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物理治疗在纤维肌痛中的作用:现状与未来展望。

The role of physiotherapy in fibromyalgia: Current and future perspectives.

作者信息

Antunes Mateus Dias, Marques Amélia Pasqual

机构信息

Department of Physiotherapy, Rehabilitation Sciences Program, Speech-Language Pathology and Audiology and Occupational Therapy, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.

出版信息

Front Physiol. 2022 Aug 16;13:968292. doi: 10.3389/fphys.2022.968292. eCollection 2022.

Abstract

Fibromyalgia is a chronic pain condition characterized by generalized musculoskeletal pain, hyperalgesia and allodynia, commonly associated with other symptoms such as fatigue, poor sleep quality, anxiety and depression. The clinical manifestations of this rheumatic disease have significant psychosocial and economic repercussions, with a substantial impact on health status, quality of life and social activities. Currently, recommendations for the management of fibromyalgia include patient education and non-pharmacological interventions, and among the indicated treatments, clinical guidelines include several physiotherapeutic resources, essential for individuals affected by this syndrome. Research in the physiotherapy field has demonstrated its effectiveness, but there is a need to update the literature. This study aims to identify the effectiveness of physiotherapy in the treatment of individuals with fibromyalgia. We performed a literature review looking for articles dated from March 2012 to March 2022 using the terms "fibromyalgia", "physiotherapy", "physical therapy", "rehabilitation" in different languages in various databases and their main information was read and collected and presented in a descriptive way. The effects of physiotherapy interventions are summarized in order to provide a reference for future research and clinical application. Research on non-pharmacological physiotherapy-oriented treatments has grown in recent years as an alternative for fibromyalgia treatment. This review allows fibromyalgia patients to receive appropriate physical therapy interventions to promote their health.

摘要

纤维肌痛是一种慢性疼痛病症,其特征为全身性肌肉骨骼疼痛、痛觉过敏和感觉异常,通常还伴有疲劳、睡眠质量差、焦虑和抑郁等其他症状。这种风湿性疾病的临床表现具有重大的心理社会和经济影响,对健康状况、生活质量和社会活动产生实质性影响。目前,纤维肌痛的管理建议包括患者教育和非药物干预,在指定的治疗方法中,临床指南包括几种物理治疗资源,这对受该综合征影响的个体至关重要。物理治疗领域的研究已证明其有效性,但有必要更新文献。本研究旨在确定物理治疗对纤维肌痛患者的治疗效果。我们进行了一项文献综述,在不同数据库中使用不同语言的“纤维肌痛”“物理治疗”“康复治疗”等术语搜索2012年3月至2022年3月期间的文章,并阅读、收集其主要信息并进行描述性呈现。总结物理治疗干预的效果,以便为未来的研究和临床应用提供参考。近年来,以非药物物理治疗为主的治疗方法作为纤维肌痛治疗的替代方案不断发展。本综述使纤维肌痛患者能够接受适当的物理治疗干预以促进健康。

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(Fibro Friends): Validation of an Educational Program to Promote Health in Fibromyalgia.
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