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Journals / Adıyaman Üniversitesi Sağlık Bilimleri Dergisi / 2026 / Cilt: 12 Sayı: 2

Investigating the effectiveness of the strain counterstrain technique in women with fibromyalgia syndrome: A randomised controlled trial

Fibromiyalji sendromlu kadınlarda strain-counterstrain tekniğinin etkinliğinin incelenmesi: Randomize kontrollü bir çalışma

İlker Demir(INONU UNIVERSITY)0000-0001-9417-9387
Semra Aktürk(INONU UNIVERSITY)0000-0001-9960-6851
Pages
188–199
Publication Date
2026-08-20
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Adding the strain counterstrain technique to conventional physiotherapy may improve pain, psychological symptoms and disease impact in women with fibromyalgia syndrome.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: Fibromyalgia syndrome is a chronic condition characterised by pain, anxiety, depression, fatigue and sleep disturbances.
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Key Findings & Data:The treatment groups received 15 sessions of treatment over a three-week period.
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Conclusion & Impact:Conclusion: Adding the strain counterstrain technique to conventional physiotherapy may improve pain, psychological symptoms and disease impact in women with fibromyalgia syndrome.
🔬Design:Araştırma Makalesi
📍Scope:Comprehensive Sample
⚙️Variables:Fibromiyalji sendromu · Ağrı · Fizyoterapi

Abstract

Aim: Fibromyalgia syndrome is a chronic condition characterised by pain, anxiety, depression, fatigue and sleep disturbances. Its management remains challenging. This study aimed to evaluate the effects of the strain-counterstrain technique on these symptoms in women with fibromyalgia. Materials and Methods: One hundred and five female patients who met the American College of Rheumatology criteria for fibromyalgia syndrome were randomly allocated to one of three groups: a control group; a conservative treatment group; or a strain-counterstrain group. The treatment groups received 15 sessions of treatment over a three-week period. Assessments were performed before and after the intervention. Results: No significant changes were observed in the control group (p>0.05), whereas significant improvements in pain, fatigue, anxiety, depression and fibromyalgia impact scores were found in both treatment groups (p<0.05). The strain counterstrain group demonstrated greater improvements than the conservative treatment group in all outcomes except fatigue severity. Conclusion: Adding the strain counterstrain technique to conventional physiotherapy may improve pain, psychological symptoms and disease impact in women with fibromyalgia syndrome.

Özet

Amaç: Fibromiyalji sendromu; ağrı, anksiyete, depresyon, yorgunluk ve uyku bozuklukları ile karakterize kronik bir hastalık olup yönetimi güç klinik bir durumdur. Bu çalışmanın amacı, strain counterstrain tekniğinin bu semptomlar üzerindeki etkilerini fibromiyalji sendromlu kadınlarda değerlendirmektir. Gereç ve Yöntem: Amerikan Romatoloji Koleji kriterlerini karşılayan 105 kadın hasta kontrol grubu, konservatif tedavi grubu ve strain counterstrain grubu olmak üzere rastgele üç gruba ayrıldı. Tedavi gruplarına üç hafta boyunca toplam 15 seans tedavi uygulandı. Değerlendirmeler tedavi öncesinde ve sonrasında gerçekleştirildi. Bulgular: Kontrol grubunda anlamlı değişiklik gözlenmezken (p>0,05), her iki tedavi grubunda da ağrı, yorgunluk, anksiyete, depresyon ve fibromiyalji etki puanlarında anlamlı iyileşmeler saptandı (p<0,05). Strain counterstrain grubu, yorgunluk şiddeti dışında tüm sonuç ölçütlerinde konservatif tedavi grubuna kıyasla daha fazla iyileşme gösterdi. Sonuç: Strain counterstrain tekniğinin konvansiyonel fizyoterapiye eklenmesi, fibromiyalji sendromlu kadınlarda ağrı, psikolojik semptomlar ve hastalığın etkisinin azaltılmasında ek yararlar sağlayabilir.

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Cite This Article

Demir, İ., Aktürk, S. (2026). Investigating the effectiveness of the strain counterstrain technique in women with fibromyalgia syndrome: A randomised controlled trial. Adıyaman Üniversitesi Sağlık Bilimleri Dergisi, Cilt: 12 Sayı: 2, 188–199. https://doi.org/10.30569/adiyamansaglik.1929467

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