Intervenciones no farmacológicas y tratamientos alternativos en la fibromialgia

Nishishinya, María Betina; Rivera, Javier; Alegre, Cayetano; Pereda, Claudia Alejandra

doi:10.1016/s0025-7753(06)72237-0

Cited by 28 publications

(20 citation statements)

References 32 publications

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“…Despite the broad acceptance of acupuncture among patients and healthcare staff, the studies conducted to date have not produced sufficient evidence of its effectiveness in treating FMS [27], although the latest systematic reviews have shown these studies to be of low quality [17,28,29]. Since the last of these published reviews, in June 2004 [27], various other studies, of higher quality, have been conducted, but the results they report are uneven, and thus little light is shed upon the role of acupuncture in treating FMS.…”

Section: Introductionmentioning

confidence: 99%

“…Since the last of these published reviews, in June 2004 [27], various other studies, of higher quality, have been conducted, but the results they report are uneven, and thus little light is shed upon the role of acupuncture in treating FMS. One well-designed study [30] randomised 100 FMS patients into among four groups (one given true acupuncture, and the other three, sham acupuncture), with two sessions per week being given for 12 weeks.…”

Section: Introductionmentioning

confidence: 99%

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Effects of acupuncture on patients with fibromyalgia: study protocol of a multicentre randomized controlled trial

Vas

Modesto

Aguilar

et al. 2011

Trials

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BackgroundFibromyalgia is a multidimensional disorder for which treatment as yet remains unsatisfactory. Studies of an acupuncture-based approach, despite its broad acceptance among patients and healthcare staff, have not produced sufficient evidence of its effectiveness in treating this syndrome. The present study aims to evaluate the effectiveness of individualized acupuncture for patients with fibromyalgia, with respect to reducing their pain and level of incapacity, and improving their quality of life.Methods/designRandomized controlled multicentre study, with 156 outpatients, aged over 17 years, diagnosed with fibromyalgia according to American College of Rheumatology criteria, either alone or associated with severe depression, according to the criteria of the Diagnostic and Statistical Manual for Mental Disorders. The participants will be randomly assigned to receive either "True acupuncture" or "Sham acupuncture". They will be evaluated using a specific measurement system, constituted of the Fibromyalgia Impact Questionnaire and the Hamilton rating scale for depression. Also taken into consideration will be the clinical and subjective pain intensity, the patient's family structure and relationships, psychological aspects, quality of life, the duration of previous temporary disability, the consumption of antidepressant, analgesic and anti-inflammatory medication, and the potential effect of factors considered to be predictors of a poor prognosis. All these aspects will be examined by questionnaires and other suitably-validated instruments. The results obtained will be analysed at 10 weeks, and 6 and 12 months from the start of treatment.DiscussionThis trial will utilize high quality trial methodologies in accordance with CONSORT guidelines. It may provide evidence for the effectiveness of acupuncture as a treatment for fibromyalgia either alone or associated with severe depression.Trial registrationISRCTN trial number ISRCTN60217348 (19 October 2010)

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effects of acupuncture on patients with fibromyalgia: study protocol of a multicentre randomized controlled trial

Vas

Modesto

Aguilar

et al. 2011

Trials

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“…In addition other adjunctive treatments show moderate evidence of efficacy, like strength training, acupuncture, hypnotherapy, biofeedback and balneotherapy [35]. For other non-pharmacological approaches, widely used and potentially beneficial, such as ozone therapy and some food supplements, more investigation is needed [36].…”

Section: Introductionmentioning

confidence: 99%

Fibromyalgia and nutrition, what do we know?

Arranz

Canela²,

Rafecas

2010

Rheumatol Int

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Objective: Many people suffer from fibromyalgia (FM) without an effective treatment. They do not have a good quality of life and cannot maintain normal daily activity. Among the different hypotheses for its ethiopathophysiology, oxidative stress is one of the possibilities. Non-scientific information addressed to patients regarding the benefits of nutrition is widely available, and they are used to trying non-evidenced strategies. The aim of this paper is to find out what we know right now from scientific studies regarding fibromyalgia disease and nutritional status, diets and food supplements. Design: A systematic search has been performed on Medline with a wide range of terms about these nutritional issues. Setting: the search has been made during 2009, for articles published between 1998 and 2008. Subjects: people suffering from FM. Results: Vegetarian diets could have some beneficial effects probably due to the increase in antioxidant intake. There is a high prevalence of obesity and overweight in patients, and weight control seems to be an effective tool to improve the symptoms. Some nutritional deficiencies have been described, it is not clear whether they are directly related to this disease or not. About the usefulness of some food supplements we found very little data, and it seems that more studies are needed to prove which ones could be of help. Conclusions: Dietary advice is necessary to these patients to improve their diets and maintain normal weight. It would be interesting to investigate more in the field of nutrition and FM to reveal any possible relationships.

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“…The side effects associated with pharmacological treatments, along with their suboptimal clinical effects, have recently prompted the European League against Rheumatism (EULAR) to recommend that these treatments should only be used to control pain and sleep disturbances caused by FM [11].Multicomponent treatments integrating exercise therapy (ET), cognitive behavioural therapy (CBT), and pharmacological treatment have generally been one of the most beneficial alternatives for improving quality of life, increasing functional capacity, and decreasing chronic pain in FM patients [12]. Randomized controlled trials (RCTs), testing for the simultaneous combination of ET and CBT, have been shown to be the most effective non-pharmacological treatments for FM [13]. Treatments based exclusively on ET have contributed to the reduction of symptoms of pain, fatigue, and depression, as well as to the improvement of mental health, psychological well-being, and physical function [14,15].…”

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confidence: 99%

Efficacy of a Multicomponent Intervention for Fibromyalgia Based on Pain Neuroscience Education, Exercise Therapy, Psychological Support, and Nature Exposure (NAT-FM): Study Protocol of a Randomized Controlled Trial

Serrat

Sanabria‐Mazo

García-Troiteiro

et al. 2020

IJERPH

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The study protocol of a prospective and randomized controlled trial for the assessment of the efficacy of nature activity therapy for people with Fibromyalgia (NAT-FM) is described. The primary outcome is the mean change from baseline in the Revised Fibromyalgia Impact Questionnaire (FIQR) score at post-treatment (12 weeks) and at 9 months of follow-up, and secondary outcomes are changes in the positive affect, negative affect, pain, fatigue, self-efficacy, catastrophising, and emotional regulation. A total of 160 patients with fibromyalgia will be divided into two arms: treatment-as-usual (TAU) and NAT-FM+TAU. Pre, during, post, +6, and +9 months assessments will be carried out, as well as an ecological momentary assessment (EMA) of intrasession and intersessions. Results will be subjected to a mixed group (NAT-FM+TAU vs. TAU) × phase (pre, post, +6 months, +9 months) general linear model. EMA intrasession measurements will be subjected to a 2 (pre vs. post) × 5 (type of activity) mixed-effects ANOVA. EMA between-session measurements obtained from both arms of the study will be analysed on both a time-domain and frequency-domain basis. Effect sizes and number needed to treat (NNT) will be computed. A mediation/moderation analysis will be conducted.

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Intervenciones no farmacológicas y tratamientos alternativos en la fibromialgia

Cited by 28 publications

References 32 publications

Effects of acupuncture on patients with fibromyalgia: study protocol of a multicentre randomized controlled trial

Effects of acupuncture on patients with fibromyalgia: study protocol of a multicentre randomized controlled trial

Fibromyalgia and nutrition, what do we know?

Efficacy of a Multicomponent Intervention for Fibromyalgia Based on Pain Neuroscience Education, Exercise Therapy, Psychological Support, and Nature Exposure (NAT-FM): Study Protocol of a Randomized Controlled Trial

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