Mechanism of Fatigue in Fibromyalgia and Cortical Motor Neuron Dysfunction
Is Cortical Motor Neuron Dysfunction the Underlying Mechanism of Fatigue in Fibromyalgia?
1 other identifier
interventional
37
1 country
1
Brief Summary
The goal of this study is to test whether cortical motor neuron dysfunction plays a role in the pathogenesis of fatigue in fibromyalgia patients. The main questions it aims to answer are: Do fibromyalgia patients have lower v-wave compared to healthy subjects? Does cheering affect V-wave in fibromyalgia patients more than healthy subjects? Researchers will compare the V-waves of fibromyalgia patients with those of healthy subjects.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Apr 2024
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 18, 2024
CompletedFirst Submitted
Initial submission to the registry
January 12, 2025
CompletedFirst Posted
Study publicly available on registry
January 16, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 15, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
June 10, 2025
CompletedNovember 20, 2025
November 1, 2025
1.1 years
January 12, 2025
November 19, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
V-wave
Subjects will be asked to perform voluntary foot plantar flexion. During 3rd, 20th, 40th, and 60th seconds v-wave will be measured. During the 60th second of voluntary foot plantar flexion subjects will be cheered to increase their flexion strength. V-wave/H-max ratio and V-wave amplitude changes during cheer will be compared between healthy and fibromyalgia subjects. A low ratio or amplitude will be interpreted in favor of fatigue.
On the day of testing
Secondary Outcomes (3)
Fatigue severity scale
On the day of testing
Grip strength
On the day of testing
4m walking speed
On the day of testing
Study Arms (2)
Fibromyalgia
EXPERIMENTALSubjects with diagnosed fibromyalgia will be in this arm. Subjects will have their grip strength and 4-meter walking speed measured and will be asked to fill the fatigue severity scale. Subjects will be tested for v-wave during voluntary foot plantarflexion.
Healthy
EXPERIMENTALHealthy subjects will be in this arm. Subjects will have their grip strength and 4-meter walking speed measured and will be asked to score the fatigue severity scale. Subjects will be tested for v-wave during voluntary foot plantarflexion.
Interventions
During voluntary muscle contraction subjects will be cheered with verbal encouragement ("push, push, push") and clapping.
Eligibility Criteria
You may qualify if:
- Diagnosed with fibromyalgia according to acr 2016 criteria(for fibromyalgia group)
- Being healthy(for control group)
- years old
- Volunteering
- Being female
- Right hand dominant
You may not qualify if:
- Presence of scars, dermatitis, or similar conditions on the skin where surface EMG electrodes will be placed.
- Diseases causing muscle and nerve dysfunction: myopathies, polyneuropathy, radiculopathy, peripheral nerve lesions such as entrapment neuropathies; central nervous system disorders such as stroke, amyotrophic lateral sclerosis, multiple sclerosis, and parkinsonism.
- Hypertension and cardiac arrhythmias.
- Other diseases with fatigue symptoms: cardiopulmonary diseases, hypothyroidism, polymyalgia rheumatica, major depression, bipolar disorder, chronic fatigue syndrome.
- Epilepsy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Istanbul Physical Medicine Rehabilitation Training & Research Hospital
Istanbul, Bahçelievler, 34186, Turkey (Türkiye)
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- BASIC SCIENCE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Resident Doctor
Study Record Dates
First Submitted
January 12, 2025
First Posted
January 16, 2025
Study Start
April 18, 2024
Primary Completion
May 15, 2025
Study Completion
June 10, 2025
Last Updated
November 20, 2025
Record last verified: 2025-11