Physical therapy in treating fibromyalgia syndrome: a brief review/Fibromiyalji tedavisinde fizik tedavi: kisa derleme

• Published in: Türkiye fiziksel tip ve rehabilitasyon dergisi 2011-03, p.28
• Main Authors: Ediz, Levent, Hiz, Ozcan
• Format: Article
• Language: English
• Subjects: Care and treatment; Exercise therapy; Fibromyalgia; Health aspects
• ISSN: 1302-0234

The pathophysiology of fibromyalgia syndrome (FM) is poorly understood. A wide variety of interventions are used in the management of FM. There is, however, no clear consensus on the management of choice and FM remains relatively refractory to treatment. Currently, multidisciplinary treatment is considered to be the best therapeutic option for FM and physical therapy has an important role in this approach. The objective of this review is to present the scientific evidence relating to physical therapy me thods for the management of FM and give some practical advice for their use. The goals of physical therapy modalities, therapeutic exercises and massage for subjects with FM are to improve or maintain physical function, general fitness, emotional well being, overall health and symptoms, and provide them with a feeling of control over their well being. Therapeutic modalities should be individualised for FM patients based on target symptoms and impairment in functioning. All electrotherapeutic interventions should be performed by a trained physiotherapist to avoid life threatening misusage and side effects of these modalities. In conclusion, the literature to date has assessed the effect of a range of physical therapeutic interventions on various outcomes for FM. At present, use of selected electrotherapeutic intervention or hydrotherapy with aerobic exercises or other exercises programs and massage are indicated. At this time, in the light of literature, none of the currently used physical therapy agents can be refuted in the treatment of FM. Keywords: Fibromyalgia, management, physical therapy, rehabilitation Fibromiyalji sendromunun (FM) patofizyolojisi tam olarak anlasilamamistir. Cok genis bir yelpazedeki tedavi secenekleri FM tedavisinde kullanilmaktadir. Tedavi yonetimi konusunda net bir fikir birligi yoktur ve FM nispeten tedaviye direncli kalir. Su and a, multidisipliner tedavi FM icin en iyi tedavi secenegi olarak kabul edilir ve fizik tedavi bu yaklasimda onemli bir role sahiptir. Bu derlemenin amaci FM tedavi yonetimi icin fizik tedavi yontemleri ile ilgili bilimsel kanit sunmak ve bunlarin kullanim i icin bazi pratik oneriler vermektir. FM li olgular icin fizik tedavi modalitelerinin, terapotik egzersizlerin ve masajin tedavi hedefleri fiziksel fonksiyon, genel saglik, duygusal iyilik halinin korunmasi ve gelistirilmesi ve semptomlar uzerinde ve ge nel iyilik halinde bir kontrol duygusunun saglanmasidir. Tum elektroterapotik uygulamalar bu yontem