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
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
| Outcome | P value |
|---|---|
| Sleep disturbances (PSQI component) · 12 weeksBQGT vs BQGS | P = 0.000 |
| Sleep disturbances (PSQI component) · 12 weeksBQGT vs WAT | P = 0.001 |
| Sleep disturbances (PSQI component) · 12 weeksBQGT vs WAS | P = 0.000 |
| Sleep dysfunction (PSQI component) · 12 weeksBQGT vs WAS | P = 0.000 |
| Sleep dysfunction (PSQI component) · 12 weeksBQGS vs WAS · outcome not named in the abstract | P = 0.004 |
| Sleep dysfunction (PSQI component) · 12 weeksWAT vs WAS · outcome not named in the abstract | P = 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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