The efficacy of the Rességuier method in the treatment of fibromyalgia syndrome: a randomized controlled trial.
OBJECTIVE
In fibromyalgia syndrome (FMS) defined rehabilitation guidelines are yet to be validated. Our aim is to evaluate the efficacy of the Rességuier method (RM) in FMS.


METHODS
Forty-one patients were randomly assigned to Interventional (22 pts) and Observational (19 pts) Group (IG and OG). The study lasted 8 months. Patients were assessed at baseline (T0) after a 2-month rehabilitation (T1) and at a 6-month follow-up (T2) (only IG) with SF-36 Physical (PSI) and Mental Synthetic Index (MSI), Regional Pain Scale (RPS), Fibromyalgia Impact Questionnaire (FIQ), Number Rating Scales 0-10 to measure pain, movement quality, sleep, relax ability, analgesics number/per week. OG patients maintained their lifestyle for the duration of the study. RM aims to obtain patient awareness and control of bodily perceptions, thus reaching a modulation of responses to pain. Therapist controls patient attention and perception by verbal and manual contacts and leads them to perform bodily and respiratory active and conscious movements.


RESULTS
In IG, at T1 all items were improved: PSI and MSI (p<0.001 and =0.001), FIQ (p<0.0001), RPS (p<0.001), pain (p<0.0001), movement quality (p=0.001), relax ability (p<0.0001), sleep (p<0.001); analgesics number/per week was reduced (p<0.001). All results obtained at T1, except FIQ, were maintained at T2. In OG at T1 versus T0, no difference in any of the assessed parameters was observed.


CONCLUSIONS
In FMS patients, the rehabilitation with RM improves HRQoL, FMS-related disability and perceived pain, thus reducing the assumption of analgesics.
Department of BioMedicine, Division of Rheumatology, Denothe Centre, Careggi Hospital (AOUC), University of Florence, Italy. s.maddali@dac.unifi.it
S
S
Maddali Bongi
C
C
Di Felice
A
A
Del Rosso
F
F
Galluccio
G
G
Landi
G
G
Tai
G
G
Giambalvo Dal Ben
M
M
Matucci Cerinic
D000328:Adult; D004185:Disability Evaluation; D005260:Female; D005356:Fibromyalgia / Q000503:physiopathology / Q000534:rehabilitation* / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D026441:Mind-Body Therapies / Q000379:methods*; D010147:Pain Measurement; D011788:Quality of Life; D012890:Sleep; D016896:Treatment Outcome