Fibromyalgia: a randomised, controlled trial of a treatment programme based on self management
Open Access
- 1 March 2004
- journal article
- clinical trial
- Published by BMJ in Annals Of The Rheumatic Diseases
- Vol. 63 (3), 290-296
- https://doi.org/10.1136/ard.2002.004945
Abstract
Objective: To evaluate the efficacy of a treatment programme for patients with fibromyalgia (FM) based on self management, using pool exercises and education. Methods: Randomised controlled trial with a 6 month follow up to evaluate an outpatient multidisciplinary programme; 164 patients with FM were allocated to an immediate 6 week programme (n = 84) or to a waiting list control group (n = 80). The main outcomes were changes in quality of life, functional consequences, patient satisfaction and pain, using a combination of patient questionnaires and clinical examinations. The questionnaires included the Fibromyalgia Impact Questionnaire (FIQ), Psychological General Well-Being (PGWB) index, regional pain score diagrams, and patient satisfaction measures. Results: 61 participants in the treatment group and 68 controls completed the programme and 6 month follow up examinations. Six months after programme completion, significant improvements in quality of life and functional consequences of FM were seen in the treatment group as compared with the controls and as measured by scores on both the FIQ (total score p = 0.025; fatigue p = 0.003; depression p = 0.031) and PGWB (total score p = 0.032; anxiety p = 0.011; vitality p = 0.013,). All four major areas of patient satisfaction showed greater improvement in the treatment than the control groups; between-group differences were statistically significant for “control of symptoms”, “psychosocial factors”, and “physical therapy” No change in pain was seen. Conclusion: A 6 week self management based programme of pool exercises and education can improve the quality of life of patients with FM and their satisfaction with treatment. These improvements are sustained for at least 6 months after programme completion.Keywords
This publication has 36 references indexed in Scilit:
- A six year prospective study of a cohort of patients with fibromyalgiaAnnals Of The Rheumatic Diseases, 2002
- Treating fibromyalgiaRheumatology, 2000
- Advances in the Treatment of Fibromyalgia: Current Status and Future DirectionsThe American Journal of the Medical Sciences, 1998
- Effects of Aerobic Exercise Versus Stress Management Treatment in FibromyalgiaScandinavian Journal of Rheumatology, 1996
- Perceived Control: A Comparison of Women with Fibromyalgia, Rheumatoid Arthritis, and Systemic Lupus Erythematosus Using a Swedish Version of the Rheumatology Attitudes IndexScandinavian Journal of Rheumatology, 1996
- Validation of a French-language version of the MOS 36-Item Short Form Health Survey (SF-36) in young healthy adultsJournal of Clinical Epidemiology, 1995
- A critical review of dimension-specific measures of health-related quality of life in cross-cultural researchQuality of Life Research, 1993
- Living with FibromyalgiaThe Clinical Journal of Pain, 1992
- The american college of rheumatology 1990 criteria for the classification of fibromyalgiaArthritis & Rheumatism, 1990
- Aerobic fitness in patients with fibrositis. A controlled study of respiratory gas exchange and 133xenon clearance from exercising muscleArthritis & Rheumatism, 1989