Breathing Exercises Must Be a Real and Effective Intervention to Consider in Women with Fibromyalgia: A Pilot Randomized Controlled Trial

Tomás-Carús, Pablo; Branco, Jaime; Raimundo, Armando; Parraça, José A.; Batalha, Nuno; Biehl-Printes, Clarissa

doi:10.1089/acm.2017.0335

Cited by 20 publications

(16 citation statements)

References 30 publications

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“…Breathing exercises performed for 30 minutes a day, 7 days a week for 12 weeks resulted in significant improvements of 27% to 63% in pain thresholds on various tender points for women with FM. 85 In another study of pain in FM, slow breathing rates reduced pain intensity and feelings of unpleasantness in response to thermal stimuli in women with FM. 86 Unfortunately, neither of these studies measured cytokine levels, but they did establish that breathing practices could be used to modulate the sensation of pain.…”

Section: Nonpharmacologic Interventions That Lower Pro-inflammatory Mmentioning

confidence: 97%

An Integrative Approach to Neuroinflammation in Psychiatric disorders and Neuropathic Pain

Lurie

2018

J Exp Neurosci

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Neuroinflammation is a complex process involving both the peripheral circulation and the Central Nervous System (CNS) and is considered to underlie many CNS disorders including depression, anxiety, schizophrenia, and pain. Stressors including early-life adversity, psychosocial stress, and infection appear to prime microglia toward a pro-inflammatory phenotype. Subsequent inflammatory challenges then drive an exaggerated neuroinflammatory response involving the upregulation of pro-inflammatory mediators that is associated with CNS dysfunction. Several pharmacologic inhibitors of pro-inflammatory cytokines including TNF-α and IL-1β show good clinical efficacy in terms of ameliorating neuroinflammatory processes. Mind/body and plant-based interventions such as yoga, breathing exercises, meditation, and herbs/spices have also been demonstrated to reduce pro-inflammatory cytokines and have a positive impact on depression, anxiety, cognition, and pain. As the intricate connections between the immune system and the nervous system continue to be elucidated, successful therapies for reducing neuroinflammation will likely involve an integrated approach combining drug therapy with nonpharmacologic interventions.

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Section: Nonpharmacologic Interventions That Lower Pro-inflammatory Mmentioning

confidence: 97%

An Integrative Approach to Neuroinflammation in Psychiatric disorders and Neuropathic Pain

Lurie

2018

J Exp Neurosci

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“…The study by Tomas-Carus et al (2018) included women with fibromyalgia and compared a respiratory exercise program versus a control. The respiratory exercise program consisted of 30 min/ session for 7 times/ week for 12 weeks: 1 time supervised by an expert in breathing exercises, and 6 times/ week without supervision at home with audiovisual training through a versatile digital disc.…”

Section: Breathing Techniques In Other Entitiesmentioning

confidence: 99%

Breathing technique in pain and cognitive function: a systematic review of the literature

Alzate-Granados

Solarte

López

et al. 2020

JACN

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Breathing techniques are key components of yoga, meditation and relaxation practices that are well known for reducing anxiety and improving overall well-being. To evaluate the efficacy of breathing techniques in pain and cognitive function. We conducted a literature review searching the main literature databases (medline, lilacs, Cochrane library) including randomized clinical trials. We assessed the risk of bias of the included studies using the methodology proposed by the Cochrane collaboration. In total, we found 16 studies that met the inclusion criteria, with an intermediate or unclear overall risk of bias. When combining the different breathing techniques vs control in the included studies, we found a statistically significant difference in terms of the visual analog scale (Difference of means, random effects; -1.21 [95% CI -1.75 to -0.68]; I2: 95%). Meditation-based breathing techniques would improve pain and cognitive function in patients with a painful entity or healthy volunteers.

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“…Nevertheless, our results are in line with two Portuguese previous studies. In the study of, Tomás‐Carús et al (2018) aiming to analyse the effects of a breathing exercises program on pain and FM impact on daily life in Portuguese s FM patients, only 14% had higher education level. Also Ferreira and Santana (2003) in a study with a representative sample of Portuguese population, 8.5% had higher education level.…”

Section: Discussionmentioning

confidence: 99%

Clinical, psychological and quality of life differences in fibromyalgia patients from secondary and tertiary healthcare

Campos

Vázquez

Vilhena

2020

European Journal of Pain

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Background The ‘funnel effect’ of Fibromyalgia (FM) assumes that as patients access healthcare services, they present greater severity and a more complex clinical situation than individuals with FM from the general population, but the studies comparing patients treated in different levels of healthcare are scarce. The aim of this study was to analyse the ‘funnel effect’ hypothesis by comparing patients from secondary and tertiary healthcare services. Methods A cross‐sectional sample of female patients was selected in secondary (rheumatology practices ‐ RP) and in tertiary healthcare (chronic pain clinics ‐ CPC). Information about sociodemographic, clinical and psychological characteristics was collected and health related quality of life (HRQL) was assessed. Results In total, 55 patients from RP and 60 patients from CPC were included in the comparison. Patients from CPC revealed a worst clinical status (higher number of tender points, medical visits and comorbidity), more somatic symptoms (pain and daytime dysfunction levels) and worst emotional status (more anxiety) than patients from RP. Patients attending CPC also revealed a worst HRQL than RP patients although this difference was mediated by the differences in clinical and psychological variables. Conclusions Our study supports the ‘funnel effect’ hypothesis among patients of different healthcare levels, with patients from tertiary healthcare services revealing worst clinical status, more somatic and psychological symptoms, and worst HRQL than patients from secondary healthcare services. Significance The worst clinical and psychological status and poorer quality of life in the patients from tertiary healthcare (chronic pain clinics) in relation to the patients from secondary healthcare (rheumatology practices) must be taken into account to design studies that assess any of these aspects, to a proper analysis and interpretation of the data, and to define the scope of its generalization, as data from different clinical settings are not directly comparable.

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Breathing Exercises Must Be a Real and Effective Intervention to Consider in Women with Fibromyalgia: A Pilot Randomized Controlled Trial

Abstract: International Standard Randomized Controlled Trial Number ISRCTN37081460, available information in www.isrctn.com/ ISRCTN37081460.

Cited by 20 publications

References 30 publications

An Integrative Approach to Neuroinflammation in Psychiatric disorders and Neuropathic Pain

An Integrative Approach to Neuroinflammation in Psychiatric disorders and Neuropathic Pain

Breathing technique in pain and cognitive function: a systematic review of the literature

Clinical, psychological and quality of life differences in fibromyalgia patients from secondary and tertiary healthcare

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