title: Rességuier method and Qi Gong sequentially integrated in patients with fibromyalgia syndrome.
abstract: OBJECTIVE
  In fibromyalgia syndrome (FMS), the Rességuier Method (RM) and Qi Gong (QG) can be efficacious. QG aims to improve posture, respiration, concentration, while RM aims to obtain patient awareness and control of pain perception. We evaluate 2 protocols integrating RM and QG in FMS.
  
  
  METHODS
  Thirty FMS patients were assigned to Group 1, treated by RM and then by QG or Group 2, treated by QG and then by RM. In both protocols, patients are treated 7 weeks by each technique (with 1 week interval), and followed up for 12 weeks. Patients were assessed at T0, at end of 1st (T1) and 2nd intervention (T2), at follow-up (FU) by number rating scale (NRS) for sleep quality and pain, Regional Pain Scale (RPS),Tender Points (TPs), FIQ, HAQ, SF36, HADS for anxiety and depression (HADS-a/d).
  
  
  RESULTS
  In Group 1 at T1 (after RM), NRS for pain, RPS, FIQ, HAQ were reduced, HADS-a and SF36 ameliorated; at T2 (after QG) FIQ were further reduced and TPs and HADS-d improved; HADS-a and SF36 maintained. In Group 2 at T1 (after QG), NRS for pain, RPS, TPs, FIQ, HAQ, reduced with reduction maintained at T2 (after RM). HADS-a and -d and SF36 ameliorated at T1, with improvement confirmed at T2; sleep quality ameliorated only at T2. Effects of both protocols are similar at T2 and maintained at FU.
  
  
  CONCLUSIONS
  In FMS, both protocols improve pain, disability, quality of life, tenderness, anxiety. RM also ameliorates sleep and QG improves depression. Sequential integration of RM and QG is efficacious in FMS.
authors.affiliation: Department of BioMedicine, Division of Rheumatology, University of Florence, Italy. susanna.maddalibongi@gmail.com
authors.forename: Susanna
authors.initials: S
authors.lastname: Maddali Bongi
authors.forename: Angela
authors.initials: A
authors.lastname: Del Rosso
authors.forename: Caterina
authors.initials: C
authors.lastname: Di Felice
authors.forename: Michele
authors.initials: M
authors.lastname: Calà
authors.forename: Giovanni
authors.initials: G
authors.lastname: Giambalvo Dal Ben
mesh_terms: D000328:Adult; D000339:Affect; D000368:Aged; D000704:Analysis of Variance; D001007:Anxiety / Q000209:etiology / Q000523:psychology; D001288:Attention; D001364:Awareness; D001945:Breathing Exercises; D016009:Chi-Square Distribution; D059350:Chronic Pain / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D003863:Depression / Q000209:etiology / Q000523:psychology; D004185:Disability Evaluation; D005356:Fibromyalgia / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D010147:Pain Measurement; D058748:Pain Perception; D011187:Posture; D011237:Predictive Value of Tests; D011788:Quality of Life; D020127:Recovery of Function; D012119:Respiration; D012890:Sleep; D012893:Sleep Wake Disorders / Q000209:etiology / Q000503:physiopathology; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome