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FibromyalgiaNCT05300529

Effectiveness of Vestibular Rehabilitation for Improving Health Status in Patients With Fibromyalgia

A study testing Vestibular Rehabilitation Exercises and Conventional Rehabilitation exercises in people with Fibromyalgia and Vestibular Disease, run by University of Jaén at 1 site in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to analyze the effectiveness of Vestibular Rehabilitation for improving balance and quality of life of patients with Fibromyalgia Syndrome (SFM). Recruited subjects will be randomly assigned to an experimental group or control group (placebo). Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Fibromyalgia, Vestibular Disease, Postural Balance
What is being tested?
Vestibular Rehabilitation Exercises and Conventional Rehabilitation exercises
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
35 participants
Where
1 siteSpain
Study dates
1 Jun 2021to 1 Apr 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Aged 18-70 years,
  • Diagnostic for fibromyalgia as described by the 2016 American College of Rheumatology (ACR)

Who cannot join

  • Cognitive impairment impacting ability to fill out the scales and questionnaires.
  • Musculoskeletal surgical intervention in the preceding 6 months and/or acute traumatic pathology to the inferior limb(s).
  • Musculoskeletal disease with deformity of the inferior limbs.
  • Diagnosed with vestibular, visual and/or auditory pathology.
  • Neurologic illness that could be the cause of a balance disorder.

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • University os Jaén

    Jaén, 23071

Other trials in Spain

About this study

Official title: Effectiveness of Vestibular Rehabilitation for Improving Health Status in Patients With Fibromyalgia. Randomized Clinical Trial

The purpose of this study is to analyze the effectiveness of Vestibular Rehabilitation for improving balance and quality of life of patients with Fibromyalgia Syndrome (SFM). Recruited subjects will be randomly assigned to an experimental group or control group (placebo). The experimental group will receive a standard Vestibular Rehabilitation program focused on eye stabilization and Vestibulo-Ocular Reflex (VOR) gain with the aim of improving motor and sensory strategies, while the control group will carry out a conventional rehabilitation program that will not include sensory strategy training. The frequency of treatment for both groups will be twice/week, along with daily performing (2 times/day, 5 days/week) of exercises at home. The total duration will be 8 weeks. The outcome measure are: disease impact (FIQ), perceived vertigo (DHI), and confidence in balance (ABC), at pre-treatment, post-treatment, one month follow-up and three months follow-up.

Read the detailed description

Fibromyalgia Syndrome (SFM) affects approximately 0.5 - 5% of the global population with ambiguity in diagnosis, physiopathology uncertainty and complex treatment.

Recent studies have shown frequent episodes of postural instability in SFM patients. This balance affectation seems to correlate with disturbances of quality of life, pain, impact of the disease, daily life activities and increased risk of falls. However, there is still controversy over the exact mechanism that explains this nonspecific balance disorder. Despite this preliminary finding of a possible visual and vestibular disorder, there are not known studies justifying the alteration of vestibular functions present in Fibromyalgia. Also, the are not certainty that Vestibular Rehabilitation (VR) provides short- and medium-term benefits.

Derived from the deficiencies observed in the revised literature, we propose to analyze the effectiveness of a Vestibular Rehabilitation program improving the balance and quality of life of people with Fibromyalgia Syndrome (SFM).

Therefore, a randomized, simple blind, two-group parallel controlled clinical trial has been designed to assess the effectiveness of Vestibular Rehabilitation treatment focused on eye stabilization exercises.

Subjects will be recruited from the Jaén Fibromyalgia Association (AFIXA) and randomly assigned to an experimental group or control group (placebo). Subjects who are diagnosed with SFM and between 18 and 70 years of age will be selected.

The experimental group will receive a standard Vestibular Rehabilitation program focused on the stabilization of the eye and gain of the Vestibulo-Oculo Reflex (VOR), while in the control group a conventional rehabilitation program will be carried out without visual stimulation. The frequency of treatment for both groups will be twice/week, along with daily exercises at home (2 times/day). The total duration will be 8 weeks. Measurements will be made in pretreatment, aftertreatment and one month follow-up and three months follow-up.

Being tested
Vestibular Rehabilitation Exercises, Conventional Rehabilitation exercises
Keywords
Fibromyalgia, Vestibular Disease, Postural Balance, Vestibular Rehabilitation
Medical subject headings
Fibromyalgia, Vestibular Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Vestibular Rehabilitation ExercisesOther

    The Vestibular Rehabilitation program focuses on stabilizing the gaze and gaining the Vestibular Ocular Reflex (VOR). The general mechanisms of recovery from vestibular injuries are vestibular adaptation and replacement exercises, which are designed to improve gaze stability and the interaction between sight and the vestibular system during head movements. The exercises will be carried out progressively according to the tolerance of the patient, varying the stimulus in intensity and frequency.

  • Conventional Rehabilitation exercisesOther

    The conventional rehabilitation program in which exercises are performed to improve joint range, flexibility, and gait. It will always be done with the eyes open, on a firm surface and will not include training in sensory strategies

Study groups in NCT05300529
Study groupRoleWhat they receive
Vestibular Rehabilitation ExercisesExperimentalVestibular Rehabilitation Exercises focused on eye stabilization and Vestibulo-Oculo Reflex (VOR). Two sessions/week supervised by researcher (40 min) and conducting exercises at home 2 times/day, 5 days/week. (15-20 min)
Receives: Other: Vestibular Rehabilitation Exercises
Conventional Rehabilitation exercisesSham comparatorConventional rehabilitation exercises: stretching and walking. Two sessions/week supervised by researcher (40 min) and conducting exercises at home 2 times/day, 5 days/week. (15-20 min)
Receives: Other: Conventional Rehabilitation exercises

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. FIQ (Fibromyalgia Impact Questionnaire)

    Evaluates the impact of fibromyalgia on the patient's quality of life.The total score of the FIQ is from 0 to 100. A higher score means a greater impact of the disease on the patient.

    Measured: Baseline

  2. FIQ (Fibromyalgia Impact Questionnaire)

    Evaluates the impact of fibromyalgia on the patient's quality of life.The total score of the FIQ is from 0 to 100. A higher score means a greater impact of the disease on the patient.

    Measured: at eight weeks

  3. FIQ (Fibromyalgia Impact Questionnaire)

    Evaluates the impact of fibromyalgia on the patient's quality of life.The total score of the FIQ is from 0 to 100. A higher score means a greater impact of the disease on the patient.

    Measured: at twelve weeks

  4. ABC-16 (Activities-specific Balance Confidence scale-16 items)

    Evaluates the balance confidence in performing activities of daily living. The total score of the ABC-16 is from 0% to 100%, with higher values associated with higher balance confidence.

    Measured: Baseline

  5. ABC-16 (Activities-specific Balance Confidence scale-16 items)

    Evaluates the balance confidence in performing activities of daily living. The total score of the ABC-16 is from 0% to 100%, with higher values associated with higher balance confidence.

    Measured: at eight weeks

  6. ABC-16 (Activities-specific Balance Confidence scale-16 items)

    Evaluates the balance confidence in performing activities of daily living. The total score of the ABC-16 is from 0% to 100%, with higher values associated with higher balance confidence.

    Measured: at twelve weeks

  7. DHI (Dizziness Handicap Inventory)

    Evaluates the level of disability related to the impact of dizziness on daily function and quality of life. The total score of the DHI is from 0 to100 points. A higher score indicates a greater degree of disability due to the vertiginous symptoms.

    Measured: Baseline

  8. DHI (Dizziness Handicap Inventory)

    Evaluates the level of disability related to the impact of dizziness on daily function and quality of life. The total score of the DHI is from 0 to100 points. A higher score indicates a greater degree of disability due to the vertiginous symptoms.

    Measured: at eight weeks

  9. DHI (Dizziness Handicap Inventory)

    Evaluates the level of disability related to the impact of dizziness on daily function and quality of life. The total score of the DHI is from 0 to100 points. A higher score indicates a greater degree of disability due to the vertiginous symptoms.

    Measured: at twelve weeks.

Secondary outcomes (33)
  1. CSI (Central Sensitization Inventory)

    Evaluates a wide range of somatic and emotional symptoms common to central sensitization syndromes (CSS). The total score of the CSI from 0 to 100. Higher scores indicate greater severity of symptoms.

    Measured: Baseline

  2. CSI (Central Sensitization Inventory)

    Evaluates a wide range of somatic and emotional symptoms common to central sensitization syndromes (CSS). The total score of the CSI from 0 to 100. Higher scores indicate greater severity of symptoms.

    Measured: at eight weeks

  3. CSI (Central Sensitization Inventory)

    Evaluates a wide range of somatic and emotional symptoms common to central sensitization syndromes (CSS). The total score of the CSI from 0 to 100. Higher scores indicate greater severity of symptoms.

    Measured: at twelve weeks.

  4. PCS (Pain Catastrophizing Scale)

    Evaluates the patient's catastrophic thoughts. The total score of the PCS from 0 to 52. Higher scores indicate a greater presence of catastrophic thoughts.

    Measured: Baseline

  5. PCS (Pain Catastrophizing Scale)

    Evaluates the patient's catastrophic thoughts. The total score of the PCS from 0 to 52. Higher scores indicate a greater presence of catastrophic thoughts.

    Measured: at eight weeks

  6. PCS (Pain Catastrophizing Scale)

    Evaluates the patient's catastrophic thoughts. The total score of the PCS from 0 to 52. Higher scores indicate a greater presence of catastrophic thoughts.

    Measured: at twelve weeks.

  7. TSK (Tampa Scale for Kinesiophobia)

    Evaluates fear of movement to injury. The total score of the TSK from 11 to 44 points. Higher scores indicate a greater fear of movement.

    Measured: Baseline

  8. TSK (Tampa Scale for Kinesiophobia)

    Evaluates fear of movement to injury. The total score of the TSK from 11 to 44 points. Higher scores indicate a greater fear of movement.

    Measured: at eight weeks

  9. TSK (Tampa Scale for Kinesiophobia)

    Evaluates fear of movement to injury. The total score of the TSK from 11 to 44 points. Higher scores indicate a greater fear of movement.

    Measured: at twelve weeks.

  10. VAS-pain (Visual Analogue Scale)

    Evaluates the pain on a numerical scale from 0 to 10. Higher scores indicate more pain

    Measured: Baseline

  11. VAS-pain (Visual Analogue Scale)

    Evaluates the pain on a numerical scale from 0 to 10. Higher scores indicate more pain

    Measured: at eight weeks

  12. VAS-pain (Visual Analogue Scale)

    Evaluates the pain on a numerical scale from 0 to 10. Higher scores indicate more pain

    Measured: at twelve weeks

  13. SF-12 (12-Item Short Form Survey)

    Evaluates the impact of health on an individual's everyday life. Used as a quality of life measure.

    Measured: Baseline

  14. SF-12 (12-Item Short Form Survey)

    Evaluates the impact of health on an individual's everyday life. Used as a quality of life measure.

    Measured: at eight weeks

  15. SF-12 (12-Item Short Form Survey)

    Evaluates the impact of health on an individual's everyday life. Used as a quality of life measure.

    Measured: at twelve weeks

  16. FES-I (Falls Efficacy Scale-International)

    Evaluates the fear of falling. The total score of the FES-I from 16 to 64 points. Higher scores indicate greater fear of falling.

    Measured: Baseline

  17. FES-I (Falls Efficacy Scale-International)

    Evaluates the fear of falling. The total score of the FES-I from 16 to 64 points. Higher scores indicate greater fear of falling.

    Measured: at eight weeks

  18. FES-I (Falls Efficacy Scale-International)

    Evaluates the fear of falling. The total score of the FES-I from 16 to 64 points. Higher scores indicate greater fear of falling.

    Measured: at twelve weeks

  19. FSS (Fatigue Severity Scale)

    Evaluates severity of fatigue. Higher scores indicate a greater severity of fatigue

    Measured: Baseline

  20. FSS (Fatigue Severity Scale)

    Evaluates severity of fatigue. Higher scores indicate a greater severity of fatigue

    Measured: at eight weeks

  21. FSS (Fatigue Severity Scale)

    Evaluates severity of fatigue. Higher scores indicate a greater severity of fatigue

    Measured: at twelve weeks

  22. 20-item JAEN screening tool

    Evaluates balance and neuromotor function in patients with fibromyalgia. Thd total scale of the Jaen-Screening Tools, from 0 to 80 points. A higher score indicates a greater degree of balance disorder.

    Measured: Baseline

  23. 20-item JAEN screening tool

    Evaluates balance and neuromotor function in patients with fibromyalgia. Thd total scale of the Jaen-Screening Tools, from 0 to 80 points. A higher score indicates a greater degree of balance disorder.

    Measured: at eight weeks

  24. 20-item JAEN screening tool

    Evaluates balance and neuromotor function in patients with fibromyalgia. Thd total scale of the Jaen-Screening Tools, from 0 to 80 points. A higher score indicates a greater degree of balance disorder.

    Measured: at twelve weeks

  25. SVV (Subjective Visual Vertical)

    Evaluates the perception of verticality, measured using the Subjective Visual Vertical (SVV) test using a virtual reality device.

    Measured: baseline

  26. SVV (Subjective Visual Vertical)

    Evaluates the perception of verticality, measured using the Subjective Visual Vertical (SVV) test using a virtual reality device.

    Measured: at eight weeks

  27. SVV (Subjective Visual Vertical)

    Evaluates the perception of verticality, measured using the Subjective Visual Vertical (SVV) test using a virtual reality device.

    Measured: at twelve weeks

  28. Stabilometric Platform

    Instrument composed of resistive pressure sensors, used to measure the static or postural balance. The test was performed under both eyes-open and eyes-closed conditions.

    Measured: Baseline

  29. Stabilometric Platform

    Instrument composed of resistive pressure sensors, used to measure the static or postural balance. The test was performed under both eyes-open and eyes-closed conditions.

    Measured: at eight weeks

  30. Stabilometric Platform

    Instrument composed of resistive pressure sensors, used to measure the static or postural balance. The test was performed under both eyes-open and eyes-closed conditions.

    Measured: at twelve weeks

  31. Therapeutic Adherence at home

    It assesses adherence to home treatment through a weekly record diary, where patients must record the number of times a day they perform the prescribed exercises, with a range of 0 to 80. Higher scores indicate greater adherence to home treatment. A score of 80 indicates 100% adherence.

    Measured: Throughout the intervention phase, eight weeks

  32. Satisfaction level

    Evaluates the level of satisfaction using a Likert scale, with five response options, from "very dissatisfied" to "very satisfied". The total score of 0-24. A high score indicates greater satisfaction

    Measured: at eight weeks

  33. GRC (Global Change Rating Scales)

    Assesses whether the patient's health status has improved or deteriorated after the treatment received, with ten response options ranging from "the worst it could be" to "the best it could be"

    Measured: at eight weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Mar 2022
  2. Study start1 Jun 2021
  3. Primary completion20 Dec 2021
  4. Study completion1 Apr 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
35 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05300529
Sponsor's protocol ID
UjaFM
Status last verified
Oct 2022
First submitted
24 Jan 2022
Last updated
3 Nov 2022
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Vestibular Rehabilitation Exercises and Conventional Rehabilitation exercises in people with Fibromyalgia and Vestibular Disease, run by University of Jaén at 1 site in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

FIQ (Fibromyalgia Impact Questionnaire) (time frame: Baseline). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Nov 2022.

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