- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03182556
Efficacy of Electromyographic Biofeedback, Aerobic Exercise and Stretching in Fibromyalgia.
Comparison of the Efficacy of Electromyographic Biofeedback, Aerobic Exercise (Biodanza) and Stretching in Patients With Fibromyalgia.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Fibromyalgia (FM) affects nearly 2.4% of the Spanish population, mostly women aged between 40 and 60. This disease, which is characterized by a disturbance in their pain regulation with an increased sensitivity to painful stimuli and a decrease of pain threshold, has a strong impact on the patients' health and their quality of life, restricting the realization of their daily activities. Moreover, it presents a high prevalence of comorbidities, which increases the needs of these patients in terms of effective therapeutic management leading to higher health requirements.
In addition to that, FM response to drug treatments is low and its symptoms become more frequent simultaneously with adverse effects, and according to that, an individualized analysis becomes necessary as well as a multidisciplinary approach, since there is no absolute treatment up to now.
This study aims to compare the improvements obtained in the quality of life, pain and other FM symptoms respectively, by means of applying physical therapies (such as aerobic biodance exercise in aquatic environment and stretching exercises) and psychological treatments, such as electromyographic biofeedback (BFB-EMGS) based training.
Objectives:
To comparatively analyze the level of improvement that can be reached by FM patients, by means of pool exercises based treatments, stretching exercises and BFB-EMGS therapies.
Methodology:
The sample of this study consisted of FM diagnosed individuals who verified the following inclusion criteria:
- Aged over 18 years and below 69 years.
- FM diagnosed according to the American College of Rheumatology (ACR) criteria.
- To continue with their unchanged drug treatment for the duration of the study.
- To attend at least 60% of sessions to be considered to have completed both aquatic aerobic exercise treatment and stretching therapy, or to complete at least 12 sessions in the BFB-EMGS training case.
In addition to that, the exclusion criteria were:
- Aged over 69 years or below 18 years.
- To be involved in other non-pharmacological treatments.
- To display disorders such as heart, kidney or liver failures, which prevent the development of treatments.
- Other physical or mental disorders that could endanger the patient's health.
- Not have completed the minimum number of sessions of the corresponding therapy. Thus, this is an experimental study with randomized clinical trial design, consisting of three intervention groups, namely, aquatic aerobics group, stretching group and BFB-EMGS with stretching group. All groups were composed of 35 patients and were assessed before and after 12 weeks of treatment by a single investigator blinded to patient allocation.
Comparisons were established within each group, before and after 12 weeks of treatment (intragroup) and between groups (intergroup). In this way, all patient were asked to sign an informed consent and their demographics and health data were recorded in the first meeting.
Dependent variables.
- FM Impact Questionnaire (FIQ).
- McGill-Melzack questionnaire.
- Visual Analog pain Scale (VAS).
- The depression scale was estimated by means of the Center for Epidemiologic Studies Depression (CES-D).
- Pressure algometry.
- The anxiety was measured by the State Anxiety Inventory (SAI).
- The sleep quality was measured by the Pittsburgh Sleep Quality Index (PSQI).
- The number of tender points in each patient. Independent variables.
- Aerobic biodance program in pool;
- Stretching exercises program;
- BFB-EMGS training;
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Aged 18 to 72 years and diagnosed with FMS according to 2010 ACR criteria. Before being included in the study, all the subjects must have signed an informed consent to ensure their participation, stating that it may be left at any time if were necessary.
Exclusion Criteria:
- Patients with physical or mental illness, infections, fever, hypotension, respiratory disorders which prevent the treatment realization, patients who do not maintain usual treatment during the study period or who do not perform the full intervention.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
PLACEBO_COMPARATOR: Stretching
Stretching sessions was held twice a week in the University of Almería facilities, lasting approximately one hour and they included different muscle areas exercises as well as stretching across the board.
|
The Chattanooga Intelect Advanced model was used with the surface EMG for 2 independent channels.
The patient can observe on the screen as columns of varying their height in the function of the degree of muscular tension.
Each session was configured as follows.
First, a 2 minute period for adaptation and then we continue with a 2 minute period to establish the baseline.
After that, a 7 minute training trial session to reduce the muscle tension as well as a pause of about 2 minutes.
Then, it continued with two more trials of 7 minutes interleaved with another 2 minute break.
Thus, the whole training lasts 29 minutes approximately.
The pauses between the individual trials were intended to recover the baseline level to carry out a new trial which will start from a higher level of EMG.
Other Names:
Aquatic Exercise program (Biodanza exercises) was carried out in a swimming-pool with a water temperature of approximately 29 ° C, preceded by a shower at a temperature of about 33-35 °C.
Each session lasts an hour and they will held twice a week (Monday and Wednesday) during a period of time of three months (12 weeks).
Other Names:
|
EXPERIMENTAL: Aquatic Exercise
Aquatic Exercise program (Biodanza exercises) was carried out in a swimming-pool with a water temperature of approximately 29 ° C, preceded by a shower at a temperature of about 33-35 °C.
Each session lasts an hour and they will held twice a week (Monday and Wednesday) during a period of time of three months (12 weeks).
|
The Chattanooga Intelect Advanced model was used with the surface EMG for 2 independent channels.
The patient can observe on the screen as columns of varying their height in the function of the degree of muscular tension.
Each session was configured as follows.
First, a 2 minute period for adaptation and then we continue with a 2 minute period to establish the baseline.
After that, a 7 minute training trial session to reduce the muscle tension as well as a pause of about 2 minutes.
Then, it continued with two more trials of 7 minutes interleaved with another 2 minute break.
Thus, the whole training lasts 29 minutes approximately.
The pauses between the individual trials were intended to recover the baseline level to carry out a new trial which will start from a higher level of EMG.
Other Names:
|
EXPERIMENTAL: Electromyography-Biofeedback training
The whole treatment will last about 12 sessions.
Each one lasts about 30 and 40 minutes and will be performed continuously once a week.
The frequency may be increased if the level of tonic muscle tension becomes too high.
|
Aquatic Exercise program (Biodanza exercises) was carried out in a swimming-pool with a water temperature of approximately 29 ° C, preceded by a shower at a temperature of about 33-35 °C.
Each session lasts an hour and they will held twice a week (Monday and Wednesday) during a period of time of three months (12 weeks).
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change from baseline Fibromyalgia Impact Questionnaire (FIQ) at 3 months.
Time Frame: At baseline and 12 weeks
|
This questionnaire was designed to evaluate the influence of FMS in the patients' daily life.
A properly validated Spanish version of FIQ was applied in this study.
|
At baseline and 12 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pittsburgh Sleep Quality Index (PSQI).
Time Frame: At baseline and 12 weeks
|
This questionnaire consists of 19 items which allow evaluating the quality of sleep of the last month and differentiates between ''poor'' and ''good'' quality sleepers.
The index is composed by seven components: subjective sleep quality, sleep latency, sleep duration, sleep efficiency, sleep disturbances, use of sleep medication and daytime dysfunction.
|
At baseline and 12 weeks
|
Center for Epidemiological Studies Depression Scale.
Time Frame: At baseline and 12 weeks
|
A screening measure developed to identify current depressive symptomatology related to major or clinical depression in adults and adolescents.This questionnaire is a self-report inventory contains 20 items that are scored by respondents to indicate the frequency of symptoms during the previous week.
|
At baseline and 12 weeks
|
State-Trait Anxiety Inventory (STAI).
Time Frame: At baseline and 12 weeks
|
This consists of 40 items which evaluate the state and the trait anxiety of a person.
|
At baseline and 12 weeks
|
Pressure algometry.
Time Frame: At baseline and 12 weeks
|
The pressure algometer (Wagner FPI 10) is an instrument valid for the measurement and location of the pressure-sensitive points.
|
At baseline and 12 weeks
|
McGill Questionnaire.
Time Frame: At baseline and 12 weeks
|
This questionnaire was designed and proposed by Melzack and Torgerson in order to quantify pain.
Thus, it evaluates both quantitative and qualitative pain aspects.
|
At baseline and 12 weeks
|
Visual Analogical Scale (VAS).
Time Frame: At baseline and 12 weeks
|
This scale was used to assess changes in pain intensity before and after treatment, and after each training session.
|
At baseline and 12 weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Maria M Lopez-Rodriguez, PhD, Universidad de Almeria
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- mlr295
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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