Article

Effects of acupuncture on patients with fibromyalgia: Study protocol of a multicentre randomized controlled trial

Pain Treatment Unit, Doña Mercedes Primary Health Care Centre, Dos Hermanas, Spain.
Trials (Impact Factor: 1.73). 02/2011; 12(1):59. DOI: 10.1186/1745-6215-12-59
Source: PubMed

ABSTRACT

Fibromyalgia is a multidimensional disorder for which treatment as yet remains unsatisfactory. Studies of an acupuncture-based approach, despite its broad acceptance among patients and healthcare staff, have not produced sufficient evidence of its effectiveness in treating this syndrome. The present study aims to evaluate the effectiveness of individualized acupuncture for patients with fibromyalgia, with respect to reducing their pain and level of incapacity, and improving their quality of life.
Randomized controlled multicentre study, with 156 outpatients, aged over 17 years, diagnosed with fibromyalgia according to American College of Rheumatology criteria, either alone or associated with severe depression, according to the criteria of the Diagnostic and Statistical Manual for Mental Disorders. The participants will be randomly assigned to receive either "True acupuncture" or "Sham acupuncture". They will be evaluated using a specific measurement system, constituted of the Fibromyalgia Impact Questionnaire and the Hamilton rating scale for depression. Also taken into consideration will be the clinical and subjective pain intensity, the patient's family structure and relationships, psychological aspects, quality of life, the duration of previous temporary disability, the consumption of antidepressant, analgesic and anti-inflammatory medication, and the potential effect of factors considered to be predictors of a poor prognosis. All these aspects will be examined by questionnaires and other suitably-validated instruments. The results obtained will be analysed at 10 weeks, and 6 and 12 months from the start of treatment.
This trial will utilize high quality trial methodologies in accordance with CONSORT guidelines. It may provide evidence for the effectiveness of acupuncture as a treatment for fibromyalgia either alone or associated with severe depression.
ISRCTN trial number ISRCTN60217348 (19 October 2010).

Download full-text

Full-text

Available from: Francisco Rivas-Ruiz
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: A precision guidance law is presented for three dimensional intercepts against a moving target. We consider a measurement model representative of an optical sensor and optical flow calculations, the use of optical flow for guidance and navigation having been inspired by recent research into insect navigation. The guidance law is based on a circular navigation guidance, extended to three dimensions and adapted to this measurement model.
    Full-text · Conference Paper · Jan 2004
  • [Show abstract] [Hide abstract]
    ABSTRACT: Acupuncture is a medical procedure and therefore requires a diagnosis, a therapeutic indication and a prognosis. These tasks form part of medical expertise and must be carried out by suitably qualified and accredited health professionals. Recent investigations have started to establish the scientific basis of acupuncture and consequently the mechanisms of action and the local and systemic mediators involved in this modality are beginning to be understood. Published systematic reviews indicate that the main rheumatic diseases the benefit from acupuncture are osteoarthritis, myofascial pain syndrome, epicondylitis, and neck, shoulder and low back pain. From the perspective of evidence-based medicine, the use of acupuncture in the treatment of osteoarthritis and chronic cervical and lumbar pain is efficient in terms of quality-adjusted life years. Accordingly, acupuncture is a strategy that should be considered in excellent healthcare management.
    No preview · Article · Oct 2011 · Seminarios de la Fundación Española de Reumatología
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Fibromyalgia is a complex syndrome characterised by widespread pain associated with a variety of other signs and symptoms. The emerging consensus indicates that the best approach to treatment involves the combination of pharmacological and non-pharmacological interventions. Since acupuncture is a tool of traditional Chinese medicine increasingly used as an alternative or complementary therapy for the treatment of pain, the present study aimed to combine two different acupunctural methods (the somatic and abdominal one) in the treatment of 30 consecutive female FM patients and to evaluate the reduction of pain and the well-being state. The results showed a statistically significant reduction of the number of tender points and of pain. Moreover we observed a statistically significant reduction of FIQ, FAS, HAQ, disease activity VAS, ZSAS, ZSDS at the end of the treatment. In conclusion, these data suggest that the combination of two types of acupuncture could be a useful complementary treatment in FM patients, not only to control pain but also to improve associated symptoms and quality of life. As a result, acupuncture could be very useful to relieve pain in a multidisciplinary setting.
    Full-text · Article · Dec 2012 · Clinical and experimental rheumatology
Show more