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EMG-biofeedback training in fibromyalgia syndrome
G Ferraccioli1, L Ghirelli, F Scita
1Psychiatry Department, University Hospital of Parma, Italy.
The Journal of Rheumatology
|August 1, 1987
Summary
Electromyography biofeedback (EMG-BFB) training offers significant, long-lasting relief for fibromyalgia syndrome patients, especially those without significant psychological distress. This therapy proved effective in a controlled study, highlighting its potential as a non-pharmacological treatment option.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Pain Management
Background:
- Fibromyalgia syndrome (FMS) is characterized by chronic widespread pain.
- Non-steroidal anti-inflammatory drugs (NSAIDs) often provide limited long-term relief for FMS.
- Exploring non-pharmacological interventions is crucial for managing FMS symptoms.
Purpose of the Study:
- To evaluate the clinical effectiveness of electromyography biofeedback (EMG-BFB) training in patients with fibromyalgia syndrome.
- To determine if psychological disturbances influence treatment outcomes.
- To validate findings through a controlled, blinded study.
Main Methods:
- Fifteen fibromyalgia patients received EMG-BFB training after NSAID treatment failure.
- A subgroup of patients underwent a controlled, blinded study comparing true EMG-BFB to false EMG-BFB.
- Clinical benefit and rheumatological assessments were used to measure outcomes.
Main Results:
- A long-lasting clinical benefit was observed in 56% of patients receiving EMG-BFB.
- Patients without overt psychopathological disturbances showed better improvement.
- Clinically depressed patients responded poorly to EMG-BFB.
- A controlled study confirmed significant improvement only in the true EMG-BFB group.
Conclusions:
- EMG-BFB training is an effective intervention for fibromyalgia syndrome, particularly for patients without significant psychological comorbidities.
- The findings support EMG-BFB as a valuable addition to the FMS treatment armamentarium.
- Further research should explore the mechanisms underlying treatment response in relation to psychological status.