The addition of upper cervical manipulative therapy to multimodal programme on Fibromyalgia Impact Questionnaire, Pain Catastrophizing Scale, algometric score, Pittsburgh Sleep Quality Index, Beck Anxiety Inventory, Beck Depression Inventory, and 3D postural measures in patients with fibromyalgia

Ibrahim Moustafa Moustafa0 个研究点目标入组 120 人开始时间: 2015年1月7日最近更新: 2020年1月13日

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•Patients were enrolled, if they fulfilled the American College of Rheumatology criteria for fibromyalgia syndrome, experienced symptoms for at least 48 months with no recent remission of symptoms to any degree, reported a score >4 on the pain intensity, age 40–65 years, reported a score greater than or equal to 59 on the Fibromyalgia Impact Questionnaire severe fibromyalgia” , and able to read and comprehend English.
•Further , the patients were included if they had a limited C1-C2 ROM using the flexion-rotation test.The flexion-rotation test has been found to possess high diagnostic validity for determining the presence of C1-2 joint dysfunction, Ogince et al reporting sensitivity and specificity of 91% and 90%, respectively. For asymptomatic subjects, mean unilateral ROM during the flexion rotation test, to the left or right, has been found to be 39 degree to 45 degree; whereas subjects with C1-2 joint dysfunction have been found to possess only 22 degree to 26 degree of unilateral ROM towards the most restricted side during the flexion rotation test.

•Exclusion criteria included rheumatoid disease, unstable hypertension, severe cardiopulmonary problems, chronic viral infection, and history of any significant medical conditions such as hepatitis, herpes, lupus, multiple sclerosis, rheumatoid arthritis, polio, epilepsy, rheumatic fever, cancer, history of neck or back surgeries, or any psychiatric disorder affecting participant compliance.

发起方

Ibrahim Moustafa Moustafa