| Tailored cognitive-behavioural therapy and exercise training improves the physical fitness of patients with fibromyalgia. | |
| | |
MedLine Citation:
|
PMID: 21926189 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
OBJECTIVES: Patients with fibromyalgia have diminished levels of physical fitness, which may lead to functional disability and exacerbating complaints. Multidisciplinary treatment comprising cognitive-behavioural therapy (CBT) and exercise training has been shown to be effective in improving physical fitness. However, due to the high drop-out rates and large variability in patients' functioning, it was proposed that a tailored treatment approach might yield more promising treatment outcomes.METHODS: High-risk fibromyalgia patients were randomly assigned to a waiting list control group (WLC) or a treatment condition (TC), with the treatment consisting of 16 twice-weekly sessions of CBT and exercise training tailored to the patient's cognitive-behavioural pattern. Physical fitness was assessed with two physical tests before and 3 months after treatment and at corresponding intervals in the WLC. Treatment effects were evaluated using linear mixed models.RESULTS: The level of physical fitness had improved significantly in the TC compared with the WLC. Attrition rates were low, effect sizes large and reliable change indices indicated a clinically relevant improvement among the TC.CONCLUSIONS: A tailored multidisciplinary treatment approach for fibromyalgia consisting of CBT and exercise training is well tolerated, yields clinically relevant changes, and appears a promising approach to improve patients' physical fitness.ClinicalTrials.gov ID NCT00268606. |
| | |
Authors:
|
S van Koulil; W van Lankveld; F W Kraaimaat; T van Helmond; A Vedder; H van Hoorn; A R T Donders; L Wirken; H Cats; P L C M van Riel; A W M Evers |
Related Documents
:
|
17042019 - Evaluation of the bristol royal infirmary physiotherapy programme for the management of... 12840639 - Drafting distance in swimming. 18463969 - Exercise reduces c-reactive protein and improves physical function in automotive worker... 19674679 - A manual therapy and exercise approach to meralgia paresthetica in pregnancy: a case re... 1634579 - Treatment of instability of the shoulder with an exercise program. 18509579 - A randomized controlled trial of aquatic and land-based exercise in patients with knee ... 7472579 - Motion correction in exercise first-pass radionuclide ventriculography without an exter... 11445769 - Acute muscle damage as a stimulus for training-induced gains in strength. 2553409 - In vivo studies on the function of cardiac beta-adrenoceptors in man. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-9-16 |
Journal Detail:
|
Title: Annals of the rheumatic diseases Volume: - ISSN: 1468-2060 ISO Abbreviation: - Publication Date: 2011 Sep |
Date Detail:
|
Created Date: 2011-9-19 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0372355 Medline TA: Ann Rheum Dis Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
1Department of Medical Psychology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Unmasking of autoreactive CD4 T cells by depletion of CD25 regulatory T cells in systemic lupus eryt...
Next Document: Elucidating the molecular basis of action of a classic drug: guanidine compounds as inhibitors of vo...