6533b82cfe1ef96bd128eb90

RESEARCH PRODUCT

Benefits of a self-myofascial release program on health-related quality of life in people with fibromyalgia: a randomized controlled trial

Diego CecaAna PablosJosé F. GuzmánLaura Elvira

subject

Adultmusculoskeletal diseasesmedicine.medical_specialtyFibromyalgiaPhysical Therapy Sports Therapy and Rehabilitationlaw.invention03 medical and health sciences0302 clinical medicineRandomized controlled trialQuality of lifelawFibromyalgiaHumansPain ManagementMedicineOrthopedics and Sports MedicineRange of Motion ArticularFatigueDepression (differential diagnoses)MassageHealth related quality of lifeAnalysis of Variancebusiness.industry030229 sport sciencesmedicine.diseaseDirectly Observed TherapyMyofascial releaseSelf CareQuality of LifePhysical therapyFemaleSelf ReportAnalysis of variancebusinessRange of motion030217 neurology & neurosurgery

description

BACKGROUND Fibromyalgia (FM) is a disease with symptoms that significantly limit the life of affected patients. Earlier studies have shown that the application of self-myofascial release provides benefits in variables such as fatigue, range of motion (ROM) or perceived muscle pain in a healthy population. Despite this, the self-myofascial release technique has not yet been used in people with FM. This study aimed to find out the benefits of applying a self-myofascial release program on health-related quality of life in people with FM. METHODS Sixty-six participants with FM were randomized into two groups, intervention (N.=33) and control (N.=33). The intervention group (IG) participated in the self-myofascial release program for twenty weeks. The study assessed the impact of a self-myofascial release program on cervical spine, shoulder and hip ROM and self-reported disease impact. Two measurements were performed, one at baseline (preintervention) and one postintervention. Two-way mixed-effect (between-within) ANOVA was used for the statistical analysis. RESULTS Significant changes (P<0.05) were achieved between the two measurements and between groups for final Fibromyalgia Impact Questionnaire (FIQ-S) Score and for five of its seven subscales, including: days per week feeling good, pain intensity, fatigue, stiffness and depression/sadness, as well as all the ROM variables evaluated (neck flexion, neck extension, lateral neck flexion and rotation (bilateral), shoulder flexion and abduction and hip abduction) excluding hip flexion. CONCLUSIONS The application of a self-myofascial release program can improve the health-related quality of life of people with FM, provided that regular, structured practice is carried out.

https://doi.org/10.23736/s0022-4707.17.07025-6