Pain Neuroscience Education in Patients with Fibromyalgia

Kutahya Health Sciences University40 enrolled

Overview

Many patients with fibromyalgia have little understanding of their condition, leading to maladaptive pain cognitions and coping strategies. Current research has suggested the use of physiotherapy and rehabilitation in addition to cognitive patient education in the treatment of fibromyalgia syndrome. This study aimed to explore the effectiveness of pain neuroscience education in patients with fibromyalgia.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Pain, Chronic Fibromyalgia

Interventions

Pain neuroscience educationOTHER

A total of 4 NPE (Neuroscience paine education) sessions were held, once each week in addition medical treatment similar to control group. The NPE sessions were conducted by an experienced physiotherapist certified in NPE in face-to-face, group sessions lasting 40-45 minutes. In NPE, the patient is taught about the physiology of pain, central sensitization, representation of the different body regions in the brain, pain-related changes in body perception, and the psychosocial dimensions of pain.

Medical treatmentDRUG

The patients in control group continued taking their regular gabapentin and pregabalin-derivative drug therapy at the same dosage and duration specified by their physicians.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * have fibromyalgia as defined by the criteria of the 1990 ACR * have Turkish as their native language * between 18 and 65 years of age Exclusion Criteria: * Having cognitive impairment * Receiving psychotherapy * Illiterate people * Patients with significant hearing loss

Locations (1)

KutahyaMSU

Kütahya, Kutahya Health Sciences University, Turkey (Türkiye)

Outcomes

Primary Outcomes

Fibromyalgia Impact Questionnaire (FIQ)

The FIQ is an assessment and evaluation instrument developed to measure fibromyalgia (FM) patient status, progress and outcomes

Time frame: Change from Baseline FIQ at 4th weeks

Pressure pain thresholds (PPT)

Pressure pain thresholds in following five points, 7th cervical vertebra, 3th lumbal vertebra, 5th lumbal vertebra, the belly of calf muscles, and 2nd distal interfalangeal joint were measured using a analog pressure algometer(Baseline, USA).

Time frame: Change from Baseline PPT at 4th weeks

Tinel's Sign

The Tinel sign is the result of a simple, noninvasive test that checks for nerve problems. The test is positive when a tingling or prickling sensation is felt in the distribution of the Tibial nerve.

Time frame: Change from Baseline PPT at 4th weeks

Secondary Outcomes

Tampa Scale of Kinesiophobia

The Tampa Scale for Kinesiophobia (TSK) was used for the assessment of kinesiophobia. The TSK is a 17-item questionnaire developed to measure the fear of movement/re-injury.

Time frame: Change from Baseline PPT at 4th weeks

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.