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Clinical Trial
. 2017 Mar;69(3):413-420.
doi: 10.1002/acr.22946.

Preliminary Outcomes of a Cross-Site Cognitive-Behavioral and Neuromuscular Integrative Training Intervention for Juvenile Fibromyalgia

Susan T Tran  1 , Jessica W Guite  2 , Ashley Pantaleao  3 , Megan Pfeiffer  4 , Gregory D Myer  5 , Soumitri Sil  6 , Staci M Thomas  4 , Tracy V Ting  7 , Sara E Williams  7 , Barbara Edelheit  2 , Sylvia Ounpuu  2 , Jennifer Rodriguez-MacClintic  3 , Lawrence Zemel  2 , William Zempsky  2 , Susmita Kashikar-Zuck  7
Affiliations
Clinical Trial

Preliminary Outcomes of a Cross-Site Cognitive-Behavioral and Neuromuscular Integrative Training Intervention for Juvenile Fibromyalgia

Susan T Tran et al. Arthritis Care Res (Hoboken). 2017 Mar.

Abstract

Objective: Cognitive-behavioral therapy (CBT) is effective in reducing disability among youth with juvenile fibromyalgia (FM); however, engagement in moderate to vigorous physical activity remains poor, even after CBT. The purpose of this study was to evaluate the feasibility and preliminary outcomes of an innovative program combining CBT with specialized neuromuscular exercise: the Fibromyalgia Integrative Training for Teens (FIT Teens) program.

Methods: Adolescents with juvenile FM (n = 22, all female, ages 12-18 years) from 2 urban children's hospitals participated in the 8-week FIT Teens intervention. Participants completed measures of pain intensity, functional disability, depressive symptoms, pain catastrophizing, fear of movement, and readiness to change at baseline and after the intervention.

Results: The feasibility of the intervention across 2 sites was documented, including high retention rates (80%). Participants showed significant decreases in functional disability (P < 0.05), depression (P < 0.001), fear of movement (P < 0.01), and pain catastrophizing (P < 0.001) from pre- to postintervention. Results of the readiness to change measure indicated a significant decrease in precontemplation (P < 0.01) and increase in action/maintenance scores (P < 0.001). All results demonstrated medium to large effect sizes.

Conclusion: Adolescents with juvenile FM reported significant improvements in physical function and reduced fear of movement following the intervention. Improvement in physical function was achieved in a shorter time frame than in a prior trial of CBT without an exercise component. Further work is needed to compare the FIT Teens program with existing approaches and determine whether objective changes in exercise participation are achieved.

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Figures

Figure 1
Figure 1
Study flow diagram.
Figure 2
Figure 2
Percentage of change on adolescent report of PSOCQ from pre- to post-intervention, **p < .01, ***p < .001.
See this image and copyright information in PMC

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