Intervención fisioterapéutica en fibromialgia

Mónica Carolina Delgado Molina, Rosa Helena Eraso Angulo, Jonathan Adrián Muñoz Luna, Mayra Valeria Escobar Insuasti, Daira Yalile Benavides Benitez, María Fernanda Burbano Goyes

Texto completo:

PDF

Resumen

Introducción: La fibromialgia afecta el movimiento corporal. Provoca dolor en puntos claves, causa molestias musculoesqueléticas y limita la actividad de las personas. Se ha descrito que la fisioterapia mejora de calidad de vida de estos pacientes.

Objetivo: Identificar los test de evaluación y los procesos de intervención fisioterapéutica utilizados en la fibromialgia.

Métodos: Se realizó una revisión de literatura en PubMed, ScientsDirect, SciELO y LILLACS, con la terminología MeSH y DeCS, entre 2017 y 2022.

Resultados: La escala visual análoga y la algometría por presión son los test utilizados para el dolor. La hidroterapia, el cupping, la punción seca, el masaje sueco, los ejercicios respiratorios y los aeróbicos resultan los métodos de intervención con más uso.

Conclusiones: Los procesos de intervención se deben plantear según las evaluaciones del dolor y la funcionalidad en la persona. El tratamiento fisioterapéutico de la fibromialgia debe tener un componente de ejercicio físico aérobico y fuerza para disminuir la fatiga; devolverle al músculo su funcionalidad y aumentar la capacidad aeróbica.

Palabras clave

fibromialgia; rehabilitación; fisioterapia.

Referencias

Von J, Paice J, Preodor M. Diagnóstico y tratamiento en el dolor. 1 ed. Madrid: McGraw-Hill; 2007.

Giorgi V, Sirotti S, Romano E, Marotto D, Ablin J, Salaffi F, et al. Fibromyalgia: one year in review 2022. Clin Exp Rheumatol. 2022;40(6):1065-72. DOI: https://doi.org/10.55563/clinexprheumatol/if9gk2

Garcia A, De la Coba P, Reyes G. Central sensitisation pain and autonomic deficiencies in fibromialgia. Clin Exp Rheumatol. 2022;40(6):1202-09. DOI: https://doi.org/10.55563/clinexprheumatol/n280oi

Kim D, Lim M, Sic J, Kee C. Structural and functional thalamocortical connectivity study in female fibromyalgia. Sci Rep. 2021;11(1):23323. DOI: https://doi.org/10.1038/s41598-021-02616-1

Murillo A, Adsuar J, Villafaina S, Collado D, Gusi N. Creative versus repetitive dance therapies to reduce the impact of fibromyalgia and pain: A systematic review and meta-analysis. Complement Ther Clin Pract. 2022;47:101577. DOI: https://doi.org/10.1016/j.ctcp.2022.101577

Colas C, Goutte J, Creach C, Fontana L, Vericel M, Manzanares J, et al. Efficiency of an optimized care organization in fibromyalgia patients: the from intent to move (FIMOUV) study protocol of a randomized controlled trial. Front Public Health. 2021;9:554291. DOI: https://doi.org/10.3389/fpubh.2021.554291

Davydov D, Galvez C, Montoro C, Muñoz C, Reyes G. Personalized behavior management as a replacement for medications for pain control and mood regulation. Sci Rep. 2021;11(1):20297. DOI: https://doi.org/10.1038/s41598-021-99803-x

Pashali M, Lazaridou A, Vilsmark E, Lee J, Berry M, Grahl A, et al. The "self" in pain: high levels of schema-enmeshment worsen fibromyalgia impact. BMC Musculoskelet Disord. 2021;22(1):871. DOI: https://doi.org/10.1186/s12891-021-04740-5

Tan L, Cicuttini F, Fairley J, Romero L, Estee M, Monira S, et al. Does aerobic exercise effect pain sensitisation in individuals with musculoskeletal pain? A systematic review. BMC Musculoskelet Disord. 2022;23(1):113. DOI: https://doi.org/10.1186/s12891-022-05047-9

Pernambuco A, Silva L, Fonseca A, Reis D. Clinical profile of patients with fibromyalgia syndrome. Fisioter Mov. 2017;30(2):287-96. DOI: https://doi.org/10.1590/1980-5918.030.002.AO09

Park H, Song M, Kim D, Choi I, Jan Y. Comparison of core muscle strengthening exercise and stretching exercise in middle-aged women with fibromyalgia: A randomized, single-blind, controlled study. Medicine (Baltimore). 2021;100(50):e27854. DOI: https://doi.org/10.1097/md.0000000000027854

Assunção J, de Almeida H, da Silva J, da Silva R, de Almeida C, de Souza M. Zumba dancing can improve the pain and functional capacity in women with fibromyalgia. J Bodyw Mov Ther. 2018;22(2):455-59. DOI: https://doi.org/10.1016/j.jbmt.2017.09.022

Tomas P, Biehl C, Del Pozo J, Parraca J, Folgado H, Pérez M. Effects of respiratory muscle training on respiratory efficiency and health-related quality of life in sedentary women with fibromyalgia: a randomised controlled trial. Clin Exp Rheumatol. 2022;40(6):1119-26. DOI: https://doi.org/10.55563/clinexprheumatol/0v55nh

Couto N, Monteiro D, Cid L, Bento T. Effect of different types of exercise in adult subjects with fibromyalgia: a systematic review and meta-analysis of randomised clinical trials. Sci Rep. 2022;12(1):10391. DOI: https://doi.org/10.1038/s41598-022-14213-x

Araya F, Gutiérrez H, Fuentes J, Prieto F, Pavez L, Cristi C, et al. Effectiveness of multicomponent treatment in patients with fibromyalgia: protocol for a systematic review and meta-analysis. Syst Rev. 2022;11(1):69. DOI: https://doi.org/10.1186/s13643-022-01944-1

Arakaki J, Jennings F, Estrela G, Cruz Martinelli V, Natour J. Strengthening exercises using swiss ball improve pain, health status, quality of life and muscle strength in patients with fibromyalgia: a randomized controlled trial. Reumatismo. 2021;73(1):15-23. DOI: https://doi.org/10.4081/reumatismo.2021.1357

Mingorance J, Montoya P, Vivas J, Riquelme I. A Comparison of the effect of two types of whole body vibration platforms on fibromyalgia. A randomized controlled trial. Int J Environ Res Public Health. 2021;18(6):3007. DOI: https://doi.org/10.3390/ijerph18063007

Llàdser A, Montesó P, López C, Rosselló L, Lear S, Toussaint L, et al. Multidisciplinary rehabilitation treatments for patients with fibromyalgia: a systematic review. Eur J Phys Rehabil Med. 2022;58(1):76-84. DOI: https://doi.org/10.23736/s1973-9087.21.06432-7

Maindet C, Maire A, Vermorel C, Cracowski C, Rolland C, Forestier R, et al. Spa therapy for the treatment of fibromyalgia: an open, randomized multicenter trial. J Pain. 2021;22(8):940-51. DOI: https://doi.org/10.1016/j.jpain.2021.02.010

Hernando I, Ceballos L, Mingo MT, Medrano R, Estébanez E, Martínez MN, et al. Immediate effects of a Telerehabilitation Program based on aerobic exercise in women with fibromyalgia. Int J Environ Res Public Health. 2021;18(4):2075. DOI: https://doi.org/10.3390/ijerph18042075

Kashikar S, Briggs MS, Bout S, Connelly M, Daffin M, Guite J, et al. Randomized clinical trial of Fibromyalgia Integrative Training (FIT teens) for adolescents with juvenile fibromyalgia - Study design and protocol. Contemp Clin Trials. 2021;103:106321. DOI: https://doi.org/10.1016/j.cct.2021.106321

Berardi G, Senefeld J, Hunter S, Bement M. Impact of isometric and concentric resistance exercise on pain and fatigue in fibromyalgia. Eur J Appl Physiol. 2021;121(5):1389-1404. DOI: https://doi.org/10.1007/s00421-021-04600-z

Bernardi L, Bertuccelli M, Formaggio E, Rubega M, Bosco G, Tenconi E, et al. Beyond physiotherapy and pharmacological treatment for fibromyalgia syndrome: tailored tACS as a new therapeutic tool. Eur Arch Psychiatry Clin Neurosci. 2021;271(1):199-210. DOI: https://doi.org/10.1007/s00406-020-01214-y

Maffei M. Fibromyalgia: recent advances in diagnosis, classification, pharmacotherapy and alternative remedies. Int J Mol Sci. 2020;21(21):7877. DOI: https://doi.org/10.3390/ijms21217877

Betancur L, Ovalle M. Fibromialgia y síndrome de dolor miofascial abordadas desde la liberación miofascial y la punción seca. Rev Colomb Rehabil. 2019 [acceso 20/03/2022];18(1):62-74. Disponible en: https://pesquisa.bvsalud.org/portal/resource/es/biblio-995628

Culpi M, Matinell A. Desativação de pontos-gatilho no tratamento da dor miofascial. Rev Bras Med Fam Comunid. 2018 [acceso 20/03/2022];13(40):1-9. Disponible en: https://pesquisa.bvsalud.org/portal/resource/es/biblio-969413

Correia L, Lima B, Fontes F, Varella L, Brasileiro J. Efeito do treinamento resistido na redução da dor no tratamento de mulheres com fibromialgia: revisão sistemática. Rev Bras Ciênc Mov. 2018 [acceso 20/03/2022];26(2):170-5. Disponible en: https://pesquisa.bvsalud.org/portal/resource/es/biblio-915008

Schulze N, Salemi M, de Alencar G, Moreira M, de Siqueira G. Efficacy of manual therapy on pain, impact of disease, and quality of life in the treatment of fibromyalgia: a systematic review. Pain Physician. 2020 [acceso 22/05/2022];23(5):461-76. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32967389/

Rulleau T, Planche L, Etcheverrigaray F, Dorion A, Kacki N, Miot M, et al. Comparison of patient-led, fibromyalgia-orientated physical activity and a non-specific, standardised 6-month physical activity program on quality of life in individuals with fibromyalgia: a protocol for a randomised controlled trial. Trials. 2020;21(1):800. DOI: https://doi.org/10.1186/s13063-020-04730-3

Estévez F, Maestre C, Russell D, Álvarez IC, Rodriguez M, Hughes CM, et al. Effectiveness of exercise on fatigue and sleep quality in fibromyalgia: a systematic review and meta-analysis of randomized trials. Arch Phys Med Rehabil. 2021;102(4):752-61. DOI: https://doi.org/10.1016/j.apmr.2020.06.019

Bernardi L, Bertuccelli M, Formaggio E, Rubega M, Bosco G, Tenconi E, et al. Beyond physiotherapy and pharmacological treatment for fibromyalgia syndrome: tailored tACS as a new therapeutic tool. Eur Arch Psychiatry Clin Neurosci. 2021;271(1):199-210. DOI: https://doi.org/10.1007/s00406-020-01214-y

Falaguera F, Garcia M, Bonastre J, Zacarés M, Oltra E. Pressure point thresholds and ME/CFS comorbidity as indicators of patient's response to manual physiotherapy in fibromyalgia. Int J Environ Res Public Health. 2020;17(21):8044. DOI: https://doi.org/10.3390/ijerph17218044

Salaffi F, Di Carlo M, Farah S, Marotto D, Giorgi V, Sarzi-Puttini P. Exercise therapy in fibromyalgia patients: comparison of a web-based intervention with usual care. Clin Exp Rheumatol. 2020 [acceso 22/05/2022];(supl123)(1):86-93. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32116212/

Sauch G, Vidal J, Poch PR, Peña J, Panadés R, Cantero F, et al. Effects of a physical exercise program on patients affected with fibromyalgia. J Prim Care Community Health. 2020;11:2150132720965071. DOI: https://doi.org/10.1177/2150132720965071

Flynn DM. Chronic musculoskeletal pain: nonpharmacologic, noninvasive treatments. Am Fam Physician. 2020 [acceso 22/05/2022];102(8):465-77. Disponble en: https://pubmed.ncbi.nlm.nih.gov/33064421/

Galvão L, de Castro L, Moura E, de Oliveira C, Nogueira J, Gomes L, et al. Pool-based exercise for amelioration of pain in adults with fibromyalgia syndrome: A systematic review and meta-analysis. Mod Rheumatol. 2021;31(4):904-11. DOI: https://doi.org/10.1080/14397595.2020.1829339

Toprak S, Anaforoglu B, Ertugrul M, Un N, Gulcin F, Akkus S, et al. Una comparación de los efectos de los ejercicios más el masaje del tejido conectivo con los ejercicios solos en mujeres con síndrome de fibromialgia: un ensayo controlado aleatorio. Reumatol Int. 2017;37(11):1799-1806. DOI: https://doi.org/10.1007/s00296-017-3805-3

Nadal Y, Rubio JÁ, Martínez M, Reche C, Hernández M, Martínez A. Effects of manual therapy on fatigue, pain, and psychological aspects in women with fibromyalgia. Int J Environ Res Public Health. 2020;17(12):4611. DOI: https://doi.org/10.3390/ijerph17124611

Izquierdo R, Inglés M, Cortés S, Gimeno L, Chirivella J, Kropotov J, et al. Low-intensity physical exercise improves pain catastrophizing and other psychological and physical aspects in women with fibromyalgia: a randomized controlled trial. Int J Environ Res Public Health. 2020;17(10):3634. DOI: https://doi.org/10.3390/ijerph17103634

Vance CGT, Zimmerman MB, Dailey DL, Rakel BA, Geasland KM, Chimenti RL, et al. Reduction in movement-evoked pain and fatigue during initial 30-minute transcutaneous electrical nerve stimulation treatment predicts transcutaneous electrical nerve stimulation responders in women with fibromyalgia. Pain. 2021;162(5):1545-55. DOI: https://doi.org/10.1097/j.pain.0000000000002144

Araújo F, DeSantana J. Physical therapy modalities for treating fibromyalgia. F1000Res. 2019;8:F1000 Faculty Rev-2030. DOI: https://doi.org/10.12688/f1000research.17176.1

Araya F, Gutiérrez H, Muñoz MJ, Cavero I, Álvarez C, Martinez V. Effectiveness of a multicomponent treatment versus conventional treatment in patients with fibromyalgia: study protocol. Medicine (Baltimore). 2020;99(4):e18833. DOI: https://doi.org/10.1097/md.0000000000018833

Villafaina S, Borrega Y, Fuentes JP, Collado D, Gusi N. Effect of exergame training and detraining on lower-body strength, agility, and cardiorespiratory fitness in women with fibromyalgia: single-blinded randomized controlled trial. Int J Environ Res Public Health. 2019;17(1):161. DOI: https://doi.org/10.3390/ijerph17010161

Chiaramonte R, Bonfiglio M, Chisari S. Multidisciplinary protocol for the management of fibromyalgia associated with imbalance. Our experience and literature review. Rev Assoc Med Bras. 2019;65(10):1265-74. DOI: https://doi.org/10.1590/1806-9282.65.10.1265

Andrade A, De Azevedo R, Mendes S, Reis D, Torres G. Acute effect of strength training on mood of patients with fibromyalgia syndrome. Reumatismo. 2019;71(3):141-7. DOI: https://doi.org/10.4081/reumatismo.2019.1169

Kim SY, Busch AJ, Overend TJ, Schachter CL, van der Spuy I, Boden C, et al. Flexibility exercise training for adults with fibromyalgia. Cochr Datab Syst Rev. 2019;9(9):CD013419. DOI: https://doi.org/10.1002/14651858.cd013419

Bravo C, Skjaerven LH, Guitard L, Catalan D. Effectiveness of movement and body awareness therapies in patients with fibromyalgia: a systematic review and meta-analysis. Eur J Phys Rehabil Med. 2019;55(5):646-57. DOI: https://doi.org/10.23736/s1973-9087.19.05291-2

Enlaces refback

  • No hay ningún enlace refback.




Copyright (c) 2023 Mónica Carolina Delgado-Molina, Rosa Helena Eraso-Angulo, Jonathan Adrián Muñoz Luna, Mayra Valeria Escobar Insuasti, Daira Yalile Benavides Benitez, María Fernanda Burbano Goyes

Licencia de Creative Commons
Esta obra está bajo una licencia de Creative Commons Reconocimiento-NoComercial 4.0 Internacional.