Fibromyalgia
Conditions
Keywords
Fibromyalgia, Pranayama, Diaphragmatic breathing, Quality of sleep, Pain, Fatigue
Brief summary
Female patients diagnosed with fibromyalgia were divided into pranayama breathing exercise, diaphragm breathing exercise and control groups. The sleep quality, pain and fatigue levels of the patients in the intervention group were determined before and after the breathing exercise.
Detailed description
Aim: This study was conducted to determine the effect of pranayama and diaphragm breathing exercises applied to female patients diagnosed with fibromyalgia on sleep quality, pain and fatigue levels. Material and Method: This study, designed as a randomized controlled and experimental study, was conducted between November 2022 and June 2023. The data of the study consisted of 100 female patients diagnosed with fibromyalgia: 32 in the pranayama group, 33 in the diaphragm breathing exercise group and 35 in the control group. As data collection tools; Patient Information Form, Visual Analog Scale, Fatigue Severity Scale and Pittsburgh Sleep Quality Scale were used. During the study, the control group received routine treatment, while the two groups in the intervention group received the following training given by the researcher; They were asked to do pranayama and diaphragm breathing exercise 3 sets a day (morning-afternoon-evening), 7 days a week for 6 weeks. At the end of this process, sleep quality, pain and fatigue levels of three groups were evaluated again. Results: It was observed that there was no statistically significant difference between the initial pain and sleep quality total scores of three groups (p\>0.05), there was a significant difference between the groups in terms of pain, fatigue and sleep quality scores after the application (p\<0.05). Conclusion: As a result, it was determined that breathing exercises reduced the patients' pain and fatigue levels and improved their sleep quality. Keywords: Pain, diaphragmatic breathing, fibromyalgia, pranayama, sleep quality, fatigue
Interventions
BEHAVIORALPranayama
Pranayama, one of the practices of yoga, is a Sanskrit word consisting of a combination of two words, a technique of rhythmic, controlled breathing. So prana means life breath/life energy and ayama means expansion/regulation/control. Pranayama helps to improve lung capacity, heart and respiratory functions, nervous and hormonal systems, as well as mental activity.
BEHAVIORALdiaphragm breathing exercise
Diaphragmatic breathing is also known as deep breathing or slow abdominal breathing. This breathing exercise uses the diaphragm muscle. The diaphragm is the muscle under the lungs that supports the lungs in up and down breathing.
Sponsors
Kilis 7 Aralik University
Inonu University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Intervention model description
This study was conducted as a single-blind randomized controlled study with pretest-posttest.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
•● Being 18 years or older * Being a female patient who has had pain for at least three months and has been diagnosed with fibromyalgia by a physician according to the ACR 2016 fibromyalgia diagnostic criteria. * Having a PSQI score of five and above * Complaint of fatigue and getting a score of 4 or above on the fatigue severity scale * Pain score of one or above according to VAS * Having no communication problems and knowing how to read, write and speak Turkish * Not being pregnant and not breastfeeding
Exclusion criteria
* Having a malignancy related to the respiratory system (bronchus or lung) * Having tuberculosis disease * Having chest pain * Having any psychiatric diagnosis during outpatient clinic screenings * Having a nasal septum derivation or adenoid that will affect the ventilation process * Having previously practiced/trained in pranayama or diaphragmatic breathing exercises
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale (VAS) | [Time Frame: 6 weeks] | 0 indicates no pain and 10 indicates the most severe level of pain. On the scale, \<3 mild pain, 3-6 moderate pain, \>6 severe pain were specified. |
Countries
Turkey (Türkiye)
Outcome results
None listed