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Effectiveness of acupuncture versus core stability training in balance and functional capacity of women with fibromyalgia: a randomized controlled trial [with consumer summary]
Garrido-Ardila EM, Gonzalez-Lopez-Arza MV, Jimenez-Palomares M, Garcia-Nogales A, Rodriguez-Mansilla J
Clinical Rehabilitation 2020 May;34(5):630-645
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; 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: This study investigated the effectiveness of a core stability training physiotherapy programme versus acupuncture for the management of balance and functional capacity impairments of women with fibromyalgia. DESIGN: Single-blind randomized controlled trial. SETTING: Outpatients setting. SUBJECTS: Women with fibromyalgia and balance impairment. INTERVENTIONS: Participants were randomized to a core stability physiotherapy programme group (n = 45), acupuncture treatment group (n = 45) and control group (n = 45) for 13 weeks. MAIN MEASURES: Measures were taken at baseline (week 0), postintervention (week 6) and follow-up (week 13). The primary outcome measures were static balance (posturography) and dynamic balance and functional mobility (Berg Balance Scale, Timed Up and Go test and 10-m walk). The secondary outcome measure was functional capacity (Fibromyalgia Health Assessment Questionnaire and the physical function item from the Spanish Fibromyalgia Impact Questionnaire). RESULTS: In all, 103 participants completed the study. The results showed statistically significant improvements in the acupuncture and physiotherapy groups versus the control group at week 6 regarding Berg Balance Scale (p = 0.00, both groups), Timed Up and Go test (p = 0.00 and p = 0.01, respectively) and 10-m walk test at comfortable speed (p = 0.02 and p = 0.03, respectively). The 10-m walk test at maximum speed showed significance when comparing the physiotherapy and control group (p = 0.03). However, no significant differences were found between the physiotherapy and the acupuncture groups. In relation to functional capacity, the improvements achieved after the treatments were not statistically significant. CONCLUSION: Core stability-based physiotherapy and acupuncture improve dynamic balance and postural control in women with Fibromyalgia.

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