FİBROMİYALJİ SENDROMUNUNDA BÜTÜNCÜL REGÜLATİF TEDAVİ YAKLAŞIMININ ETKİNLİĞİ VE KONVANSİYONEL TEDAVİ YÖNTEMLERİYLE KARŞILAŞTIRILMASI

Öz

Amaç: Bu çalışmada fibromiyaljili hastalarda bütüncül tedavi programının fibromiyalji Etki Anketi (FIQ) üzerinden hayat kalitesine etkisinin değerlendirilmesi ve fibromiyalji tedavisinde yaygın olarak kullanılan farmakolojik ve nonfarmakolojik konvansiyonel tedavilerin FIQ üzerine olan etkisiyle karşılaştırılması amaçlanmıştır. Materyal Method: Çalışmaya ACR-1990 tanı kriterlerini karşılayan 38 hasta alındı ve her hastaya Fibromiyalji Etki Anketi (FIQ) doldurtuldu. Hastalara 4 hafta süren 3 seans nöral terapi, 4 seans prokain baz infüzyonu, 10 seans rektal ozon insuflasyonu, 3 seans beslenme viziti, gerekli görülen hastalara probiyotik ilaç önerisi ve ağır metal şelasyonundan oluşan bütüncül tedavi yaklaşımı uygulandı. Bulgular: Hastaların tedaviye başlamadan önce FIQ puanları 66,96 ± 25,25 (45,64-96,15) iken, 4 haftalık tedavi sonrası FIQ puanları 34,84 ± 33,40 (8,54-75,35) olmuştur (p<0,05). Sonuç: Fibromiyaljide bütüncül tedavi yaklaşımının FIQ Skorlaması üzerinden hayat kalitesine etkisi belirgin olarak yararlı bulunmuştur.

Anahtar Kelimeler

• Fibromiyalji
• nöral terapi
• bütüncül yaklaşım

EFFECTIVENESS OF THE HOLISTIC REGULATIVE TREATMENT APPROACH AND COMPARISON WITH CONVENTIONAL TREATMENT METHODS IN FIBROMYALGIA SYNDROME

Abstract

Objective: The aim of this study was to evaluate the effect of the holistic treatment program on the quality of life in patients with fibromyalgia through the Fibromyalgia Impact Questionnaire (FIQ) and to compare the pharmacological and nonpharmacological conventional treatments commonly used in the treatment of fibromyalgia with the effect on FIQ. Material Method: 38 patients who met the criteria of ACR-1990 diagnosis were included in the study and each patient was filled with Fibromyalgia Impact Questionnaire (FIQ). A holistic treatment approach consisting of 3 sessions of neural therapy, 4 sessions of procaine base infusion, 10 sessions of rectal ozone insufflation, 3 sessions of nutritional visit, and probiotic drug recommendation and heavy metal chelation were applied to the patients. Results: FIQ scores of patients were 66.96 ± 25,25 (45.64-96.15) before starting treatment, while FIQ scores were 34.84 ± 33,40 (8.54-75.35) after 4 weeks of treatment (p <0.05). Conclusion: The effect of holistic treatment approach on fibromyalgia on quality of life through FIQ Scoring was found to be significantly beneficial.

Keywords

• fibromyalgia
• holsitci approach
• neural therapy

Kaynakça

1. Robert Bennett, MD, FRCP, FACP, Professor of Medicine, Department of Medicine (OP09), Oregon Health and Science University, Portland, OR 97329, USA. The Fibromyalgia Impact Questionnaire (FIQ): a review of its development, current version, operating characteristics and uses
2. 2. Ata AM, Çetin A. Fibromiyalji Tanımı, Epidemiyolojisi: Türkiye Klinikleri J PM&R-Special Topics 2015; 8(3): 1-4
3. 3. Gür A, Çevik R, Nas K, Saraç AJ, Özen Ş. Quality of life in young fibromyalgia patients and effect of deppression. Aplar J Rheumatol. 2006;9: 70-78
4. 4. Wolfe F, Smythe HA, Yunus MB et al.: The American College of Rheumatology 1990 criteria for the classification of fibromyalgia: Report of the Multicenter Criteria Committee. Arthritis Rheum 1990; 33: 160-72.
5. 5. Ay S. Fibromiyalji Sendromunun Patogenezi: Türkiye Klinikleri JPM&R Special Topics 2015; 8(3):5-9
6. 6. Nazlıkul H. Fibromiyalji Sendromu. BARNAT 2014; 8(2): 1-9
7. 7. Bellato E, Marini E, Castoldi F, Barbasetti N, Mattei L,Bonasia DE, et al. Fibromyalgia Syndrome: Etiology, pathogenesis, diagnosis, and treatment. Pain Res Treat 2012; 426-30.
8. 8. YunusMB: Towards a model of pathophysiology of fibromyalgia: aberrant central pain mechanisms with peripheral modulation [editorial]. J Rheumatol 1992; 19: 846-50.