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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Spa treatment for primary fibromyalgia syndrome: A combination of thalassotherapy, exercise and patient education improves symptoms and quality of life
Rheumatology, Volume 44, No. 4, Year 2005
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Description
Objectives. To study the effect of a combination of thalassotherapy, exercise and patient education in people with fibromyalgia. Methods. Patients with fibromyalgia, selected from a rheumatology out-patient department and from members of the Dutch fibromyalgia patient association, were pre-randomized to receive either 2 1/2 weeks of treatment in a Tunisian spa resort, including thalassotherapy, supervised exercise and group education (active treatment) or treatment as usual (control treatment). Primary outcome measure was health-related quality of life, measured with the RAND-36 questionnaire. Secondary measures included the Fibromyalgia Impact Questionnaire, the McGill Pain Questionnaire, the Beck Depression Inventory, tender point score and a 6-min treadmill walk test. Results. Fifty-eight participants receiving the active treatment reported significant improvement on RAND-36 physical and mental component summary scales. For physical health, differences from the 76 controls were statistically significant after 3 months, but not after 6 and 12 months. A similar pattern of temporary improvement was seen in the self-reported secondary measures. Tender point scores and treadmill walk tests improved more after active treatment, but did not reach significant between-group differences, except for walk tests after 12 months. Conclusions. A combination of thalassotherapy, exercise and patient education may temporarily improve fibromyalgia symptoms and health-related quality of life. © British Society for Rheumatology 2005; all rights reserved.
Authors & Co-Authors
Zijlstra, T. R.
Netherlands, Enschede
Universiteit Twente
van de Laar, M. A.F.J.
Netherlands, Enschede
Universiteit Twente
Bernelot Moens, H. J.
Netherlands, Enschede
Universiteit Twente
Taal, Erik
Netherlands, Enschede
Universiteit Twente
Zakraoui, Leïth
Tunisia, La Marsa
Université de Tunis el Manar, Hôpital Mongi Slim
Rasker, Johannes J.
Netherlands, Enschede
Universiteit Twente
Statistics
Citations: 135
Authors: 6
Affiliations: 2
Identifiers
Doi:
10.1093/rheumatology/keh537
ISSN:
14620324
e-ISSN:
14620332
Research Areas
Disability
Health System And Policy
Mental Health