Pranayama and Diaphragmatic Breathing Exercise Applied to Female Patients With Fibromyalgia

Study Overview
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Brief Summary
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Female patients diagnosed with fibromyalgia were divided into pranayama breathing exercise, diaphragm breathing exercise and control groups. The sleep quality, pain and fatigue levels of the patients in the intervention group were determined before and after the breathing exercise.

Official Title
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The Effect of Pranayama and Diaphragmatic Breathing Exercise on Sleep Quality, Pain and Fatigue Level in Female Patients With Fibromyalgia

Conditions
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Fibromyalgia

Intervention / Treatment
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* Behavioral: Pranayama
* Behavioral: diaphragm breathing exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 years old and over, Having no communication problems and speaking and understanding Turkish, Being diagnosed with fibromyalgia Those with a PUKI score of five or more Having a complaint of fatigue and getting a score of 4 or higher on the fatigue severity scale, Having a pain score above 0 according to VAS, Not pregnant and not breastfeeding, Exclusion Criteria: Respiratory system (bronchi or lung) malignancy, Having tuberculosis disease, Having chest pain Any psychiatric diagnosis made in outpatient screenings Having nasal septum derivation or adenoid (adenoid) that will affect the ventilation process,

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: This study was conducted as a single-blind randomized controlled study with pretest-posttest.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: pranayama<br>At the beginning, each patient in this group was shown one-on-one by the researcher and taught by applying them together, taking into account the application steps, how to practice pranayama. In the next step, the patients were asked to do this application themselves. Sleep quality, pain and fatigue levels of the patients were determined after 6 weeks. | Behavioral: Pranayama<br>* Pranayama, one of the practices of yoga, is a Sanskrit word consisting of a combination of two words, a technique of rhythmic, controlled breathing. So prana means life breath/life energy and ayama means expansion/regulation/control. Pranayama helps to improve lung capacity, heart and respiratory functions, nervous and hormonal systems, as well as mental activity.<br>|
| Experimental: diaphragm breathing exercise group<br>At the beginning, the patients in this group were shown how to do the diaphragm breathing exercise and how to do the diaphragm breathing exercise, taking into account the application steps, each patient was shown individually by the researcher and taught by applying them together. In the next step, the patients were asked to do this application themselves. Sleep quality, pain and fatigue levels of the patients were determined after 6 weeks. | Behavioral: diaphragm breathing exercise<br>* Diaphragmatic breathing is also known as deep breathing or slow abdominal breathing. This breathing exercise uses the diaphragm muscle. The diaphragm is the muscle under the lungs that supports the lungs in up and down breathing.<br>|
| No Intervention: control group<br>It is the group where no application has been made. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual Analog Scale (VAS) | 0 indicates no pain and 10 indicates the most severe level of pain. On the scale, <3 mild pain, 3-6 moderate pain, >6 severe pain were specified. | [Time Frame: 6 weeks] | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Fibromyalgia, Pranayama, Diaphragmatic breathing, Quality of sleep, Pain, Fatigue