Physiotherapie und physikalische Verfahren beim Fibromyalgiesyndrom

Winkelmann, Andreas; Haüser, Winfried; Friedel, E.; Moog-Egan, M.; Seeger, D.; Settan, M.; Weiß, Thomas; Schiltenwolf, Marcus

doi:10.1007/s00482-012-1171-3

Cited by 58 publications

(35 citation statements)

References 93 publications

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“…All three guidelines strongly recommended aerobic exercise, cognitive behavioral therapy, and multicomponent therapy (combination of exercise therapy with at least one psychological therapy) [9, 12, 13, 15, 16]. The German guideline gave a strong recommendation to low intensity strength training [13].…”

Section: Resultsmentioning

confidence: 99%

Treatment of Fibromyalgia Syndrome: Recommendations of Recent Evidence-Based Interdisciplinary Guidelines with Special Emphasis on Complementary and Alternative Therapies

Ablin

Fitzcharles

Buskila

et al. 2013

Evidence-Based Complementary and Alternative Medicine

124

100

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Objective. Current evidence indicates that there is no single ideal treatment for fibromyalgia syndrome (FMS). First choice treatment options remain debatable, especially concerning the importance of complementary and alternative medicine (CAM) treatments. Methods. Three evidence-based interdisciplinary guidelines on FMS in Canada, Germany, and Israel were compared for their first choice and CAM-recommendations. Results. All three guidelines emphasized a patient-tailored approach according to the key symptoms. Aerobic exercise, cognitive behavioral therapy, and multicomponent therapy were first choice treatments. The guidelines differed in the grade of recommendation for drug treatment. Anticonvulsants (gabapentin, pregabalin) and serotonin noradrenaline reuptake inhibitors (duloxetine, milnacipran) were strongly recommended by the Canadian and the Israeli guidelines. These drugs received only a weak recommendation by the German guideline. In consideration of CAM-treatments, acupuncture, hypnosis/guided imagery, and Tai Chi were recommended by the German and Israeli guidelines. The Canadian guidelines did not recommend any CAM therapy. Discussion. Recent evidence-based interdisciplinary guidelines concur on the importance of treatment tailored to the individual patient and further emphasize the need of self-management strategies (exercise, and psychological techniques).

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Section: Resultsmentioning

confidence: 99%

Treatment of Fibromyalgia Syndrome: Recommendations of Recent Evidence-Based Interdisciplinary Guidelines with Special Emphasis on Complementary and Alternative Therapies

Ablin

Fitzcharles

Buskila

et al. 2013

Evidence-Based Complementary and Alternative Medicine

124

100

View full text Add to dashboard Cite

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“…Nachweislich wirksam ist körperliche Aktivierung (Ausdaueroder Krafttraining geringer bis mittlerer Intensität; langsam ansteigende Belastung im Wechsel mit Erholung) [38], häufig ist eine anhaltende Motivierung des Patienten notwendig. Bestimmte körperorientierte oder non-verbale Begleittherapien, Entspannungsverfahren oder Psychoedukation können innerhalb eines Gesamtbehandlungsplans unterstützt werden (jedoch nicht als Monotherapie) [14,15].…”

Section: Aufmerksamkeit Und Interesse Zeigen ("Aktives Zuhören") Beiunclassified

Umgang mit Patienten mit nicht-spezifischen, funktionellen und somatoformen Körperbeschwerden

Sattel¹,

Schaefert

Haüser

et al. 2014

Dtsch med Wochenschr

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In primary and secondary medicine "non-specific, functional, and somatoform bodily complaints" are common and often take a chronic course, with the patients' quality of life usually markedly impaired, and give rise to high direct and indirect costs. They are challenging as they can deteriorate in case of inappropriate behavior on the physician's part. Coordinated by both German professional associations of Psychosomatic Medicine a new evidence based guideline was developed, aiming to transfer relevant diagnostic and therapeutic knowledge to all physicians who are in charge of these patients. After establishing a stable therapeutic alliance a symptom- and coping-oriented attitude could be demonstrated to be helpful. A biopsychosocial diagnostic evaluation combines a thorough assessment of bodily complaints and early introduces a sensitive discussion of signs of psychosocial stress, which can be extended carefully in case problems of this type are present. In less severe courses, physical/social activation is recommended and the patient's explanatory disease model should be extended towards a psychological dimension. More severe and complicated courses require a more structured approach consisting of regular appointments (as opposed to ad-hoc appointments whenever the patient feels worse) and an active cooperation of the patient. A coordinated, multimodal management includes additional measures as graded activation, psychotherapy, relaxation training or--if indicated--temporary medication.

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“…Die standardisierten Mittelwertdifferenzen von Patientenschulung vs. Kontrollen waren jedoch zur Wirksamkeitsbeurteilung nur eingeschränkt verwendbar, da in einigen Studien Patientenschulung als Kontrollgruppe diente und in der aktiven Therapiegruppe eine höhere Therapiedosis verwendet wurde. Die Ergebnisse zur Selbstwirksamkeit bei Schmerz waren inkonsistent: 3 Studien fanden keine Verbesserung der Selbstwirksamkeit (Therapiebeginn und -ende) in den Edukationsgruppen [8,16,20], 3 Studien fanden eine Verbesserung [19,26,28]. Edukation war in einer Studie einer Wartelistenkontrolle bezüg-lich der Verbesserung der Selbstwirksamkeit bei Schmerz überlegen [29].…”

Section: Dauer Des Ausdauertrainingsunclassified

“…B. in Form von rezeptiertem Funktionstraining. Ziel dieser Anleitung ist, die Betroffenen zu einem eigenständi-gen Ausdauertraining (allein oder in einer Sportgruppe) zu befähigen[28].Kommentar. In diesem Konsenspunkt wurden Verfahren empfohlen, für die es eine belegte Wirksamkeit für ihren zeitlich befristeten Einsatz gibt.…”

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Das Fibromyalgiesyndrom

Eich

Haüser

Arnold

et al. 2012

Schmerz

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A diagnosis of FMS should be explicitly communicated with the afflicted individual. A step-wise treatment, depending on the severity of FMS and the responses to therapeutic measures, is recommended. Therapy should only be continued if the positive effects outweigh the side effects. The English full-text version of this article is available at SpringerLink (under "Supplemental").

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Physiotherapie und physikalische Verfahren beim Fibromyalgiesyndrom

Cited by 58 publications

References 93 publications

Treatment of Fibromyalgia Syndrome: Recommendations of Recent Evidence-Based Interdisciplinary Guidelines with Special Emphasis on Complementary and Alternative Therapies

Treatment of Fibromyalgia Syndrome: Recommendations of Recent Evidence-Based Interdisciplinary Guidelines with Special Emphasis on Complementary and Alternative Therapies

Umgang mit Patienten mit nicht-spezifischen, funktionellen und somatoformen Körperbeschwerden

Das Fibromyalgiesyndrom

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