Abstract

Objective. To examine the feasibility of a home-based, video therapeutic exercise program on pain, fatigue, self-efficacy, and health status in fibromyalgia patients. Methods. Nine individuals who were previously diagnosed with fibromyalgia completed the study (out of an initial pool of 31). Subjects were randomly assigned to one of two groups: a group who received a home-based therapeutic exercise video and a control group who continued to undergo their current standard of care or "treatment-as-usual." The video group was instructed to conduct the exercises as prescribed in the 42-minute video at least 3 times per week for 4 weeks. The treatment-as-usual control group was instructed to continue to undergo their current standard-of-care and to not begin any new treatments during that time. Instruments measuring self-efficacy, pain, fatigue, self-rated health status and health distress were administered at baseline and 4 weeks. Results. None of the variables analyzed showed a significant change between the treatment and control groups over the course of the 4-week study. Conclusion. This study was not sufficiently powered to detect differences between the two groups. However, several of the treatment group participants subjectively indicated that they found the exercises to be helpful in the management of their fibromyalgia symptoms and the program did not exacerbate any of their symptoms. With this information, it appears that patients are able to tolerate the treatment and are able to complete the outcome measures. Between-group clinical outcomes will now need to be assessed in a larger clinical trial.

Degree

College and Department

Life Sciences; Exercise Sciences

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