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

Yıl 2014, Cilt: 1 Sayı: 2 - Cilt: 1 Sayı: 2, 43 - 48, 23.07.2016

Mintaze Kerem Günel Naciye Vardar Yağlı Burcu Semin Akel Yıldız Erdoğanoğlu Gül Şener

Öz

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

Anahtar Kelimeler

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

Kadınlarda vücut farkındalığı tedavisinin fibromiyalji sendromuna etkisi: rastgele kontrollü çalışma

Öz

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

Anahtar Kelimeler

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

Kaynakça

• 1. Wolfe F, Smythe HA, Yunus MD. The American College of Rheumatology 1990 criteria for the classification of fibromyalgia: report of the Multicenter Criteria Committee. Arthritis Rheum 1990;33:160-172.
• 2. Lindell L, Bergman S, Petersson IF, et al. Prevalence of fibromyalgia and chronic widespread pain. Scand J Prim Health Care.2000;18:149-153.
• 3. Wolfe F, Anderson J, Harkness D, et al. Health status and disease severity in fibromyalgia: results of a six-center longitudinal study. Arthritis Rheum. 1997;40:1571-1579.
• 4. Imamura M, Cassius DA, Fregni F. Fibromyalgia: From treatment to rehabilitation. Eur J Pain. 2009;3:117-122.
• 5. Bieber C, Müler K.G, Blumenstiel K, et al. Long-term effects of a shared decision-making intervention on physician–patient interaction and outcome in fibromyalgia: A qualitative and quantitative 1 year follow-up of a randomized controlled trial. Patient Educ Couns. 2006;63:357-366.
• 6. Goldenberg DL, Burckhardt C, Crofford L. Management of fibromyalgia syndrome. JAMA. 2004;292:2388-2395.
• 7. Sim J, Adams N. Physical and other nonpharmacological interventions for fibromyalgia. Baillieres Best Pract Res Clin Rheumatol. 1999;13:507-523.
• 8. Offenbacher M, Stuck G. Physical therapy in the treatment of fibromyalgia. Scand J Rheumatol. 2000;113(supll):78–85.
• 9. Hävermark AM, Langius-Eklöf A. Long-term follow up of a physical therapy programme for patients with fibromyalgia syndrome. Scand J Caring Sci. 2006;20:315–322.
• 10. Gyllensten AL, Ovesson MN, Lindström I, et al. Reliability of the Body Awareness Scale-Health. Scand J Caring Sci. 2004;18:213-329.
• 11. Gard G. Body awareness therapy for patients with fibromyalgia and chronic pain. Disabil Rehabil. 2005;27:725-728.
• 12. Mannerkorpi1 K, Arndorw M. Efficacy and feasibility of a combination of body awareness therapy and qigong in patients with fibromyalgia: a pilot study. Rehabil Med. 2004;36:279–281.
• 13. Sarmer S, Ergin S, Yavuzer G. The validity and reliability of the Turkish version of the Fibromyalgia Impact Questionnaire. Rheumatol Int. 2000;20:9-12.
• 14. Beck AT, Steer RA. Internal consistencies of the original and revised Beck Depression Inventory. J Clin Psychol. 1984;40:1365-1367.
• 15. Tegin B Depresyonda bilişsel süreçler: Beck modeline göre. Yayınlanmamış Doktora Tezi, 1980 Hacettepe Üniversitesi, Psikoloji Bölümü, Ankara.
• 16. Hisli N Beck depresyon envanterinin geçerliği üzerine bir çalışma. Psikoloji Dergisi. 1988;6:118-126.
• 17. Kücükdeveci AA, McKenna SP, Kutlay S, et al. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res. 2000;23:31- 38.
• 18. Vitorino DF, Carvalho LB, Prado GF. Hydrotherapy and conventional physiotherapy improve total sleep time and quality of life of fibromyalgia patients: randomized clinical trial. Sleep Med 2006;7:293-6.
• 19. Montoya P, Pauli P, Batra A, et al. Altered processing of pain-related information in patients with fibromyalgia. Eur J Pain 2005;9:293-303.
• 20. Sarzi-Puttini P, Buskila D, Carrabba M, et al. Treatment strategy in fibromyalgia syndrome: where are we now? Semin Arthritis Rheum 2008;37:353-365.
• 21. Theadom A, Cropley M, Humphrey KL. Exploring the role of sleep and coping in quality of life in fibromyalgia. J Psychosom Res 2007;62:145-51.
• 22. Madenci E, Gürsoy S, Arıca E, et al. The nottingham health profile assessment of quality oflife in patients with primary fibromyalgia syndrome. Türkiye Klinikleri J PM & R 2003;3:11-14.
• 23. Gustafsson M, Ekholm J, Broman L. Effects of a multiprofessional rehabilitation programme for patients with fibromyalgia syndrome. J Rehabil Med. 2002;34:119-127.
• 24. Malmgren-Olsson EB, Armelius BA, Armelius K. A comparative outcome study of body awareness therapy, Feldenkrais and conventional physiotherapy for patients with non-specific musculoskeletal disorders, changes in psychological symptoms, pain and self-image. Physiother Theory Pract. 2001;17:77-95.
• 25. Malmgren-Olsson EB, Bränholm IB. A comparison between three physiotherapy approaches with regard to health-related factors in patients with non-specific musculoskeletal disorders. Disabil Rehabil. 2002;24:308-317.
• 26. Grahn B, Ekdahl C, Borgqvist L. Effects of a multidisciplinary rehabilitation programme on health-related quality of life in patients with prolonged musculoskeletal disorders; a 6-month follow-up of a prospective controlled study. Disabil Rehabil. 1998;20:285-297.
• 27. Palesh OG, Collie K, Batiuchok D, et al. A longitudinal study of depression, pain, and stress as predictors of sleep disturbance among women with metastatic breast cancer. Bio Psychology. 2007;75:37-44.
• 28. Gard G, Gille KA, Grahn B. Functional activities and psychosocial factors in the rehabilitation of patients with low back pain. Scand J Caring Sci 2000;14:75-81.