RANDOMISED CLINICAL TRIAL OF BASIC BODY AWARENESS THERAPY IN PATIENTS WITH FIBROMYALGIA

Bravo C1, Skjaerven LH2, Catalan-Matamoros D3
1University of Lleida, Nursing and Physiotherapy, Lleida, Spain, 2Western Norway University of Applied Sciences, Faculty of Health and Social Sciences, Bergen, Norway, 3University Carlos III, Science/Health Communication, Madrid, Spain

Background: According to evidence-based guidelines suggest that fibromyalgia should be managed with a multidisciplinary interventions including psychological treatment and moderate exercise. The effects of Basic Body Awareness Therapy in addition to treatment as usual were studied in a randomised controlled trial.

Purpose: The aim is to is to assess if Basic Body Awareness Therapy in addition treatment as usual improves musculoskeletal pain, movement quality, psychological function and quality of life.

Methods: The study is a clinical trial with two parallel groups controlled and randomised. 41 participants were randomly assigned to a control group and intervention group that in addition to treatment as usual. Participants received 10 sessions of BBAT.Outcomes variables were measured regarding pain, quality of life, movement quality and psychological factors as depression and anxiety. Outcome measures were assessed before, immediately after, at 12 and 24 weeks after the last session of treatment.

Results: BBAT group had a significantly improved movement quality (p=0.000) from baseline to 24 weeks, pain post-test (p=0.037) concerning to control group, in addition the intragroup analysis showed significantly improved in HAD scale regarding anxiety subscale at 12 weeks (p=0.019), STAI anxiety at 12 and 24 weeks (p=0.012, p=0.002); STAI state at 12 and 24 weeks (p=0.042, p=0.004); and SF-36 relative to body pain subscale at 12 and 24 weeks (p=0.001, p=0.014)

Conclusion(s): BBAT seem an effective intervention in patients with fibromyalgia in relation movement quality, pain and anxiety.

Implications: Health systems should include body awareness therapies in the care services as BBAT.
The physiotherapy bachelor should include specific training in mental health physiotherapy due to benefits showed as for example including BBAT as a physiotherapeutic intervention.

Keywords: Pain, depression, anxiety

Funding acknowledgements: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors

Topic: Mental health; Rheumatology; Pain & pain management

Ethics approval required: Yes
Institution: Bellvitge Hospital Universitari
Ethics committee: Clinical Research Ethic committee of Bellvitge Universitary Hospital
Ethics number: PR183/14


All authors, affiliations and abstracts have been published as submitted.

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