Pain Neuroscience Education and Motor Imagery-based Exercise Protocol for Patients With Fibromyalgia

Pain Neuroscience Education and Motor Imagery-based Exercise Protocol in Fibromyalgia

The main aim of this study is to find out whether applying both pain neuroscience education (PNE) and motor imagery-based exercise protocol (MIEP) will primarily reduce the pain of fibromyalgia. These therapies could show an evidence of improvement in fibromyalgia patients. However, there are no studies evaluating their effectiveness in combination.

Secondary outcomes:

To assess motor imagery ability of PNE in fibromyalgia patients

To assess motor imagery ability of MIEP in fibromyalgia patients

To evaluate the motor imagery ability of PNE+MIEP combined in fibromyalgia patients

To evaluate pain beliefs of PNE in fibromyalgia patients

To assess the pain beliefs of MIEP in fibromyalgia patients

Combined PNE+MIEP to assess pain beliefs in fibromyalgia patients.

To assess fear of movement in fibromyalgia patients of PNE

To assess fear of movement in fibromyalgia patients of MIEP

Combined PNE+MIEP to assess fear of movement in patients with fibromyalgia

PNE to assess anxiety, depression, cognitive and mood in patients with fibromyalgia.

To assess anxiety, depression, cognitive and mood in patients with fibromyalgia MIEP

To evaluate anxiety, depression, cognitive and mood in patients with fibromyalgia together with PNE+MIEP

PNE to assess self-esteem and body awareness in fibromyalgia patients.

To assess self-esteem and body awareness in fibromyalgia patients of MIEP

Combined PNE+MIEP to assess self-esteem and body awareness in fibromyalgia patients.

Inclusion Criteria:

• Experiencing widespread chronic pain for more than 12 months
• Pain in at least 12 or more of 18 tender points with a pressure of 5 kg/cm2
• 18 to 60 years old
• Not using pharmacological therapeutics
• Not having participated in any pain program.
• Not having participated in any physical exercise programs in the last twelve

Exclusion Criteria:

• Pregnancy
• Not being able to do a physical activity program
• Currently receiving treatment with any alternative medical methods (eg.hyperbaric).
• Cardiovascular, psychiatric, autoimmune, cancer, etc. children with secondary different disease
• Other causes of chronic pain
• Receiving any treatment support related to pain
• Mental disability status