2026-04-04T02:41:36Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/75092025-10-24T10:15:58Zcom_2072_378070com_2072_378040col_2072_378092

00925njm 22002777a 4500 dc Serrat Lopez, Mayte author Coll-Omaña, Mireia author Solé, Sílvia author Luciano, Juan V. author Albajes, Klara author Almirall, Miriam author 2022-05-11T08:45:43Z 2022-05-11T08:45:43Z 2021-09-30 COVID-19; Teleterapia; Ejercicio terapéutico COVID-19; Teleteràpia; Exercici terapèutic COVID-19; Teletherapy; Therapeutic exercise FIBROWALK is a multicomponent program including pain neuroscience education, therapeutic exercise, cognitive behavioral therapy and mindfulness training that has recently been found to be effective in patients with fibromyalgia (FM). This RCT started before the COVID-19 pandemic and was moved to a virtual format (i.e., online videos) when the lockdown was declared in Spain. This study is aimed to evaluate the efficacy of a virtual FIBROWALK compared to Treatment-As-Usual (TAU) in patients with FM during the first state of alarm in Spain. A total of 151 patients with FM were randomized into two study arms: FIBROWALK plus TAU vs. TAU alone. The primary outcome was functional impairment. Secondary outcomes were kinesiophobia, anxiety and depressive symptomatology, and physical functioning. Differences between groups at post-treatment assessment were analyzed using Intention-To-Treat (ITT) and completer approaches. Baseline differences between clinical responders and non-responders were also explored. Statistically significant improvements with small-to-moderate effect sizes were observed in FIBROWALK+TAU vs. TAU regarding functional impairment and most secondary outcomes. In our study, the NNT was 5, which was, albeit modestly, indicative of an efficacious intervention. The results of this proof-of-concept RCT preliminarily support the efficacy of virtual FIBROWALK in patients with FM during the Spanish COVID-19 lockdown. This research was funded by the Vall d’Hebron Institute of Research Funding. http://hdl.handle.net/11351/7509 Fibromiàlgia - Tractament Avaluació de resultats (Assistència sanitària) COVID-19 (Malaltia) DISEASES::Musculoskeletal Diseases::Musculoskeletal Diseases::Rheumatic Diseases::Fibromyalgia Other subheadings::Other subheadings::/therapy ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Prognosis::Treatment Outcome DISEASES::Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus Infections ENFERMEDADES::enfermedades musculoesqueléticas::enfermedades musculoesqueléticas::enfermedades reumáticas::fibromialgia Otros calificadores::Otros calificadores::/terapia TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::pronóstico::resultado del tratamiento ENFERMEDADES::virosis::infecciones por virus ARN::infecciones por Nidovirales::infecciones por Coronaviridae::infecciones por Coronavirus Efficacy of the FIBROWALK Multicomponent Program Moved to a Virtual Setting for Patients with Fibromyalgia during the COVID-19 Pandemic: A Proof-of-Concept RCT Performed Alongside the State of Alarm in Spain