Fibromyalgia syndrome treated with the structural integration Rolfing<sup>®</sup> method

Stall, Paula; Teixeira, Manoel Jacobsen

doi:10.5935/1806-0013.20140053

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ORIGINAL ARTICLES • Rev. dor 15 (4) • 2014 • https://doi.org/10.5935/1806-0013.20140053 copy

Fibromyalgia syndrome treated with the structural integration Rolfing^® method^* * Received from the Pain Center, Neurologic Clinic, Clinicas Hospital, School of Medicine, University of São Paulo São Paulo, SP, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

BACKGROUND AND OBJECTIVES:

Rolfing method is a procedure to integrate human body structure, which considers people’s physical and emotional aspects. It consists in 10 deep manual interventions (myofascial release) applied to the elastic structure of the loose connective tissue (myofascial) and in reeducation of movements. This study aimed at checking the effectiveness of the method to treat fibromyalgia patients in relieving pain and states of anxiety and depression.

METHODS:

Participated in the study thirty patients of the Pain Center, Neurological Clinic, Clinicas Hospital, School of Medicine, University of São Paulo, who were submitted to 10 Rolfing sessions and have maintained their routine outpatient treatment. All patients were evaluated by the pain verbal numeric analog scale and by Beck’s Depression and Anxiety Inventory, applied during initial interview, in the last session and three months after treatment completion.

RESULTS:

Treatment was effective and has shown statistically significant difference in evaluated items.

CONCLUSION:

Patients’ improvement was correlated to Rolfing method intervention.

Chronic pain; Complementary therapies; Fibromyalgia; Quality of life.

Variables		n	%
Marital status
	Single	8	26.7
	Married	16	53.3
	Divorced	3	10.0
	Widow	3	10.0
Skin color
	White	23	76.7
	Pardo	7	23.3
Education (years)
	Elementary (up to 8)	20	66.7
	High school (up to 11)	5	16.7
	College (more than 11)	5	16.7

Pain intensity	Before treatment		At treatment completion		Three months after treatment completion
	n	%	n	%	n	%
No pain	0	0	5	16.7	4	13.3
Mild	0	0	6	20	8	26.7
Moderate	0	0	13	43.3	13	43.3
Severe	4	13.3	6	20	4	13.3
Unbearable	26	86.7	0	0	1	3.3

Anxiety level	Before treatment		At treatment completion		Three months after treatment completion
	n	%	n	%	n	%
Minimum	0	0	12	40	21	70
Mild	2	6.7	12	40	5	16.7
Moderate	8	26.7	5	16.7	3	10
Severe	20	66.7	1	3.3	1	3.3

Depression level	Before treatment		At treatment completion		Three months after treatment completion
	n	%	n	%	n	%
Minimum	3	10	17	56.7	23	76.7
Mild	4	13.3	6	20	5	16.7
Moderate	14	46.7	7	23.3	2	6.7
Severe	9	30	0	0	0	0

Variables	Moments	Mean	SD	Median	Minimum	Maximum	n	p
Pain	Beginning	9.07	1.14	10.0	7	10	30	<0.001
	Treatment completion	2.80	1.79	3.0	0	5	30
	Three months later	3.07	2.02	3.0	0	9	30
Depression	Beginning	29.80	11.41	30.5	10	53	30	<0.001
	Treatment completion	11.43	9.27	8.5	0	31	30
	Three months later	8.13	6.43	8.0	0	27	30
Anxiety	Beginning	37.30	12.75	36.5	13	58	30	<0.001
	Treatment completion	13.87	10.01	11.5	1	53	30
	Three months later	10.53	9.58	7.0	0	44	30

Variables	Comparison	Z value	p
Pain	Begining versus treatment completion	8.03	<0.001
	Beginning versus three months later	8.12	<0.001
	Treatment completion versus three months later	0.09	0.927
Depression	Begining versus treatment completion	7.30	<0.001
	Beginning versus three months later	8.85	<0.001
	Treatment completion versus three months later	1.55	0.121
Anxiety	Begining versus treatment completion	7.12	<0.001
	Beginning versus three months later	9.31	<0.001
	Treatment completion versus three months later	2.19	0.028

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[1] Correspondence to: Paula Stall Rua Eneas de Carvalho Aguiar, 255 – Cerqueira César Instituto Central 5º andar, 05403-900 São Paulo, SP, Brasil. E-mail: paulastall@hotmail.com

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Fibromyalgia syndrome treated with the structural integration Rolfing® method* * Received from the Pain Center, Neurologic Clinic, Clinicas Hospital, School of Medicine, University of São Paulo São Paulo, SP, Brazil.

BACKGROUND AND OBJECTIVES:

METHODS:

RESULTS:

CONCLUSION:

Fibromyalgia syndrome treated with the structural integration Rolfing^® method^* * Received from the Pain Center, Neurologic Clinic, Clinicas Hospital, School of Medicine, University of São Paulo São Paulo, SP, Brazil.