Fibromyalgia
Conditions
Keywords
Eight Brocades; Ba-Duan-Jin; Baduanjin; Qigong; Pain
Brief summary
Fibromyalgia is a chronic debilitating musculoskeletal pain syndrome. Pregabalin is the only medication that has been approved to treat fibromyalgia in China. Currently, there has been a growing interest in the development of non-pharmacological therapies. Ba-Duan-Jin is an ancient Chinese exercise for health promotion yet easy to learn. Findings from our previous study showed an effectiveness and good safety of Ba-Duan-Jin in patients with fibromyalgia. This study is to evaluate the effectiveness comparison of Ba-Duan-Jin and pregabalin in managing fibromyalgia symptoms experienced by Chinese patients.
Interventions
OTHERBa-Duan-Jin
Ba-Duan-Jin is a common form of self-health-care Qigong exercise that has been practiced by Chinese people for at least eight hundred years. It consists of eight sets of simple movements. By combining meditation with slow, graceful movements, deep breathing, and relaxation, Ba-Duan-Jin practitioners believe it has the ability to move vital energy (Qi) throughout the body. Ba-Duan-Jin is also considered to be a multicomponent intervention that integrates physical, psychosocial, emotional, spiritual, and behavioral elements. While the biological mechanisms remain unclear, previous clinical trials have demonstrated that Ba-Duan-Jin can improve sleep quality, physical health, and mental health in patients with various chronic diseases
Pregabalin is one of the three medications (pregabalin, duloxetine, and milnacipran) that have been approved by the Food and Drug Administration (FDA) to treat fibromyalgia in US, and the only medicine that has been approved in China.
Sponsors
Guang'anmen Hospital of China Academy of Chinese Medical Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* meet the 1990 American College of Rheumatology (ACR) Research Classification Criteria for fibromyalgia; * be between the ages of 18 to 70 years.
Exclusion criteria
* had practiced Ba-Duan-Jin, Tai Chi, yoga or other forms of Qigong exercise within 12 months of their recruitment to the study; * be less than 40mm of pain VAS score; * had renal failure, and severe depression or anxiety; * had any poorly-controlled comorbid medical conditions, such as dementia, cancer, thyroid disease, inflammatory arthritis; * pregnancy or planned pregnancy within the study period; * patients residing more than 70 miles from the research site.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The change of the Visual Analogue Scale (VAS) for pain from baseline. | up to 1 week | Pain VAS, range, 0 to 100 mm, where higher scores indicated the perceived pain to be more severe. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The change of the Multidimensional Fatigue Inventory-20 (MFI-20) from baseline. | Baseline, week 4, week 8, and week 12. | The Multidimensional Fatigue Inventory-20 (MFI-20) measures fatigue severity. The MFI-20 total score ranges from 0 to 80, with higher scores indicate more severe fatigue. |
| The change of the Pittsburgh Sleep Quality Index (PSQI) from baseline. | Baseline, week 4, week 8, and week 12. | Scores on the Pittsburgh Sleep Quality Index (PSQI) range from 0 to 21, with higher scores indicating worse sleep quality. |
| The Beck II Depression Inventory (BDI) | Baseline, week 4, week 8, and week 12. | The Beck II Depression Inventory (BDI) assesses the severity of depressive symptoms. Scores range from 0 to 39, with higher scores indicate a greater degree of depression severity. |
| The change of the revised Fibromyalgia Impact Questionnaire (FIQR) from baseline. | Baseline, week 4, week 8, and week 12. | A self-administered questionnaire with 10 subscales, measuring fibromyalgia symptoms and function domains. FIQR total score ranges from 0 to 100, with higher scores indicating more severe symptoms. |
| Global Impression of Change (PGIC) questionnaire evaluated at week 12. | Week 12. | A questionnaire determine any change in overall symptom status from the beginning of the study to its conclusion (score range, 1 \[very much improved\] to 7 \[very much worse). |
| The change of the Short Form-36 Health Status Questionnaire (SF-36) from baseline. | Baseline, week 4, week 8, and week 12. | The Short Form-36 Health Status Questionnaire (SF-36), which measured health-related quality of life (range, 0 to 100, with higher scores indicating better perceived health status). |
| The change of the Perceived Stress Scale (PSS) from baseline. | Baseline, week 4, week 8, and week 12. | The Perceived Stress Scale (PSS) is for measuring the perception of stress and current levels of experienced stress. Scores range from 0 to 56, with higher total score indicating a greater degree of symptom severity. |
Countries
China
Outcome results
None listed