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SAT0409 Multidisciplinary Care in the Management of Fibromyalgia: A Randomized Controlled Trial
  1. A. Abou-Raya1,
  2. S. Abou-Raya1,
  3. R. Faiez2
  1. 1Rheumatology, Faculty of Medicine, University of Alexandria & Alexandria Centre for Women’s Health, Alexandria
  2. 2Physiotherapy, Medical Institute of Physiotherapy, Cairo, Egypt

Abstract

Background Chronic musculoskeletal pain disorders such as fibromyalgia (FM) have an impact on all aspects of well-being.

Objectives To evaluate the effectiveness of a multidisciplinary care setting for the management of FM in comparison to standard care.

Methods 82 FM patients (72 females, 10 males), mean age 49.9 years diagnosed according to the American College of Rheumatology (ACR) criteria for FM were randomized into one of 2 groups for 4 months therapy. The intervention group (n = 42) were assigned to a rheumatologist and a physiotherapist and were put on a 4-month structured exercise therapy programme, provision of stress and pain management and education on proper diet. The control group consisted of standard care with a general practitioner. Outcome measures included the Fibromyalgia Impact Questionnaire (FIQ), Brief Pain Inventory (BPI), Beck Depression Inventory (BDI), Visual analogue scale for pain (VAS 0-100mm) and Survey Short Form-36 (SF-36) assessment. All measures were assessed at baseline and after 4 months. There were no statistical differences between the 2 groups at baseline.

Results The intervention group achieved statistically significant improvements in FIQ (p< 0.01), BPI (p <0.05), BDI (p, 0.05), VAS for pain (p< 0.01) and physical functioning, bodily pain and mental health subscales of SF-36. There was a significant reduction in prescription drugs in the intervention group compared to the control standard care group, p < 0.01.

Conclusions Improvement in health-related outcomes in FM, a mostly difficult to treat often unresponsive condition may be achieved in a multidisciplinary care setting.

Disclosure of Interest None Declared

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