Transcranial Direct Current Stimulation Associated With Functional Exercise Program for Treating Fibromyalgia: A Randomized Controlled Trial.

Autor:	Matias MGL; Department of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte., Germano Maciel D; Department of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte., França IM; Department of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte., Cerqueira MS; Department of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte., Silva TCLA; Department of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte., Okano AH; Center of Mathematics, Computation and Cognition, Federal University of ABC, São Bernardo, São Paulo., Pegado R; Faculty of Health Science of Trairi, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil., Brito Vieira WH; Department of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte. Electronic address: hericksonfisio@yahoo.com.br.
Jazyk:	angličtina
Zdroj:	Archives of physical medicine and rehabilitation [Arch Phys Med Rehabil] 2022 Feb; Vol. 103 (2), pp. 245-254. Date of Electronic Publication: 2021 Sep 01.
DOI:	10.1016/j.apmr.2021.06.029
Abstrakt:	Objective: To investigate the effects of transcranial direct current stimulation (tDCS) associated with functional exercise on pain, functional performance, psychological symptoms, and quality of life of patients with fibromyalgia (FM). Design: Randomized controlled trial. Participants were randomized by blocks into 2 groups: tDCS associated with functional exercise (n=17) and sham-tDCS associated with functional exercise (n=14). Setting: Laboratory of neuromuscular performance in the department of physical therapy. Participants: Women with FM (N=31) according to American College of Rheumatology-2010 criteria. Interventions: Anodal tDCS or sham-tDCS was applied over the left motor cortex for 5 consecutive days during the first week of intervention (2 mA; 20min). All volunteers also engaged in 8 weeks of functional exercises 3 times per week. Main Outcome Measures: Pain intensity, functional performance, psychological symptoms, and quality of life were assessed pre-exercise and immediately after the first, fourth, and eighth weeks of intervention. Results: Pain intensity, functional performance, psychological symptoms, and quality of life increased significantly in both groups (P<.05); however, no significant differences between groups were found in all outcomes (P>.05). Conclusion: tDCS associated with functional exercises did not enhance the effects of physical exercise on pain, functional performance, psychological symptoms, and quality of life of patients with FM. (Copyright © 2021 The American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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