Manipulative and Massage Therapy in the Lower Thoracic and Cervical Spine in Subjects With Fibromyalgia Syndrome

Universidad de Almeria

Status: Unknown

Conditions: Fibromyalgia

Treatments: Other: Manipulative and Massage Therapy; Other: Exercise Program

Study type: Interventional

Funder types: Other

Identifiers

NCT02864524

UAL-499

Details and patient eligibility

About

Objective: Compare degree of improvement can reach patients diagnosed with fibromyalgia syndrome, by treatment with Manipulative and Massage Techniques versus an exercise program for lower thoracic and cervical spine.

Study Design: A single-blind randomized controlled trial was conducted on patients with fibromyalgia syndrome (FMS).

Setting: Clinical setting. Methods: Sixty-four subjects with FMS were randomly assigned to an experimental group receiving manipulative and massage therapy, or to a control group for exercise program.

Enrollment: 64 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosed Fibromyalgia Syndrome.
• Limitation of usual activities due to pain on at least 1 day in the previous 30 days.
• Agreement to attend evening therapy sessions.
• Non-practice of regular physical activity.

Exclusion criteria

• A history of surgery.
• The presence of comorbid conditions (e.g., morbid obesity, inflammatory diseases, irritable bowel syndrome and interstitial cystitis).
• A history of whiplash injury.
• Severe physical disability.
• Uncontrolled endocrine disorders (e.g., hyperthyroidism, diabetes).
• Illness (e.g., schizophrenia or substance abuse).
• The use of medication other than as-needed analgesics (excluding long-term narcotics).
• Malignancy.
• Psychiatric disorders.
• A score of ≥ 9 points in the Beck depression inventory.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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64 participants in 2 patient groups

Manipulative and Massage Therapy

Experimental group

Description:

Ten sessions (2/week): * High speed and low amplitude technique to lower cervical spine (C3-C4). * Dog technique flexion for high thoracic area (T1-T4). * Dog technique flexion for mid-thoracic area (T5-T8). * Dog technique flexed to low thoracic (T6-T12). Classic Massage Therapy during 40 minutes (2 time / week):

Treatment:

Other: Manipulative and Massage Therapy

Exercise Program

Active Comparator group

Description:

Ten sessions (2 time/ week): Initial heating and continuing with aerobic and muscle stretching exercises.

Treatment:

Other: Exercise Program