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Completed

NCT Number: NCT02384603

Effects of Physical Therapy in Pain and Posture of Fibromyalgia Patients

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.

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Key information

Conditions

Fibromyalgia Muscular Diseases Musculoskeletal Diseases Nervous System Diseases Neuromuscular Diseases Rheumatic Diseases

Age range

30 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

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

São Paulo, 05360-000, Brazil

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

Global postural reeducation

Other

Segmental muscle stretching exercises

Other

Cognitive Behavioral Therapy

Other

Primary outcomes

  1. Visual analogic scale of pain

    Time frame: 11 weeks

Secondary outcomes

  1. McGill Pain Questionnaire

    Time frame: 11 weeks

  2. Dolorimetry of the 18 tender points

    Time frame: 11 weeks

  3. Survey of Pain Attitudes - brief version

    Time frame: 11 weeks

  4. Body posture evaluation

    Time frame: 11 weeks

  5. Modified Clinical Test of Sensory Interaction for Balance (CTSIBm)

    Time frame: 11 weeks

  6. Sit-and-Reach Test

    Time frame: 11 weeks

  7. Fibromyalgia Impact Questionnaire

    Time frame: 11 weeks

  8. Narrative interview about self-care

    Time frame: 11 weeks

Sponsors and collaborators

Lead sponsor

University of Sao Paulo General Hospital

Other

Registry information

Official study title

Effects of Two Physiotherapeutic Treatments in Pain and Posture of Fibromyalgia Patients: Randomized Controlled Trial

Important dates

Study start
2015
Primary completion
2018
Study completion
2018
First posted
Mar 10, 2015
Registry last updated
Mar 21, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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