Evidence map›Paper›PMID 33436106›Full record

ArticleAdvances in rheumatology (London, England)2021

Serial whole-body cryotherapy in fibromyalgia is effective and alters cytokine profiles.

Philipp Klemm, Johanna Becker, Iris Aykara, Thomas Asendorf, Gabriel Dischereit, Elena Neumann, Ulf Müller-Ladner, Uwe Lange

Abstract readControlled Clinical Trial
PubMed Publisher
In one paragraph

Article in Advances in rheumatology (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. [Whole-body cryotherapy for low back pain].Orthopadie (Heidelberg, Germany) · 2026
    Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Whole-body cryotherapy in orthopaedics: current concepts.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Philipp KlemmDepartment of Rheumatology, Immunology, Osteology and Physical Medicine, Justus-Liebig-University Giessen, Campus Kerckhoff, Bad Nauheim, Germany. p.klemm@kerckhoff-klinik.de.ORCID 0000-0001-7911-4235
Johanna BeckerDepartment of Rheumatology, Immunology, Osteology and Physical Medicine, Justus-Liebig-University Giessen, Campus Kerckhoff, Bad Nauheim, Germany.
Iris AykaraDepartment of Rheumatology, Immunology, Osteology and Physical Medicine, Justus-Liebig-University Giessen, Campus Kerckhoff, Bad Nauheim, Germany.ORCID 0000-0002-7511-6492
Thomas AsendorfDepartment of Medical Statistics, University Medical Center Göttingen, Göttingen, Germany.ORCID 0000-0003-1317-2138
Gabriel DischereitDepartment of Rheumatology, Immunology, Osteology and Physical Medicine, Justus-Liebig-University Giessen, Campus Kerckhoff, Bad Nauheim, Germany.ORCID 0000-0003-1986-2500
Elena NeumannDepartment of Rheumatology, Immunology, Osteology and Physical Medicine, Justus-Liebig-University Giessen, Campus Kerckhoff, Bad Nauheim, Germany.ORCID 0000-0001-7609-5964
Ulf Müller-LadnerDepartment of Rheumatology, Immunology, Osteology and Physical Medicine, Justus-Liebig-University Giessen, Campus Kerckhoff, Bad Nauheim, Germany.
Uwe LangeDepartment of Rheumatology, Immunology, Osteology and Physical Medicine, Justus-Liebig-University Giessen, Campus Kerckhoff, Bad Nauheim, Germany.ORCID 0000-0001-7904-0619

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWhole-body cryotherapy (WBC) has shown to be beneficial in the treatment of fibromyalgia (FM). There is cumulative evidence that cytokines play a crucial role in FM. It's unknown whether clinical effects of WBC can be demonstrated at the molecular level and how long the effects last.

methodsWe compared effects of serial WBC (6 sessions (- 130 °C in 6 weeks) in FM patients and healthy controls (HC). Primary outcome was the change in pain level (visual analogue scale 0-100 mm) after 6 sessions. Secondary outcomes were a change in disease activity (revised Fibromyalgia Impact Questionnaire) and pain after 3 sessions and 3 months after discontinued therapy and in cytokine levels (interleukin (IL-)1, IL-6, tumor necrosis factor α (TNF-α) and IL-10). The patients' opinions on the satisfaction, effectiveness and significance of WBC were evaluated.

resultsTwenty-three FM patients and 30 HC were enrolled. WBC resulted in a significant reduction in pain and disease activity after 3 and 6 sessions. No clinical benefit could be measured 3 months after discontinued treatment. Overall, probands were satisfied with WBC and considered WBC to be important and effective. FM patients had significantly different levels of IL-1, IL-6, TNF-α and IL-10 at each reading point compared to HC. Levels of IL-1, IL-6 and IL-10 were significantly altered over time in FM patients. Compared to HC FM patients showed a significantly different response of IL1, - 6 and - 10 to WBC.

conclusionSerial WBC is a fast acting and effective treatment for FM. Proven effects of WBC may be explained by changes in cytokines.

Indexed as

Case-Control StudiesCryotherapyCytokinesFemaleFibromyalgiaHumansInterleukin-1Interleukin-10Interleukin-6MaleMiddle AgedPain MeasurementPatient SatisfactionProspective StudiesTime FactorsTreatment OutcomeCytokinesInterleukin-1Interleukin-10Interleukin-6Tumor Necrosis Factor-alphaCytokinesFibromyalgiaFibromyalgia impact questionnairePhysical therapyWhole-body cryotherapy

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.