Tratamiento multidisciplinar para la fibromialgia y el síndrome de fatiga crónica: una revisión sistemática

Sánchez, Ana I. Sánchez; Nakakaneku, M. Goya; Morales, Elena Miró; Martínez, María Pilar

doi:10.51668/bp.8321214s

Cited by 3 publications

(4 citation statements)

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“…The main treatment chosen by patients continues to be pharmacological, such as amitriptyline, or other tricyclic antidepressants, even though they are not explicitly prescribed for people with fibromyalgia [ 10 ]. Although the recommended treatment includes the use of medication of various kinds, along with moderate physical exercise and psychological therapy [ 11 , 12 ], technological advances in neuroimaging since the 1970s have brought about the use of different neurofeedback techniques as symptomatic therapy in the treatment, amongst other symptoms, of pain, insomnia and depression [ 13 ]. However, even now, any kind of neurofeedback as treatment is still not used as a generalist therapy for fibromyalgia [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

A systematic review of EEG neurofeedback in fibromyalgia to treat psychological variables, chronic pain and general health

Barbosa-Torres

Barona

Guerrero-Molina

et al. 2023

Eur Arch Psychiatry Clin Neurosci

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This paper is the first up-to-date review of the various EEG-neurofeedback treatments for fibromyalgia patients and their psychological, physiological and general health consequences. Searches were made of the PubMed, PsycNet, Google Scholar and Scopus databases according to PRISMA guidelines for empirical peer-reviewed articles on EEG-neurofeedback treatment of fibromyalgia, yielding a final selection of 17 studies that met the inclusion criteria: (1) published articles and doctoral theses; (2) conducted between 2000 and 2022; (3) reporting empirical and quantitative data. These articles show that there is a wide range of protocols with different designs and procedures to treat fibromyalgia using EEG-neurofeedback techniques. The main symptoms that showed improvement were anxiety, depression, pain, general health and symptom severity, whilst the most commonly used method was traditional EEG neurofeedback based on a sensorimotor rhythm protocol. It may be concluded from the review that the lack of consistency and uniqueness of the protocols makes it very difficult to generalise results, despite the individual improvements identified. This review provides instructions and information that could guide future research and clinical practise, with the data extracted helping to gain a deeper understanding of the state of the art and the needs of the technique for this population group.

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Section: Introductionmentioning

confidence: 99%

A systematic review of EEG neurofeedback in fibromyalgia to treat psychological variables, chronic pain and general health

Barbosa-Torres

Barona

Guerrero-Molina

et al. 2023

Eur Arch Psychiatry Clin Neurosci

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“…Fibromyalgia (FM) is characterized by chronic, widespread musculoskeletal pain with multiple tender points and generalized tenderness with muscle stiffness, joint stiffness, sleep disturbances, fatigue, mood, cognitive dysfunction, anxiety, depression, general tenderness, and inability to perform daily life activities. Regarding prevalence, it is estimated that 4% of the world’s population is affected by FM, mainly in women aged 20–55 years [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

“…In FM, there is increasing evidence of inflammatory mechanisms of neurogenic origin in peripheral tissues, the spinal cord, and the brain. Cytokines/chemokines, lipid mediators, oxidative stress and various plasma-derived factors underlie the inflammatory state in fibromyalgia [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

The Effects of Non-Pharmacological Interventions in Fibromyalgia: A Systematic Review and Metanalysis of Predominants Outcomes

Hong-Baik,

Úbeda-D’Ocasar,

Cimadevilla-Fernández-Pola

et al. 2023

Biomedicines

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(1) Fibromyalgia (FM) is a chronic musculoskeletal condition with multiple symptoms primarily affecting women. An imbalance in cytokine levels has been observed, suggesting a chronic low-grade inflammation. The main aim of the meta-analysis was to examine the effect of multimodal rehabilitation on cytokine levels and other predominant variables in patients with FM. Furthermore, to examine which non-pharmacological tools have been used to investigate the effects that these can have on cytokines in FM patients. (2) Methods: Searches were conducted in PubMed, Scopus, Web of Science, Cochrane, and ScienceDirect databases. This systematic review and metanalysis followed the PRISMA statement protocol. The methodological quality of the studies was assessed using the PEDro scale, the risk of bias followed the Cochrane Manual 5.0.1, and the GRADE system was used for rating the certainty of evidence. (3) Results: Of 318 studies found, eight were finally selected, with a sample size of 320 women with a mean age of 57 ± 20. The proinflammatory cytokines IL-1β, IL-6, IL-8 and TNF-α were the most studied. Resistance exercise, aquatic exercise, dynamic contractions, cycling, treadmill, and infrared therapy were the main non-pharmacological tools used. (4) Conclusions: The systematic review with meta-analysis found evidence of elevated cytokine levels in patients with FM, suggesting low chronic inflammation and a possible contribution to central sensitization and chronic pain. However, the effects of physiotherapeutic interventions on cytokine levels are variable, highlighting the importance of considering different factors and the need for further research.

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“…El tratamiento, de carácter multidisciplinar, está dirigido a la mejora de los síntomas y no a la cura de la enfermedad (González et al, 2015;Sánchez et al, 2021), con el fin de mejorar la calidad de vida de los pacientes de FM. Se diferencian dos tipos de tratamientos, los farmacológicos y los no farmacológicos (Davenport, 2012;Imamura et al, 2009).…”

Section: Introductionunclassified

Análisis de los programas de ejercicio acuático en personas con fibromialgia (Analysis of aquatic exercise programmes for people with fibromyalgia)

Acosta-Gallego¹,

Hernández-Beltrán

Gámez-Calvo

et al. 2023

Retos

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La Fibromialgia provoca una disminución en la función física, en la calidad de vida y una mayor prevalencia de enfermedades vinculadas a la salud mental. El tratamiento farmacológico es el más empleado en pacientes con fibromialgia, pero un correcto abordaje del proceso terapéutico debe incluir la práctica de ejercicio físico. La actividad física provoca mejoras en la sintomatología, la capacidad aeróbica, la función física y la percepción subjetiva de bienestar general y autoeficacia. Por ello, el objetivo del presente estudio es desarrollar una actualización del estado del arte relacionado con el ejercicio acuático en pacientes con Fibromialgia, así como conocer los principales beneficios de este tipo de intervenciones. Para la búsqueda, recopilación y selección de artículos, se emplearon las palabras clave: “fibromyalgia” y “aquatic exercise”, que fueron introducidas en las bases de datos Scopus, Web of Science y PubMed. Para ajustar la búsqueda al objeto de estudio, se establecieron una serie de criterios de inclusión de las publicaciones científicas. Los estudios analizados muestran que el ejercicio acuático es una alternativa eficaz y complementaria a la terapia convencional. Entre los beneficios del ejercicio acuático destacan la disminución del estrés, la reducción de la fatiga y la mejora de los síntomas de depresión y ansiedad, así como una disminución del dolor y de los problemas de insomnio. A la vista de estos resultados, parece que los programas acuáticos de ejercicio físico son un tipo de tratamiento no farmacológico para tener en cuenta en el tratamiento de pacientes con fibromialgia, mejorando la sintomatología y la calidad de vida. Palabras clave: Fibromialgia; Ejercicio Acuático; Calidad de vida Abstract. Fibromyalgia causes a decrease in physical function, quality of life and a higher prevalence of mental health-related diseases. Pharmacological treatment is the most used in patients with fibromyalgia, but a correct approach to the therapeutic process should include the practice of physical exercise. Physical activity causes improvements in symptomatology, aerobic capacity, physical function and subjective perception of general well-being and self-efficacy. Therefore, the aim of the present study is to develop an update of the state of the art related to aquatic exercise in patients with fibromyalgia, as well as to know the main benefits of this type of interventions. For the search, compilation and selection of articles, the keywords "fibromyalgia" and "aquatic exercise" were used, which were entered in the Scopus, Web of Science and PubMed databases. To adjust the search to the object of study, a series of inclusion criteria were established for the scientific publications. The studies analyzed show that aquatic exercise is an effective and complementary alternative to conventional therapy. Among the benefits of aquatic exercise are a decrease in stress, a reduction in fatigue and an improvement in symptoms of depression and anxiety, as well as a decrease in pain and insomnia problems. In view of these results, it seems that aquatic physical exercise programs are a type of non-pharmacological treatment to be considered in the treatment of patients with fibromyalgia, improving symptoms and quality of life. Keywords: Fibromyalgia; Aquatic exercise; Quality of life

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Tratamiento multidisciplinar para la fibromialgia y el síndrome de fatiga crónica: una revisión sistemática

Cited by 3 publications

References 0 publications

A systematic review of EEG neurofeedback in fibromyalgia to treat psychological variables, chronic pain and general health

A systematic review of EEG neurofeedback in fibromyalgia to treat psychological variables, chronic pain and general health

The Effects of Non-Pharmacological Interventions in Fibromyalgia: A Systematic Review and Metanalysis of Predominants Outcomes

Análisis de los programas de ejercicio acuático en personas con fibromialgia (Analysis of aquatic exercise programmes for people with fibromyalgia)

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