Efectos de la acupuntura vs. fisioterapia sobre el control postural y la funcionalidad en fibromialgia

Abstract

Fibromyalgia is a rheumatologic condition that frequently causes balance and functionality impairment as well as other symptoms such as pain, stiffness or depression. This study is a randomized controlled trial approved by the University of Extremadura Bioethical Committee which main objective is to assess the effectiveness of Acupuncture vs. Physiotherapy on balance, functionality and quality of life of subjects with Fibromyalgia. The 135 participants were randomly allocated into 3 groups: Acupuncture (acupuncture points Du20, E36 y V60), Physiotherapy (based on a core stability exercise programme) and control group (no intervention). The experimental treatments were carried out during 5 weeks and the outcome measures were assessed the week before and after completing the treatment and at 5 weeks of follow up. The results showed significant improvements in the experimental groups in the dynamic balance measured with the Berg Balance Scale (P=0,000) and the 10 meter walk test (P=0,013 Physiotherapy group and P=0,034 Acupuncture group). Moreover, the Acupuncture group showed significant improvements compared with the Physiotherapy and Control groups in the variable static balance (P=0,006 one leg stand test) and dynamic balance (P=0.003 Timed up and Go test). Acupuncture and Physiotherapy improve balance and postural control in Fibromyalgia patients. However, Acupuncture has shown to be more effective.