Multidisciplinary approach to fibromyalgia: What is the teaching?

被引：63
作者：
Sarzi-Puttini, Piercarlo [1 ]
Atzeni, Fabiola [1 ,2 ]
Salaffi, Fausto [3 ]
Cazzola, Marco [4 ]
Benucci, Maurizio [5 ]
Mease, Philip J. [6 ]
机构：
[1] Osped L Sacco, L Sacco Univ Hosp, Rheumatol Unit, I-20127 Milan, Italy
[2] Queen Maly Univ London, William Harvey Res Inst, London, England
[3] Polytech Univ Marche, Dept Rheumatol, Ancona, Italy
[4] Azienda Osped Osped Circolo Busto Arsizio Presidi, Unita Operat Med Riabilitat, Varese, Italy
[5] Osped San Giovanni di Dio, Rheumatol Unit, Cagliari, Italy
[6] Univ Washington, Sch Med, Swedish Med Ctr, Seattle, WA USA
来源：
BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY | 2011年 / 25卷 / 02期
关键词：
Fibromyalgia; Interdisciplinary management; Drugs; CONTROLLED CLINICAL-TRIAL; PHARMACOLOGICAL-TREATMENT; DOUBLE-BLIND; PATIENT EDUCATION; SELF-MANAGEMENT; SODIUM OXYBATE; EXERCISE; PAIN; THERAPIES; SYMPTOMS;
D O I：
10.1016/j.berh.2011.03.001
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Fibromyalgia (FM) is a rheumatic disease that is characterised by chronic musculoskeletal pain, stiffness, fatigue, sleep and mood disorder. FM patients demonstrate dysregulation of pain neurotransmitter function and experience a neurohormone-mediated association with sleep irregularities. There are currently no instrumental tests or specific diagnostic markers for FM, and many of the existing indicators are only significant for research purposes. Antidepressants, non-steroidal anti-inflammatory drugs (NSAIDS), opioids, sedatives, muscle relaxants and antiepileptics have all been used to treat FM with varying results. It has been shown that interdisciplinary treatment programmes lead to greater improvements in subjective pain and function than monotherapies. Physical exercise and multimodal cognitive behavioural therapy are the most widely accepted and beneficial forms of non-pharmacological therapy. (C) 2011 Published by Elsevier Ltd.
引用
收藏
页码：311 / 319
页数：9
相关论文
共 76 条
[11]   A symptom-based approach to pharmacologic management of fibromyalgia [J].
Boomershine, Chad S. ;
Crofford, Leslie J. .
NATURE REVIEWS RHEUMATOLOGY, 2009, 5 (04) :191-199
[12]   EDUCATION-PROGRAMS FOR FIBROMYALGIA PATIENTS - DESCRIPTION AND EVALUATION [J].
BURCKHARDT, CS ;
BJELLE, A .
BAILLIERES CLINICAL RHEUMATOLOGY, 1994, 8 (04) :935-955
[13]   Multidisciplinary approaches for management of fibromyalgia [J].
Burckhardt, CS .
CURRENT PHARMACEUTICAL DESIGN, 2006, 12 (01) :59-66
[14]  
BURCKHARDT CS, 1994, J RHEUMATOL, V21, P714
[15]  
Busch A, 2002, COCHRANE DB SYST REV, V3
[16]  
Busch AJ, 2002, COCHRANE DATABASE SY
[17]  
Busch AJ, 2008, J RHEUMATOL, V35, P1130
[18]   EULAR evidence-based recommendations for the management of fibromyalgia syndrome [J].
Carville, S. F. ;
Arendt-Nielsen, S. ;
Bliddal, H. ;
Blotman, F. ;
Branco, J. C. ;
Buskila, D. ;
Da Silva, J. A. P. ;
Danneskiold-Samsoe, B. ;
Dincer, F. ;
Henriksson, C. ;
Henriksson, K. G. ;
Kosek, E. ;
Longley, K. ;
McCarthy, G. M. ;
Perrot, S. ;
Puszczewicz, M. ;
Sarzi-Puttini, P. ;
Silman, A. ;
Spaeth, M. ;
Choy, E. H. .
ANNALS OF THE RHEUMATIC DISEASES, 2008, 67 (04) :536-541
[19]   Non pharmacological treatments in fibromyalgia [J].
Casale, R. ;
Cazzola, M. ;
Arioli, G. ;
Gracely, R. H. ;
Ceccherelli, F. ;
Atzeni, F. ;
Stisi, S. ;
Cassisi, G. ;
Altomonte, L. ;
Alciati, A. ;
Leardini, G. ;
Gorla, R. ;
Marsico, A. ;
Torta, R. ;
Giamberardino, M. A. ;
Buskila, D. ;
Spath, M. ;
Marinangeli, F. ;
Bazzichi, L. ;
Di Franco, M. ;
Biasi, G. ;
Salaffi, F. ;
Carignola, R. ;
Sarzi-Puttini, P. .
REUMATISMO, 2008, 60 :59-69
[20]   Symptoms and signs in fibromyalgia syndrome [J].
Cassisi, G. ;
Sarzi-Puttini, P. ;
Alciati, A. ;
Casale, R. ;
Bazzichi, L. ;
Carignola, R. ;
Gracely, R. H. ;
Salaffi, F. ;
Marinangeli, F. ;
Torta, R. ;
Giamberardino, M. A. ;
Buskila, D. ;
Spath, M. ;
Cazzola, M. ;
Di Franco, M. ;
Biasi, G. ;
Stisi, S. ;
Altomonte, L. ;
Arioli, G. ;
Leardini, G. ;
Gorla, R. ;
Marsico, A. ;
Ceccherelli, F. ;
Atzeni, F. .
REUMATISMO, 2008, 60 :15-24
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