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|Results of an active neurodynamic mobilization program in patients with fibromyalgia syndrome: a randomized controlled clinical trial|
|Rodriguez Torres J, Cabrera Martos I, Torres Sanchez I, Ortiz Rubio A, Diaz Pelegrina A, Valenza MC|
|Archives of Physical Medicine and Rehabilitation 2015 Oct;96(10):1771-1778|
|7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*|
OBJECTIVE: To examine the effects of an active neurodynamic mobilization program on pain, neurodynamics, perceived health state and fatigue in patients with fibromyalgia syndrome. DESIGN: Randomized controlled trial. SETTING: A local fibromyalgia association. PARTICIPANTS: 48 patients with fibromyalgia syndrome. INTERVENTIONS: Patients were randomly allocated to an active neurodynamic mobilization program or to a control group. The intervention was performed twice a week. MAIN OUTCOME MEASURES: Pain was assessed with the Brief Pain Questionnaire and the Pain Catastrophizing Scale; the neurodynamics were evaluated using neurodynamic tests for upper and lower limbs. The functional state was evaluated with the Health Assessment Questionnaire Disability Index and the perceived fatigue with the Fatigue Severity Scale. RESULTS: Significant (p < 0.05) between-groups differences were found in the values of pain, upper and lower limbs' neurodynamics, functional state and fatigue. Also, significant pre- to post-intervention within-group differences were found in the intervention group while no significant changes were found in the control group. CONCLUSION: A neurodynamic mobilization program is effective in improving pain, neurodynamics, functional status and fatigue in patients with fibromyalgia syndrome.