The present study aimed to update the literature review on the prevalence of fibromyalgia published in 2006. A bibliographical survey was carried out from 2005 to 2014 in the MEDLINE, Web of Science, Embase, LILACS and SciELO databases and 3274 records were identified. Five researchers selected the studies, following the inclusion criteria: studies that obtained the prevalence of fibromyalgia. Fibromyalgia studies in associated diseases were excluded. When screening by title and abstract, 2073 irrelevant articles were excluded. The full texts of 210 articles were evaluated for eligibility and this review included 39 studies, described in 41 articles. The selected studies were grouped into four categories: (A) prevalence of fibromyalgia in the general population; (B) prevalence of fibromyalgia in women; (C) prevalence of fibromyalgia in rural and urban areas; (D) prevalence of fibromyalgia in special populations. The literature shows values of fibromyalgia prevalence in the general population between 0.2 and 6.6%, in women between 2.4 and 6.8%, in urban areas between 0.7 and 11.4%, in rural areas between 0.1 and 5.2%, and in special populations values between 0.6 and 15%. This literature review update shows a significant increase in fibromyalgia prevalence studies in the world. The new 2010 American College of Rheumatology criteria have not been widely used yet and the COPCORD (Community-oriented program for control of Rheumatic Diseases) methodology has increased the quality of studies on the prevalence of rheumatic diseases in general.
Paulo (FAPESP) pelo suporte financeiro da pesquisadora, sob processo número 07/55444-0.À Profa Dra Amélia Pasqual Marques, por me pegar pelas mãos e me trilhar pelos caminhos da ciência e da fisioterapia. Por ser uma grande fisioterapeuta, uma excelente pesquisadora, uma orientadora companheira, uma ótima pessoa e, sobretudo uma grande amiga.À Juliana Sauer e Pâmela Mango por serem meus anjos da guarda durante todo o processo. Por ajudarem em momentos cruciais da coleta dos dados e, mais do que isso, serem grandes amigas, sempre ao meu lado ouvindo minhas angústias e me apoiando de todas as formas.À Dra Lais Lage pelo encaminhamento das pacientes deste estudo, por confiar em nosso trabalho e por dar credibilidade à fisioterapia.Ao Prof. Dr. Carlos Alberto de Bragança Pereira e fisioterapeuta Ana Paula Ribeiro pelos aconselhamentos estatísticos, mesmo em momentos inconvenientes. À Sônia, secretária da fisiopatologia, pela prontidão nas informações e disponibilidade em ajudar.A todas as pacientes que participaram deste estudo, pela dedicação apesar das dificuldades e por tornarem os atendimentos momentos muito agradáveis.iv Aos amigos do Laboratório não só por estarem sempre dispostos a compartilharem seus conhecimentos e suas experiências mas, também, pelas palavras de apoio, pela amizade, pelas brincadeiras e risadas. Ao lado de vocês o caminho foi mais divertido.Ao Fernando, por estar ao meu lado todos os dias distribuindo seu amor de todas as formas. Por dividir os primeiros anos de nossa vida juntos com este trabalho, pela paciência, pela companhia, pelo apoio e, sobretudo, pela irritante confiança de que tudo daria certo.Aos meus pais, José Francisco e Cleusa, pelo apoio incondicional em todos os momentos de minha vida. Em vocês tive o exemplo de dedicação, trabalho e força e, mais do que isso, tive a segurança, o acolhimento nos momentos difíceis e o amor. As conquistas profissionais e o que sou como pessoa são méritos seus... Aos meus irmãos Rita e André, por serem meus maiores amigos. Por torcerem sempre pela minha felicidade e realização, mesmo sem saberem onde eu as encontraria.Às orações da minha avó Joana e da minha mãe que, por poder ou por insistência, iluminaram o caminho em momentos difíceis.Aos queridos amigos, que torceram por mim, de perto ou à distância, e fazem minha vida mais divertida.
Background Fibromyalgia is a painful musculoskeletal disorder that compromises function and quality of life. Studies show that no single treatment is completely effective in all patients and many of them seek complementary and alternative medicine. However its evidence is still insufficient. Objectives This clinical trial aimed to verify the effectiveness of Shiatsu (Japanese massage technique) in the improvement of pain, sleep quality and balance confidence of fibromyalgia patients. Methods This study involved 34 women aged 33 to 62 years, divided into two groups: Shiatsu Group (SG; n=17), which received 16 sessions of Shiatsu lasting 50 minutes, twice a week, and Control Group (CG; n=17), who received educational guidance through a booklet. Both groups were evaluated before and after 8 weeks. The following instruments were used: Visual Analog Pain Scale, Dolorimeter, Pittsburgh Sleep Quality Index and Activities-Specific Balance Confidence Scale. Intergroup statistical analysis was performed using the t-test for data sets with normal distribution and the same variance and Mann-Whitney Rank Sum Test for data sets without normal distribution or equal variance. The significance level was α=0.05. Results At baseline, both groups were similar for all variables. After eight weeks, SG showed statistically significant improvement in pain (p=0.015), tender point pain threshold (p<0,001) and sleep quality (p=0.018), when compared with the CG. There was no statistically significant difference for balance confidence between groups. Conclusions The results indicate that the Shiatsu technique is effective in improving pain, tenderness and sleep quality in fibromyalgia patients. References Sarzi-Puttini P, Buskila D, Carrabba M, Doria A, Atzeni F. Treatment Strategy in Fibromyalgia Syndrome: Where Are We Now? Semin Arthritis Rheum. 2008;37(6):353-65. Jones KD, Horak FB, Winters-Stone K, Irvine JM, Bennett RM. Fibromyalgia is associated with impaired balance and falls. J Clin Rheumatol. 2009;15(1):16-21. Baranowsky J, Klose P, Musial F, Häuser W, Dobos G, Langhorst J. Qualitative systemic review of randomized controlled trials on complementary and alternative medicine treatments in fibromyalgia. Rheumatol Int. 2009;30(1):1-21. Disclosure of Interest None Declared
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