Internet-based basic body awareness therapy in fibromyalgia syndrome: A report of three cases

Abstract

Background and purpose Previous literature has shown that Basic Body Awareness Therapy (BBAT) may be an effective treatment for fibromyalgia syndrome (FMS). This study constitutes the first case study evaluating internet-based BBAT for FMS. The purpose of this case study was to describe feasibility and preliminary outcomes of an internet-based BBAT training for a total of eight weeks in three patients with FMS. Methods Patients underwent a synchronous individual internet-based BBAT training. Outcomes were assessed using Fibromyalgia Impact Questionnaire Revised (FIQR), Awareness-Body-Chart (ABC), Short-Form McGill Pain Questionnaire (SF-MPQ) and plasma fibrinogen level. These measures were administered at baseline and after the treatment. The satisfaction with treatment was evaluated with a structured questionnaire. Results At post-treatment evaluation each patient showed improvements in all outcome measures. All patients had clinically significant changes in FIQR. Patient 1 and 3 exceeded minimal clinically important difference (MCID) for SF-MPQ total score. All patients’ pain severity exceeded MCID for VAS (SF-MPQ). Besides, we found some benefits in body awareness and level of dysautonomia. At the end of the treatment, satisfaction with the program was very high. Conclusion Based on this case study, application of internet-based BBAT seems feasible and promising for clinical benefits.