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Complement Ther Clin Pract. 2018 Feb;30:85-90. doi: 10.1016/j.ctcp.2017.12.006. Epub 2017 Dec 6.

Massage therapy in cortisol circadian rhythm, pain intensity, perceived stress index and quality of life of fibromyalgia syndrome patients.

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Padre Anchieta University Center, Jundiaí, SP, Brazil.
Laboratory of Stress Study, Structural and Functional Biology Department, Biology Institute, University of Campinas, Campinas, SP, Brazil.
Padre Anchieta University Center, Jundiaí, SP, Brazil. Electronic address:


We investigate the effects of a massage therapy program (MTP) in cortisol concentration (CC), intensity of pain, quality of life and perceived stress index of fibromyalgia patients. Volunteers (n = 24, aged 26-55 years) were treated with MT, twice a week for three months. They answered the Fibromyalgia Impact Questionnaire (FIQ), Perceived Stress Questionnaire (PSQ) and McGill Pain Questionnaire (MPQ-Br), and collected saliva to evaluate CC before and after the end of each month. The MT had improvement in quality of life, according to the FIQ results, and promoted reduction in PSQ values after the second (PSQ2-0.62 ± 0.04vsPSQ0-0.71 ± 0.04) and third month (PSQ3-0.64 ± 0.04vsPSQ0-0.71 ± 0.04). The MTP also promoted reduction in pain after the third month (MQP-Br1-44.50 ± 2.15vsMQP-Br4-35.38 ± 3.71). Despite PSQ reduction, the CC were not affected by the program. This pilot suggests that this treatment improved quality of life, reduced perceived stress index and pain in these volunteers.


Fibromyalgia; Glucocorticoid; Massage; Pain; Quality of life; Stress

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