min

The total score ranges from 0 to 52, with higher scores indicating a high level of catastrophizing.

Secondary Outcome Measures
NameTimeMethod
Dynamic Loewenstein Occupational Therapy Cognitive Assessment1 hour

The DLOTCA battery has 28 subtests for 7 cognitive areas.Scoring consists of three components for each subtest:

1. Before meditation score (5 points indicate the best performance).

2. Mediation score (high score (4 or 5) indicates poor performance).

3. After mediation score (5 points show the best performance).

Biopsychosocial Questionnaire10 min

It includes 30 items that are answered using a 5-point Likert-type scale. Higher scores indicate a poor biopsychosocial status.

Trial Locations

Locations (1)

Pamukkale University

🇹🇷

Denizli, Merkezefendi, Turkey

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