Symptomatic pain and fibromyalgia treatment through multidisciplinaryapproach for Primary Care

被引：24

作者：

Gonzalez Gonzalez, Jaime ^{[1
,2
]}

del Teso Rubio, Maria del Mar ^{[3
]}

Walino Paniagua, Carmen Nelida

Jose Criado-Alvarez, Juan ^{[1
,4
,5
]}

Sanchez Holgado, Javier ^{[1
]}

机构：

[1] Ctr Salud Santa Olalla, Med Atenc Primaria, Toledo, Spain

[2] Univ Castilla La Mancha, Dept Ciencias Med, Ciudad Real, Spain

[3] Residencia Tercera Edad San Pablo Montes, Terapeuta Ocupac, Toledo, Spain

[4] Asociac Fibromialgia Talavera Reina AFIBROTAR, Terapeuta Ocupac, Toledo, Spain

[5] Univ Castilla La Mancha, Dept Ciencias Med, Ciudad Real, Spain

来源：

REUMATOLOGIA CLINICA | 2015年 / 11卷 / 01期

关键词：

Fibromyalgia; Activities of daily living; Occupational Therapya;

D O I：

10.1016/j.reuma.2014.03.005

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Introduction: Fibromyalgia is a chronic disease of unknown etiology characterized by widespread muscle pain, with occupational, familial, social, physical and psychological performance involvement. The multidisciplinary approach to the disease leads to improvement in quality of life and symptomatology. Objectives: To evaluate the improvement of activities of daily living (ADL) and quality of life following a multidisciplinary intervention (Health Primary Care and Occupational Therapy). Material and methods: Pretest-posttest study performed with a simple random sample of 21 patients with fibromyalgia (range 16-55 years). The measurement was performed with the Barthel scale (ADL), the scale of Lawton and Brody (IADL), the FIQ questionnaire, and no standardized surveys to assess the pre and post intervention situation. An intervention on motor skills (basic motor skills, pool exercise, outdoor exercise, restructuring, occupational performance and graded activity and intervention in ADL) was performed, combining pharmacological control of their symptoms and treatment. Results and conclusions: Fibromyalgia patients are not fully satisfied with their treatment; Primary Care receives a score of 6.89, and Hospital Care 5.79, improving the Barthel, Lawton and Brody and FIQ indexes, being statistically significant (p<. 05). After the combined procedure the number of independent women in ADL and IADL increases. (C) 2013 Elsevier Espana, S.L.U. All rights reserved.

引用

页码：22 / 26

页数：5

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