Fibromyalgia
Conditions
Keywords
Fibromyalgia, Physiotherapy, Qigong, Quality of life
Brief summary
This study analyze the effectiveness of a Physiotherapy treatment versus a Qigong exercise programme improving quality of life of subjects with Fibromyalgia.
Detailed description
Objective: This study investigated the effectiveness of a Physiotherapy treatment versus a Qigong exercise programme for the improvement of the quality of life of subjects with Fibromyalgia. Design: A single-blind randomized clinical controlled trial. Setting: University of Extremadura, Spain Subjects: Women with Fibromyalgia Interventions: 141 Participants were randomized to a Qigong exercise program group (n=47), a physiotherapy treatment group (n=47) and control group (n=47) for 6 weeks. Main Measures: Measures were taken at baseline (week 0), pre intervention (week 1) and post intervention (week 6). The primary outcome measure were quality of life (Spanish Fibromyalgia Impact Questionnaire (SFIQ), pain (VAS), perceive exertion (Borg scale), spirometry measures (Spirobank-G MIR spirometry) and balance (Wii-Fit, Nintendo ©). The secondary outcome measures were flexibility (Wells and Dillon test and Sit and Reach test), Range of movement (goniometer), muscle strength (Lowett scale).
Interventions
OTHERQigong group
Traditional Chinese Medicine exercise programme
OTHERPhysiotherapy
Physiotherapy exercise programme
Sponsors
University of Extremadura
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
Neither the participants nor their therapists were blind to the treatment allocation. However, the assessor was independent to the study and was not aware of the treatments applied or the objective of the therapy.
Intervention model description
Participants were randomized to a Qigong exercise programme group, a Physiotherapy treatment group and control group for a 6 week study.
Eligibility
Sex/Gender
FEMALE
Age
30 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* women between 30 and 65 years old, * diagnosed with Fibromyalgia by a specialized physician,
Exclusion criteria
* The
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from the monopodal stance test registered with Wii-fit Nintendo® | Baseline (week 0), pre intervention (week 1) and post intervention (week 6). | Monopodal stance test measures static balance in percentage through posturography study. It is measure in percentage from 0 to 100 and a higher percentage means a better result. |
| Change from Borg Scale of perceived exertion at post intervention (week 6) | Baseline (week 0), pre intervention (week 1) and post intervention (week 6). | Borg scale measures the perceived exertion of a subject with a score of 0 to 10 where 0 is the minimum exertion and 10 is the maximun exertion. |
| Changes from the values registered by the Spirobank-G (MIR)® spirometer | Baseline (week 0), pre intervention (week 1) and post intervention (week 6). | Spirometry measures respiratory values being the reference values (Knudson model) for a 50 year old woman with 1,65 cm of height and 65 kilos weight: FVC (Forced vital capacity)= 3.611, FEV1 (Forced expiratory volume) = 2.7505, FEV1%= 76.17%, FEF (Forced expiratory flow) 25-75%= 2.625, PEF (peak expiratory flow)= 6.222 |
| Change from the centre of gravity registered with Wii-fit Nintendo® | Baseline (week 0), pre intervention (week 1) and post intervention (week 6). | Static balance and postural control is the ability to maintain the centre of gravity within the base of support. Centre of gravity is measured in percentage through posturography study. A higher percentage means better balance |
| Change from the Spanish Fibromyalgia Impact Questionnaire (SFIQ) at post intervention (week 6) | Baseline (week 0), pre intervention (week 1) and post intervention (week 6). | SFIQ measures the level of quality of life of subjects with Fibromyalgia with a score of 0 to 100. A higher score indicates more impact of the condition on the life of the person and therefore less quality of life. |
| Change from Visual Analogue Scale (VAS) at post intervention (week 6) | Baseline (week 0), pre intervention (week 1) and post intervention (week 6). | The Visual analogue scale measures the level of pain with a score of 0 to 10 where 0 indicates no pain and 10 indicates maximun pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from muscle strength measured with Lovett scale | Baseline (week 0), pre intervention (week 1) and post intervention (week 6). | Shoulder and hip range of movement.Lovett scale is a modification of Daniels and Worthingham. The scale is measured from 0 to 5 where 0 means no muscle activation strength and 5 means normal strength against resistance |
| Change from flexibility measured with the Wells y Dillon scale | Baseline (week 0), pre intervention (week 1) and post intervention (week 6). | Flexibility is measured with this scale with the patient sitting and reaching the feet. It is measured in centimeter and a more positive value means a better record. |
| Change from range of movement measured with goniometer | Baseline (week 0), pre intervention (week 1) and post intervention (week 6). | Shoulder and hip range of movement |
Outcome results
None listed