title: Results of an Active Neurodynamic Mobilization Program in Patients With Fibromyalgia Syndrome: A Randomized Controlled Trial.
abstract: OBJECTIVE
  To examine the effects of an active neurodynamic mobilization program on pain, neurodynamics, perceived health state, and fatigue in patients with fibromyalgia syndrome (FMS).
  
  
  METHODS
  Randomized controlled trial.
  
  
  METHODS
  Local fibromyalgia association.
  
  
  METHODS
  Patients with FMS (N=48).
  
  
  METHODS
  Patients were randomly allocated to an active neurodynamic mobilization program or a control group. The intervention was performed twice a week.
  
  
  METHODS
  Pain was assessed with the Brief Pain Inventory and Pain Catastrophizing Scale; neurodynamics were evaluated using neurodynamic tests for upper and lower limbs. The functional state was evaluated with the Health Assessment Questionnaire Disability Index, and perceived fatigue was evaluated with the Fatigue Severity Scale.
  
  
  RESULTS
  Significant (P<.05) between-groups differences were found in the values of pain, upper and lower limb neurodynamics, functional state, and fatigue. Also, significant pre- to postintervention within-group differences were found in the intervention group, whereas no significant changes were found in the control group.
  
  
  CONCLUSIONS
  A neurodynamic mobilization program is effective in improving pain, neurodynamics, functional status, and fatigue in patients with FMS.
authors.affiliation: Physical Therapy Department, University of Granada, Granada, Spain.
authors.forename: Janet Rodríguez
authors.initials: JR
authors.lastname: Torres
authors.affiliation: Physical Therapy Department, University of Granada, Granada, Spain.
authors.forename: Irene Cabrera
authors.initials: IC
authors.lastname: Martos
authors.affiliation: Physical Therapy Department, University of Granada, Granada, Spain.
authors.forename: Irene Torres
authors.initials: IT
authors.lastname: Sánchez
authors.affiliation: Physical Therapy Department, University of Granada, Granada, Spain.
authors.forename: Araceli Ortíz
authors.initials: AO
authors.lastname: Rubio
authors.affiliation: Physical Therapy Department, University of Granada, Granada, Spain.
authors.forename: Ana Díaz
authors.initials: AD
authors.lastname: Pelegrina
authors.affiliation: Physical Therapy Department, University of Granada, Granada, Spain. Electronic address: cvalenza@ugr.es.
authors.forename: Marie Carmen
authors.initials: MC
authors.lastname: Valenza
mesh_terms: D058443:Catastrophization; D004185:Disability Evaluation; D005221:Fatigue / Q000503:physiopathology / Q000534:rehabilitation; D005260:Female; D005356:Fibromyalgia / Q000503:physiopathology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D026741:Physical Therapy Modalities; D011788:Quality of Life; D012720:Severity of Illness Index; D016037:Single-Blind Method; D016896:Treatment Outcome
keywords: Fatigue; Fibromyalgia; Health; Pain; Rehabilitation