The Effect of Group Exercise and Thetahealing on Pain and Quality of Life in Patients With Fibromyalgia
Condition: Fibromyalgia
MeSH terms: Fibromyalgia; Myofascial Pain Syndromes
Study type: Interventional

Summary: 
      Summary

      Purpose: Determining the Effect of Therapeutic Exercise and Thetahealing on Pain and Quality
      of Life in Patients with Fibromyalgia Methods: Between February and April 2021, the study
      started with 58 people who wanted to participate in the study from online platforms and the
      study was completed with 34 people.

      Findings: According to the power analysis, at least 34 people will participate in the study.
      Participants will be divided into 2 groups as experimental and control, thetahealing and
      exercise will be applied to the experimental group and only exercise sessions will be applied
      to the control group. The study will be 2 sessions of online group exercises per week for 6
      weeks and 1 session of tehetahealing will be applied to the experimental group for 6 weeks.
      The evaluation will be carried out in the first week before the sessions start and in the
      last week after the sessions are completed in the form of an online survey.Summary

      Purpose: Determining the Effect of Therapeutic Exercise and Thetahealing on Pain and Quality
      of Life in Patients with Fibromyalgia Methods: Between February and April 2021, the study
      started with 58 people who wanted to participate in the study from online platforms and the
      study was completed with 34 people.

      Findings: According to the power analysis, at least 34 people will participate in the study.
      Participants will be divided into 2 groups as experimental and control, thetahealing and
      exercise will be applied to the experimental group and only exercise sessions will be applied
      to the control group. The study will be 2 sessions of online group exercises per week for 6
      weeks and 1 session of tehetahealing will be applied to the experimental group for 6 weeks.
      The evaluation will be carried out in the first week before the sessions start and in the
      last week after the sessions are completed in the form of an online survey.
    

Detailed description: 
      Login Fibromyalgia (FM) is a non-articular, chronic rheumatic disease of unknown etiology,
      characterized by widespread musculoskeletal pain, sleep disturbance, fatigue, and the
      presence of multiple tender points (1). Diagnostic criteria were defined by the American
      Rheumatism Association (ARA) in 1990 (2). In order to diagnose FM, there should be widespread
      pain and sensitivity in 11 or more of 18 specific points (3). The etiopathogenesis of FM is
      still unknown, but factors such as physical trauma, surgical intervention, infections, acute
      or chronic emotional stress may play a triggering role (4). Various findings such as muscular
      symptoms, cognitive complaints, depression, insomnia and fatigue accompanying chronic pain
      have been described in patients with FM (5). Various psychopathological disorders have been
      reported in FM. It is estimated that 1/3 of his patients have minor depression or anxiety.
      However, it is not known whether anxiety and depression in FM cause chronic pain or
      contribute to the severity of symptoms (3). Despite the various complaints of patients with
      fibromyalgia, the fact that no significant impairment was found in physical examination and
      laboratory tests suggests that the symptoms may be psychologically induced (6). Since the
      etiology of fibromyalgia syndrome is unknown, pharmacological and non-pharmacological
      treatment methods should be used in patient-specific combinations according to the prominent
      symptoms and their severity (6).

      Mental health as well as the physical health of FMS patients is frequently investigated. It
      has been observed that depressions accompany FMS in the majority of patients (7 -11).
      Likewise, FMS patients frequently get various psychiatric comorbidities such as panic
      disorder and anxiety (12,13). In addition, studies consistently point to an increased rate of
      designed suicide after the development of fibromyalgia in this patient group due to the
      burden of the disease and the high prevalence of depression (14-16).

      The role of psychological factors in fibromyalgia is a controversial issue. However, many
      studies have shown that these patients experience deterioration in personality patterns,
      increased stress levels, anxiety, depression, or other psychological symptoms (17,18).
      Although psychological factors are not considered to be the primary cause of fibromyalgia,
      there are findings that depression is a very important predictor of the development of FMS
      (12,19). On the other hand, researchers have pointed out that fibromyalgia and depression
      generally have two-way relationships by overlapping (18,20).

      Theta gets its name from Teta brain waves. Generally, at night, while sleeping, during deep
      meditation , and experiencing oneness in the universe, situations occur at the theta
      wavelength. So the Theta state is a very deep state of relaxation . While in this wavelength
      , we can easily connect with the brain so that our haunted beliefs here can be controlled.
      This condition is associated with strong theta rhythmic activity patterns. Theta activities
      occur in the electroencephalogram (EEG) between the client and the practitioner at a
      wavelength of 4-7 Hz (21). ThetaHealing® (Vianna Stibal, Kalispell, MT) is a spiritual
      healing method in which practitioner and client participate in joint meditations during
      several subliminal sessions. Thetahealing is practiced by people who are internationally
      trained in this field. It is claimed that these meditation periods are characterized by a
      "theta state" in which the presence of theta waves in the electroencephalograph (EEG)
      frequency spectrum of both the practitioner and the client is assumed (21) .

      Located above the psychological and physiological bases for fibromyalgia origin information
      in light of the Fibromyalgia Patients Group Exercise ii and Thetahealing Pain and e on
      quality of life TKİ designed this study to determine n.

      Method Our research is planned to be conducted entirely on an online platform in order not to
      risk the participants due to the Covid-19 measures. The study will be carried out on a
      voluntary basis.

      Inclusion criteria for the study:

      Being between the ages of 18-60 who have previously been diagnosed with fibromyalgia

      Symptoms last longer than 3 months

      The volunteer's acceptance of participation in the treatment that will continue 2 days a week
      for 6 weeks ,

      Exclusion criteria from the study:

      Using psychotropic medication in the last month

      Known central or peripheral nervous system disease, progressive neurological damage,

      Any serious cardiovascular pathology.

      Any musculoskeletal disease other than fibromyalgia,

      Presence of uncontrolled hypertension,

      Exclusion criteria:

      Volunteer's request to leave

      Failure to continue training sessions

      S studies due to medical treatment received FMS Residence predicting the likelihood of any
      changes mei

      The data of our study will be analyzed with the SPSS (version 22.0) computer program.
      Descriptive statistics techniques will be used to reveal the averages of all values of the
      data obtained in the research (percentage and descriptive statistics, mean and standard
      deviation values , t test, nonparametric tests if necessary ).

      Since it will be a volunteer-based study, the volunteer can leave the study at any time.

      Evaluation parameters to be used in research:

      The socio-demographic information of the individuals who agreed to participate in the study
      will be obtained.

      It will be used 2 times, with all evaluation parameters before and after treatment.

      Pg-36 will be used to evaluate the quality of life of the participants, the numerical pain
      scale will be used to evaluate the pain levels, and the fibromyalgia impact questionnaire
      will be used to evaluate the effect level of the disease.

      Volunteers participating in our study will be randomly divided into 2 groups. In the
      randomization of the groups, the assignment to the groups will be made with the randomizer
      program using a computer. R astgel created in one of two exercise group (control group), the
      other is exercise additional thetahealig (experimental group) group will have.

      Thetahealing will be administered by the researcher who is an internationally trained
      specialist physiotherapist (Appendix 1 Certificate).

      The exercise group ha in FTAs 2, each session will be 30 minutes of evil sown in stretching ,
      which made combining relaxation and strengthening exercises therapeutic exercise program for
      6 weeks from the online platform will be implemented in the form of group exercise form is
      planned.

      The exercise and Thetahealing treatment group, on the other hand, is planned for 6 weeks , 1
      session per week, 30 minutes per session, in addition to the exercise sessions, the first and
      last sessions to be individual and personalized .

      Applications will be carried out on the online platform.

      Evaluation methods to be used in the study

      Fibromyalgia Impact Questionnaire:

      This scale; It measures 10 different characteristics: physical function, feeling unwell,
      absenteeism, difficulty at work, pain, fatigue, morning fatigue, stiffness, anxiety and
      depression. Except for the sense of well-being, lower scores indicate improvement or less
      affected by the disease. FEA is filled by the patient. The maximum possible score for each
      subtitle is 10. Thus, the total maximum score is 100. While an average FM patient scores 50,
      more severely affected FM patients usually score above 70 (1).

      Short Form-36: SF-36 was developed to evaluate the quality of life. Its validity and
      reliability study has been carried out in Turkey. SF-36 is used to compare general and
      specific populations, to demonstrate the health benefits of different treatments, and to
      monitor patients. The last 4 weeks are taken into account in the evaluation of SF-36, which
      consists of 36 items ( 2-4 ).

      Numerical Pain Scale s : D eg flood analogue scale on 0 (I have no pain) to 10 (I have a pain
      in the degree intolerably) at the desired point is marked by giving a score between acquaint
      feel the pain severity of patients (5 ).

      The parameters to be used in the research are used routinely.
    

Intervention name(s): exercises; thetahealing and exercises
Intervention type(s): Behavioral; Behavioral
Intervention description(s): The exercise group ha in FTAs 2, each session will be 30 minutes of evil sown in stretching , which made combining relaxation and strengthening exercises therapeutic exercise program for 6 weeks from the online platform will be implemented in the form of group exercise form is planned.; The exercise group ha in FTAs 2, each session will be 30 minutes of evil sown in stretching , which made combining relaxation and strengthening exercises therapeutic exercise program for 6 weeks from the online platform will be implemented in the form of group exercise form is planned.
The exercise and Thetahealing treatment group, on the other hand, is planned for 6 weeks , 1 session per week, 30 minutes per session, in addition to the exercise sessions, the first and last sessions to be individual and personalized .
Applications will be carried out on the online platform.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: randomize
Masking: Triple (Participant, Investigator, Outcomes Assessor)
Primary purpose: Treatment
Keywords: fibromiyalgia; thetahealing; exercises