Effects of Nature-Based Multisensory Stimulation on Pain Mechanisms in Women with Fibromyalgia Syndrome: A Randomized Double-Blind Placebo-Controlled Trial.

BACKGROUND: The term "nature-based sensory stimuli" refers to the sensory information produced by biotic and abiotic agents from natural environments. The literature has reported the beneficial effects of these agents on various pain dimensions in non-clinical populations. AIMS: To evaluate the potential analgesic effects of nature-based multisensory stimulation in women with fibromyalgia syndrome. METHODS: A randomized, double-blind, placebo-controlled, parallel-group trial with a 1:1 allocation ratio was conducted. Forty-two women with fibromyalgia syndrome interacted with either different plant species with flowers, stones, and soil organic matter or their synthetic imitations for 30 minutes. Outcome measurements were performed before and after the intervention, including clinical pain intensity using the Numeric Rating Scale, cold pain thresholds using the Cold Pressor Test, mechanical hyperalgesia and wind-up using a monofilament, and pressure pain thresholds using a pressure algometer. RESULTS: Analyses revealed group × time interactions for clinical pain intensity (F = 7.915, p = .008), cold-water immersion time (F = 7.271, p = .010), mechanical hyperalgesia (F = 4.701, p = .036), and pressure pain threshold (p ≤ .017). Between-group differences were found in clinical pain intensity (p = .012), cold pain thresholds (p = .002), and pressure pain thresholds (p < .05). The experimental group exhibited reduced clinical pain intensity (p = .001) and increased pressure pain thresholds (p ≤ .034). CONCLUSIONS: Women with fibromyalgia syndrome may benefit from multisensory stimulation using biotic and abiotic agents from natural environments for 30 minutes. Interacting with flowering plants and soil components appears to induce analgesic effects.

Eficacia de la higiene postural, economía articular y adaptaciones en discapacidad física: ensayo clínico aleatorizado / Efficacy of postural hygiene, joint economy and adaptations in physical disability: randomized controlled trial

OBJETIVOS: evaluar la efectividad de un programa de intervención mediante el uso de técnicas de higiene postural, economía articular y adaptaciones del hogar en personas con discapacidad física. MÉTODOS: ensayo clínico aleatorizado controlado simple ciego. Para la recogida de los datos se utilizarán el cuestionario del dolor Mcgill, la escala Quick-Dash, la escala Golberg de ansiedad y depresión y la escala de autoeficacia general percibida. El estudio durará tres meses en los que se realizarán tres evaluaciones: basal, postratamiento y de seguimiento. La intervención tendrá una duración de tres meses. La muestra estará formada por pacientes atendidos y atendidas en dos hospitales universitarios de la provincia de Granada en España. DISCUSIÓN: con este estudio se espera que las personas participantes del estudio mejoren su salud en las funciones y áreas evaluadas

OBJECTIVE: To evaluate the effectiveness of an intervention program through the use of postural hygiene techniques, joint economy and home adaptations in people with physical disabilities. METHODS: Single-blind, randomized controlled clinical trial. To collect the data, evaluation instruments such as the Mcgill pain questionnaire, the Upper limb disability questionnaire, the Golberg scale of anxiety and depression, and the general perceived self-efficacy scale will be used. The study will last three months in which three evaluations will be carried out: basal, post-treatment and follow-up. The intervention will last for three months. The sample will consist of patients treated in two university hospitals in the province of Granada in Spain. DISCUSSION: With this study, it is expected that patients will improve their quality of life as well as functionality in activities of daily living

Intervención de terapia ocupacional en rizartrosis mediante técnicas de educación, protección articular y productos de apoyo / Occupational therapy in trapeziometacarpal osteoarthritis: a multimodal intervention

OBJETIVOS: evaluar la efectividad de una intervención multimodal de terapia ocupacional mediante el uso combinado de técnicas de educación para la salud, protección articular y dispositivos de apoyo en personas con rizartrosis. MÉTODOS: ensayo clínico no controlado. Para la recogida de los datos, se emplearon diversas escalas validadas al español como la escala Goldberg de ansiedad y depresión, el dinamómetro y la escala de autoeficacia en artrosis. El estudio durará 4 meses en los que se realizarán 3 evaluaciones pre, postratamiento y de seguimiento. Y una intervención mensual durante los 4 meses de duración del estudio. La muestra estará formada por pacientes diagnosticados de rizartrosis. DISCUSIÓN: se espera que la combinación de estas terapéuticas mejore tanto la calidad de vida de los pacientes como el retraso en la evolución natural de la enfermedad

OBJECTIVE: Effectiveness evaluation of an occupational therapy multimodal intervention through the combined use of health education techniques, joint protection and assistive technology in patients with trapeziometacarpal osteoarthritis. METHODS: Uncontrolled clinical trial. Data was collected through different scales: the Goldberg anxiety and depression scale, the osteoarthritis self-efficacy scale and also a hand-held dynamometry. The study will last 4 months in which 3 evaluations will be carried out, before and after treatment, and two months after the end of the intervention and a monthly intervention during the 4 months of the study. The sample will be made up of patients diagnosed with trapeziometacarpal osteoarthritis. DISCUSSION: The combination of these therapies is expected to improve patients' quality of life and to slow symptoms down