Fibromyalgia position paper

ObjectiveFibromyalgia syndrome (FM) is a complex disease that is mainly characterised by chronic pain, fatigue, and sleep disturbances and may be precipitated or worsened by many stressors. The aim of this study was to examine the effects of respiratory muscle training (RMT) on respiratory efficiency and health-related quality of life (HRQoL) in women with FM. MethodsA total of 30 women with FM were included in the intention to treat analyses: 15 were assigned to the RMT group and 15 to the control group. The intervention consisted of 12 weeks of RMT. The primary outcome was the change in pulmonary function assessed by global body plethysmography at 12 weeks compared with baseline. Secondary outcomes included changes of scores in HRQoL assessed by the Short Form 36 Health Survey-Portuguese version. ResultsThe maximal inspiratory pressure (MIP) improved by 17.5% (p-value = .033), maximal expiratory pressure (MEP) improved 21.6% (p-value = 0.045) and maximum occlusion pressure (P0.1 max) increased 27.7% (p-value = 0.007).HRQoL improved in the dimensions of physical function, physical role, bodily pain and vitality (p-value <0.05). ConclusionRMT results in a significant improvement of respiratory efficiency and HRQoL after 12 weeks. RMT could be an effective therapy to enhance respiratory function and quality of life in women with FM.

Section: Introductionmentioning

confidence: 99%

Effects of respiratory muscle training on respiratory efficiency and health-related quality of life in sedentary women with fibromyalgia: a randomised controlled trial

Tomás-Carús

Biehl-Printes

Pozo-Cruz

et al. 2021

“…Fatigue, morning stiffness, gastrointestinal problems, insomnia, anxiety, depression and cognitive dysfunctions are other typical symptoms (2,3). Currently, there is insufficient evidence regarding how early diagnosis might affect the clinical progression of FM; however, it could prevent the requirement for pharmacological treatments over less invasive approaches, such as psychotherapy and physical reconditioning (4). The aetiology of FM is unknown and there are no objective markers to confirm the diagnosis (5,6).…”

Section: Introductionmentioning

confidence: 99%

Central sensitisation pain and autonomic deficiencies in fibromyalgia

Garcia-Hernandez

Coba

Paso

2022

ObjectiveFibromyalgia (FM) is associated with central pain sensitisation, autonomic alterations and neuropathy in small nerve fibres. This study aimed to analyse the association between tonic sweating and central pain sensitisation in FM. MethodsFifty-eight FM patients and thirty healthy women were assessed in terms of slowly repeated evoked pain (SREP), as a measure of central sensitisation. Sweating was evaluated by skin conductance (SC), as a sympathetic autonomic measure secondarily indexing possible small nerve fibre peripheral neuropathy. Clinical and psychological factors were evaluated through questionnaire measures. Results FM patients displayed smaller SC values than healthy controls, and SREP sensitisation was only observed in FM patients. Pain threshold and tolerance were also lower in the patient sample. Clinical symptoms (pain, fatigue,insomnia) only correlated significantly with SREP sensitisation. SC was inversely related to SREP sensitisation, and this association persisted after statistically controlling for levels of catastrophising and antidepressant use. ConclusionsThese results suggest that central pain sensitisation, proposed as a main pathophysiological mechanism of FM, may depend on sympathetic autonomic deficiencies, suggestive of small nerve fibres neuropathy. Future studies should aim to replicate these results using other central pain sensitisation measures and direct measures of neuropathy or small nerve fibre density.

“…Fibromyalgia (FM) is a chronic pain syndrome characterised by diffuse pain, tenderness, sleep disorders, and fatigue. Despite a lack of specific biological markers in fibromyalgia patients (1), FM patients demonstrate disease-related symptoms such as morning stiffness, headaches, swelling, tingling sensation, irritable bowel syndrome, and psychological distress. The pain is chronic and is widespread in all parts of the musculoskeletal system (2)(3)(4)(5)(6)(7)(8)(9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

“…Mean differences in SOC before and after FTI according to the level of change in coping patterns (n=96)1 . The comparison analysis indicated a significant difference between SOC before and after FTI among problem-oriented patients (t (55)=2.46, p=0.02), so these patient reported a higher SOC after FTI.…”

mentioning

confidence: 99%

The correlation between problem-oriented coping and a sense of coherence among fibromyalgia patients who underwent the fibrotherapy model intervention programme

Cohen-Biton

Buskila

Nissanholtz-Gannot

2022

Self Cite

ObjectiveThis study sought to examine whether the sense of coherence (SOC) among fibromyalgia (FM) increased after participation in a fibrotherapy intervention programme (FTI) and whether SOC among FM patients who changed their coping strategies to problem-oriented coping, increased. The study was conducted among FM female patients who are exposed to security threats in order to examine the coping resources of these patients. Methods female patients aged 19-75 diagnosed with FM enrolled in the FTI programme led by Rabbi Firer in Sderot, Israel.Of this sample, 16 were interviewed for the qualitative part. ResultsThe quantitative analysis found that there was a change in the level of SOC before and after participation in FTI and that an increasing trend in SOC was observed after participating in FTI, thus, confirming the first hypothesis. Also, a problem-oriented coping pattern emerged after participating in FTI. The data further show that according to the second study hypothesis, among problem-oriented patients, the levels of psychological distress decreased, and the physiological indicators (endurance) increased as well as an improved functional ability. In other words, following FTI, there was a positive improvement in the physical and mental health scores of problem-oriented patients. Participation in FTI has resulted in a comprehensive health improvement among the study sample. ConclusionParticipation in FTI improved FM patients' SOC and coping strategies and provided them with tools to understand the meaning of the disease and thereby accept and manage it.