Rodríguez CR, Jiménez-Morales JM, Macías-Delgado Y, Brunet GD, Pérez GZO, Salcedo PJL

Language: Spanish
References: 29
Page: 143-152
PDF size: 87.62 Kb.

ABSTRACT

Objective: to validate a program of multidisciplinary rehabilitation through complementary and alternative therapies in patients with fibromyalgia as part of the ambulatory service in "Faustino Pérez Hernández" Provincial Teaching Hospital of Rehabilitation.
Method and material: a longitudinal, prospective (test-retest)study included a sample of 30 patients, all of them women, to whom some tests were applied; semistructured interview, Trait-State Anxiety Inventory (STAI), Beck Depression Inventory (BDI), Analogic Visual Scale (AVS) and the Impact Questionnaire of Fibromyalgia (IQF) before and after treatment. In the various therapeutics stand the cognitive - behavioral therapy (CBT), Tui Na massage, hydrotherapy and Oriental exercises (tai chi).
Results: in the main findings after applying the complementary and alternative treatment it was demonstrated, significant changes found in the pain intensity measures and the disease impact. However, the anxiety and depression measures showed less noticeable changes.
Conclusions: the therapeutic alternative demonstrated the benefits to better the anxiety levels, depression, pain intensity and disease impact of the patients with fibromyalgia.

REFERENCES

1. Wahner-Roedler DL, Elkin PL, Vincent A, Thompson JM, Oh TH, Loehrer LL, et al. Use of Complementary and Alternative Medical Therapies by Patients Referred to a Fibromyalgia Treatment Program at a Tertiary Care Center. Mayo Clin Proc. 2005; 80: 55-60

2. Clanw D. "New Insights into fibromyalgia". Fibromyalgia Frontiers 2004; 2(4).

3. Quirós A, Rodríguez JO, Lesama E, Quirós C. fibromialgia y ortodoncia ante la enfermedad invisible. Acta Odontológica. 2002; 40: 4-13.

4. Clauw DJ. Fibromyalgia: an overview. Am J Med 2009; 122 (12 suppl): S3-13.

5. Friedberg F, Jason LA. Chronic fatigue syndrome and fibromyalgia: Clinicalassessment and treatment. J Clin Psychology. 2001; 57: 433-455.

6. Moret C, Briley M. Antidepressants in the treatment of fibromyalgia. Neuropsychiatr Dis Treat 2006; 2: 537-48.

7. García CJ, Ferreira S, Martínez Maria del C, Valdés F. tratamiento de hipnorrelajación (FRD) en pacientes con fibromialgia. Revista Cubana de Reumatología Volumen V, Num 3, 4, 2003.

8. Sarzi-Puttini P, Sarzi-Puttini P, Buskila D, et al. Treatment strategy in fibromyalgia syndrome: where are we now? Semin Arthritis Rheum 2008; 37(6): 353-65

9. Hassett LA y Gevirtz NR. Nonpharmacologic Treatment for Fibromyalgia: Patient Education, Cognitive-Behavioral Therapy, Relaxation Techniques, and Complementary and Alternative Medicine. Rheum Dis Clin North Am. 2009; 35(2): 393-407

10. Frasen J. The fibromyalgia help about. Practical guide to living bether wheth fibrimyalgia. House Press 1996; 25-26

11. Zhang A, Feng D. Masaje práctico de china. Editorial de Ciencias Médicas. La habana, 1995.

12. Jwing-Mong Y. Qi Gong: La técnica oriental para mejorar la salud y las artes marciales. Arbol Editorial, S.A. Barcelona, 1992.

13. 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: 1-21.

14. Wahner-Roedler DL, Elkin PL, Vincent A, Thompson JM, Loehrer LL, Mandrekar JN, Bauer BA. Use of complementary and alternative medical therapies by patients referred to a fibromyalgia treatment program at a tertiry care center. Mayo Clin Proc. 2005; 80: 826-827.

15. Ebell J, Beck E. How effective are complementary/alternative medicine (CAM) therapies for fibromyalgia? J Family Practice. 2001; 50: 400-401.

16. Butler AC, Chapman JE, Forman EM, Beck AT. The empirical status of cognitivebehavioral therapy: a review of meta-analyses. Clin Psychol Rev 2006; 26 (1): 17- 31.

17. Hofmann SG, Smits JA. Cognitive-behavioral therapy for adult anxiety disorders: a meta-analysis of randomized placebo-controlled trials. J Clin Psychiatry 2008;69 (4): 621-32

18. Hoffman BM, Papas RK, Chatkoff DK, Kerns RD. Meta-analysis of psychological interventions for chronic low back pain. Health Psychol 2007;26 (1): 1-9

19. Van Koulil S, Van Lankveld W, Kraaimaat FW, Van Helmond T, Vedder A, Van Hoorn H, et al. Tailored cognitive_behavioural therapy and exercise training improves the physical fitness of patients with fibromyalgia Ann Rheum Dis 2011; 70: 2131-2133

20. Wang Ch. Bannuru R. Ramel J, Kupelnick B, Scott T and Schmid ChH. Tai Chi on psychological well-being: systematic review and meta-analysis. BMC Complementary and Alternative Medicine 2010, 10: 2-16

21. Wang C, Schmid CH, Rones R, Kalish R, Yinh J, Goldenberg DL, et al. Randomized trial of tai chi for fibromyalgia. N Engl J Med. 2010; 363: 743-54

22. Chan CL, Wang Ch. Ho RT. Ng S. Ziea E. Taam V. Qigong Exercise for the Treatment of Fibromyalgia: A Systematic Review of Randomized Controlled Trials. The journal of alternative and complementary medicine 2012; 18: 641-646

23. Langhorst J, Musial F, Klose P, Häuser W. Efficacy of hydrotherapy in fibromyalgia syndrome a meta analysis of randomized controlled clinical trials. Rheumatology (Oxford) 2009; 48: 1155_9. Epub 2009 Jul 16.

24. 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: 1-21.

25. Yuan SL, Berssaneti AA, Marques AP. Effects of Shiatsu in the Management of Fibromyalgia Symptoms: A Controlled Pilot Study. J Manipulative Physiol Ther. 2013; 13: S0161- 4754(13) 00103-6

26. Gordon C. Emiliozzi C, Zartarian M. Use of a mechanical massage technique in the treatment of fibromyalgia: a preliminary study. Arch Phys Med Rehabil. 2006; 87: 145-147.

27. Kalichman L. Massage therapy for fibromyalgia symptoms. Rheumatol Int. 2010; 30: 1151-1157

28. Martín J, Torre F, Padierna A, Aguirre U, González N, García S, et al. Six-and 12-month follow-up of an interdisciplinary fibromyalgia treatment programme: results of a randomised trial. Clin Exp Rheumatol. 2012;30 (6 Suppl 74): 103-11.

29. Sarzi-Puttini P, Atzeni F, Salaffi F, Cazzola M, Benucci M, Mease PJ. Multidisciplinary approach to fibromyalgia: what is the teaching? Best Pract Res Clin Rheumatol. 2011; 25(2): 311-9.