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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2022

Open Access 01-12-2022 | Fibromyalgia | Research

Effectiveness of a group intervention using pain neuroscience education and exercise in women with fibromyalgia: a pragmatic controlled study in primary care

Authors: Paula B. Areso-Bóveda, Julia Mambrillas-Varela, Bárbara García-Gómez, José Ignacio Moscosio-Cuevas, Jesús González-Lama, Eva Arnaiz-Rodríguez, María Begoña Arroyo del Barco, Pilar San Teodoro-Blanco

Published in: BMC Musculoskeletal Disorders | Issue 1/2022

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Abstract

Background

Very positive effects have been described in the application of pain neuroscience education (PNE) to chronic pain and migraine. However, there are few data on the applicability of this therapeutic approach in actual clinical practice in a primary care (PC) setting. The aim of this study was to explore the efficacy in fibromyalgia (FM) of an intervention based on PNE and exercise compared to treatment as usual (TAU).

Methods

Pragmatic nonrandomised controlled trial set in 5 healthcare centres and one physiotherapy centre in PC. Fifty-three women with FM (2010 American College of Rheumatology Diagnostic Criteria for Fibromyalgia) were studied, 35 in the intervention group (IG) and 18 in the control group (CG). The women in the IG were interviewed individually and then received 6 weekly sessions plus one review session (1 month later): those in the CG received their TAU. The subject assignation to the CG or the IG was determined according to their availability to attend the sessions. They all filled in several questionnaires (prior to and 1 year after the intervention) to evaluate the impact of FM in their daily lives, catastrophism, anxiety and depression, severity and impact of pain in daily personal performance and functional capacity.

Results

The reductions (improvements) in the scores of all tests (baseline-final) were greater in the IG (p < 0.05) when adjusted for age and baseline values, with moderate or high effect size. After 1 year, 20% (CI − 1 to 42%) more women in the IG, compared to the CG, had a FIQ score < 39 (mild functional impairment). 17/38 (49%) women in the IG no longer met FM criteria at the end of follow-up.

Conclusions

An intervention based on PNE and exercise in patients with FM is feasible and seems effective in PC.

Trial registration

The study was retrospectively registered at ClinicalTrials.​gov (Trial Registration NCT04539171), on 04/09/2020.
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Metadata
Title
Effectiveness of a group intervention using pain neuroscience education and exercise in women with fibromyalgia: a pragmatic controlled study in primary care
Authors
Paula B. Areso-Bóveda
Julia Mambrillas-Varela
Bárbara García-Gómez
José Ignacio Moscosio-Cuevas
Jesús González-Lama
Eva Arnaiz-Rodríguez
María Begoña Arroyo del Barco
Pilar San Teodoro-Blanco
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2022
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-022-05284-y

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