Physical therapy modalities in management of fibromyalgia.
Physical therapy modalities in management of fibromyalgia.
复制标题
治疗纤维肌痛的物理治疗方式。
作者：
A. Gur
纤维肌痛综合征（FM）的病因尚不明确，症状恢复的预后通常较差。各种各样的干预措施被用于FM的管理。然而，在治疗选择上没有明确的共识，FM仍然相对难治。因此，预防、病因治疗和康复是不可能的。FM患者经常使用替代疗法，表明对传统医学治疗的不满或无效。替代疗法通常被认为更“自然”，因此，副作用更少。尽管发现了积极的结果，但与物理治疗方式（如针灸，经皮电刺激，激光，生物反馈，电疗和磁场）的应用相关的出版物数量仍然很少，特别是关于FM治疗。需要证明一种长期有效的干预措施来管理与FM相关的症状。多学科的管理方法包括物理和医学治疗策略。应根据目标症状和功能障碍为患者制定个性化的治疗方式。医生的耐心和积极态度以及患者及其家人积极参与治疗可能会促进病情的改善。可以得出结论，有必要进行更大，更系统和方法学合理的随机对照临床试验，以评估管理FM的物理治疗方式的有效性。我们将回顾一些现有的物理治疗相关的FM治疗的研究，并提供一些实用的建议，为他们的使用。
The etiology of fibromyalgia syndrome (FM) is uncertain and the prognosis for symptomatic recovery is generally poor. A wide variety of interventions are used in the management of FM. There is, however, no clear consensus on the treatment of choice and FM remains relatively refractory to treatment. Therefore, prevention, causal therapy and rehabilitation are not possible. FM patients frequently use alternative therapies, indicating dissatisfaction or ineffectiveness of traditional medical therapy. Alternative therapies are generally perceived to be more "natural" and as a result, to have fewer adverse effects. Despite the positive results found, the number of publications related to the application of physical therapy modalities such as acupuncture, transcutaneous electrical stimulation, laser, biofeedback, electrotherapy and magnetic field is still scant, especially concerning FM treatment. The demonstration of a long-term effective intervention for managing the symptoms associated with FM is needed. Multidisciplinary approaches to management include physical and medical therapeutic strategies. Treatment modalities should be individualised for patients based on target symptoms and impairment in functioning. Patience and positive attitude on part of the physician and active involvement of patients and their families in treatment are likely to enhance improvement. It can be concluded that there is a need for larger, more systematic and methodologically sound randomised controlled clinical trials to evaluate the effectiveness of physical therapy modalities of managing FM. We will review some of the existing studies of physical therapy relevant in the treatment of FM and give some practical advice for their use.
影响因子：
8.2
作者：
Allen, JJB;Schnyer, RN;Hitt, SK
通讯作者：
Hitt, SK