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EFFECTS OF PAIN THERAPEUTIC EDUCATION ASSOCIATED TO HYDROTHERAPY ON PAIN, DEPRESSION, ANXIETY, QUALITY OF LIFE AND SLEEP IN FIBROMYALGIC WOMEN: RANDOMIZED CONTROLLED CLINICAL TRIAL

Abstract

Fibromyalgia (FM) is a prevalent and often disabling disease, that affects mostly women and its main characteristic is chronic pain. Several studies have shown that hydrotherapy is effective in the improvement of painful symptoms and quality of life of this population; other studies have shown that Pain Therapeutic Education (PTE) is also effective in this sense. PTE is one cheap, easy to apply intervention, with very positive results in chronic pain situations. However, there is a lack of studies that have shown the effects of the association between hydrotherapy and PTE on FM. Hence, this study will aim to verify the effectiveness of the association of hydrotherapy and PTE on women with FM. Sixty women will be randomly allocated in two groups: hydrotherapy and hydrotherapy + PTE. Before treatment start, we will evaluate pain sensitivity, quality of life, clinical symptoms of depression and anxiety as well as sleep quality. Hydrotherapy treatment will last 12 weeks. Women will be evaluated other 3 times: after 6 and 12 weeks (treatment middle and end) and 12 weeks after treatment completion (follow-up). Women in the hydrotherapy group will receive a folder with explanations on FM. Women in the hydrotherapy + PTE will participate of 4 meetings over 12 treatment weeks, in which themes like pain physiology, pain chronification and exacerbation and pain self-management, as well as information on FM will be approached. Statistical analysis will include qualitative and quantitative variable description. Correlation among variables will also be analyzed. Level of significance will be set at 5%. (AU)