Tahran Ö, Ersoz Huseyinsinoglu B, Yolcu G, Karadağ Saygı E, Yeldan I
Institute of Graduate Studies, Istanbul University-Cerrahpaşa, Istanbul, Turkey.
Department of Physiotherapy and Rehabilitation, Istanbul Beykent University, Istanbul, Turkey.
Disabil Rehabil. 2025 Sep;47(19):4987-4998. doi: 10.1080/09638288.2025.2465597. Epub 2025 Feb 19.
This study aimed to investigate and compare the effecs of face-to-face and internet-based Basic Body Awareness Therapy (BBAT), in patients with fibromyalgia (FM).
FM-diagnosed patients were randomly allocated to one of three groups: face-to-face BBAT (F2F-BBAT), internet-based BBAT (I-BBAT), or a waiting list control group (CG). The F2F-BBAT group underwent individual 8-week BBAT sessions (2 sessions per week). The I-BBAT group received an equivalent dosage of BBAT online video conferencing software. The primary outcome was the Fibromyalgia Impact Questionnaire Revised (FIQR). Secondary outcomes included the pressure pain threshold (PPT) algometer, the PostureScreen Mobile (PSM) application, the Short Form McGill Pain Questionnaire (SF-MPQ), the Short Form 36 Health Survey (SF-36), and plasma fibrinogen and haptoglobin levels.
A total of 41 patients completed the study. Both the F2F-BBAT ( = 14) and I-BBAT ( = 13) groups showed significant improvements in all outcome measures ( < 0.05) with no significant difference between them ( > 0.05). Conversely, the CG ( = 14) demonstrated no substantial improvements in the outcome measures ( > 0.05). Compared to the CG, both the F2F-BBAT and I-BBAT groups exhibited superior results in FIQR, PPT, PSM, SF-MPQ, and multiple SF-36 sub-parameters ( < 0.05).
This study showed that BBAT delivered internet-based telerehabilitation can have comparable effective results on clinical parameters with conventional face-to face BBAT in patients with FM.
ClinicalTrials.gov: NCT04981132.
本研究旨在调查和比较面对面和基于互联网的基本身体意识疗法（BBAT）对纤维肌痛（FM）患者的效果。
确诊为FM的患者被随机分配到三组之一：面对面BBAT（F2F-BBAT）组、基于互联网的BBAT（I-BBAT）组或等待列表对照组（CG）。F2F-BBAT组接受为期8周的个体BBAT治疗（每周2次）。I-BBAT组通过在线视频会议软件接受等量的BBAT治疗。主要结局指标是修订后的纤维肌痛影响问卷（FIQR）。次要结局指标包括压力疼痛阈值（PPT）压痛计、姿势筛查移动应用程序（PSM）、简短麦吉尔疼痛问卷（SF-MPQ）、简短36健康调查（SF-36）以及血浆纤维蛋白原和触珠蛋白水平。
共有41名患者完成了研究。F2F-BBAT组（n = 14）和I-BBAT组（n = 13）在所有结局指标上均有显著改善（P < 0.05），两组之间无显著差异（P > 0.05）。相反，CG组（n = 14）在结局指标上无显著改善（P > 0.05）。与CG组相比，F2F-BBAT组和I-BBAT组在FIQR、PPT、PSM、SF-MPQ和多个SF-36子参数方面均表现出更好的结果（P < 0.05）。
本研究表明，在FM患者中，基于互联网远程康复提供的BBAT在临床参数上可产生与传统面对面BBAT相当的有效结果。
ClinicalTrials.gov：NCT04981132。
