Management of fibromyalgia syndrome

Lee, Josh; Guy, Stacey; Lukacs, Michael J; Letwin, Zoe A; Fakhereddin, Mohamad F; Al-Nasri, Iyad; Salim, Shahan

doi:10.5206/uwomj.v87i1.1817

Cited by 4 publications

(4 citation statements)

References 31 publications

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“…In contrast, another international study concluded that individuals from African descent were 1.52 times more likely to be diagnosed with FMS in comparison to their Caucasian counterparts. [14] Therefore, definite conclusions with regards to the influence of ethnicity on FMS cannot be shown. In this study, 61% of participants were employed either on a fulltime or part-time basis, or were self-employed.…”

Section: Demographic Aspectsmentioning

confidence: 99%

Physical activity and quality of life of patients with fibromyalgia

Smith

Croucamp

2023

SA J Sports Med

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Background: Fibromyalgia Syndrome (FMS) has been linked to decreased social functioning, poor mental health, and quality of life (QOL). Increased physical functioning and activity can result in improvements in social, mental and overall health, as well as lowered depression and anxiety levels. Objectives: The aim of this study was to determine physical activity levels and QOL amongst patients diagnosed with fibromyalgia in the Johannesburg region of South Africa. Methods: The research design was cross-sectional. Descriptive and quantitative data were collected. FMS patients (n=38) completed an online questionnaire on the Google Forms platform. The questionnaire was comprised of four components, namely Demographics, the Global Physical Activity Questionnaire (GPAQ), the Fibromyalgia Impact Questionnaire (FIQR), and the Short Form-36 (SF-36). During data analysis, descriptive characteristics and correlations were computed. The significance level was set at p ≤ 0.05. Results: Results revealed high FIQR scores (67%) accompanied with low QOL scores (<50% in all domains). There was no correlation between physical activity and FIQR, and physical activity and QOL. Conclusion: High scores on the impact of FMS were associated with lower overall QOL scores. However, the relationship between physical activity, and the impact of FMS and QOL remain inconclusive.

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Section: Demographic Aspectsmentioning

confidence: 99%

Physical activity and quality of life of patients with fibromyalgia

Smith

Croucamp

2023

SA J Sports Med

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“…C hronic pain represents a significant burden. 1,2 Recent epidemiological research estimates indicate a point prevalence of 15% to 20% of North American adults with daily chronic pain, with half of those experiencing pain for over 10 years. 2,3 Neck pain (NP) specifically has accounted for the ninth highest burden of all-cause years lived with disability worldwide and second highest musculoskeletal disorder after low back pain, a relative position that has been stable for at least 30 years.…”

mentioning

confidence: 99%

“…Chronic pain represents a significant burden 1,2. Recent epidemiological research estimates indicate a point prevalence of 15% to 20% of North American adults with daily chronic pain, with half of those experiencing pain for over 10 years 2,3.…”

mentioning

confidence: 99%

A Systematic Review and Synthesis of Psychometric Properties of the Numeric Pain Rating Scale and the Visual Analog Scale for Use in People With Neck Pain

Modarresi

Lukacs

Ghodrati

et al. 2021

The Clinical Journal of Pain

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Objectives: To conduct a systematic search and synthesis of evidence about the measurement properties of the Numeric Pain Rating Scale (NPRS) and the Visual Analog Scale (VAS) as patientreported outcome measures in neck pain research.Methods and Materials: CINAHL, Embase, PsychInfo, and MedLine databases were searched to identify studies evaluating the psychometric properties of the NPRS and the VAS used in samples of which > 50% of participants were people with neck pain. Quality and consistency of findings were synthesized to arrive at recommendations.Results: A total of 46 manuscripts were included. Syntheses indicated high-to-moderate-quality evidence of good-to-excellent (intraclass correlation coefficient 0.58 to 0.93) test-retest reliability over an interval of 7 hours to 4 weeks. Moderate evidence of a clinically important difference of 1.5 to 2.5 points was found, while minimum detectable change ranged from 2.6 to 4.1 points. Moderate evidence of a moderate association (r = 0.48 to 0.54) between the NPRS or VAS and the Neck Disability Index. Findings from other patient-reported outcomes indicated stronger associations with ratings of physical function than emotional status. There is limited research addressing the extent that these measures reflect outcomes that are important to patients.Discussion: It is clear NPRS and the VAS ratings are feasible to implement, provide reliable scores and relate to multi-item patientreported outcome measures. Responsiveness (meaningful change) of the scales and interpretation of change scores requires further refinement. The NPRS can be a useful single-item assessment complimenting more comprehensive multi-item patient-reported outcome measures in neck pain research and practice.

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“…Although the etiopathogenesis of FM is still not clearly understood, a hypersensitization of the central nervous system characterized by an unbalanced function between descending inhibitory and facilitation pathways—which would facilitate hyperalgesia and allodynia—has been postulated [ 5 , 6 ]. The function of the descending nociceptive inhibitory pathway [ 6 , 7 ] is known to be altered by cognitive biases—such as maladaptive thoughts—along with emotional and behavioral factors, which, in turn, further potentiate the pain experience [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of the FIBROWALK Multicomponent Program Moved to a Virtual Setting for Patients with Fibromyalgia during the COVID-19 Pandemic: A Proof-of-Concept RCT Performed Alongside the State of Alarm in Spain

Serrat

Coll-Omaña

Albajes

et al. 2021

IJERPH

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FIBROWALK is a multicomponent program including pain neuroscience education, therapeutic exercise, cognitive behavioral therapy and mindfulness training that has recently been found to be effective in patients with fibromyalgia (FM). This RCT started before the COVID-19 pandemic and was moved to a virtual format (i.e., online videos) when the lockdown was declared in Spain. This study is aimed to evaluate the efficacy of a virtual FIBROWALK compared to Treatment-As-Usual (TAU) in patients with FM during the first state of alarm in Spain. A total of 151 patients with FM were randomized into two study arms: FIBROWALK plus TAU vs. TAU alone. The primary outcome was functional impairment. Secondary outcomes were kinesiophobia, anxiety and depressive symptomatology, and physical functioning. Differences between groups at post-treatment assessment were analyzed using Intention-To-Treat (ITT) and completer approaches. Baseline differences between clinical responders and non-responders were also explored. Statistically significant improvements with small-to-moderate effect sizes were observed in FIBROWALK+TAU vs. TAU regarding functional impairment and most secondary outcomes. In our study, the NNT was 5, which was, albeit modestly, indicative of an efficacious intervention. The results of this proof-of-concept RCT preliminarily support the efficacy of virtual FIBROWALK in patients with FM during the Spanish COVID-19 lockdown.

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Management of fibromyalgia syndrome

Cited by 4 publications

References 31 publications

Physical activity and quality of life of patients with fibromyalgia

Physical activity and quality of life of patients with fibromyalgia

A Systematic Review and Synthesis of Psychometric Properties of the Numeric Pain Rating Scale and the Visual Analog Scale for Use in People With Neck Pain

Efficacy of the FIBROWALK Multicomponent Program Moved to a Virtual Setting for Patients with Fibromyalgia during the COVID-19 Pandemic: A Proof-of-Concept RCT Performed Alongside the State of Alarm in Spain

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