Fibromyalgia & musculoskeletal pain

Effect of Baduanjin Qigong and transcranial direct current stimulation on quality of sleep and disease impact in elderly patients with fibromyalgia: a randomised, sham‐controlled study

Clin Exp RheumatolPublished Randomised controlled trial

Authors' conclusion

This study shows that physical activity interventions, and especially BQG, significantly improve sleep quality and disease symptoms, with notable effects on PSQI scores and FIQR, especially when combined with tDCS across different groups.

Study context

Population
Elderly female and male patients with fibromyalgia (FM)
Participants
68 participants
Comparison
Baduanjin Qigong (BQG) or walking, each combined with transcranial direct current stimulation (tDCS) or sham tDCS
  • BQGTn = 17
  • BQGSn = 17
  • WATn = 17
  • WASn = 17reference
Primary endpoint
Disease impact (FIQR) and sleep quality (PSQI)
Follow-up
12 weeks
Methodological detailsdouble-blind, sham-controlled, four-arm, convenience sampling, Data analysed using Multivariate Analysis of Variance (MANOVA)
  • Double-blind
  • Sham-controlled
  • Four-arm
  • Convenience sampling
  • Data analysed using MANOVA

Primary result

As reported in the abstract

Sleep quality associated with interventions (F(21, 167) =2.88, Wilk's Λ=0.411, partial η²=0.257)
p<0.05
FIQ scores associated with interventions (F(3, 64) =4.47, Wilk's Λ=0.210, partial η²=0.173)
p< 0.05
Treatment effect on FM Impact Questionnaire (FIQR) (F(3) =3.901, partial η²=0.155)
p<0.05
Treatment effect on FIQR symptoms (F(3) =4.458, partial η² =0.173)
p<0.05
Treatment effect on Pittsburgh Sleep Quality Index (PSQI) total (F(3) =6.044, partial η² =0.221)
p<0.05

Further findings

OutcomeP value
Sleep disturbances (PSQI component) · 12 weeksBQGT vs BQGSP = 0.000
Sleep disturbances (PSQI component) · 12 weeksBQGT vs WATP = 0.001
Sleep disturbances (PSQI component) · 12 weeksBQGT vs WASP = 0.000
Sleep dysfunction (PSQI component) · 12 weeksBQGT vs WASP = 0.000
Sleep dysfunction (PSQI component) · 12 weeksBQGS vs WAS · outcome not named in the abstractP = 0.004
Sleep dysfunction (PSQI component) · 12 weeksWAT vs WAS · outcome not named in the abstractP = 0.000
Sleep disturbances (PSQI component) — Treatment effect on sleep disturbances (F(3) =10.314, partial η²=0.326)
p<0.05
Sleep dysfunction (PSQI component) — Treatment effect on sleep dysfunction (F(3) =11.487, partial η²=0.350)
p<0.05
  • Sleep dysfunction (PSQI component): outcome of these pairwise differences not named in the abstract ("Further differences")

Original publication

Effect of Baduanjin Qigong and transcranial direct current stimulation on quality of sleep and disease impact in elderly patients with fibromyalgia: a randomised, sham‐controlled study. Clin Exp Rheumatol. Published 7 November 2024. doi:10.55563/clinexprheumatol/4e5i45

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