Evidence map›Paper›PMID 35379222›Full record

Trial reportBMC musculoskeletal disorders2022

Effectiveness of a group intervention using pain neuroscience education and exercise in women with fibromyalgia: a pragmatic controlled study in primary care.

Paula B Areso-Bóveda, Julia Mambrillas-Varela, Bárbara García-Gómez, José Ignacio Moscosio-Cuevas, Jesús González-Lama, Eva Arnaiz-Rodríguez, María Begoña Arroyo Del Barco, Pilar San Teodoro-Blanco

2 registry-linked trialsOpen access · goldAbstract readControlled Clinical TrialPragmatic Clinical Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.7field-weighted citation impact, top 9% of its field
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.

NCT04539171 nacompletednot on this map

Effectiveness of a Group Intervention Through Education in Pain Neurophysiology and Exercise in Women With Fibromyalgia: a Quasi-experimental Study in Primary Care

TypeinterventionalSponsorMaimónides Biomedical Research Institute of CórdobaRan2018 to 2019Enrolled53ConditionsFibromyalgiaArmsPain Neuroscience Education and Physical Exercise
NCT05860816 active not recruitingnot on this mapstarted 2023, after this paper: background citation

Facilitators and Barriers to Implementing Pain Neuroscience Education Programmes for the Treatment of Patients With Chronic Pain in Primary Care Physiotherapy Units: the Physiotherapist's Perspective

TypeobservationalSponsorCastilla-León Health ServiceRan2023 to 2025Enrolled123ConditionsChronic Primary Pain, Musculoskeletal Pain, FibromyalgiaArmsSurvey
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Landau model for illustrating the learning and unlearning process of nociplastic pain.Frontiers in pain research (Lausanne, Switzerland) · 2024
    Article
  8. Article
  9. 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 at 5 institutions in 1 country.

Paula B Areso-BóvedaBurgos Centre Physiotherapy Unit in Burgos Centre, GAP (Primary Care Management) Burgos (SACYL: Castille and Leon Health Service), C/ José María de la Puente 1, 09006, Burgos, Spain.
Julia Mambrillas-VarelaBurgos Centre Physiotherapy Unit in Burgos Centre, GAP (Primary Care Management) Burgos (SACYL: Castille and Leon Health Service), C/ José María de la Puente 1, 09006, Burgos, Spain.
Bárbara García-GómezLópez Sáiz Health Centre, GAP (Primary Care Management) Burgos (SACYL: Castille and Leon Health Service), C/ José María de la Puente 1, 09006, Burgos, Spain.
José Ignacio Moscosio-CuevasFuensanta Health Centre, Córdoba-Guadalquivir Primary Care District (SAS: Andalusian Health Service), C/ Núñez de Balboa 2, 14010, Córdoba, Spain.
Jesús González-LamaGroup-Program Communication and Health -GPCyS- (semFYC), c/ Diputació, 320 Bajo, 08009, Barcelona, Spain. jegonla@telefonica.net.
Eva Arnaiz-RodríguezSan Agustín Physiotherapy Unit, C/ Bonifacio Zamora de Usabel, 09001, Burgos, Spain.
María Begoña Arroyo Del BarcoJosé Luis Santamaría Physiotherapy Unit, C/ Lazarillo de Tormes, 09006, Burgos, Spain.
Pilar San Teodoro-BlancoLópez Sáiz Health Centre, GAP (Primary Care Management) Burgos (SACYL: Castille and Leon Health Service), C/ José María de la Puente 1, 09006, Burgos, Spain.
Universidad de Burgos · ESAndalusian Health Service · ESHospital Doctor José Molina Orosa · ESHospital Universitario San Agustín · ESSpanish Society of Family and Community Medicine · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVery positive effects have been described in the application of pain neuroscience education (PNE) to chronic pain and migraine. However, there are few data on the applicability of this therapeutic approach in actual clinical practice in a primary care (PC) setting. The aim of this study was to explore the efficacy in fibromyalgia (FM) of an intervention based on PNE and exercise compared to treatment as usual (TAU).

methodsPragmatic nonrandomised controlled trial set in 5 healthcare centres and one physiotherapy centre in PC. Fifty-three women with FM (2010 American College of Rheumatology Diagnostic Criteria for Fibromyalgia) were studied, 35 in the intervention group (IG) and 18 in the control group (CG). The women in the IG were interviewed individually and then received 6 weekly sessions plus one review session (1 month later): those in the CG received their TAU. The subject assignation to the CG or the IG was determined according to their availability to attend the sessions. They all filled in several questionnaires (prior to and 1 year after the intervention) to evaluate the impact of FM in their daily lives, catastrophism, anxiety and depression, severity and impact of pain in daily personal performance and functional capacity.

resultsThe reductions (improvements) in the scores of all tests (baseline-final) were greater in the IG (p < 0.05) when adjusted for age and baseline values, with moderate or high effect size. After 1 year, 20% (CI - 1 to 42%) more women in the IG, compared to the CG, had a FIQ score < 39 (mild functional impairment). 17/38 (49%) women in the IG no longer met FM criteria at the end of follow-up.

conclusionsAn intervention based on PNE and exercise in patients with FM is feasible and seems effective in PC.

trial registrationThe study was retrospectively registered at ClinicalTrials.gov (Trial Registration NCT04539171 ), on 04/09/2020.

Indexed as

FibromyalgiaEducational StatusExerciseFemaleHumansPainPrimary Health CareCentral nervous system sensitizationChronic painFibromyalgiaNeurosciencesPain measurementPatient education

Identifiers

PMID35379222
PMCPMC8978762
OpenAlexW4226031103

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.