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Dr. Joseph Delano Fule Robles, 30 Jan 2019

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Neuromuscular exercises combined with CBT improves pain in juvenile fibromyalgia

05 Sep 2018

The Fibromyalgia Integrative Training for Teens (FIT Teens), which combines cognitive behavioural therapy (CBT) and a specialized neuromuscular exercise training, effectively reduces pain in adolescents with juvenile fibromyalgia (JFM), a recent study has shown.

Forty JFM patients (mean age 15.38±1.531 years; 90 percent female) were randomly assigned to receive either a CBT-only intervention or the FIT Teens programme (n=20 each). Interventions were delivered in group-based sessions over an 8-week period. Assessments of pain intensity and functional disability were conducted at baseline, post-treatment and at 3-month follow-up.

After controlling for baseline values, pain was significantly reduced in the FIT Teens group than in the CBT-only group at 3-month follow-up (Cohen’s d, 0.77; p=0.011). In comparison, functionality seemed to be worse in the FIT Teens group at 3 months, though statistical significance was not reached (Cohen’s d, 0.63; p=0.055).

However, those who underwent the FIT Teens programme showed significant improvements in functional disability from baseline to the 3-month follow-up (24.45±8.29 to 22.68±9.01; p<0.05).

In terms of secondary outcomes, those in the FIT Teens vs CBT-only group showed greater improvements in depressive symptoms (d, 0.49), pain catastrophizing (d, 0.73) and fear of movement (d, 0.65), though the between-group differences were not significant.

“Results of this preliminary randomized trial of the FIT Teens intervention are promising and indicate that combining CBT with neuromuscular exercise may be synergistic and offer a more powerful approach to the treatment of pain and disability in adolescents with JFM,” said researchers.

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Most Read Articles
Dr. Joseph Delano Fule Robles, 30 Jan 2019

Five subtypes of insomnia disorder were identified by investigators from The Netherlands, addressing an unmet need to reduce the heterogeneity of insomnia disorder.

01 Feb 2019
Children with autism spectrum disorder (ASD) or developmental delays are more likely to be overweight or obese by age 5 years, a recent study has found.
28 Jan 2019
Following a healthy diet and avoiding Western dietary patterns may improve the mental health of manufacturing employees, a recent study has shown.