The effect of reflexology on the quality of life with breast cancer patients

BackgroundThis study aims to identify the effect of reflexology on the quality of life in patients with breast cancer.MethodsThe population of the study conducted comprised of 60 patients; 30 forming the control and 30 the experimental groups (30 experimental, 30 control). Patient identification forms and EORTC QLQC30 Quality of Life Scale were used to collect the data. Statistical analysis used: The data obtained as a result of the study were assessed via computer using ‘Statistical Package for Social Science 21.0’ software.ResultsThe results of the experiment demonstrated that the within-group symptom total score average of the patients in the experiment/treatment group decreased after the reflexology treatment; while the general health and functional total score averages in the treatment group increased; and the difference between pretest and posttest measurements was statistically significant (p = 0.000).Once symptom, functional, and general health total score averages from the posttest measurement are compared across treatment and control groups, symptom total score average of the patients in the treatment group turned out to be significantly lower than that of the patients in the control group (p = 0.001). In terms of functional and general health score averages, patients in the treatment group scored significantly higher than those in the control group (p = 0.000).ConclusionReflexology was found to reduce the symptoms experienced by breast cancer patients, while at the same time increasing the functional and general health status.     

Pilot study evaluating a 12-h mindfulness-based curriculum for OB/GYN residents

ObjectivesThis prospective cohort study assessed the impact of a 12-h mindfulness-based wellness curriculum on OB-GYN residents’ burnout, mindfulness, and self-compassion.MethodsFourteen 1st year OB-GYN residents at the University of California, Irvine (n = 7 in two separate cohorts) were eligible and participated in a 12-h, in-person wellness curriculum between January 2017 and May 2018 emphasizing meditation training, present moment emotional awareness, and self-compassion. The curriculum included didactic and experiential components and home-based exercises. Participants were assessed before starting the curriculum (T1), after finishing the curriculum (T2), and 6-9-months later (T3) using the Maslach Burnout Inventory (MBI), the Five Facet Mindfulness Questionnaire (FFMQ), and the Self-Compassion Scale (SCS).ResultsFourteen residents (100%) completed the survey at T1, 13 residents (93%) completed the survey at T2, and 12 residents (86%) completed the survey at T3. Levels of burnout did not change significantly. Overall mindfulness increased from T1 to T3 (p < .05), as did non-judging inner experiences (p < .01). Overall levels of self-compassion increased from T1 to T3 (p < .05), with self-kindness and self-judgment improving from T1 to T3 (both p < .05). The vast majority of improvements were evident at the 6-9-month follow-up.ConclusionsThis study provides preliminary support that a mindfulness-based wellness curriculum may improve overall levels of mindfulness and self-compassion in 1st year OB-GYN residents.     

Yoga during pregnancy: The effects on labor pain and delivery outcomes (A randomized controlled trial)

ObjectiveTo investigate the effects of an antenatal yoga program on perceived maternal labor pain and delivery outcomes. Material & Methods: This randomized control trial was conducted with sixty primiparous women, aged 18–35 years old, who were randomly assigned to either an antenatal yoga program or control groups. Labor pain and discomfort level of the participants were measured using a Visual Analogue Scale at cervical dilatation of 3–4 c and at 2 and 4 h after the initial measurement. Demographic and obstetrical information were collected. The antenatal yoga program consisted of a 1-h supervised yoga class, three times a weekly, starting at 26 weeks gestation. .ResultsParticipants in control group reported higher pain intensity compared to experimental group at 3–4 cm of dilatation (p = 0.01) and at 2 h after the first and the second measurements (p = 0.000). Mothers in the antenatal intervention group that completed the yoga class required a decreased frequency of labor induction in comparison with control group (p = 0.008). In addition, mode of delivery of the intervention group resulted in a lower percentage of cesarean section than control group (p = 0.002). Lastly, the intervention group experienced a shorter duration of the second and third stages of labor. Interval level data was analyzed by using an independent t-test and chi-square.ConclusionYoga during pregnancy may contribute to a reduction pain of labor and improved adequacy of childbirth.     

Mindfulness-based cognitive therapy in Korean patients with systemic lupus erythematosus: A pilot study

Backgroundand purpose: The stress and systemic lupus erythematosus (SLE) are intertwined and affecting each other. This pilot study evaluated the mindfulness-based cognitive therapy (MBCT) in Korean patients with SLE.Materials and methodsThe Korean version of the Beck Depression Inventory-II (BDI-II), Beck Anxiety Inventory (BAI), Satisfaction with Life Scale (SWLS), and Perceived Stress Scale (PSS) were evaluated for the effect of the MBCT in 25 patients.ResultsThe BDI-II, BAI, SWLS, and PSS before the MBCT were 24.2 ± 10.6, 19.1 ± 9.7, 14.7 ± 6.5, and 20.4 ± 3.8, respectively. Eighteen patients completed the MBCT. After the MBCT, BDI-II, BAI, and PSS improved to 17.4 ± 13.0 (p < 0.01), 13.4 ± 7.7 (p = 0.04), and 17.9 ± 4.6 (p = 0.04), respectively. However, SWLS and SLE disease activity did not.ConclusionThe MBCT could reduce the anxiety, depression, and stress but not SLE disease activity.     

Tele-yoga in the management of ankylosing spondylitis amidst COVID pandemic: A prospective randomized controlled trial

PurposeAnkylosing spondylitis (AS) signficantly affect day to day activities contributing to signficant disability. Patients with AS often report to have psychological problems and poor quality of life (QoL). This study investigates the effect of a three-month tele-yogic intervention on disease activity, functional index, inflammatory markers, quality of life and mental health measures in patients with AS.MethodsOne hundred and twenty AS patients were assigned to either the yoga intervention group (YG) or the control group (CG). The YG (n = 57) received a 60-min structured yoga module online for 3 months in addition to standard medical care. The CG participants (n = 52) received only standard care during the same period. Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), Ankylosing Spondylitis-Quality of Life (ASQOL) and psychological and inflammatory biomarkers were assessed at baseline and after three months.ResultsYG showed significant improvement in BASDAI (p = 0.001), anxiety (p = 0.0004), and depression (p = 0.001) at three months compared to baseline. The CG showed no significant change in similar outcome measures. At three months, the intervention resulted in a significant improvement in BASDI (−0.79; 95% CI (−1.3, to −0.29); p = 0.0021), BASFI (−0.86, 95% CI (−1.59, to −0.14); p = 0.0193), anxiety (−0.42, 95% CI (−0.84 to −0.01), p = 0.0468), and AS-QoL (−3.37; 95% CI (−5.21 to 1.53); p = 0.0004) compared to the CG.ConclusionsThe present study suggests that yoga helps improve pain, functional index, and mental health in patients with AS. Tele-yoga intervention is feasible and effective in treating AS.     

The effect of web-based Hatha yoga on psychological distress and sleep quality in older adults: A randomized controlled trial

BackgroundTo date, there has been very limited experimental research on the impact of Yoga on older adults’ mental health during the COVID-19 crisis. We aimed to explore the effect of a web-based Hatha yoga program on psychological and quality of sleep in older adults who self-isolated at home during the initial stage of the COVID-19 outbreak.MethodsTwo hundred volunteers of both sexes were split into experimental (Yoga group, YG) and control (Control group, CG) groups, in a web-based randomized controlled study. All participants were administered the Depression, Anxiety and Stress Scales (DASS-21) and the Pittsburgh sleep quality index (PSQI); at baseline and following an eight-week online Hatha yoga intervention.ResultsThe YG showed significant reductions in depression (−56.1%; Z = 5.67, p < 0.01, r = 0.70) anxiety (−64.3%; Z = 5.27, p < 0.01, r = 0.65) and stress (−68.2%; Z = 5.86, r = 0.73) scores, while the CG showed a significant increase in depression. In addition, the total PSQI score of the YG was considerably lower during follow-up (3.38 ± 2.02, p < 0.05) than at baseline (4.8 ± 32, p < 0.05), which indicates an improvement of the quality of sleep. The proportion of individuals experiencing good sleep from the YG increased from 63% to 85% after the Hatha yoga intervention.ConclusionThe use of a web-based Hatha Yoga intervention program was associated with a beneficial effect on the mental health and quality of sleep in older adults.     

Effect of yoga on cognitive functions and anxiety among female school children with low academic performance: A randomized control trial

BackgroundTo achieve better academic performance, students should improve their cognitive faculties and overcome anxiety. Therefore, the present research was conducted to assess the effect of yoga on the cognitive functions of female adolescents with low academic performance.MethodsThe present study is a randomized control trial (RCT). Eighty-nine female students in the age range of 12–14 years were randomly assigned into two groups [yoga (n = 45); physical exercise (n = 44)] at a school setting. Both groups were assessed before and after on Raven's standard progressive matrices (RSPM), Corsi Block Tapping Test (CBTT), Six Letter Cancellation Test (SLCT), Digit Letter Substitution Test (DLST), Stroop Color and Word Test (SCWT), and State-Trait Anxiety Inventory for Children (STAIC).ResultsFindings of the present study showed significant (p < .05) differences in scores of forward CBTT, SWCT, and SLCT in group × time interaction. Both the groups showed significant (p < .05) improvement in SLCT, backward scores of CBTT, and STAIC-T. All outcomes measured were significantly (p < .05) improved in the yoga group except STAIC-S.ConclusionYoga improves general intelligence, visuospatial working memory, and attention, as well as reduces the anxiety of students with low academic performance. Similarly, physical exercise was also found to be improving visuospatial working memory, sustained attention, and reduce trait anxiety. However, the finding of the present study indicated yoga to be more effective compared to physical exercise in regards to students' fluid intelligence and executive function. Improvement in general intelligence, visuospatial working memory, and attention is expected to positively influence students’ academic performance.     

The effect of foot reflexology and back massage on hemodialysis patients' fatigue and sleep quality

ObjectiveThe aim of this study is to examine the effectiveness of foot reflexology and back massage on optimizing the sleep quality and reducing the fatigue of hemodialysis patients.MethodsThe study includes 105 volunteer patients who were registered at a private dialysis clinic and were receiving hemodialysis treatment. Foot reflexology and back massage were administered to the patients two times a week for four weeks. The Visual Analogue Scale for Fatigue and the Pittsburg Sleep Quality Index were used to collect data.ResultsThe differences between the pretest and posttest score averages of the patients on the Visual Analogue Scale for Fatigue and the Pittsburg Sleep Quality Index were statistically significant (p < 0.001).ConclusionFoot reflexology and back massage were shown to improve the sleep quality and reduce the fatigue of hemodialysis patients. Compared to back massage, foot reflexology was determined to be more effective.     

Mat Pilates and belly dance: Effects on patient-reported outcomes among breast cancer survivors receiving hormone therapy and adherence to exercise

BackgroundBreast cancer treatment leads to several side effects. Exercise can help to reduce these side effects. However, it is unknown whether a mat Pilates or a belly dance intervention can improve the patient-reported outcomes of these women.ObjectiveExamine the effects of a 16-week exercise intervention (mat Pilates or belly dance) on patient reported outcomes (PROs) among breast cancer survivors, at 16 weeks, six months, and 12 months; and investigate sociodemographic and clinical predictors of intervention adherence.MethodsSeventy-four breast cancer survivors who were receiving hormone therapy were randomly allocated into mat Pilates (n = 25), belly dance (n = 25) or control group (educational sessions) (n = 24). Mat Pilates and belly dance groups received a 16-week intervention, delivered three days a week and 60 min a session. The control group received three education sessions and continue usual care. The patient reported outcomes assessed were depressive symptoms (Beck Depression Inventory), stress (Perceived Stress Scale), optimism (Life Orientation Test), fatigue (FACT-F), sleep quality (Pittsburgh Sleep Quality Index) and pain (VAS), clinical and sociodemographic characteristics, and habitual physical activity (IPAQ short).ResultsAll three groups showed a significant improvement in fatigue, and this effect was maintained during follow-up. No significant effects were found for depressive symptoms, optimism, stress, or pain. A history of exercise prior to breast cancer and be inactive after diagnosis were significant predictors of adherence to interventions.ConclusionMat Pilates, belly dance and a few educational sessions can be effective in improving fatigue after 16 weeks of intervention.RegistrationClinicalTrials.gov (NCT03194997).     

Effects of a yoga nidra on the life stress and self-esteem in university students

ObjectivesTo assess the effects of a yoga nidra on life stress and self-esteem in university students.MethodsThis study is a non-equivalent control group pretest-posttest design. Forty university students were selected by convenience sampling, with 20 assigned to a yoga nidra group and 20 to a control group. The yoga group participated in bi-weekly, 1-h sessions of yoga nidra for 8 weeks. Life stress intensity level was measured using a 10 cm Visual Analog Scale. Self-esteem score was measured by Rosenberg's Self-Esteem Scale.ResultsThe yoga nidra group showed significantly decreased life stress intensity levels compared to the control group. The yoga group also showed significantly increased self-esteem scores compared to the control group.ConclusionsThese findings indicate that yoga nidra could alleviate the life stress intensity level and increase the self-esteem in university students.     

Personal,professional and workplace factors associated with burnout in Jordanian midwives: A national study

ObjectiveTo investigate the prevalence of burnout and explore associated socio-demographic and work-related factors among Jordanian midwives.DesignA cross-sectional survey design. The survey tool included the Copenhagen Burnout Inventory (CBI) and socio-demographic and work-related data forms.SettingAll government-funded hospitals in Jordan (18 hospitals) that provide antenatal, labour and birth, or postnatal care for women.ParticipantsA sample of 321 midwives participated.Data analysisFrequencies, means, and standard deviations were calculated as appropriate on the demographic variables and scale scores. The CBI was assessed for internal consistency using Cronbach's alpha. Multiple regression analyses using backward elimination were undertaken to determine associations between variables and CBI subscales. An alpha level of 0.05 was used for all statistical tests.FindingsOver three-quarters of midwives reported personal (78.1%), work-related (82.2%), and client-related (71.3%) burnout (scored >50 on CBI). Compared to midwives aged between 21 - 30 years, those between 31 - 40 years of age scored on average a 11.75 (95% CI = 7.05 - 16.45) points lower personal burnout score. Married midwives had on average a 6.44 (95% CI = 1.57 - 11.31) points higher personal burnout score compared to single midwives. Midwives with ≥ 10 years' experience had on average a 4.29 (95% CI = 1.93 - 6.64), 5.27 (95% CI = 3.17 - 7.36), and 7.31 (95% CI = 4.84 - 9.78) points lower personal, work-related, and client-related burnout scores respectively compared to midwives with < 10 years' experience.Compared to midwives providing care for 1 - 5 women per shift, those providing care for > 10 women per shift reported 9.98 (95% CI = 6.06 - 13.90) and 5.35 (95% CI = 0.71 – 9.99) points higher work-related and client-related burnout scores respectively. Midwives who rotated between shifts had on average a 5.87 (95% CI = 1.27 - 10.48) and 11.2 (95% CI = 5.78 - 16.66) points higher work-related and client-related burnout scores respectively than those who did not rotate.Key conclusions and implications for practiceThe high prevalence of burnout identifies the urgent need for a national plan to address midwives’ psychological health in Jordan. Midwives should be appropriately trained to recognize the signs and symptoms of burnout in a timely way, and for support services to be offered. The government could consider implementing continuity of midwifery care models, reducing the administrative burden on midwives, and empowering them to work to their full scope of practice.     

The effect of gentle human touch on pain,comfort and physiological parameters in preterm infants during heel lancing

ObjectiveThis research was conducted to evaluate the effects of gentle human touch (GHT) on pain, comfort, and physiologic parameters in preterm infants during heel lancing.MethodThis prospective, assessor-blind, randomized controlled study was performed between August 10, 2021 and September 10, 2021 in the Neonatal Intensive Care Units (NICU) of a tertiary hospital in the Central Anatolia Region of Turkey. Fifty preterm infants were randomly appointed to GHT and control groups. The researcher applied GHT to the infants in the GHT group by placing one hand on the infant's head and the other hand on the lower abdomen covering the waist and hips for 15 min. Data were collected with a Questionnaire, Physiological Parameters Observation Form, Newborn Infant Pain Scale (NIPS), The Comfort Scale (COMFORT), and Pulse Oximeter.ResultsThe NIPS and COMFORT mean scores of preterm infants in the GHT group were lower during (p < 0.001, p < 0.05, respectively) and after heel lancing (p < 0.05, p < 0.001, respectively). There was no difference between the preterm infants' peak heart rate, respiratory rate, and SPO₂ values in the GHT and control groups during and after heel lancing (p > 0.05). The study found that preterm infants in the GHT group had less crying time during the heel lancing (p < 0.001).ConclusionIt could recommend using in painful procedures because GHT may positively affect preterm infants' pain, comfort, and physiologic parameters. The results of this study will contribute to NICU nurses should include non-pharmacological methods such as GHT to decrease pain of preterm infants in procedural pain.Trial registrationClinicalTrials.gov (NCT05001191).     

The effects of a simulated laughter programme on mood,cortisol levels,and health-related quality of life among haemodialysis patients

ObjectiveThis study aimed to evaluate the effects of a simulated laughter programme on mood, cortisol levels, and health-related quality of life among haemodialysis patients.MethodsForty participants were randomly assigned to a laughter group (n = 20) or a control group (n = 20). Eleven participants completed the laughter programme after haemodialysis sessions and 18 control participants remained. The 4-week simulated laughter programme included weekly 60 min group sessions of simulated laughter, breathing, stretching exercises, and meditation, as well as daily 15 s individual laughter sessions administered via telephone. Mood, cortisol levels, and health-related quality of life were analysed using the rank analysis of covariance, and Wilcoxon's signed rank test.ResultsThe laughter group exhibited improvements in mood, symptoms, social interaction quality, and role limitations due to physical health.ConclusionThe simulated laughter programme may help improve mood and health-related quality of life among haemodialysis patients.     

Self-Concept,Depression, and Anxiety Levels of Adolescents with Polycystic Ovary Syndrome

Study ObjectiveIn this study we explored the level and severity of issues related to self-concept, depression, and anxiety in adolescents with polycystic ovary syndrome (PCOS).DesignCross-sectional and case-control study.SettingThe research was conducted in the outpatient Pediatric Endocrinology Clinic of Adiyaman University School of Medicine in Turkey.ParticipantsThe study population comprised 153 patients with PCOS and 161 healthy adolescents.Interventions and Main Outcome Measures: The Personal Information Form, State-Trait Anxiety Inventory for Children, Children's Depression Inventory, and Piers-Harris Children's Self-Concept Scale were administered to all of the participants who took part in the study.ResultsThe Piers-Harris Children's Self-Concept Scale scores were lower in the PCOS group than in the control group (P < .001). In addition, the scores for the Children's Depression Inventory were also significantly higher in the PCOS group (P < .001). The State-Trait Anxiety Inventory for Children scores showed statistically significant higher levels of state anxiety and trait anxiety in the PCOS group (P < .001).ConclusionAdolescents with PCOS had lower self-concept scores, greater anxiety levels, and increased depressive symptoms than the healthy controls. Future studies are needed to examine the psychiatric problems in adolescents with PCOS.     

Development and validation of 20-min yoga module for reducing burnout among healthcare worker(s)

BackgroundA high prevalence of burnout has been reported among healthcare worker(s). During the current pandemic, such burnout has increased due to excessive load of patient care, use of personal protective equipment (PPE) kits, working in long shifts, staying away from family due to isolation norms, and disrupted social life. Existing yoga techniques used for reducing burnout include 45 min to hour-long sessions, which may not be feasible for regular practice by the healthcare worker(s).ObjectiveThe proposed study aimed to develop a 20-min yoga module to reduce burnout among healthcare worker(s).MethodsTo develop a 20-min yoga module, we reviewed yoga texts and relevant scientific research articles. Components of the 20-min yoga module include sukshma vyayama (loosening exercises), pranayama (regulated breathing), and dhyana (meditation). Nineteen yoga experts validated the 20-min yoga module with an average (SD) of 11.47 (6.77) years of research and clinical experience in yoga. Content validity ratio (CVR) was calculated according to Lawshe's method. Items having a CVR of 0.47 and above were retained in the module.Results and conclusionThe content validity index (CVI) of the entire module was 0.83. CVR results of the elements of the 20-min yoga module indicated that experts consider these practices to be essential for reducing burnout among the healthcare worker(s). The strength of the 20-min yoga module lies in its short duration and easy-to-learn practices. 20-min yoga module can be implemented in practice by the healthcare worker(s) for reducing burnout following efficacy studies through further clinical trials.     

A crossover pilot trial of the feasibility,acceptability, and effectiveness of LoveYourBrain Yoga for community-dwelling adults with multiple sclerosis

Background and purposeAmong people with multiple sclerosis (MS), yoga has potential to improve fatigue and other symptoms that undermine quality of life. The aim of this study was to assess the feasibility, acceptability, and effectiveness of LoveYourBrain Yoga, a six-week yoga with psychoeducation program, on fatigue and other health-related outcomes among people with MS in a rural, community-based setting in the United States.MethodsThis non-randomized 2x2 crossover pilot trial compared LoveYourBrain Yoga to a control among 15 people with MS. People were eligible if they were adults with MS (EDSS score ≤6), English-speaking, and ambulatory. Paired t-tests and Wilcoxon signed rank sum analyses assessed mean differences in PROMIS-Fatigue_MS, Multiple Sclerosis Impact Scale, Symbol Digit Modalities Test, NIH Neuro-QoL measures, and Liverpool Self-Efficacy scale. We assessed feasibility using recruitment and retention rates, mean attendance, fidelity, and acceptability using satisfaction measures.ResultsSignificant improvements in fatigue (MD -4.34, SD 5.26, p = 0.012), positive affect and wellbeing (MD 2.76, SD 3.99, p = 0.028), and anxiety (MD -4.42, SD 5.36, p = 0.012) were found after LoveYourBrain Yoga compared to the control. Participants reported high satisfaction (M 9.5, SD 1.4) and a majority (92.3%) reported ‘Definitely, yes’ to recommending it to a friend or family.ConclusionLoveYourBrain Yoga is feasible and acceptable when implemented in a rural, community-based setting for people with MS. It may improve a range of MS symptoms and offer a means for acquiring new skills for stress reduction, anxiety management, and overall wellbeing.     

Recommending yoga for health: A survey of perceptions among healthcare practitioners in the UK

BackgroundYoga has the potential to support patients across various health conditions. It is slowly being integrated into healthcare worldwide. While healthcare practitioners (HCPs) are critical to integration, there are currently no studies investigating their perceptions of yoga for health, their openness to recommending yoga to patients, and barriers to doing so. This novel UK study aims to address this.MethodAn online survey was conducted among practising UK HCPs. Recruitment was through multi-modal convenience sampling. The COM-B model was used as a framework. Regression analysis examined predictors of HCPs’ likelihood to recommend yoga. Open-end responses were analysed through thematic analysis.Results198 HCPs were included in the analysis, including general practitioners (GPs, 18.8%), psychologists (18.3%), and nurses/health visitors (14.7%). A high proportion (68.8%) practised yoga at least monthly. The likelihood of recommending yoga to patients was high (M = 4.03, SD = 0.94; 5-point scale). Older age, not being a GP, and greater capability and motivation significantly predicted a greater likelihood of recommending yoga, explaining 41.4% of the variance (p < 0.001). Barriers to recommending yoga were mostly related to the lack of opportunity.ConclusionsHCPs in this study had high levels of personal engagement with yoga and were open to recommending yoga to patients, but still faced several barriers. Workplace support, particularly for GPs, and information about how patients can access appropriate and affordable yoga instruction would facilitate referral. Further research with a representative sample is warranted to understand perceptions of HCPs less engaged with yoga.     

Effect of treatment adherence training given to patients with bipolar disorder on treatment adherence,social functioning and quality of life: A pilot study

Backgroundand purpose: Treatment non-adherence is quite common among patients with bipolar disorder, negatively affects the social functioning of patients and reduces the quality of life. This pilot study aims to measure the effect of treatment adherence training given to patients with bipolar disorder on treatment adherence, social functioning and quality of life.Materials and methodsThe pilot study was conducted with 40 bipolar disorder patients, 19 in the intervention group and 21 in the control group, using a quasi-experimental research design. The data were collected using the Participant Information Form, Medication Adherence Rating Scale, Social Functioning Scale and Short Form of the World Health Organization Quality of Life Questionnaire. Treatment adherence training was given once a week individually for a total of five sessions.ResultsThere was no significant difference between the demographic characteristics and pre-test scale scores of the patients in the intervention and control groups before the treatment adherence training (p > 0.05). The mean treatment adherence, social functioning and quality of life scores of the patients in the intervention group were higher in the post-test and follow-up test compared to the patients in the control group (p < 0.001).ConclusionThe intervention had a positive effect on treatment adherence, social functioning and quality of life of patients. Considering the promising results of this pilot study, treatment adherence training should be studied further in the patients with biplor disorder.     

Effects of whole body vibration therapy in pain,function and depression of the patients with fibromyalgia

AimAim of the study is to search the effects of whole body vibration (WBV) in fibromyalgia patients.Materials and MethodsIn this single blind study 20 fibromyalgia patients were diagnosed according to 2010 American College of Rheumatology criteria whom participated in the study with the mean age of 57 ± 7 (years). Participants were randomized into 2 equal groups. In the intervention group (n = 10), 6 different types of exercises were combined with 30 hz frequency, 2 mm amplitude WBV for 4 weeks, The control group (n = 10) performed the same exercises on the same platform without vibration. The patients were assessed at baseline, at the 3rd and 6th months by Visual Analogue Scale (VAS), Fibromyalgia Impact Questionnaire (FIQ) and Beck Depression Inventory (BDI).ResultsOnly FIQ score was significantly better in the treatment group at the 6th month evaluation (p = 0.043).ConclusionWBV is found to be effective in reducing symptoms of fibromyalgia.