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Myofascial Pain Syndromes clinical trials

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NCT ID: NCT05659862 Active, not recruiting - Fibromyalgia Clinical Trials

Digitally Assisted Behavioral Physical Activity Intervention in Fibromyalgia

Start date: September 9, 2022
Phase: N/A
Study type: Interventional

Digital health interventions have the potential to address physical inactivity as they are accessible to a large part of the population and can be delivered with high efficiency at a low cost. By enabling patient education, support for self-management, motivation, follow-up, feedback and communication, it can prevent, cure or treat many chronic conditions. These features can increase patient motivation and encourage compliance with home exercises and physical activity . Digital behavior change interventions use digital technologies (such as websites, mobile apps, Short Message Service or wearable devices) to promote and maintain health and have the potential to overcome many barriers compared to in-person programs by providing cost-effective, effective, and accessible information. No study has been found in Turkey examining digital interventions or walking programs that include behavior change techniques to increase physical activity in patients with fibromyalgia syndrome. Considering environmental, cultural and economic factors in this patient group in our society, the investigators think that walking, which the investigators think is the most appropriate physical activity method in terms of cost, accessibility and equipment, should be a permanent behavior. The use of technology to increase physical activity in the era of digitalization is important in terms of addressing the increasing inactivity during the Covid19 pandemic period. The aim of this study is to estimate the effect of digital assisted physical activity intervention combined with patient education compared to patient education alone on physical activity level, functional capacity, quality of life, sleep quality, pain, fatigue, and perspective on exercise of adults with Fibromyalgia Syndrome.

NCT ID: NCT05643794 Active, not recruiting - Fibromyalgia Clinical Trials

A Proof-of-concept Study to Evaluate the Efficacy and Safety of Rozanolixizumab to Treat Adult Study Participants With Severe Fibromyalgia Syndrome

Start date: December 21, 2022
Phase: Phase 2
Study type: Interventional

The purpose of the study is to evaluate efficacy and safety of rozanolixizumab to treat adult study participants with severe fibromyalgia syndrome (FMS).

NCT ID: NCT05548075 Active, not recruiting - Fibromyalgia Clinical Trials

Psilocybin in Patients With Fibromyalgia: EEG-measured Brain Biomarkers of Action

Psilopain
Start date: August 15, 2022
Phase:
Study type: Observational

The purpose of this study is to assess brain activity under Psilocybin in a cohort of people with fibromyalgia.

NCT ID: NCT05542225 Active, not recruiting - Fibromyalgia Clinical Trials

Effectiveness of Strength Training Versus Flexibility Training in Patients With Fibromyalgia

Start date: August 1, 2022
Phase: N/A
Study type: Interventional

Fibromyalgia is a rare musculoskeletal condition worldwide.This condition has a significant impact on the person's quality of life by affecting their various activities of daily living. It is a chronic illness characterized by persistent and widespread non-inflammmtory musculoskeletal pain. Various management strategies including both pharmacological and non-pharmacological are used for the treatment of fibromyalgia. In the recent years strength training and flexibility training are being used for the treatment of fibromyalgia. Strength training is used to improve muscle strength, endurance , power or a combination of both, whereas flexibility training is used to improve ability of a joint to maintain the movement. Different studies have shown postive results of strength training and flexibility training in patients with fibromyalgia. However no such study has investigated the combined effects of both theses techniques. So this study aims to investigate the effect of strength training and flexibility training according to the guidelines of FITT protocol.

NCT ID: NCT05395832 Active, not recruiting - Fibromyalgia Clinical Trials

Effectiveness of Video-based Multicomponent Treatment for Fibromyalgia Plus Face-to-face Sesions in Nature or at Sea

Start date: April 25, 2022
Phase: N/A
Study type: Interventional

The aim of this study was to examine the effectiveness of a video-based multicomponent program: the Fibrowalk Virtual plus face-to-face sessions for patients with fibromyalgia (FM) in nature or at sea (FM) compared to Fibrowalk Virtual only.

NCT ID: NCT05395494 Active, not recruiting - Fibromyalgia Clinical Trials

iTBS-DCS in Fibromyalgia

Start date: August 29, 2022
Phase: Phase 2
Study type: Interventional

Background & Rationale: Fibromyalgia is characterized by widespread pain, fatigue, mood and anxiety as well as cognitive complaints. For an unacceptable proportion of patients, depressive symptoms remain impairing despite multiple treatments. For such patients, novel treatments include non-invasive brain stimulation. Transcranial Magnetic Stimulation (TMS) targeting the dorsolateral prefrontal cortex (DLPFC) or the primary motor cortex (M1) is the non-invasive neurostimulation method with the largest evidence base in fibromyalgia. It involves generating magnetic fields outside of the body to change the firing of neurons in the brain, and has a very favorable tolerability profile. Recent meta-analyses indicate that both the DLPFC and M1 targets are associated with improvements in pain, mood and anxiety, however the benefits are more persistent when the DLPFC is targeted (Su et al, 2021 - J Clin Med). The DLPFC is important in fibromyalgia through its implication in several symptoms domains in fibromyalgia, as well as pain catastrophization. The researchers neurophysiological data and clinical data in depression suggests that the researchers can enhance the effects of TMS by using an adjunctive medication called D-Cycloserine (DCS, 100mg) in conjunction with a protocol called intermittent theta-burst stimulation (iTBS). Specifically, this data indicated that several converging features of fibromyalgia improve with augmented iTBS, specifically depressive symptoms, anxiety symptoms, fatigue, and cognitive function. The researchers therefore hypothesize that the combination of D-cycloserine and TMS will lead to greater improvements in fibromyalgia symptoms than TMS alone. Although iTBS has not yet been studied in fibromyalgia, it has a well characterized neurophysiological effect and been shown to be non-inferior to conventional TMS protocols in conditions such as depression. More importantly, its physiological basis can be manipulated with D-Cycloserine whereas this has not been convincingly demonstrated with rTMS (see Brown et al, 2019, 2021 Brain Stim). Research Question and Objectives: To conduct a randomized placebo-controlled trial of DCS in adjunct with rTMS in Fibromyalgia. Participants will be randomized to receive 100mg of DCS or placebo together with TMS.

NCT ID: NCT05329571 Active, not recruiting - Fibromyalgia Clinical Trials

The Effects of Dietary Changes on Gut-bacteria and Fibromyalgia Symptoms

Start date: March 12, 2021
Phase: N/A
Study type: Interventional

The purpose of this study is to evaluate the efficacy of two diets - gluten-free and low-FODMAP diet- in relieving symptoms of fibromyalgia, and study whether these changes could be associated with changes in the gut microbiome (gut bacteria).

NCT ID: NCT05323838 Active, not recruiting - Fibromyalgia Clinical Trials

Influence of Co-diagnosis of Chronic Fatigue Syndrome in Patients With Fibromyalgia.

Start date: June 9, 2021
Phase:
Study type: Observational

The purpose of this study is to evaluate differences in neuroimmunoendocrine response and quality of live in patients diagnosed with Fibromyalgia, with or without a co-diagnosis of Chronic Fatigue Syndrome.

NCT ID: NCT05272345 Active, not recruiting - Fibromyalgia Clinical Trials

Fibromyalgia and Sexual Functıonal Dısorder and Sexual Therapy

Start date: February 14, 2022
Phase: N/A
Study type: Interventional

investigators aim to re-evaluate the findings of Fibromyalgia in patients whose FSFI scores return to normal levels after sexual therapy, by identifying patients with sexual dysfunction according to the FSFI scale applied in patients investigators followed up with a diagnosis of fibromyalgia, and when investigators consulted with obstetricians.

NCT ID: NCT05230602 Active, not recruiting - Fibromyalgia (FM) Clinical Trials

Consuming of Opuntia Among Women With Fibromyalgia

Start date: June 1, 2022
Phase: N/A
Study type: Interventional

To examine whether the addition of tzabar fruit twice a day to a routine daily nutrition regime will: A- Reduce symptoms of fatigue, pain and depression in FM patients B. Have positive influence on quality of life