Pain Neuroscience Education in Patients With Fibromyalgia
Study Details
Study Description
Brief Summary
Many patients with fibromyalgia have little understanding of their condition, leading to maladaptive pain cognitions and coping strategies. Current research has suggested the use of physiotherapy and rehabilitation in addition to cognitive patient education in the treatment of fibromyalgia syndrome. This study aimed to explore the effectiveness of pain neuroscience education in patients with fibromyalgia.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Neuroscience pain education group Pain neuroscience education in addition medical treatment |
Other: Pain neuroscience education
A total of 4 NPE (Neuroscience paine education) sessions were held, once each week in addition medical treatment similar to control group. The NPE sessions were conducted by an experienced physiotherapist certified in NPE in face-to-face, group sessions lasting 40-45 minutes. In NPE, the patient is taught about the physiology of pain, central sensitization, representation of the different body regions in the brain, pain-related changes in body perception, and the psychosocial dimensions of pain.
Drug: Medical treatment
The patients in control group continued taking their regular gabapentin and pregabalin-derivative drug therapy at the same dosage and duration specified by their physicians.
|
| Active Comparator: Control group Medical treatment only |
Drug: Medical treatment
The patients in control group continued taking their regular gabapentin and pregabalin-derivative drug therapy at the same dosage and duration specified by their physicians.
|
Outcome Measures
Primary Outcome Measures
- Fibromyalgia Impact Questionnaire (FIQ) [Change from Baseline FIQ at 4th weeks]
The FIQ is an assessment and evaluation instrument developed to measure fibromyalgia (FM) patient status, progress and outcomes
- Pressure pain thresholds (PPT) [Change from Baseline PPT at 4th weeks]
Pressure pain thresholds in following five points, 7th cervical vertebra, 3th lumbal vertebra, 5th lumbal vertebra, the belly of calf muscles, and 2nd distal interfalangeal joint were measured using a analog pressure algometer(Baseline, USA).
- Tinel's Sign [Change from Baseline PPT at 4th weeks]
The Tinel sign is the result of a simple, noninvasive test that checks for nerve problems. The test is positive when a tingling or prickling sensation is felt in the distribution of the Tibial nerve.
Secondary Outcome Measures
- Tampa Scale of Kinesiophobia [Change from Baseline PPT at 4th weeks]
The Tampa Scale for Kinesiophobia (TSK) was used for the assessment of kinesiophobia. The TSK is a 17-item questionnaire developed to measure the fear of movement/re-injury.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
have fibromyalgia as defined by the criteria of the 1990 ACR
-
have Turkish as their native language
-
between 18 and 65 years of age
Exclusion Criteria:
-
Having cognitive impairment
-
Receiving psychotherapy
-
Illiterate people
-
Patients with significant hearing loss
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | KutahyaMSU | Kütahya | Kutahya Health Sciences University | Turkey | 43000 |
Sponsors and Collaborators
- Kutahya Health Sciences University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- KutahyaMSUfibro