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Effects of Manual Therapy on Fatigue, Pain, and Psychological Aspects in Women with Fibromyalgia

Fibromyalgia is a condition characterised by chronic widespread muscle pain and fatigue, sleep disturbances, cognitive disorders, and mood disturbance. The purpose of this study was to determine the effectiveness of a manual therapy technique performed with moderate digital pressure in women with fi...

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Autores principales: Nadal-Nicolás, Yolanda, Rubio-Arias, Jacobo Ángel, Martínez-Olcina, María, Reche-García, Cristina, Hernández-García, María, Martínez-Rodríguez, Alejandro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7345776/
https://www.ncbi.nlm.nih.gov/pubmed/32604939
http://dx.doi.org/10.3390/ijerph17124611
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author Nadal-Nicolás, Yolanda
Rubio-Arias, Jacobo Ángel
Martínez-Olcina, María
Reche-García, Cristina
Hernández-García, María
Martínez-Rodríguez, Alejandro
author_facet Nadal-Nicolás, Yolanda
Rubio-Arias, Jacobo Ángel
Martínez-Olcina, María
Reche-García, Cristina
Hernández-García, María
Martínez-Rodríguez, Alejandro
author_sort Nadal-Nicolás, Yolanda
collection PubMed
description Fibromyalgia is a condition characterised by chronic widespread muscle pain and fatigue, sleep disturbances, cognitive disorders, and mood disturbance. The purpose of this study was to determine the effectiveness of a manual therapy technique performed with moderate digital pressure in women with fibromyalgia (n = 24). In this randomised, controlled trial, the participants were randomly assigned to the experimental group or placebo group. The experimental group was assisted with manual therapy sessions based on connective tissue massage, whereas the placebo group was “treated” with ultrasound sessions performed without conductive gel and with the machine turned off as the placebo. Fatigue severity scale (FSS), visual analogical scale (VAS), Pittsburgh sleep quality index (PSQI), and profile of mood states (POMS-29) were completed before and after the intervention. In the experimental group (manual therapy), significant results were obtained on a VAS scale, referring to the neck pain in patients with fibromyalgia (p < 0.001). Correlations showed a relationship between fatigue and sleep variables (R = 0.411; p = 0.046) and pain variables with the POMS anger-hostility subscale (R = 0.436; p = 0.033). Although the size of the sample could be a limitation, the study concluded that the application of manual therapy in fibromyalgia patients performed with moderate pressure for 15 min on the posterior cervical musculature decreased the perception of pain, muscle fatigue, and the state of tension-anxiety.
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spelling pubmed-73457762020-07-09 Effects of Manual Therapy on Fatigue, Pain, and Psychological Aspects in Women with Fibromyalgia Nadal-Nicolás, Yolanda Rubio-Arias, Jacobo Ángel Martínez-Olcina, María Reche-García, Cristina Hernández-García, María Martínez-Rodríguez, Alejandro Int J Environ Res Public Health Article Fibromyalgia is a condition characterised by chronic widespread muscle pain and fatigue, sleep disturbances, cognitive disorders, and mood disturbance. The purpose of this study was to determine the effectiveness of a manual therapy technique performed with moderate digital pressure in women with fibromyalgia (n = 24). In this randomised, controlled trial, the participants were randomly assigned to the experimental group or placebo group. The experimental group was assisted with manual therapy sessions based on connective tissue massage, whereas the placebo group was “treated” with ultrasound sessions performed without conductive gel and with the machine turned off as the placebo. Fatigue severity scale (FSS), visual analogical scale (VAS), Pittsburgh sleep quality index (PSQI), and profile of mood states (POMS-29) were completed before and after the intervention. In the experimental group (manual therapy), significant results were obtained on a VAS scale, referring to the neck pain in patients with fibromyalgia (p < 0.001). Correlations showed a relationship between fatigue and sleep variables (R = 0.411; p = 0.046) and pain variables with the POMS anger-hostility subscale (R = 0.436; p = 0.033). Although the size of the sample could be a limitation, the study concluded that the application of manual therapy in fibromyalgia patients performed with moderate pressure for 15 min on the posterior cervical musculature decreased the perception of pain, muscle fatigue, and the state of tension-anxiety. MDPI 2020-06-26 2020-06 /pmc/articles/PMC7345776/ /pubmed/32604939 http://dx.doi.org/10.3390/ijerph17124611 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Nadal-Nicolás, Yolanda
Rubio-Arias, Jacobo Ángel
Martínez-Olcina, María
Reche-García, Cristina
Hernández-García, María
Martínez-Rodríguez, Alejandro
Effects of Manual Therapy on Fatigue, Pain, and Psychological Aspects in Women with Fibromyalgia
title Effects of Manual Therapy on Fatigue, Pain, and Psychological Aspects in Women with Fibromyalgia
title_full Effects of Manual Therapy on Fatigue, Pain, and Psychological Aspects in Women with Fibromyalgia
title_fullStr Effects of Manual Therapy on Fatigue, Pain, and Psychological Aspects in Women with Fibromyalgia
title_full_unstemmed Effects of Manual Therapy on Fatigue, Pain, and Psychological Aspects in Women with Fibromyalgia
title_short Effects of Manual Therapy on Fatigue, Pain, and Psychological Aspects in Women with Fibromyalgia
title_sort effects of manual therapy on fatigue, pain, and psychological aspects in women with fibromyalgia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7345776/
https://www.ncbi.nlm.nih.gov/pubmed/32604939
http://dx.doi.org/10.3390/ijerph17124611
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