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NCT05704374 | Not yet recruiting | Fibromyalgia


The Effect of Sympathetic Dysfunction on Muscle Spindle in Fibromyalgia
Sponsor:

Istanbul Physical Medicine Rehabilitation Training and Research Hospital

Information provided by (Responsible Party):

Tuğba Aydin

Brief Summary:

This study aims to reveal whether there is an impairment in the sympathetic regulation of muscle spindle sensitivity in patients with fibromyalgia syndrome (FMS).

Condition or disease

Fibromyalgia

Intervention/treatment

sympathetic stimulation maneuver (mental arithmetic test, cold pressure test)

Pregabalin 150mg

Phase

Not Applicable

Detailed Description:

The common muscle pain and fatigue symptoms of FMS can be explained by impaired sympathetic regulation of muscle spindle sensitivity. The aim of this study is to reveal whether there is an impairment in the sympathetic regulation of muscle spindle sensitivity in FMS patients. Material method: In the first stage, resting sympathetic tone measurement and resting H-reflex and T-reflex recordings will be taken in all cases. Sympathetic tone measurement will be performed and H-reflex and T-reflex recordings will be taken during and after sympathetic stimulation maneuvers (mental arithmetic calculation and cold application) in FMS patients and healthy control subjects. In the second phase, the first dose of pregabalin will be given to patients diagnosed with FMS and prescribed pregabalin. Pregabalin is known to reduce sympathetic activity in FMS. After oral administration of pregabalin, its peak plasma concentration is reached in 0.9-1.3 hours. Therefore, 1.5 hours later, sympathetic tone measurement will be made at rest and during the sympathetic stimulation maneuver, and H-reflex and T-reflex recordings will be taken. Patients in the healthy control group will not be given pregabalin.}}

Study Type : Interventional
Estimated Enrollment : 36 participants
Masking : Single
Masking Description : In order to ensure that the researcher who took the recordings is blind, sympathetic tone measurement will be made at rest and during the sympathetic stimulation maneuver in healthy subjects 1.5 hours later, and H-reflex and T-reflex recordings will be taken.
Primary Purpose : Basic Science
Official Title : The Effect of Sympathetic Dysfunction on Muscle Spindle Activity in Patients With Fibromyalgia Syndrome
Actual Study Start Date : November 2, 2023
Estimated Primary Completion Date : December 1, 2023
Estimated Study Completion Date : December 1, 2023
Arm Intervention/treatment

Experimental: Fibromyalgia group

In the first phase of the experiment, the effect of sympathetic tone change on T- and H-reflexes will be evaluated. In the second phase of the experiment, 150 mg (single dose) of pregabalin will be given to these patients to reduce sympathetic activity and evaluate its effect on T- and H-reflexes.

Diagnostic Test: sympathetic stimulation maneuver (mental arithmetic test, cold pressure test)

Other: Healthy control group

The effect of sympathetic tone changes on T- and H-reflexes will be evaluated in healthy cases.

Drug: Pregabalin 150mg

Ages Eligible for Study: 20 Years to 50 Years
Sexes Eligible for Study: Female
Accepts Healthy Volunteers: Accepts Healthy Volunteers
Criteria
Inclusion Criteria
  • For the fibromyalgia group
  • Patients diagnosed with FMS based on the American college of rheumatology - 2016 criteria
  • Between the ages of 20-50
  • Being a woman
  • Patients prescribed pregabalin for the treatment
  • For the Healthy Control group
  • Between the ages of 20-50
  • Being a woman
  • Being healthy
Exclusion Criteria
  • Those with medical problems in the right upper and lower extremities (skin, neuromuscular, joint, vascular pathologies)
  • Cases that cannot perform arithmetic operations
  • Cold allergy
  • Heart disease (arrhythmia, ischemic heart disease, heart failure)
  • Hypertension
  • Epilepsy

The Effect of Sympathetic Dysfunction on Muscle Spindle in Fibromyalgia

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The Effect of Sympathetic Dysfunction on Muscle Spindle in Fibromyalgia

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Locations


Not yet recruiting

Turkey,

Tugba Aydin

İstanbul, Turkey, 34192

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