Fibromyalgia Clinical Trial
Official title:
Biofeedback in Patients With Fibromyalgia - a Randomized Controlled Trial
Verified date | July 2014 |
Source | Ludwig-Maximilians - University of Munich |
Contact | n/a |
Is FDA regulated | No |
Health authority | Germany: Ethics Commission |
Study type | Interventional |
The purpose of this study is to determine whether EMG-Biofeedback is effective in the treatment of Fibromyalgia.
Status | Completed |
Enrollment | 40 |
Est. completion date | July 2006 |
Est. primary completion date | July 2006 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 18 Years to 65 Years |
Eligibility |
Inclusion Criteria: - fibromyalgia according to the American Congress of Rheumatology (ACR)-criteria and the criteria. - female gender - age between 18 and 65 - cognitive ability and sufficient German language skills to fill in health status questionnaires - signed informed consent Exclusion Criteria: - major medical disorders, i.e. cancer, chronic heart failure New York Heart Association (NYHA) IV or asthma requiring cortisone medication - suffering from psychosis or major affective disorders - substance abuse - co-medication with opiates or benzodiazepine - transmeridian flight in the last weeks - shift-work - gravity |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
Country | Name | City | State |
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n/a |
Lead Sponsor | Collaborator |
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Ludwig-Maximilians - University of Munich |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Fibromyalgia Impact Questionnaire (FIQ) | The primary outcome measure was the Fibromyalgia Impact Questionnaire (FIQ). The FIQ is a disease specific multidimensional self-administered instrument that covers the dimensions physical functioning (11 items), well-being (1 item), work situation (2 items), pain (1 item), fatigue /sleep (2 items), stiffness (2 items) and psychological symptoms (2 items). Scoring ranges from 0 to 80 with the latter number being the worst case. The FIQ Total Score gives a summary of patients' impairment and is recommended as a highly sensitive measure of change in Fibromyalgia treatment programs and clinical studies. In this study the validated German version was used. | Change from baseline to 3 months | No |
Secondary | Fibromyalgia Impact Questionnaire (FIQ) | Change from baseline to End of Treatment (8 weeks after baseline) | No | |
Secondary | Short-Form 36 (SF-36) | The SF-36 is a widely used measure of health-related quality of life with 36 items. It yields an eight-scale profile of scores which are Physical Functioning, Role-Physical, Bodily Pain, General Health, Vitality, Social Functioning, Role-Emotional and Mental Health. | Change from baseline to End of treatment (8 weeks after baseline) | No |
Secondary | Short-Form 36 (SF-36) | Change from baseline to 3 months | No | |
Secondary | self-rated Patients' Global Clinical Impression of Change Score | Change of health was directly measured by the self-rated Patients' Global Clinical Impression of Change Score, which is a validated measure of overall change compared with study onset, including six possible scores from "very much worse" (score 1) to "very much better" (score 6). | End of Treatment (8 weeks after baseline) | No |
Secondary | self-rated Patients' Global Clinical Impression of Change Score | 3 months | No | |
Secondary | Beck Depression Inventory (BDI) | This questionnaire was developed and validated for patients with depression and has been applied in clinical trials of patients with Fibromyalgia as well. It contains 21 items that assess the cognitive, affective and neurovegetative factors associated with depression. | Change from baseline to End of treatment (8 weeks after baseline) | No |
Secondary | Beck Depression Inventory (BDI) | Change from baseline to 3 months | No | |
Secondary | Symptom Checklist 90 Revised (SCL-90-R) | the Symptom Checklist 90 Revised (SCL-90-R) was used for measuring psychological distress. It generates 9 specific scales, one additional unspecific scale and three general scores. The 9 dimensions of the scale are as follows: SCL 1 = somatization; SCL 2 = obsessive-compulsive symptoms; SCL 3 = interpersonal sensitivity; SCL 4 = depression; SCL 5 = anxiety; SCL 6 = hostility; SCL 7 = phobic anxiety; SCL 8 = paranoid ideation; SCL 9 = psychoticism. The Global Severity Index serves as a measure of psychological distress. | Change from baseline to 3 Months | No |
Secondary | Tender Point Score | It consists of a body diagram, where patients can rate the pain intensity at 24 locations of the front and the back side of the body. It allows calculating a total score for the whole body, as well as specific local scores. | Change from baseline to End of treatment (8 weeks after baseline) | No |
Secondary | Tender Point Score | Change from baseline to 3 months | No | |
Secondary | Tender Point Count | According to the Tender point manual the examiner applied discrete pressure of 4 kg/cm² to each of the 18 Fibromyalgia typical Tender Points. When the patients expressed pain, the tender point was considered positive. | Change from baseline to End of treatment (8 weeks after baseline) | No |
Secondary | Pressure Pain Threshold | For measuring the Pressure Pain Threshold, the assessor first searched for an induration with pressure pain in the trapezius muscle pars descendens on each side of the muscle. The palpated part of the muscle was always located above or on a line between the acromioclavicular joint and the spinous process of vertebrae C 7. These two structures also served as coordinates to write down the exact place of the palpated taut band. Second, using a Fischer dolorimeter with a stamp of 1 cm², the examiner applied vertical pressure to the selected point and successively augmented the pressure until the patient signalled pain. In this way, the pressure pain threshold was measured in kg/cm². | Change from baseline to End of Treatment (8 weeks after baseline) | No |
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