Pulmonary Rehabilitation: Pulmonary Rehabilitation |

Complex Rehabilitation in Chest Pain Females With Fibromyalgia FREE TO VIEW

Rodica Traistaru, MD; Mara Popescu-Hagen, MD; Diana Kamal, MD; Paraschiva Postolache, MD
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University of Medicine and Pharmacy, Craiova, Romania

Copyright 2016, American College of Chest Physicians. All Rights Reserved.

Chest. 2016;150(4_S):1121A. doi:10.1016/j.chest.2016.08.1230
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SESSION TITLE: Pulmonary Rehabilitation

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 26, 2016 at 01:30 PM - 02:30 PM

PURPOSE: Fibromyalgia (FM) is a complex disorder that usually occurs in people ages 20 - 60. Fatigue, muscle pain, sleep disturbances, breathing troubles, muscle and chest pain are the most frequently symptoms. Due to the chest pain or the pain gets right into lungs and makes the patient feels like it’s hard to breathe or to get a deep breath out. So, it is important to prevent and control all symptoms, especially breathing troubles. A single blind randomized controlled trial was conducted to evaluate the complex program efficacy in the treatment of FM patients.

METHODS: 26 females (average age 46.3 years) diagnosed with FM by ACR criteria were randomized into two groups: group 1 - 14 patients (G1) was treated by complex therapy (pharmacotherapy, 30-minute massage sessions twice a week, daily chest transcutaneous electrical stimulation and 8 week combine kinetic program - breathing exercises, relaxation techniques and flexibility exercises, daily, cardiovascular exercise 3 times per week, strength training 2 times per week), and group 2 -12 patients (G2) control receiving no kinetotherapy. Parameters measured for all subjects were: the number of tender points, pain (visual analogue scale), 6MWD, perceived exertion and quality of life (Spitzer scale) and value of Fibromyalgia Impact Questionnaire (FIQ).

RESULTS: The number of tender points for patients in the G1 decreased significantly more than the number for those in the G2. The improvements were found FIQ (53.6 % in G1 and 28.3 % in G 2, respectively) (p < 0.05) and improvement in G1 was significantly higher than G2 (p < 0.01). VAS scores for chest pain and 6 MWD were significantly higher in G1. The Spitzer Scale also showed significant improvements in G1 group.

CONCLUSIONS: Combine exercise program can lead to long-term success in the FM management, especially for quality of life and breathing troubles. Treatment of FM is most effective with combinations of education, pharmacotherapy and daily exercises.

CLINICAL IMPLICATIONS: All patients with FM must learn how to correctly perform slow movements, relaxation techniques and breathing exercises because this is the most important and facile therapeutic mode to cope breathing and sleep troubles and prevent to becoming worse.

DISCLOSURE: The following authors have nothing to disclose: Rodica Traistaru, Mara Popescu-Hagen, Diana Kamal, Paraschiva Postolache

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