This study analyse the effectiveness of a core stability training Physiotherapy programme versus Acupuncture treatment for the management of balance and functional capacity impairments of women with Fibromyalgia.
Objective: This study investigated the effectiveness of a core stability training Physiotherapy programme versus Acupuncture for the management of balance and functional capacity impairments of women with Fibromyalgia. Design: A single-blind randomized clinical controlled trial. Setting: University of Extremadura and Olivenza Fibromyalgia Association, Spain Subjects: Women with Fibromyalgia and balance impairment. Interventions: 135 Participants were randomized to a core stability training physiotherapy programme group (n=45), an acupuncture treatment group (n=45) and control group (n=45) for 13 weeks. Main Measures: Measures were taken at baseline (week 0), post intervention (week 6) and at follow up (week 13). The primary outcome measures were static balance (posturography) and dynamic balance and functional mobility (Berg Balance Test, Time Up and Go test and 10-metre walk) and functional capacity (Fibromyalgia Health Assessment Questionnaire (FHAQ) and the physical function item from the Spanish Fibromyalgia Impact Questionnaire (SFIQ)).The secondary outcome measure were quality of life (Spanish- Fibromyalgia Impact Questionnaire), pain, joint stiffness, difficulty to work and depression (measured with the visual analogue scale).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
160
Acupuncture 5 weeks treatment. 2 sessions a week (30 minutes each session)
Core stability exercises programme. 2 sessions a week (30 minutes each session) during 5 weeks
Change from the centre of gravity at 5 weeks and 13 weeks
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
Time frame: Before treatment, after 5 weeks of treatment and after 6 weeks of follow up
Change from the monopodal stance test at 5 weeks and 13 weeks
Static balance and postural control is the ability to maintain the centre of gravity within the base of support. Monopodal stance test measures static balance in percentage through posturography study.
Time frame: Before treatment, after 5 weeks of treatment and after 6 weeks of follow up
Change from Berg Balance Scale at 5 weeks and 13 weeks
Dynamic balance is the ability to maintain the centre of gravity within the base of support during the performance of functional activities. Berg Balance scale measures dynamic balance through performing multiple tasks and with a score of 0 to 56.
Time frame: Before treatment, after 5 weeks of treatment and after 6 weeks of follow up
Change from Time Up and Go test at 5 weeks and 13 weeks
Time up and Go test measures dynamic balance showed in seconds
Time frame: Before treatment, after 5 weeks of treatment and after 6 weeks of follow up
Change from 10 meter walk test at 5 weeks and 13 weeks
10 meter walk test measures walking speed and performance which is related to dynamic balance. The unit use is meter/second.
Time frame: Before treatment, after 5 weeks of treatment and after 6 weeks of follow up
Change from Health Assessement Questionnaire at 5 weeks and 13 weeks
Health Assessement questionnaire measures the functional capacity of a subject. It provides an impairment score of 0 to 3.
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Time frame: Before treatment, after 5 weeks of treatment and after 6 weeks of follow up
Change from physical function item of the Spanish Fibromyalgia Impact Questionnaire at 5 weeks and 13 weeks
The physical function item of the Spanish Fibromyalgia Impact Questionnaire measures functional capacity with a score of 0 to 3.
Time frame: Before treatment, after 5 weeks of treatment and after 6 weeks of follow up
Change from the Spanish Fibromyalgia Impact Questionnaire at 5 weeks and 13 weeks
The Spanish Fibromyalgia Impact Questionnaire measures the quality of life and the impact of Fibromyalgia on the life of persons diagnosed with this condition. The maximum score is 100 and the higher the result obtained, the higher the impact of the condition on the person and the less quality of life he/she has.
Time frame: Before treatment, after 5 weeks of treatment and after 6 weeks of follow up
Change from pain intensity levels measured with the visual analogue scale at 5 weeks and 13 weeks
The visual analogue scale is a 100-mm scale, where 0 indicated 'no symptoms' and 100 indicating 'extreme and unbearable symptoms'.
Time frame: Before treatment, after 5 weeks of treatment and after 6 weeks of follow up
Change from joint stiffness levels measured with the visual analogue scale at 5 weeks and 13 weeks
The visual analogue scale is a 100-mm scale, where 0 indicated 'no symptoms' and 100 indicating 'extreme and unbearable symptoms'.
Time frame: Before treatment, after 5 weeks of treatment and after 6 weeks of follow up
Change from depression level measured with the visual analogue scale at 5 weeks and 13 weeks
The visual analogue scale is a 100-mm scale, where 0 indicated 'no symptoms' and 100 indicating 'extreme and unbearable symptoms'.
Time frame: Before treatment, after 5 weeks of treatment and after 6 weeks of follow up
Change from perceived difficulty to work measured with the visual analogue scale at 5 weeks and 13 weeks
The visual analogue scale is a 100-mm scale, where 0 indicated 'no difficulty' and 100 indicating 'extreme and unbearable difficulty'.
Time frame: Before treatment, after 5 weeks of treatment and after 6 weeks of follow up