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Paolucci T, de Sire A, Ferrillo M, di Fabio D, Molluso A, Patruno A, Pesce M, Lai C, Ciacchella C, Saggino A, Agostini F, Tommasi M. Telerehabilitation proposal of mind-body technique for physical and psychological outcomes in patients with fibromyalgia. Front Physiol 2022; 13:917956. [PMID: 36091366 PMCID: PMC9459112 DOI: 10.3389/fphys.2022.917956] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Accepted: 07/25/2022] [Indexed: 12/14/2022] Open
Abstract
Fibromyalgia (FM) syndrome is characterized by the close correlation of chronic widespread pain and other non-pain related symptoms. Aim of this study was to investigate whether telerehabilitation that provides physical and psychological support services of the mind-body techniques can affect the clinical profile and pain relief of FM patients. The study included twenty-eight female FM patients, mean aged 56.61 ± 8.56 years. All patients underwent a rehabilitation treatment (8 sessions, 1/week, 1 h/each) through Zoom platform, with the following principles of rehabilitation treatment: Anchoring to a positive emotion; listen and perceive your “own” body; conscious breathing; improve interoceptive awareness; relax. All patients then underwent clinical assessment of the physical distress and fear of movement for the Numeric Rating Scale (NRS); the Fatigue Assessment Scale (FAS); the Fear Avoidance Belief Questionnaire (FABQ); with measures of physical and mental disability for the Fibromyalgia Impact Questionnaire (FIQ); the 12-Items Short Form Survey; the Resilience Scale for Adults and the Coping Strategies Questionnaire-Revised. The evaluations were performed at T0 (baseline), T1 (after 8 weeks of treatment), and T2 (after 1 month of follow-up). The main finding was that telerehabilitation reduced physical and mental distress, fear, and disability (p < 0.001). Resilience and coping ability were less affected by the rehabilitative treatment. Our attempt of mind-body technique telerehabilitation has shown good results in the improvement of painful symptoms and quality of life for the FM patients but showed fewer positive impacts for the resilience and coping abilities aspects.
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Affiliation(s)
- Teresa Paolucci
- Department of Oral, Medical and Biotechnological Sciences, Physical Medicine and Rehabilitation, University G. D’Annunzio, Chieti, Italy
| | - Alessandro de Sire
- Department of Medical and Surgical Sciences, University of Catanzaro “Magna Graecia”, Physical and Rehabilitative Medicine Unit, University Hospital “Mater Domini”, Catanzaro, Italy
- *Correspondence: Alessandro de Sire,
| | - Martina Ferrillo
- Department of Health Sciences, University of Catanzaro “Magna Graecia”, Catanzaro, Italy
| | - Dania di Fabio
- Italian Association of Fibromyalgia Syndrome (AISF), L’Aquila, Italy
| | - Aurora Molluso
- Department of Oral, Medical and Biotechnological Sciences, Course of Studies in Physiotherapy, University G. D'Annunzio, Chieti, Italy
| | - Antonia Patruno
- Department of Medicine and Aging Sciences, University G. D’Annunzio, Chieti, Italy
| | - Mirko Pesce
- Department of Medicine and Aging Sciences, University G. D’Annunzio, Chieti, Italy
| | - Carlo Lai
- Department of Dynamic and Clinical Psychology, Sapienza University of Rome, Rome, Italy
| | - Chiara Ciacchella
- Department of Dynamic and Clinical Psychology, Sapienza University of Rome, Rome, Italy
| | - Aristide Saggino
- Department of Medicine and Aging Sciences, University G. D’Annunzio, Chieti, Italy
| | - Francesco Agostini
- Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University, Rome, Italy
| | - Marco Tommasi
- Department of Medicine and Aging Sciences, University G. D’Annunzio, Chieti, Italy
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