Effects of 2 physiotherapy programs on pain perception, muscular flexibility, and illness impact in women with fibromyalgia: a pilot study

J Manipulative Physiol Ther. 2009 Jan;32(1):84-92. doi: 10.1016/j.jmpt.2008.07.003.

Abstract

Objective: This study assessed the effect of 2 physiotherapy programs designed to improve flexibility and to reduce the impact of the illness and pain perception in women with the fibromyalgia syndrome (FMS), and compared the effects of the 2 programs in the short and intermediate term.

Methods: Twenty FMS patients were randomly assigned to 2 training groups, one following a program of kinesiotherapy and active muscular stretching and one using techniques of Global Myofascial Physiotherapy, according to the Mézières method. Both groups met twice a week for 12 weeks, for a total of 150 minutes each week. Flexibility and illness impact were measured by means of a standard test, whereas pain was assessed by means of thumb palpation. Measurements were taken at the beginning and end of the program and 24 weeks after its end.

Results: Patients had achieved a statistically significant reduction in the severity of the disease and improved their flexibility level by the end of the program, but had returned to initial values after follow-up. Significant differences were not observed between the 2 treatment groups in the initial values or in the results at the end of the program or after the follow-up, so neither program proved better than the other.

Conclusion: The FMS patients in this study improved their flexibility level and general well-being using both kinesiotherapy and stretching exercises techniques.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Anxiety / therapy
  • Female
  • Fibromyalgia / physiopathology
  • Fibromyalgia / psychology
  • Fibromyalgia / therapy*
  • Humans
  • Longitudinal Studies
  • Middle Aged
  • Muscle, Skeletal / physiopathology
  • Pain Measurement
  • Physical Therapy Modalities
  • Pilot Projects
  • Severity of Illness Index