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Fibromyalgia exercise

Daniel J Clauw, Margaret Noyes Essex, Verne Pitman, Kim D Jones
Chronic pain is a common public health problem that has a detrimental impact on patient health, quality of life (QoL), and function, and poses a substantial socioeconomic burden. Evidence supports redefinition of chronic pain as a distinct disease entity, not simply a symptom of injury or illness. Chronic pain conditions are characterized by three types of pain pathophysiology - i.e., nociceptive, neuropathic, and centralized pain/central sensitization -influenced by a cluster of coexisting psychosocial factors...
January 31, 2019: Postgraduate Medicine
Aline Ollevier, Isabelle Vanneuville, Philippe Carron, Tina Baetens, Tania Goderis, Linda Gabriel, Dominique Van de Velde
OBJECTIVES: Literature suggests that graded and multicomponent therapy improves outcomes in fibromyalgia, but there is no conclusive evidence in which combination to be used. This study focused on the effect of a multicomponent therapy in fibromyalgia when a combination of exercise therapy and cognitive behavioural therapy was applied. Additionally, predictors for dropping out were explored as research reports high dropout rates. METHODS: Participants received graded multicomponent therapy for 12 weeks, twice a week during two hours every session by an occupational therapist, a physiotherapist, and a psychologist...
January 29, 2019: Disability and Rehabilitation
Lauren M Fussner, William R Black, Anne Lynch-Jordan, Esi M Morgan, Tracy V Ting, Susmita Kashikar-Zuck
Objective: The current study tested the utility of the PROMIS Pediatric Pain Interference (PPI) in relation to the widely-used Functional Disability Inventory (FDI) in a small-scale clinical trial. Methods: Forty youth with juvenile fibromyalgia (JFM) were randomized to either CBT only or a combined CBT and neuromuscular exercise group (i.e., FIT Teens). Participants completed the PPI and FDI at baseline, post-treatment, and three-month follow-up. Results: The PPI and FDI were significantly correlated at baseline (r = ...
January 11, 2019: Journal of Pediatric Psychology
Vivian Santiago, Karen G Raphael
OBJECTIVE: This study examined whether patients with myofascial temporomandibular disorder (mTMD) comorbid with fibromyalgia (FM) receive different treatments or respond differently to these treatments than mTMD-only patients. MATERIALS AND METHODS: A total of 125 mTMD+ women were enrolled (26 FM+ and 98 FM-). mTMD and FM were assessed via clinical research examinations. Treatment histories and self-reported treatment-related improvement were obtained via interview...
January 8, 2019: Clinical Oral Investigations
Donguk Jo, Michael J Del Bel, Daniel McEwen, Jennifer O'Neil, Olivia S Mac Kiddie, Inmaculada C Álvarez-Gallardo, Lucie Brosseau
RATIONALE: Exercise programs for the management of fibromyalgia are well recognized as being effective. However, the incomplete descriptions of exercise programs make replication and implementation difficult. Also, existing reporting tools have not been validated in relation to pain relief as well as with each other. OBJECTIVES: This study aimed to evaluate the description of exercise programs in randomized control trials for the management of fibromyalgia using different assessment tools, and the correlations of each tool in relation to effectiveness of pain relief of fibromyalgia, and the correlations between each tool...
December 5, 2018: Clinical Rehabilitation
Dante Duarte, Luis Eduardo Coutinho Castelo-Branco, Elif Uygur Kucukseymen, Felipe Fregni
Fibromyalgia affects more than 5 million people in the United States and has a detrimental impact on individuals' quality of life. Current pharmacological treatments provide limited benefits to relieve the pain of fibromyalgia, along with a risk of adverse effects; a scenario that explains the increasing interest for multimodal approaches. A tailored strategy to focus on this dysfunctional endogenous pain inhibitory system is transcranial direct current stimulation (tDCS) of the primary motor cortex. By combining tDCS with aerobic exercise, the effects can be optimized...
December 2018: Expert Review of Medical Devices
Kholoud M El-Shewy, Ahmad Kunbaz, Mohamed M Gad, Muneer J Al-Husseini, Anas M Saad, Yasser M Sammour, Mohamed M Abdel-Daim
Chronic pain is one of the most common clinical presentations in the primary care settings. In the US, Fibromyalgia (FM) affects about 1-3% of adults and commonly occurs in adults between the ages of 40-50 years. FM causes widespread muscular pain and tenderness with hyperalgesia and allodynia and may be associated with other somatic complaints. Hyperbaric oxygen therapy (HBOT) has been utilized and has recently shown promising effects in the management of FM and other chronic pain disorders. In HBOT, the intermittent breathing of 100% oxygen in a pressurized chamber where the pressure is higher than 1 atmosphere absolute (ATA) has been utilized...
November 3, 2018: Biomedicine & Pharmacotherapy, Biomédecine & Pharmacothérapie
Inmaculada C Álvarez-Gallardo, Julia Bidonde, Angela Busch, Marie Westby, Glen P Kenny, Manuel Delgado-Fernández, Ana Carbonell-Baeza, Prinon Rahman, Gino De Angelis, Lucie Brosseau
BACKGROUND: This study aimed (1) to evaluate the therapeutic validity of exercise interventions included in a previous umbrella systematic review of high-quality randomized controlled trials (RCTs) in the management of fibromyalgia; and (2) to explore whether exercise interventions with high therapeutic validity and that meet the 2013 American College of Sports Medicine (ACSM) guidelines are positively associated with greater pain relief. METHODS: Therapeutic validity was evaluated based on the CONsensus on Therapeutic Exercise and Training (CONTENT) scale, in high methodological quality RCTs found in the nine systematic reviews of a previous umbrella review on exercise interventions in the management of fibromyalgia...
October 1, 2018: Journal of Sports Medicine and Physical Fitness
Alexandro Andrade, Sofia Mendes Sieczkowska, Guilherme Torres Vilarino
BACKGROUND: Patients with primary symptoms of fibromyalgia (FM) have a lower quality of life than healthy people of the same age. The current treatment for FM is palliative, as there is no cure. Therefore, among strategies used to alleviate the symptoms, physical exercise has been recommended. OBJECTIVE: To investigate the effects of a resistance training (RT) program on quality of life and associated factors in patients with FM. DESIGN: Non-randomized clinical trial...
September 25, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
Alyssa M Peckham, Kirk E Evoy, Leslie Ochs, Jordan R Covvey
Gabapentin is widely used in the United States for a number of off-label indications, often as an alternative to opioid therapy. Increasing evidence has emerged suggesting that gabapentin may not be as benign as once thought and may be associated with substance abuse in concert with opioids. With concerns for safety mounting, it is prudent to examine the efficacy of gabapentin across its many uses to understand the risk-benefit balance. Reviews on off-label indications such as migraine, fibromyalgia, mental illness, and substance dependence have found modest to no effect on relevant clinical outcomes...
2018: Substance Abuse: Research and Treatment
Roberta P da Cunha Ribeiro, Tathiane C Franco, Ana J Pinto, Marco A G Pontes Filho, Diogo S Domiciano, Ana L de Sá Pinto, Fernanda R Lima, Hamilton Roschel, Bruno Gualano
Exercise is the treatment of choice for fibromyalgia (FM), but little is known about resistance exercise prescription to modulate pain in this condition. This study aimed to compare the effects of different resistance exercise models, comprising self-selected or prescribed intensity, on pain in FM patients. In a cross-over fashion, 32 patients underwent the following sessions: (i) standard prescription (STD; 3 × 10 repetitions at 60% of maximal strength); (ii) self-selected load with fixed number of repetitions (SS); (iii) self-selected load with volume load (i...
2018: Frontiers in Physiology
Ericka N Merriwether, Laura A Frey-Law, Barbara A Rakel, Miriam B Zimmerman, Dana L Dailey, Carol G T Vance, Meenakshi Golchha, Katherine M Geasland, Ruth Chimenti, Leslie J Crofford, Kathleen A Sluka
BACKGROUND: Although exercise is an effective treatment for fibromyalgia, the relationships between lifestyle physical activity and multiple symptomology domains of fibromyalgia are not clear. Thus, the purpose of this study was to comprehensively examine the relationships between lifestyle physical activity with multiple outcome domains in women with fibromyalgia, including pain, fatigue, function, pain-related psychological constructs, and quality of life. METHODS: Women (N = 171), aged 20 to 70 years, diagnosed with fibromyalgia, recruited from an ongoing two-site clinical trial were included in this prespecified subgroup analysis of baseline data...
August 29, 2018: Arthritis Research & Therapy
Nathaly Gaudreault, Pierre Boulay
This review presents and addresses the conflicting results on cardiorespiratory fitness among adults with fibromyalgia. The heterogeneity in study designs, symptom severity and the assessment protocols might partly explain these conflicting results. It also presents the possible relationship between cardiorespiratory fitness and exercise prescription, attrition from exercise/rehabilitation programmes and independence with activities of daily living. Cardiorespiratory fitness might impact aerobic exercise and independence in daily activities of patients with fibromyalgia, which is often concomitantly diagnosed in patients with sleep disordered breathing, including patients with obstructive sleep apnoea...
June 2018: Breathe
Daniel A Ostrovsky
No abstract text is available yet for this article.
September 2018: Explore: the Journal of Science and Healing
Álvaro Megía García, Diego Serrano-Muñoz, Elisabeth Bravo-Esteban, Sara Ando Lafuente, Juan Avendaño-Coy, Julio Gómez-Soriano
OBJECTIVE: To determine whether transcutaneous electrical nerve stimulation (TENS) has an analgesic effect greater than placebo or other treatments in patients with fibromyalgia. Furthermore, it was intended to analyze the optimal application parameters to achieve a greater reduction of pain. DESIGN: A systematic review. DATA SOURCE: Randomized clinical trials on the effect of TENS on fibromyalgia in the databases Pubmed, Cochrane and PEDro until November 2016...
July 17, 2018: Atencion Primaria
Susan Lee King Yuan, Amélia Pasqual Marques
Fibromyalgia is a rheumatic syndrome characterised by chronic widespread pain, often associated with fatigue, unrefreshed sleep and cognitive problems. Effective management of fibromyalgia requires a proactive approach in which the patient takes responsibility for self-care. The purpose of this research was to develop an application (app) for promoting self-care as a complementary Mobile Health resource to physical therapy in the management of fibromyalgia. The app was developed in five stages, according to the prototyping paradigm...
September 2018: Physiotherapy
Carolina P Andrade, Antonio R Zamunér, Meire Forti, Nayara Y Tamburús, Ester Silva
BACKGROUND: Aquatic physical training (APT) promotes improvement of clinical symptoms and aerobic functional capacity in women with fibromyalgia syndrome (FMS). However, there are controversial studies that refer to the maintenance of adaptations obtained from APT after a detraining period. AIM: To evaluate variables oxygen uptake (VO2) relative to lean body mass (LBM) and clinical symptomatology in women with FMS submitted to APT and after 16 weeks of detraining period, and to evaluate the association between the magnitude of VO2 improvement relative to LBM and clinical symptomatology...
July 6, 2018: European Journal of Physical and Rehabilitation Medicine
Winfried Häuser, Mary-Ann Fitzcharles
Fibromyalgia (FM) is characterized by chronic widespread pain, unrefreshing sleep, physical exhaustion, and cognitive difficulties. It occurs in all populations throughout the world, with prevalence between 2% and 4% in general populations. Definition, pathogenesis, diagnosis, and treatment of FM remain points of contention, with some even contesting its existence. The various classification systems according to pain medicine, psychiatry, and neurology (pain disease; persistent somatoform pain disorder; masked depression; somatic symptom disorder; small fiber neuropathy; brain disease) mostly capture only some components of this complex and heterogeneous disorder...
March 2018: Dialogues in Clinical Neuroscience
Daniel Germano Maciel, Marianne Trajano da Silva, José Antônio Rodrigues, João Batista Viana Neto, Ingrid Martins de França, Ana Beatriz Medeiros Melo, Therence Yves Pereira Barros da Silva, Wouber Hérickson de Brito Vieira
This study aims to investigate the effects of low-level laser therapy (LLLT) combined to a functional exercise program on treatment of FM. A double-blind and placebo-controlled randomized clinical trial composed of 22 women divided into two groups: placebo group (functional exercise program associated with placebo phototherapy n = 11) and laser group (same exercise program associated with active phototherapy; n = 11). Each session lasted from 40 to 60 min and was performed three times a week for 8 weeks...
June 21, 2018: Lasers in Medical Science
Klaus Felix Stein, Adriana Miclescu
Background In recent years, multidisciplinary rehabilitation (MDR) became an alternative treatment option for chronic non-cancer pain. MDR is mostly available in specialized pain units, usually at rehabilitation centers where the level of knowledge and therapeutically options to treat pain conditions are considered to be high. There is strong evidence that MDR in specialized pain units is affecting pain and improves the quality of life in a sustainable manner. There are few studies about MDR outcome in primary health care, especially in those units situated in rural areas and with a different population than that encountered in specialized hospitals...
October 1, 2013: Scandinavian Journal of Pain
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