Effects of Physical Therapy in Pain and Posture of Fibromyalgia Patients

University of Sao Paulo General Hospital

Status: Completed

Conditions: Fibromyalgia

Treatments: Other: Cognitive behavioral therapy; Other: Global postural reeducation; Other: Segmental muscle stretching exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT02384603

053/14

Details and patient eligibility

About

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.

Full 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.

Enrollment: 40 patients

Sex: All

Ages: 30 to 60 years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 2 patient groups

GPR and CBT

Experimental group

Description:

Global postural reeducation associated with cognitive behavioral therapy; 01 session per week for 10 weeks

Treatment:

Other: Cognitive behavioral therapy

Other: Global postural reeducation

SMSE and CBT

Active Comparator group

Description:

Segmental muscle stretching exercises associated with cognitive behavioral therapy; 01 session per week for 10 weeks

Treatment:

Other: Cognitive behavioral therapy

Other: Segmental muscle stretching exercises