Effectiveness of health education in patients with fibromyalgia: a systematic review

Ríos, María del Carmen García; Navarro-Ledesma, Santiago; Tapia-Haro, Rosa María; Toledano-Moreno, Sonia; Casas-Barragán, Antonio; Correa‐Rodríguez, María; Aguilar‐Ferrándiz, María Encarnación

doi:10.23736/s1973-9087.19.05524-2

Cited by 46 publications

(53 citation statements)

References 29 publications

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“…The European League Against Rheumatism recommends that educational interventions be part of the initial approach for management of people with FM, in addition to other non‐pharmacological treatments (Macfarlane et al, 2017). However, a recent systematic review (García‐Ríos et al, 2019) evaluating the effectiveness of health education interventions in the context of FM concluded that evidence supporting the use of this approach is limited, as no significant improvements in FM symptoms have been demonstrated. Therefore, this study aims to develop an innovative TPE intervention using the actual symptom experiences of women diagnosed with FM as a standard by which to develop effective symptom management strategies.…”

Section: Discussionmentioning

confidence: 99%

A web‐based therapeutic patient education intervention for pain and sleep for women with fibromyalgia: A sequential exploratory mixed‐methods research protocol

Climent‐Sanz

Gea‐Sánchez

Moreno‐Casbas

et al. 2020

Journal of Advanced Nursing

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Aims:To evaluate cognitive and behavioural factors related to pain and poor sleep quality in women diagnosed with fibromyalgia and to develop and test the effects of a web-based therapeutic education intervention on pain intensity, pain catastrophizing, chronic pain self-efficacy, sleep quality, dysfunctional beliefs and attitudes about sleep and quality of life and health status related to fibromyalgia. Design:The project will employ a sequential exploratory mixed methods research design.Methods: For the qualitative phase, a theoretical sample living in the community will be recruited to participate in personal, semi-structured interviews. For the quantitative phase, a sample of adult women with fibromyalgia will be recruited from secondary care centres and randomly allocated an intervention or a control group. The study protocol was approved in 2019. Discussion: Fibromyalgia is the most common central sensitivity syndrome and one of the principal worldwide causes of chronic widespread pain among the adult population. Poor sleep quality is a highly prevalent and troublesome symptom for people with fibromyalgia. Psychosocial and behavioural factors have been shown to relate intimately with the symptom experiences of people with fibromyalgia; pain catastrophizing and dysfunctional beliefs and attitudes about sleep can perpetuate those and other fibromyalgia symptoms. Conclusion: It is imperative to reflect people's actual symptom experiences to develop effective symptom management strategies. In the Internet era, this project's proposed web-based therapeutic education intervention could offer women with fibromyalgia a new avenue for treatment as part of standard fibromyalgia management programs in primary and secondary healthcare services.Impact: Pain and poor sleep quality are highly prevalent and troublesome symptoms for people with fibromyalgia. The web-based therapeutic education intervention

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Section: Discussionmentioning

confidence: 99%

A web‐based therapeutic patient education intervention for pain and sleep for women with fibromyalgia: A sequential exploratory mixed‐methods research protocol

Climent‐Sanz

Gea‐Sánchez

Moreno‐Casbas

et al. 2020

Journal of Advanced Nursing

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Section: Introductionmentioning

confidence: 99%

“…Despite some physical therapy interventions, such as exercise and cognitive behavior therapy showing some therapeutic bene t [2][3][4], FMS is a complex syndrome and there is little evidence to con rm if the condition is fully improved in all aspects using these treatment programs. Thus a multifactorial and de nitive treatment is currently lacking [2,4,5]. Photobiomodulation (PBM) therapy, formerly known as Low-level laser therapy (LLLT), is an emerging, non invasive and promising therapy for those suffering from FMS, since it has shown positive impact on relieving musculoskeletal and neuropathic pain, with consequent improvement on quality of life [5].Current research has established effective wave lengths of light used for PBM to range from 600 to 1070 nm, with a uence (energy density) range of between 1 and 20 J/cm 2 .…”

Section: Introductionmentioning

confidence: 99%

Short- and Long-term Effects of Photobiomodulation on Pain, Functionality, Tissue Quality, Central Sensitisation and Psychological Factors in a Population Suffering From Fibromyalgia: Protocol for a Triple-blinded Randomized Clinical Trial.

Navarro-Ledesma

Carroll²,

Burton³

2021

Preprint

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Background: The development of an integral and global treatment to improve the quality of life in those with fibromyalgia syndrome (FMS) is challenging.Methods: This study is a randomized, placebo-controlled clinical trial. Participants will be recruited in a private care practice and randomized to receive either a whole body Photobiomodulation (PBM) therapy program or placebo. Primary out comes will be pain (NumericPain Rating Scale; Widespread Pain Index; Symptom Severity Score), functionality (Fibromyalgia Impact Questionnaire; The Leisure Time Physical Activity Instrument), quality of soft tissue (elastography) and central sensitisation (pain pressure threshold and the Autonomic Symptom Profile). Secondary outcomes will be psychological factors (Pain Catastrophising scale, Tampa Scale, Self-Efficay questionnaire). Assessments will be at baseline (T1), after session 6 (T2), after treatment (T3) and 2 weeks (T4), 3 (T5) and 6 (T6) month´ follow-up.Discussion: PBM therapy has been shown to reduce pain and inflammation and to increase the rate of tissue repair for a wide range of conditions, but its potential use as a whole body treatment in FM is yet to be explored. This trial will investigate whether whole body PBM therapy is effective at reducing pain intensity, improving functionality, quality of soft tissue, central sensitisation symptoms and psychological measurements. Furthermore, 3 and 6 months follow up will investigate long-term efficacy of this treatment.Trial registration: NCT04248972. Registered on January 29, 2020, https://clinicaltrials.gov/ct2/show/NCT04248972?term=navarro-ledesma+santiago&draw=2&rank=2.

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“…PNE focuses on thoughts and attitudes that could be strong predictors of persistent disability [ 17 ]. However, a recent systematic review reported no effects on physical function in patients with FMS following patient education in isolation [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Does the Addition of Pain Neurophysiology Education to a Therapeutic Exercise Program Improve Physical Function in Women with Fibromyalgia Syndrome? Secondary Analysis of a Randomized Controlled Trial

Ceballos‐Laita

Mingo-Gómez

Estébanez-de-Miguel

et al. 2021

JCM

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Therapeutic exercise (TE) is one of the most investigated approaches for the management of FMS. Pain neurophysiology education (PNE) helps toward understanding the pain condition, leading to maladaptive pain cognitions and coping strategies in patients with chronic pain. Our study aimed to assess the effects of therapeutic exercise and pain neurophysiology education versus TE in isolation on fatigue, sleep disturbances, and physical function in the short term and at three months of follow-up in women with fibromyalgia syndrome (FMS). A single-blind randomized controlled trial was carried out. A total of 32 women with FMS referred from medical doctors and fibromyalgia association were randomized in 2 groups: PNE + TE group or TE group. Fatigue and sleep disturbances (Visual Analog Score) and physical function (Senior Fitness Test) were assessed before, after intervention, and at three months of follow-up. Significant improvements were achieved in the Timed Up and Go test (p = 0.042) and Arm Curl test (p = 0.043) after intervention and on handgrip in the non-dominant side at three months of follow-up (p = 0.036) on the PNE + TE group. No between-groups differences were found for fatigue, sleep disturbances, and the rest of test included in the Senior Fitness Test. In conclusion, these results suggest that PNE + TE appears to be more effective than TE in isolation for the improvement of physical function (Timed Up and Go test and Arm Curl test) in women with FMS in the short term.

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Effectiveness of health education in patients with fibromyalgia: a systematic review

Cited by 46 publications

References 29 publications

A web‐based therapeutic patient education intervention for pain and sleep for women with fibromyalgia: A sequential exploratory mixed‐methods research protocol

A web‐based therapeutic patient education intervention for pain and sleep for women with fibromyalgia: A sequential exploratory mixed‐methods research protocol

Short- and Long-term Effects of Photobiomodulation on Pain, Functionality, Tissue Quality, Central Sensitisation and Psychological Factors in a Population Suffering From Fibromyalgia: Protocol for a Triple-blinded Randomized Clinical Trial.

Does the Addition of Pain Neurophysiology Education to a Therapeutic Exercise Program Improve Physical Function in Women with Fibromyalgia Syndrome? Secondary Analysis of a Randomized Controlled Trial

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