Does Improvement Towards a Normal Cervical Configuration Aid in the Management of Fibromyalgia. A randomized controlled trial
Does Improvement Towards a Normal Cervical Configuration Aid in the Management of Fibromyalgia. A randomized controlled trial
Authors
Ibrahim M Moustafa
Publication
Bull Fac Ph Th Cairo Univ. 2013; July Vol. 18(2):29-41.
Article Link
Abstract
Objective: To investigate the short and long term effects of adding Deneroll cervical extension traction to a multi-modal program on fibromyalgia management outcomes in addition to three-dimensional postural measures, and cervical sagittal alignment.
Methods: In this study, 80 patients between 40 and 65 years who experienced fibromyalgia syndrome with definite forward head posture and cervical hypo-lordosis were randomly assigned to the control or experimental group. Both groups received a multi-modal program. Additionally, the experimental group received Deneroll cervical traction. The Fibromyalgia Impact Questionnaire was administered, and the Visual analogic scale, Pain Catastrophizing Scale, algometric score, Pittsburgh Sleep Quality Index, Multidimensional Fatigue Inventory, General Health Questionnaire, Beck Anxiety Inventory, Beck Depression Inventory, three-dimensional postural measures, and cervical sagittal alignment in terms of anterior head translation distance and absolute rotatory angle were measured in all of the
patients at three intervals.
Results: The general linear model with repeated measures indicated a significant group × time effect in favor of the experimental group on the measures of anterior head translation (P<.0005), absolute rotatory angle (P=.05), the three-dimensional postural parameters (P<.05), Fibromyalgia Impact Questionnaire (P<.0005), Pain Catastrophizing Scale (P<.0005), Algometric score (F= P<.0005), Pittsburgh Sleep Quality Index (P<0.0005), Multidimensional Fatigue Inventory (P<0.0005), General Health Questionnaire (P<0.0005), Beck Anxiety Inventory (P<0.0005), Beck Depression Inventory (P<0.0005), and VAS (P<0.0005).
Conclusions: The results suggest that the addition of Deneroll cervical extension traction to a multi-modal treatment program is beneficial in treating patients with fibromyalgia syndrome.