Effect of body awareness therapy on fibromyalgia syndrome in women: a randomized controlled trial

Abstract

Purpose: We aimed to investigate the effect of the Body Awareness Therapy (BAT) on physical symptoms, quality of life, and psychological status of women with fibromyalgia syndrome (FMS). Methods: This study was a randomized controlled, long term follow-up study. Fifty-two women with FMS were randomly allocated to the study group (mean age: 39.5±7.06 years) or the control group (mean age: 36.5±9.3years). Visual Analogue Scale (VAS) was used to evaluate pain, sleep disturbance and fatigue level. The Fibromyalgia Impact Questionnaire, Beck Depression Inventory and Nottingham Health Profile were used to investigate physical and mental status of patients. Two groups underwent the same physiotherapy program twice a week. In addition BAT was given to the study group and patient education and therapeutic exercises were given to the control group once a week for 2 months. Assessments were performed during and after treatment. Results: Both treatment protocols were effective; however, study group has move improvement in quality of life, depression, and disability level (p<0.05). Whereas results of pain, fatigue, and sleep disturbance intensity were similar between the groups (p>0.05). Conclusion: The most important effect of BAT was found to be on quality of life. We assumed that this is due to its enabling effects to control pain. The results imply that BAT may be used in addition to other physiotherapy and rehabilitation approaches in the treatment of FMS

Keywords

• Body awareness therapy, Fibromyalgia syndrome, Complementary therapy, Pain, Quality of life

Kadınlarda vücut farkındalığı tedavisinin fibromiyalji sendromuna etkisi: rastgele kontrollü çalışma

Abstract

Amaç: Fibromiyalji sendromu (FMS) olan kadınlarda vücut farkındalığı tedavisinin fiziksel semptom, yaşam kalitesi ve psikososyal durum üzerine etkisini araştırmaktı. Yöntem: Çalışma randomize kontrollü, uzun dönem izlem ile gerçekleştirildi. FMS tanısı almış 52 kadın hasta randomize olarak çalışma (yaş ortalaması 39.5±7.06 yıl) veya kontrol grubuna (yaş ortalaması 36.5±9.3yıl) alındı. Ağrı, uyku düzensizliği ve yorgunluk seviyesi Vizüel Analog Skalası (GAS) ile değerlendirildi. Fibromiyalji Etki Anketi, Beck Depresyon Envanteri ve Nottingham Sağlık Profili kişilerin fiziksel ve mental durumlarını değerlendirmek için kullanıldı. İki grup 2 ay boyunca haftada 2 kez aynı fizyoterapi programını aldı. Çalışma grubuna ek olarak haftada bir vücut farkındalığı tedavisi, kontrol grubuna ise, hasta eğitimi ve egzersiz programı verildi. Değerlendirmeler tedavi başlangıcında ve bitiminde yapıldı. Bulgular: Her iki tedavi etkili bulundu; ancak yaşam kalitesi, depresyon ve özür seviyesi sonuçları çalışma grubu lehine belirgin düzeyde farklı iken (p0,05). Sonuç: Vücut farkındalığının en önemli etkisinin yaşam kalitesi üzerine olduğu belirlendi. Bu durumun, hastalara hareketle ortaya çıkan ağrıyı kontrol etme becerisi kazandırdığı için ortaya çıktığını düşünmekteyiz. Vücut farkındalığı yaklaşımının fibromiyalji tedavisinde geleneksel fizyoterapi ve rehabilitasyon uygulamaları ile birlikte kullanılmasını önermekteyiz

Keywords

• Vücut farkındalığı tedavisi, Fibromiyalji Sendromu, Tamamlayıcı terapi, Ağrı, Yaşam kalitesi

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