Biofeedback/relaxation training and exercise interventions for fibromyalgia: A prospective trial
Abstract
OBJECTIVE: To compare the effectiveness of biofeedback/relaxation, exercise, and a combined program for the treatment of fibromyalgia. METHODS: Subjects (n = 119) were randomly assigned to one of 4 groups: 1) biofeedback/relaxation training, 2) exercise training, 3) a combination treatment, or 4) an educational/attention control program. RESULTS: All 3 treatment groups produced improvements in self-efficacy for function relative to the control condition. In addition, all treatment groups were significantly different from the control group on tender point index scores, reflecting a modest deterioration by the attention control group rather than improvements by the treatment groups. The exercise and combination groups also resulted in modest improvements on a physical activity measure. The combination group best maintained benefits across the 2-year period. CONCLUSION: This study demonstrates that these 3 treatment interventions result in improved self-efficacy for physical function which was best maintained by the combination group.
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For Buckelew 1998, allocation concealment was at unclear risk of bias.
“Not reported”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Buckelew 1998
For Buckelew 1998, random sequence generation was at unclear risk of bias.
“Method not described”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Buckelew 1998
For Buckelew 1998, treatment expectations was at unclear risk of bias.
“Not assessed”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Buckelew 1998
For Buckelew 1998, incomplete outcome data was at low risk of bias.
“Attrition < 10%; method to deal with missing data not described”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Buckelew 1998
For Buckelew 1998, blinding of outcome assessment was at low risk of bias.
“Subjects examined by physician unaware of treatment conditions and with no other contact with subjects”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Buckelew 1998
For Buckelew 1998, selective reporting was at unclear risk of bias.
“Trial not pre-registered”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Buckelew 1998
For Buckelew 1998, no data were available for the primary disability outcome.
“Primary disability outcome: no data available”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Buckelew 1998
For Buckelew 1998, no data were available for the primary pain outcome.
“Primary pain outcome: no data available”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Buckelew 1998
For Buckelew 1998, no data were provided for the review.
“No data provided”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Buckelew 1998
For Buckelew 1998, no data were available for the primary distress outcome.
“Primary distress outcome: no data available”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2020) · cites this paper as Buckelew 1998
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- Authors
- Buckelew, S. P., Conway, R., Parker, J., Deuser, W. E., Read, J., Witty, T. E., Hewett, J. E., Minor, M., Johnson, J. C., Van Male, L., McIntosh, M. J., Nigh, M., & Kay, D. R.
- Affiliations
- University of Missouri (US)
- Corresponding author
- Buckelew, Susan P.
- Venue
- Arthritis & Rheumatism
- Publisher
- Wiley
- Published
- 1998-06
- Volume
- 11
- Issue
- 3
- Pages
- 196-209
- ISSN
- 0004-3591 (ISSN-L)
- 1529-0131
- OpenAlex
- W2066006979
- Cited by
- 258
- References
- 41
- Citations by year
- 2026: 3 · 2023: 2 · 2022: 3 · 2021: 5 · 2020: 3 · 2019: 6 · 2018: 2 · 2017: 4 · 2016: 8 · 2015: 4 · 2014: 6 · 2013: 8 · 2012: 16
- FWCI
- 7.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Arthritis & Rheumatism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r29ar039481-04)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (1-R29-AR39481)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Myofascial pain diagnosis and treatment
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- fibromyalgia, biofeedback, relaxation training, exercise training, combination therapy, self-efficacy, physical function, physical activity, maintenance therapy, attentional control
- MeSH terms
- Activities of Daily Living, Adult, Biofeedback, Psychology, Combined Modality Therapy, Exercise Therapy, Female, Fibromyalgia, Humans, Male, Middle Aged, Patient Education as Topic, Prospective Studies, Relaxation Therapy, Treatment Outcome
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