Effects of Physical Therapy in Pain and Posture of Fibromyalgia Patients

Not Applicable

Completed

• Conditions: Fibromyalgia
• Interventions: Other: Segmental muscle stretching exercises; Other: Global postural reeducation; Other: Cognitive behavioral therapy

• Registration Number: NCT02384603
• Lead Sponsor: University of Sao Paulo General Hospital

Brief Summary

The aim of this study is to compare the effects of two physiotherapeutic treatments of fibromyalgia: global postural reeducation associated with cognitive behavioral therapy and segmental muscle stretching exercises associated with cognitive behavioral therapy.

Detailed Description

Fibromyalgia is characterized mainly by chronic widespread pain. Segmental muscle stretching therapeutic exercises reduce the shortening of myofascial structures and recover the body flexibility. It is indicated for the treatment of chronic pain caused by osteo-myo-articular dysfunction. The pain behavior may be defined as the adoption of body postures and attitudes that a person communicates his/her pain. In this way, the global postural reeducation - a method of muscles chains stretching exercises - could be an important intervention. In addition, negative thoughts and dysfunctional beliefs are usual in situations of chronic pain, compromising the health recovery process. As part of a pain catastrophizing-related therapeutic approach, physiotherapist may help patients with chronic pain to develop positive, realistic and hope attitudes as based on the cognitive behavioral therapy model.

Study Timeline

• Study Start: 2015-02
• Study First Submitted: 2015-02-18
• Study First Submitted QC: 2015-03-04
• Study First Posted: 2015-03-10
• Primary Completion: 2018-03
• Study Completion: 2018-03
• Status Verified: 2019-03
• Last Update Submitted: 2019-03-19
• Last Update Posted: 2019-03-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Patients with fibromyalgia according to the 2010 American College of Rheumatology diagnostic criteria and the presence of at least 11 of 18 tender points.

Exclusion Criteria

• Presence of joint deformities
• Independent walking disability
• Making another physiotherapeutic treatment at the same time.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
GPR and CBT	Cognitive behavioral therapy	Global postural reeducation associated with cognitive behavioral therapy; 01 session per week for 10 weeks
SMSE and CBT	Segmental muscle stretching exercises	Segmental muscle stretching exercises associated with cognitive behavioral therapy; 01 session per week for 10 weeks
SMSE and CBT	Cognitive behavioral therapy	Segmental muscle stretching exercises associated with cognitive behavioral therapy; 01 session per week for 10 weeks
GPR and CBT	Global postural reeducation	Global postural reeducation associated with cognitive behavioral therapy; 01 session per week for 10 weeks

Primary Outcome Measures

Name	Time	Method
Visual analogic scale of pain	11 weeks

Secondary Outcome Measures

Name	Time	Method
Body posture evaluation	11 weeks
Fibromyalgia Impact Questionnaire	11 weeks
Modified Clinical Test of Sensory Interaction for Balance (CTSIBm)	11 weeks
McGill Pain Questionnaire	11 weeks
Dolorimetry of the 18 tender points	11 weeks
Narrative interview about self-care	11 weeks
Survey of Pain Attitudes - brief version	11 weeks
Sit-and-Reach Test	11 weeks

Trial Locations

Locations (1)

Department of Physical Therapy, Speech and Occupational Therapy, School of Medicine of the University of Sao Paulo; 🇧🇷 Sao Paulo, SP, Brazil