Educación al paciente con fibromialgia. Revisión sistemática de ensayos clínicos aleatorizados

Elizagaray-García, Ignacio; Muriente-González, Jorge; Gil-Martínez, Alfonso

doi:10.33588/rn.6202.2015446

Cited by 11 publications

(7 citation statements)

References 48 publications

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“…Las intervenciones no farmacológicas que han demostrado mayor beneficio son la terapia cognitivo-conductual 8 y el ejercicio físico 9 . Otras terapias ensayadas incluyen tratamientos multidisciplinares 10 , intervenciones psicoeducativas 11 o terapias basadas en mindfulness 12 , con resultados variables.…”

Section: Introductionunclassified

Efecto de la educación en neurociencia del dolor en pacientes con fibromialgia: intervención grupal estructurada en atención primaria

et al. 2021

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Objetivo Evaluar la efectividad de una intervención grupal en atención primaria en pacientes con fibromialgia (FM), basada en la educación en neurociencia del dolor ( Pain Neuroscience Education , PNE). Diseño Estudio de intervención antes-después. Emplazamiento Centro de Salud urbano de Bilbao. Participantes Pacientes con FM (criterios diagnósticos 2010 del American College of Rheumatology ), ≥ 18 años. Intervención Cinco sesiones semanales (2 h cada una), y una sesión de recuerdo un mes después. Mediciones principales Cumplimiento de criterios de FM, mediante los cuestionarios WPI (número de áreas de dolor) y SS (gravedad de los síntomas), e impacto de la FM sobre la capacidad funcional (FIQ: reducción ≥ 20% y ≥ 50% sobre la puntuación basal, y proporción de pacientes con FIQ < 39 al final del estudio). Se hicieron evaluaciones al inicio, al mes de la 5. a sesión, 6 y 12 meses después. Resultados Completaron todas las evaluaciones del estudio 85/98 pacientes. Se objetivó una mejoría estadísticamente significativa en las 3 categorías estudiadas (WPI, SS y FIQ) desde la primera visita, mantenida hasta la visita final (12 meses después). Cuarenta y cinco pacientes (53%, IC: 42-63%) más que al inicio tuvieron una puntuación en el FIQ < 39 (impacto funcional no grave). Al mes de finalizar la 5. a sesión había 44 (52%, IC: 41-62%) que ya no cumplían criterios de FM y al final del seguimiento 56 (66%, IC: 55-75%). Conclusiones Una intervención basada en PNE ha mostrado ser factible en atención primaria, con resultados en el rango superior de los publicados con otros tratamientos para FM.

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Section: Introductionunclassified

Efecto de la educación en neurociencia del dolor en pacientes con fibromialgia: intervención grupal estructurada en atención primaria

et al. 2021

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“…A systematic review of clinical trials found that patient education alone was not effective for pain, quality of life, or functionality in individuals with this condition. However, there is strong evidence of the effectiveness of combining patient education with exercise and active strategies to manage pain, quality of life and functionality in the short, medium and long term in individuals with fibromyalgia (Elizagaray- Garcia et al, 2016).…”

Section: Health Educationmentioning

confidence: 99%

The role of physiotherapy in fibromyalgia: Current and future perspectives

Antunes

Marques

2022

Front. Physiol.

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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.

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“…Regarding the diagnosis of FMS, the American College of Radiology (ACR) established 2016 an update of its criteria and commented that for the diagnosis of FMS, the patient should have at least four of five body regions with pain (widespread pain), where in addition the symptoms must be present for more than 3 months and also show high severity rates of symptoms [6]. Regarding the treatment of FMS, there are some studies that have evaluated the effectiveness of pharmacological [7,8], psychological [9,10], educational [11,12], and also through therapeutic exercise (TE) [13,14].…”

Section: Introductionmentioning

confidence: 99%

Therapeutic exercise in fibromyalgia syndrome: a narrative review

Forner-Álvarez,

Zanón-Chanzá,

Cuenca-Martínez

et al. 2024

Explor Neuroprot Ther

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Fibromyalgia syndrome (FMS) is characterised by the presence of distributed pain in different areas of the body accompanied by the alteration of some functions such as the activity of the neurovegetative system, the sleep quality, or the presence of fatigue. The present narrative review aims to evaluate some key studies regarding the effects of different therapeutic exercise (TE) modalities on clinical variables of interest in patients with FMS, as well as to discuss some of the possible mechanisms of action of TE in improving pain intensity in patients with FMS. All aerobic, strengthening, and body-mind exercises were shown to bring about changes in the improvement of clinical variables of interest in patients with FMS. In addition, with regard to the improvement of pain intensity, there are different arguments that could explain the hypoalgesic effect of TE (structured in physical, neurophysiological, and psychosocial mechanisms). In conclusion, TE is a clinical tool with great potential for patients with FMS as it may produce hypoalgesia through physical, neurophysiological, and psychosocial mechanisms. All these TE modalities have demonstrated in isolation a remarkable effectiveness in the overall improvement of patients with FMS. However, more research is needed in this field especially on the long-term effects and on the combination of the different training modalities.

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Educación al paciente con fibromialgia. Revisión sistemática de ensayos clínicos aleatorizados

Cited by 11 publications

References 48 publications

Efecto de la educación en neurociencia del dolor en pacientes con fibromialgia: intervención grupal estructurada en atención primaria

Efecto de la educación en neurociencia del dolor en pacientes con fibromialgia: intervención grupal estructurada en atención primaria

The role of physiotherapy in fibromyalgia: Current and future perspectives

Therapeutic exercise in fibromyalgia syndrome: a narrative review

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