Effects of Two Physiotherapeutic Treatments in Pain and Posture of Fibromyalgia Patients: Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Fibromyalgia
- Sponsor
- University of Sao Paulo General Hospital
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Visual analogic scale of pain
- Status
- Completed
- Last Updated
- 7 years ago
Overview
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.
Investigators
Luciana Akemi Matsutani
PhD student
University of Sao Paulo General Hospital
Eligibility Criteria
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.
Outcomes
Primary Outcomes
Visual analogic scale of pain
Time Frame: 11 weeks
Secondary Outcomes
- 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)