Effects of Physical Therapy in Pain and Posture of Fibromyalgia Patients

NCT ID: NCT02384603

Last Updated: 2019-03-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-02-28

Study Completion Date

2018-03-31

Brief Summary

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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

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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.

Conditions

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Fibromyalgia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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GPR and CBT

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

Group Type EXPERIMENTAL

Global postural reeducation

Intervention Type OTHER

Cognitive behavioral therapy

Intervention Type OTHER

SMSE and CBT

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

Group Type ACTIVE_COMPARATOR

Segmental muscle stretching exercises

Intervention Type OTHER

Cognitive behavioral therapy

Intervention Type OTHER

Interventions

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Global postural reeducation

Intervention Type OTHER

Segmental muscle stretching exercises

Intervention Type OTHER

Cognitive behavioral therapy

Intervention Type OTHER

Eligibility Criteria

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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.
Minimum Eligible Age

30 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Sao Paulo General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Luciana Akemi Matsutani

PhD student

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Luciana A Matsutani, MSc

Role: PRINCIPAL_INVESTIGATOR

University of Sao Paulo

Amelia P Marques, PhD

Role: STUDY_CHAIR

University of Sao Paulo

Locations

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Department of Physical Therapy, Speech and Occupational Therapy, School of Medicine of the University of Sao Paulo

São Paulo, São Paulo, Brazil

Site Status

Countries

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Brazil

References

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Schmidt-Wilcke T, Clauw DJ. Fibromyalgia: from pathophysiology to therapy. Nat Rev Rheumatol. 2011 Jul 19;7(9):518-27. doi: 10.1038/nrrheum.2011.98.

Reference Type BACKGROUND
PMID: 21769128 (View on PubMed)

Matsutani LA, Marques AP, Ferreira EA, Assumpcao A, Lage LV, Casarotto RA, Pereira CA. Effectiveness of muscle stretching exercises with and without laser therapy at tender points for patients with fibromyalgia. Clin Exp Rheumatol. 2007 May-Jun;25(3):410-5.

Reference Type BACKGROUND
PMID: 17631737 (View on PubMed)

Teodori RM, Negri JR, Cruz MC, Marques AP. Global Postural Re-education: a literature review. Rev Bras Fisioter. 2011 May-Jun;15(3):185-9. English, Portuguese.

Reference Type BACKGROUND
PMID: 21829981 (View on PubMed)

Campbell CM, McCauley L, Bounds SC, Mathur VA, Conn L, Simango M, Edwards RR, Fontaine KR. Changes in pain catastrophizing predict later changes in fibromyalgia clinical and experimental pain report: cross-lagged panel analyses of dispositional and situational catastrophizing. Arthritis Res Ther. 2012 Oct 25;14(5):R231. doi: 10.1186/ar4073.

Reference Type BACKGROUND
PMID: 23098173 (View on PubMed)

Matsutani LA, Sousa do Espirito Santo A, Ciscato M, Yuan SLK, Marques AP. Global posture reeducation compared with segmental muscle stretching exercises in the treatment of fibromyalgia: a randomized controlled trial. Trials. 2023 Jun 7;24(1):384. doi: 10.1186/s13063-023-07422-w.

Reference Type DERIVED
PMID: 37280637 (View on PubMed)

Other Identifiers

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053/14

Identifier Type: -

Identifier Source: org_study_id

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