Effects of a respiratory functional training program on pain and sleep quality in patients with fibromyalgia: A pilot study

Garrido, María; Castaño, M. Y.; Biehl-Printes, Clarissa; Gómez, María Ángeles; Branco, Jaime; Tomás-Carús, Pablo; Rodríguez, Ana B.

doi:10.1016/j.ctcp.2017.05.013

Cited by 9 publications

(11 citation statements)

References 27 publications

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“…an 8 week functional respiratory intervention) found improvements in actigraphic SOL at posttreatment; however, the majority of improvement was observed for self-reported sleep (i.e. sleep quality, total sleep time, and sleep efficiency) [49,50]. Taken together, research suggests that the improvement in actigraphy measures following insomnia treatments in FM miminal.…”

Section: Discussionmentioning

confidence: 96%

Cognitive behavioral treatments for insomnia and pain in adults with comorbid chronic insomnia and fibromyalgia: clinical outcomes from the SPIN randomized controlled trial

McCrae

Williams

Roditi

et al. 2018

Sleep

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Study Objectives: To examine the effects of cognitive behavioral treatments for insomnia (CBT-I) and pain (CBT-P) in patients with comorbid fibromyalgia and insomnia.Methods: One hundred thirteen patients (M age = 53, SD = 10.9) were randomized to eight sessions of CBT-I (n = 39), CBT-P (n = 37), or a waitlist control (WLC, n = 37). Primary (self-reported sleep onset latency [SOL], wake after sleep onset [WASO], sleep efficiency [SE], sleep quality [SQ], and pain ratings) and secondary outcomes (dysfunctional beliefs and attitudes about sleep [DBAS]; actigraphy and polysomnography SOL, WASO, and SE; McGill Pain Questionnaire; Pain Disability Index; depression; and anxiety) were examined at posttreatment and 6 months.Results: Mixed effects analyses revealed that both treatments improved self-reported WASO, SE, and SQ relative to control at posttreatment and follow-up, with generally larger effect sizes for CBT-I. DBAS improved in CBT-I only. Pain and mood improvements did not differ by group. Clinical significance analyses revealed the proportion of participants no longer reporting difficulties initiating and maintaining sleep was higher for CBT-I posttreatment and for both treatments at 6 months relative to control. Few participants achieved >50% pain reductions. Proportion achieving pain reductions of >30% (~1/3) was higher for both treatments posttreatment and for CBT-I at 6 months relative to control. Conclusions:CBT-I and CBT-P improved self-reported insomnia symptoms. CBT-I prompted improvements of larger magnitude that were maintained. Neither treatment improved pain or mood. However, both prompted clinically meaningful, immediate pain reductions in one third of patients. Improvements persisted for CBT-I, suggesting that CBT-I may provide better long-term pain reduction than CBT-P. Research identifying which patients benefit and mechanisms driving intervention effects is needed. Clinical Trial: Sleep and Pain Interventions in Fibromyalgia (SPIN), clinicaltrials.gov, NCT02001077.

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Section: Discussionmentioning

confidence: 96%

Cognitive behavioral treatments for insomnia and pain in adults with comorbid chronic insomnia and fibromyalgia: clinical outcomes from the SPIN randomized controlled trial

McCrae

Williams

Roditi

et al. 2018

Sleep

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“…Of the 10 studies reviewed, four were non-randomized controlled [ 30 , 33 , 35 , 36 ], two randomized controlled [ 18 , 34 ], two observational [ 31 , 32 ], one case-control [ 38 ] and one pilot study [ 40 ].…”

Section: Resultsmentioning

confidence: 99%

“…Participants of the 10 studies reviewed were 382 subjects (all women), of whom 212 were allocated to an FM group (all diagnosed with FM) and 170 to a control group. Two studies lacked a control group [ 32 , 36 ]. Mean ages were 50.03 ± 5.36 years in the FM groups and 48.41 ± 7.17 years in the control groups.…”

Section: Resultsmentioning

confidence: 99%

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Pain and Cortisol in Patients with Fibromyalgia: Systematic Review and Meta-Analysis

et al. 2020

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This systematic review and meta-analysis sought to gain further insight into the relationship between cortisol reactivity and chronic widespread pain in patients with fibromyalgia. The studies selected were those conducted in adults with fibromyalgia that were random controlled, non-controlled or observational. Studies were excluded if they examined diseases other than fibromyalgia or if they did not report on pain or cortisol. Twelve studies met inclusion criteria. Data were extracted into tabular format using predefined data fields by two reviewers and assessed for accuracy by a third reviewer. The methodological quality of the studies was assessed using the PEDro scale. Data Synthesis: Of 263 studies identified, 12 were selected for our review and 10 were finally included as their methodological quality was good. In the meta-analysis, we calculated effect sizes of interventions on pain indicators and cortisol levels in patients with fibromyalgia. A small overall effect of all the interventions was observed on pain tolerance and pressure pain thresholds, yet this effect lacked significance (ES = 0.150; 95%CI 0.932–1.550; p > 0.05). Conclusions: While some effects of individual nonpharmacological therapeutic interventions were observed on both cortisol levels and measures of pain, our results suggest much further work is needed to elucidate the true relationship between chronic widespread pain and cortisol levels in patients with fibromyalgia.

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“…Breathing exercises can induce many bio-psychological effects such as improvement of attention, and reduction of stress, depression, and anxiety [1][2][3][4]. It also brings a range of positive effects on the physical aspects of healing in various areas, including car-diopulmonary, musculoskeletal, and pain management [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

The immediate effect of incorporating short-term slow abdominal respiration into an exercise program on balance and the autonomic nervous system

Han¹,

Chae

Lee

2019

PTRS

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The purpose of this study was to examine the possible effects of incorporating short-term slow-abdominal respiration (SAR) into an exercise program, on balance and the cardiac-related autonomic nervous system (ANS). Design: Cross-over repeated measures design. Methods: Fifteen young and healthy adults were randomly assigned into two groups (7 in the C-R group, 8 in the R-C group), each of which carried out both control sequence (C) and respiration-experiment sequence (R) in the inverse order. In the C sequence, the subjects performed passive exercises and a general exercise program (P-GEP). In the R sequence, the subjects received a short-term SAR training session and then performed the respiration incorporated general exercises program (R-RGEP). Before and after both C and R sequences, the length and the area of the displacement of the center of pressure (COP) and heart rate variability parameters were measured. Results: The total length of the COP displacement in the left single-leg-standing condition showed a significantly greater reduction after R-RGEP in the respiration-experiment sequence than after the P-GEP in the control sequence (p<0.05). The mean heart rate was significantly reduced only after R-RGEP in the respiration-experiment sequence (p<0.05) Conclusions: The slow-abdominal-respiration, trained in a simple manner and integrated into the exercise program in a single session, showed partially positive immediate effects on balance stabilization. The decrease in heart rate indicated possible involvement of the parasympathetic ANS activation in the stability, although it is not enough to decide whether it is purely due to the controlled respiration.

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Effects of a respiratory functional training program on pain and sleep quality in patients with fibromyalgia: A pilot study

Cited by 9 publications

References 27 publications

Cognitive behavioral treatments for insomnia and pain in adults with comorbid chronic insomnia and fibromyalgia: clinical outcomes from the SPIN randomized controlled trial

Cognitive behavioral treatments for insomnia and pain in adults with comorbid chronic insomnia and fibromyalgia: clinical outcomes from the SPIN randomized controlled trial

Pain and Cortisol in Patients with Fibromyalgia: Systematic Review and Meta-Analysis

The immediate effect of incorporating short-term slow abdominal respiration into an exercise program on balance and the autonomic nervous system

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