BIOFEEDBACK AND PHYSICAL THERAPY TREATMENT OF PFS

原发性纤维肌痛综合征（PFS）是最常见的 风湿病学家发现的疾病。 虽然PFS患者 出现“健康”的基础上，客观的体检，疼痛 和功能障碍是这方面的重要问题 患者组。 尽管有报道称， 药物管理或物理治疗计划， 没有对照研究报告长期益处。 事实上，PFS是 一种肌筋膜疼痛的情况，往往“蜡和减弱”， 年 心理因素在这一过程中起着重要作用。 PFS的维持和恶化。 然而， 没有对照研究来评估 对这些患者进行心理干预。 具体 本项目的目标如下：1. 评估短期和长期 放松训练/生物反馈计划的长期结果 （组1）、调理物理治疗程序（组2）或 跨学科联合治疗计划（第3组） 改善疼痛、心理困扰、肌肉紧张和 PFS患者的功能状态。 2.最相关的因素 将确定上述结果。 分层后， 心理困扰和PFS症状变量的持续时间， 这120名受试者将被随机分配到三个 治疗组或注意安慰剂对照组， 接受教育计划。 跨学科小组 参与放松训练/生物反馈， 物理治疗项目 然后，受试者将参加一个六人的 为期一周的培训计划，然后是三年的维护 程序. 评估这些治疗的有效性 项目将基于疼痛，心理困扰， 心理生理功能、压痛点和功能 地位措施。 这些治疗方案将在 六个星期的训练结束。 为了确定长期 这些干预措施的长期有效性，患者将 在完成6个月、21个月和36个月后进行评估 一周的训练计划，同时还参加了 维护程序 治疗，心理，和 与疼痛变化相关的人口统计学变量， 功能将被识别。 经过验证的 PFS干预计划和治疗识别， 产生积极结果的主题变量将 显著改善PFS患者的护理。

Primary Fibromyalgia Syndrome (PFS) is one of the most common disorders seen by the rheumatologist. Although PFS patients appear "healthy" bases on objective physical examination, pain and functional impairment are significant problems for this patient group. Despite the reported short term benefits of pharmacological management or physical therapy programs, there is no controlled study reporting long term benefits. Indeed PFS is a myofascial pain condition which often"waxes and wanes" for years. Psychological factors play a significant role in the maintenance and exacerbation of PFS. Nevertheless, there has been no controlled study to assess the effectiveness of a psychological intervention among these patients. The specific aims of this project are as follows: 1. Assess the short and long term outcome of a relaxation training/biofeedback program (group 1), a conditioning physical therapy program (group 2), or an interdisciplinary combined treatment program (group 3) on improvements in pain, psychological distress, muscle tension, and functional status of PFS patients. 2. Factors most related to the above outcome will be identified. After stratification on psychological distress and duration of PFS symptoms variables, the 120 subjects will be randomly assigned to one of the three treatment groups or to an attention placebo control group which receives an educational program. The interdisciplinary group participates in both the relaxation training/biofeedback and physical therapy programs. Subjects will then participate in a six week training program followed by a three year maintenance program. Evaluation of the effectiveness of these treatment programs will be based on pain, psychological distress, psychophysiological functioning, tender points, and functional status measures. These treatment programs will be compared at the end of the six week training program. To determine the long term effectiveness of these interventions, patients will be assessed at 6, 21, and 36 months following completion of the 6 week training program and while still participating in the maintenance program. Treatment, psychological, and demographic variables associated with changes in pain and functional ability will be identified. The availability of a proven intervention program for PFS and identification of treatment and subject variables which produce positive outcomes will significantly improve the care of PFS patients.