Article Text

AB0931 Effects of manual therapy on pain, posture, flexibility, quality of sleep and depressive symptoms in fibromyalgia syndrome
  1. T Duymaz1,
  2. G Toprak Sakınç2
  1. 1Physiotherapy and Rehabilitation, Istanbul Bilim University, Şişli-Istanbil
  2. 2Physiotherapy and Rehabilitation, Acıbadem Hospital, Izmit-Kocaeli, Turkey


Background Fibromyalgia syndrome (FMS) is a chronic musculoskeletal pain condition characterized by widespread and a constellation of other symptoms.

Objectives The purpose of this study was to investigate the therapeutic effects of a Manual Therapy (MT) protocol for improving pain, posture, flexibility, tender points, impact of FMS symptoms, sleep quality and depressive symptoms with FMS.

Methods Patients completed demographic information, a number of self-report measures including Visual Analog Scale for assessing pain, Fibromyalgia Impact Questionnaire, the Pittsburgh Quality of Sleep Questionnaire Index and the Hospital of Anxiety and Depression Scale.The patients underwent a protocol of MT for a 60-minute session for 3 weeks (5/wk). The protocol was as the following release and mobilisation. All analyses were performed with the SPSS (version 22.0)statistical program

Results 16 women,3 men patients who had FMS were treated with MT.Demographic variables of the participants are provided in Table 1.While there was a favorable change in all measurement parameters after treatment (p<0.001).There was a statistically significant difference between before and after the treatment measurement parameters (Table 2)

Table 1.

Demographic variables of the participants

Table 2.

Comparison of before and after treatment in all measurement parameters

Conclusions This study found that the application of a MT protocol was effective for improving pain, posture, flexibility,tender points, impact of FMS symptoms, sleep quality and depressive symptoms in individuals with FMS.


  1. Goldenberg DL, Burckhardt C, Crofford L. Management of fibromyalgia syndrome. JAMA. 2004;292:2388–2395.

  2. Castro-Sa' nchez AM, Matara' n-Peñ arrocha GA, Arroyo-Morales M. Effects of myofascial release techniques on pain, physical function, and postural stability in patients with fibromyalgia: a randomized controlled trial. Clin Rehabil. 2011;25:800–813.


Disclosure of Interest None declared

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