Pain Neuroscience Education and Motor Imagery-based Exercise Protocol for Patients With Fibromyalgia

Uskudar University

Status: Completed

Conditions: Fibromyalgia; Psychology Regression; Pain

Treatments: Behavioral: Motor imagery-based exercise protocol (MIEP); Behavioral: Pain neuroscience education (PNE); Behavioral: Combination Group

Study type: Interventional

Funder types: Other

Identifiers

NCT05890326

fibromyalgiaUSK

Details and patient eligibility

About

The main aim of this study is to find out whether applying both pain neuroscience education (PNE) and motor imagery-based exercise protocol (MIEP) will primarily reduce the pain of fibromyalgia. These therapies could show an evidence of improvement in fibromyalgia patients. However, there are no studies evaluating their effectiveness in combination.

Secondary outcomes:

To assess motor imagery ability of PNE in fibromyalgia patients

To assess motor imagery ability of MIEP in fibromyalgia patients

To evaluate the motor imagery ability of PNE+MIEP combined in fibromyalgia patients

To evaluate pain beliefs of PNE in fibromyalgia patients

To assess the pain beliefs of MIEP in fibromyalgia patients

Combined PNE+MIEP to assess pain beliefs in fibromyalgia patients.

To assess fear of movement in fibromyalgia patients of PNE

To assess fear of movement in fibromyalgia patients of MIEP

Combined PNE+MIEP to assess fear of movement in patients with fibromyalgia

PNE to assess anxiety, depression, cognitive and mood in patients with fibromyalgia.

To assess anxiety, depression, cognitive and mood in patients with fibromyalgia MIEP

To evaluate anxiety, depression, cognitive and mood in patients with fibromyalgia together with PNE+MIEP

PNE to assess self-esteem and body awareness in fibromyalgia patients.

To assess self-esteem and body awareness in fibromyalgia patients of MIEP

Combined PNE+MIEP to assess self-esteem and body awareness in fibromyalgia patients.

Enrollment: 50 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Experiencing widespread chronic pain for more than 12 months
• Pain in at least 12 or more of 18 tender points with a pressure of 5 kg/cm2
• 18 to 60 years old
• Not using pharmacological therapeutics
• Not having participated in any pain program.
• Not having participated in any physical exercise programs in the last twelve

Exclusion criteria

• Pregnancy
• Not being able to do a physical activity program
• Currently receiving treatment with any alternative medical methods (eg.hyperbaric).
• Cardiovascular, psychiatric, autoimmune, cancer, etc. children with secondary different disease
• Other causes of chronic pain
• Receiving any treatment support related to pain
• Mental disability status

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Quadruple Blind

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50 participants in 4 patient groups

Control group

No Intervention group

Description:

No intervention was applied to fibromyalgia patients in this group. This was because it was a control group that would evaluate the effects on outcomes by comparing them with other intervention (behavioral) groups.

Motor imagery-based exercise protocol (MIEP)

Experimental group

Description:

Motor imagery-based exercise protocol (MIEP) applied in this group.

Treatment:

Behavioral: Motor imagery-based exercise protocol (MIEP)

Pain neuroscience education (PNE)

Experimental group

Description:

Pain neuroscience education (PNE) applied in this group.

Treatment:

Behavioral: Pain neuroscience education (PNE)

Combination Group

Active Comparator group

Description:

Both Pain neuroscience education (PNE) and Motor imagery-based exercise protocol (MIEP) applied in this group.

Treatment:

Behavioral: Combination Group