Chronic Widespread Pain, Fibromyalgia
Conditions
Brief summary
The study has three parts: Part 1: To evaluate, for adult female patients diagnosed with chronic widespread pain (including fibromyalgia), the effects of Free Movement Dance as an add-on intervention after interdisciplinary pain management/rehabilitation at a specialist pain clinic versus modified person-centered progressive resistance exercise. The cognitive-behavioural conceptualization of pain, effects on pain intensity, physical function, self-efficacy, pain catastrophizing, health related quality of life, anxiety and depression symptoms and quality of sleep will be evaluated. Part 2: To explore, for adult female patients diagnosed with chronic widespread pain (including fibromyalgia), the processes of Free Movement Dance, as an add-on intervention after interdisciplinary pain management/rehabilitation at a specialist pain clinic, to generate a substantive theory useful for clinical praxis. Part 3: To explore and describe why participants who agreed and signed consent choose to withdraw from participating in the interventions of the study's part 1.
Interventions
OTHERFree Movement Dance
Free Movement Dance as a physiotherapy intervention
OTHERModified person-centred progressive resistance exercise
Modified person-centered progressive resistance exercise as a physiotherapy intervention
Sponsors
Göteborg University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Female Patients Diagnosed With Chronic Widespread Pain (Including Fibromyalgia) participating in an interdisciplinary pain management and rehabilitation for three months on a specialist pain clinic in south-west of Sweden. * Age over 18 years and to be able to read and write Swedish. -
Exclusion criteria
* Red flag disorders such as malignancy/cancer, acute traumas such as fracture (less than six months ago) or infection. * Pregnancy, severe mental illness, and ongoing substance abuse. * Yellow flags as issues with compensation system or unsolved insurance issues with insurance company or the Swedish Social Insurance Agency. -
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Cognitive-behavioural conceptualization of pain | Before and after the three months of interdisciplinary specialist interventions and after 12 months, which is standard procedure + after ending the add-on interventions and 24 months after the interdisciplinary treatments | \- measured with The Multidimensional Pain Inventory- Swedish (MPI-s) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Health Related Quality of Life | Before and after the three months of interdisciplinary specialist interventions and after 12 months, which is standard procedure + after ending the add-on interventions and 24 months after the interdisciplinary treatments | \- Physical function, Physical role and Quality of life measured by Rand - 36 |
| Self-efficacy | Before and after the three months of interdisciplinary specialist interventions and after 12 months, which is standard procedure + after ending the add-on interventions and 24 months after the interdisciplinary treatments | measured by The General Self-Efficacy Scale (GSE) |
| Self-reported Pain | Before and after the three months of interdisciplinary specialist interventions and after 12 months, which is standard procedure + after ending the add-on interventions and 24 months after the interdisciplinary treatments | measured by Numeric Pain Rating Scale (NPRS) |
| Anxiety and depression symptoms | Before and after the three months of interdisciplinary specialist interventions and after 12 months, which is standard procedure + after ending the add-on interventions and 24 months after the interdisciplinary treatments | measured by the Hospital Anxiety and Depression Scale (HADS) |
| Quality of sleep | Before and after the three months of interdisciplinary specialist interventions and after 12 months, which is standard procedure + after ending the add-on interventions and 24 months after the interdisciplinary treatments | measured by Insomnia Severity Scale (ISI) |
| Pain catastrophizing | Before and after the three months of interdisciplinary specialist interventions and after 12 months, which is standard procedure + after ending the add-on interventions and 24 months after the interdisciplinary treatments | measured by the Pain Catastrophizing Scale (PCS) |
Countries
Sweden
Outcome results
None listed