2026-04-03T22:30:10Zhttps://recercat.cat/oai/requestoai:recercat.cat:11351/75092025-10-24T10:15:58Zcom_2072_378070com_2072_378040col_2072_378092
RECERCAT
author
Serrat Lopez, Mayte
author
Coll-Omaña, Mireia
author
Solé, Sílvia
author
Luciano, Juan V.
author
Albajes, Klara
author
Almirall, Miriam
2025-10-24T10:15:57Z
2025-10-24T10:15:57Z
2022-05-11T08:45:43Z2022-05-11T08:45:43Z2021-09-30
http://hdl.handle.net/11351/7509
COVID-19; Teleterapia; Ejercicio terapéuticoCOVID-19; Teleteràpia; Exercici terapèuticCOVID-19; Teletherapy; Therapeutic exerciseFIBROWALK 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.
Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess
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
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion