Effect of a standard physical rehabilitation intervention program in persons with fibromyalgia

ISRCTN ISRCTN17382522
DOI https://doi.org/10.1186/ISRCTN17382522
Secondary identifying numbers N/A
Submission date
10/03/2016
Registration date
16/03/2016
Last edited
26/04/2023
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Fibromyalgia is a long term (chronic) condition that causes pain all over the body. Other symptoms include an increased sensitivity to pain, feeling extremely tired, stiff muscles, difficulty sleeping, problems with memory and concentration, headaches and irritable bowel syndrome. There isn’t a cure for the condition, but the symptoms can be alleviated though, for example, medication, counselling and exercise. The aim of this study is investigate the effect of a 20 week exercise programme, called a Standard Physical Rehabilitation Intervention (SPRI) program, taking place in in a pool or in the gym for women with light or moderate symptoms of fibromyalgia.

Who can participate?
Women aged between 30-59 and diagnosed with fibromyalgia.

What does the study involve?
Participants are randomly allocated to one of two groups. Those in group 1 do an exercise programme in the gym for 20 weeks, involving two 50 minute sessions every week. Those in group 2 do an exercise programme in the pool for 20 weeks, involving two 50 minute sessions every week. All participants are assessed every two weeks where they have their heart rate and weight measured, are asked about their level of pain, and mood, undergo respiratory and aerobic function tests and are asked about how their fibromyalgia is affecting them at that time.

What are the possible benefits and risks of participating?
Not provided at time of registration

Where is the study run from?
International University of Catalunya (Spain)

When is the study starting and how long is it expected to run for?
September 2011 to January 2013

Who is funding the study?
International University of Catalunya (Spain)

Who is the main contact?
Dr Alfonso Castillo-Rodriguez
acastillo@ugr.es

Contact information

Dr Alfonso Castillo-Rodriguez
Public

Ctra. Alfacar s/n
Granada
18011
Spain

ORCiD logoORCID ID 0000-0002-2723-8970
Phone 0034958244377
Email acastillo@ugr.es

Study information

Study designInterventional open controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeQuality of life
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleMultidisciplinary study in chronic muscle pain
Study objectivesTo assess the effect of a Standard Physical Rehabilitation Intervention (SPRI) program, in pool-based (SPRI-P) and land-based (SPRI-L) environments, applied to women patients with light to moderate symptoms (FIQ<70) during a period of 20 weeks.
Ethics approval(s)International University of Catalunya, 12/09/2011
Health condition(s) or problem(s) studiedFibromyalgia
InterventionThe program duration was 20 weeks with two 50-minute sessions each week (with a 2 day interval between in order to avoid muscle fatigue). The patients were divided into four groups, two in a Standard Physical Rehabilitation Intervention program in pool-based environment and two in a Standard Physical Rehabilitation Intervention program in land-based environment, accommodating the personal schedule of each patient.

Warm-up:
Each session began with a 10-minute warm-up which consisted of activities based primarily on walking (slower or faster). Participants were asked to walk sideways or backwards, to change their pace, or to pass a ball between them while walking, etc.

Activity:
This was the most important part of the SPRI program, and consisted of a mix of activities based on aerobic exercise, strength, proprioception, balance, and breathing. The principal of progressive load increase was taken into consideration, and the patients never attained high intensity workloads. This period lasted approximately 25 minutes.

Stretching:
At the end of the activity period, stretching was performed for about 10 minutes, with a focus on the muscles most used.

Relaxation:
The session ended with approximately 10 minutes of relaxation with an emphasis on controlled breathing.
Intervention typeBehavioural
Primary outcome measureMuscle pain, measured using the Fibromyalgia Impact Questionnaire (FIQ)., assessed at baseline and after 4 weeks
Secondary outcome measures1. Heart rate, measured by Heart Rate Monitor Polar RC3
2. Weight
3. Self-perceived pain, measured by the visual analog scale (VAS) used to measure the intensity of self-perceived pain by the patient. This instrument was also used to measure the intensity of perceived fatigue by the patient.
4. Respiratory and aerobic function, measured by the six minute walk test (6MW)
5. Depression, measured using the Hamilton depression scale (HAM-D)
6. Overall impact of fibromyalgia using the FIQ.

All measured every two weeks for 20 weeks
Overall study start date13/09/2011
Completion date18/01/2013

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participants120
Total final enrolment73
Key inclusion criteria1. Female
2. Aged between 30 to 59 years
3. Have an accredited medical certificate with an established diagnosis of FM according to the American College of Rheumatology
4. Have a light to moderate degree of impairment due to FM (FIQ less than 70)
5. Capable of walking without aid
Key exclusion criteria1. Suffering from an unstable cardiovascular pathology or any other medical condition that impedes physical exercise
2. History of fractures of the upper or lower members during the last three months
3. Suffering from neuromuscular disease or ingestion of drugs which affect neuromuscular function
4. Presence of any serious or terminal illness, history of myocardial infarction during the last three months
5. In litigation with management for recognition of occupational disability
Date of first enrolment13/09/2011
Date of final enrolment13/11/2011

Locations

Countries of recruitment

  • Spain

Study participating centre

International University of Catalunya
08017
Spain

Sponsor information

International University of Catalunya
University/education

Alfa & Beta buildings Immaculada, 22
Barcelona
08017
Spain

ROR logo "ROR" https://ror.org/00tse2b39

Funders

Funder type

University/education

International University of Catalunya

No information available

Results and Publications

Intention to publish date31/12/2016
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination plan
IPD sharing planThe datasets generated during and/or analysed during the current study are not expected to be made available

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 07/11/2018 26/04/2023 Yes No

Editorial Notes

26/04/2023: Publication reference and total final enrolment.