Fibromiyalji Sendromunda Tamamlayıcı Tedaviler

Yıl 2022, Cilt: 4 Sayı: 1, 49 - 56, 20.03.2022

Cansu Demiray Ayşe Zengin Alpözgen

Öz

En belirgin semptomun ağrı olduğu fibromiyalji sabah tutukluğu, yorgunluk, günlük fonksiyonlarda bozulma ile kişilerin yaşam kalitesini etkileyen kronik yaygın bir kas-iskelet sistemi hastalığıdır. Prevalansın yaşla birlikte arttığı fibromiyalji kadınları erkeklerden daha çok etkiler. Fibromiyaljinin tedavisi konusunda net bir fikir birliği olmadığından tedavide çok çeşitli yöntemler kullanılmaktadır. Tedavilerin amacı hastaların genel fonksiyonel durumlarını ve sağlık hallerini iyileştirmektir. Günümüzde tedavide farmakolojik tedavi, farmakolojik olmayan tedavi ve tamamlayıcı tedaviler beraber ya da ayrı ayrı uygulanmaktadır. Tamamlayıcı tedaviler fibromiyalji hastaları tarafından güvenilir ve doğal yöntemler olarak görüldüğünden çok sık tercih edilmektedir. Bu derlemede fibromiyaljide kullanılan tamamlayıcı tedavilerin etkinliği araştırılmıştır. Ele alınan tamamlayıcı tedaviler arasında akupunktur, Tai Chi, Çigong, meditasyon ve kupa terapi yer almaktadır. Bu tamamlayıcı tedavilerin etkinliği fibromiyalji sendromunda özellikle ağrı semptomu yönünden incelenmiştir.

Anahtar Kelimeler

Fibromiyalji, Akupunktur, Tai Chi, Çigong, Meditasyon

Complementary Therapies in Fibromyalgia Syndrome

Öz

Fibromyalgia, the most prominent symptom of which is pain, is a chronic common musculoskeletal disease that affects the quality of life of individuals with morning stiffness, fatigue and deterioration in daily functions. Fibromyalgia, the prevalence of which increases with age, affects more women than men. The aim of the treatments is to improve the general functional status and health of the patients. Nowadays, pharmacological treatment, non-pharmacological treatment and complementary therapies are applied together or separately in treatment. Complementary therapies are frequently preferred by fibromyalgia patients as they are seen as safe and natural methods. In this review, the effectiveness of complementary therapies used in fibromyalgia was investigated. Complementary therapies considered include acupuncture, Tai Chi, Qigong, meditation and cupping therapy. The efficacy of these complementary therapies has been investigated in fibromyalgia syndrome, especially in terms of pain symptom.

Anahtar Kelimeler

Fibromyalgia, Acupuncture, Tai Chi, Qigong, Meditation

Kaynakça

• Clauw DJ. Fibromyalgia: a clinical review. Jama. 2014;311(15):1547-55.
• Mist SD, Firestone KA, Jones KD. Complementary and alternative exercise for fibromyalgia: a meta-analysis. J Pain Res. 2013;6:247-60.
• Carville SF, Choy EH. Systematic review of discriminating power of outcome measures used in clinical trials of fibromyalgia. J Rheumatol. 2008;35(11):2094-105.
• Choy E. Oxford Rheumatology Library Fibromyalgia Syndrome. United Statesmeas: Oxford University Press; 2015.
• Sumpton JE, Moulin DE. Fibromyalgia. Handb Clin Neurol. 2014;119:513-27.
• Mease P. Fibromyalgia syndrome: review of clinical presentation, pathogenesis, outcome measures, and treatment. The Journal of Rheumatology. 2005;75;6-21
• Arnold LM, Bennett RM, Crofford LJ, Dean LE, Clauw DJ, Goldenberg DL, et al. AAPT Diagnostic Criteria for Fibromyalgia. J Pain. 2019;20(6):611-28.
• Gur A. Physical Therapy Modalities in Management of Fibromyalgia. Current Pharmaceutical Design, 2006 12, 29-35. 2006.
• Evcik D, Ketenci A, Sindel D. The Turkish Society of Physical Medicine and Rehabilitation (TSPMR) guideline recommendations for the management of fibromyalgia syndrome. Turk J Phys Med Rehabil. 2019;65(2):111-23.
• Kozasa EH, Tanaka LH, Monson C, Little S, Leao FC, Peres MP. The effects of meditation-based interventions on the treatment of fibromyalgia. Curr Pain Headache Rep. 2012;16(5):383-7.
• Macfarlane GJ, Kronisch C, Dean LE, Atzeni F, Häuser W, Fluß E, et al. EULAR revised recommendations for the management of fibromyalgia. Ann Rheum Dis. 2017;76(2):318-28.
• Mayhew E, Ernst E. Acupuncture for fibromyalgia--a systematic review of randomized clinical trials. Rheumatology (Oxford). 2007;46(5):801-4.
• Zhang Y, Wang C. Acupuncture and Chronic Musculoskeletal Pain. Curr Rheumatol Rep. 2020;22(11):80.
• Van Hal M, Dydyk AM, Green MS. Acupuncture. StatPearls. Treasure Island (FL): StatPearls; 2021.
• Assefi NP, Sherman KJ, Jacobsen C, Goldberg J, Smith WR, Buchwald D. A randomized clinical trial of acupuncture compared with sham acupuncture in fibromyalgia. Ann Intern Med. 2005;143(1):10-9.
• Uğurlu FG, Sezer N, Aktekin L, Fidan F, Tok F, Akkuş S. The effects of acupuncture versus sham acupuncture in the treatment of fibromyalgia: a randomized controlled clinical trial. Acta Reumatol Port. 2017;42(1):32-7.
• Martin DP, Sletten CD, Williams BA, Berger IH. Improvement in fibromyalgia symptoms with acupuncture: results of a randomized controlled trial. Mayo Clin Proc. 2006;81(6):749-57.
• Vas J, Santos-Rey K, Navarro-Pablo R, Modesto M, Aguilar I, Campos M, et al. Acupuncture for fibromyalgia in primary care: a randomised controlled trial. Acupunct Med. 2016;34(4):257-66.
• Sprott H, Franke S, Kluge H, Hein G. Pain treatment of fibromyalgia by acupuncture. Rheumatology International. 1998;18(1):35-6.
• Harris RE, Tian X, Williams DA, Tian TX, Cupps TR, Petzke F, et al. Treatment of fibromyalgia with formula acupuncture: investigation of needle placement, needle stimulation, and treatment frequency. J Altern Complement Med. 2005;11(4):663-71.
• Targino RA, Imamura M, Kaziyama HH, Souza LP, Hsing WT, Furlan AD, et al. A randomized controlled trial of acupuncture added to usual treatment for fibromyalgia. J Rehabil Med. 2008;40(7):582-8.
• Bastos JL, Pires ED, Silva ML, de Araujo FL, Silva JR. Effect of acupuncture at tender points for the management of fibromyalgia syndrome: a case series. J Acupunct Meridian Stud. 2013;6(3):163-8.
• Di Carlo M, Beci G, Salaffi F. Acupuncture for Fibromyalgia: An Open-Label Pragmatic Study on Effects on Disease Severity, Neuropathic Pain Features, and Pain Catastrophizing. Evid Based Complement Alternat Med. 2020;2020:9869250.
• Marks R. Qigong and Musculoskeletal Pain. Curr Rheumatol Rep. 2019;21(11):59.
• Vera FM, Manzaneque JM, Rodríguez FM, Bendayan R, Fernández N, Alonso A. Acute Effects on the Counts of Innate and Adaptive Immune Response Cells After 1 Month of Taoist Qigong Practice. International Journal of Behavioral Medicine. 2016;23(2):198-203.
• Liu W, Zahner L, Cornell M, Le T, Ratner J, Wang Y, et al. Benefit of Qigong exercise in patients with fibromyalgia: a pilot study. Int J Neurosci. 2012;122(11):657-64.
• Sarmento CVM, Moon S, Pfeifer T, Smirnova IV, Colgrove Y, Lai SM, et al. The therapeutic efficacy of Qigong exercise on the main symptoms of fibromyalgia: A pilot randomized clinical trial. Integr Med Res. 2020;9(4):100416.
• Stephens S, Feldman BM, Bradley N, Schneiderman J, Wright V, Singh-Grewal D, et al. Feasibility and effectiveness of an aerobic exercise program in children with fibromyalgia: results of a randomized controlled pilot trial. Arthritis Rheum. 2008;59(10):1399-406.
• Haak T, Scott B. The effect of Qigong on fibromyalgia (FMS): a controlled randomized study. Disabil Rehabil. 2008;30(8):625-33.
• Mannerkorpi K, Arndorw M. Efficacy and feasibility of a combination of body awareness therapy and qigong in patients with fibromyalgia: a pilot study. J Rehabil Med. 2004;36(6):279-81.
• Astin JA, Berman BM, Bausell B, Lee W-L, Hochberg M, Forys KL. The efficacy of mindfulness meditation plus Qigong movement therapy in the treatment of fibromyalgia: a randomized controlled trial. The Journal of Rheumatology. 2003;30(10):2257-62.
• Wayne PM, Kaptchuk TJ. Challenges inherent to t'ai chi research: part I--t'ai chi as a complex multicomponent intervention. J Altern Complement Med. 2008;14(1):95-102.
• Lan C, Chen SY, Lai JS, Wong AM. Tai chi chuan in medicine and health promotion. Evid Based Complement Alternat Med. 2013;2013:502131.
• Li JX, Hong Y, Chan KM. Tai chi: physiological characteristics and beneficial effects on health. British Journal of Sports Medicine. 2001;35(3):148-56.
• Kong LJ, Lauche R, Klose P, Bu JH, Yang XC, Guo CQ, et al. Tai Chi for Chronic Pain Conditions: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Sci Rep. 2016;6:25325.
• Jones KD, Sherman CA, Mist SD, Carson JW, Bennett RM, Li F. A randomized controlled trial of 8-form Tai chi improves symptoms and functional mobility in fibromyalgia patients. Clinical Rheumatology. 2012;31(8):1205-14.
• Wang C, Schmid CH, Rones R, Kalish R, Yinh J, Goldenberg DL, et al. A randomized trial of tai chi for fibromyalgia. N Engl J Med. 2010;363(8):743-54.
• Taggart HM, Arslanian CL, Bae S, Singh K. Effects of T'ai Chi exercise on fibromyalgia symptoms and health-related quality of life. Orthop Nurs. 2003;22(5):353-60.
• Segura-Jiménez V, Romero-Zurita A, Carbonell-Baeza A, Aparicio VA, Ruiz JR, Delgado-Fernández M. Effectiveness of Tai-Chi for decreasing acute pain in fibromyalgia patients. Int J Sports Med. 2014;35(5):418-23.
• Romero-Zurita A, Carbonell-Baeza A, Aparicio VA, Ruiz JR, Tercedor P, Delgado-Fernández M. Effectiveness of a tai-chi training and detraining on functional capacity, symptomatology and psychological outcomes in women with fibromyalgia. Evid Based Complement Alternat Med. 2012;2012:614196.
• Carbonell-Baeza A, Romero A, Aparicio VA, Ortega FB, Tercedor P, Delgado-Fernández M, et al. Preliminary findings of a 4-month Tai Chi intervention on tenderness, functional capacity, symptomatology, and quality of life in men with fibromyalgia. Am J Mens Health. 2011;5(5):421-9.
• Wang C, McAlindon T, Fielding RA, Harvey WF, Driban JB, Price LL, et al. A novel comparative effectiveness study of Tai Chi versus aerobic exercise for fibromyalgia: study protocol for a randomized controlled trial. Trials. 2015;16:34.
• Sampaio CV, Lima MG, Ladeia AM. Meditation, Health and Scientific Investigations: Review of the Literature. J Relig Health. 2017;56(2):411-27.
• Brandmeyer T, Delorme A, Wahbeh H. The neuroscience of meditation: classification, phenomenology, correlates, and mechanisms. Prog Brain Res. 2019;244:1-29.
• Van Gordon W, Shonin E, Dunn TJ, Garcia-Campayo J, Griffiths MD. Meditation awareness training for the treatment of fibromyalgia syndrome: A randomized controlled trial. Br J Health Psychol. 2017;22(1):186-206.
• Schmidt S, Grossman P, Schwarzer B, Jena S, Naumann J, Walach H. Treating fibromyalgia with mindfulness-based stress reduction: results from a 3-armed randomized controlled trial. Pain. 2011;152(2):361-9.
• Cash E, Salmon P, Weissbecker I, Rebholz WN, Bayley-Veloso R, Zimmaro LA, et al. Mindfulness meditation alleviates fibromyalgia symptoms in women: results of a randomized clinical trial. Ann Behav Med. 2015;49(3):319-30.
• Grossman P, Tiefenthaler-Gilmer U, Raysz A, Kesper U. Mindfulness training as an intervention for fibromyalgia: evidence of postintervention and 3-year follow-up benefits in well-being. Psychother Psychosom. 2007;76(4):226-33.
• Parra-Delgado M, Latorre-Postigo JM. Effectiveness of mindfulness-based cognitive therapy in the treatment of fibromyalgia: A randomised trial. Cognitive therapy and research. 2013;37(5):1015-26.
• Davis MC, Zautra AJ. An online mindfulness intervention targeting socioemotional regulation in fibromyalgia: results of a randomized controlled trial. Ann Behav Med. 2013;46(3):273-84.
• Rosenzweig S, Greeson JM, Reibel DK, Green JS, Jasser SA, Beasley D. Mindfulness-based stress reduction for chronic pain conditions: variation in treatment outcomes and role of home meditation practice. J Psychosom Res. 2010;68(1):29-36.
• Cao H, Li X, Liu J. An updated review of the efficacy of cupping therapy. PLoS One. 2012;7(2):e31793.
• Al-Bedah AMN, Elsubai IS, Qureshi NA, Aboushanab TS, Ali GIM, El-Olemy AT, et al. The medical perspective of cupping therapy: Effects and mechanisms of action. J Tradit Complement Med. 2019;9(2):90-7.
• Aboushanab TS, AlSanad S. Cupping Therapy: An Overview from a Modern Medicine Perspective. J Acupunct Meridian Stud. 2018;11(3):83-7.
• Lauche R, Spitzer J, Schwahn B, Ostermann T, Bernardy K, Cramer H, et al. Efficacy of cupping therapy in patients with the fibromyalgia syndrome-a randomised placebo controlled trial. Sci Rep. 2016;6:37316.
• Jang ZY, Li CD, Qiu L, Guo JH, He LN, Yue Y, et al. [Combination of acupuncture, cupping and medicine for treatment of fibromyalgia syndrome: a multi-central randomized controlled trial]. Zhongguo Zhen Jiu. 2010;30(4):265-9.
• Li CD, Fu XY, Jiang ZY, Yang XG, Huang SQ, Wang QF, et al. [Clinical study on combination of acupuncture, cupping and medicine for treatment of fibromyalgia syndrome]. Zhongguo Zhen Jiu. 2006;26(1):8-10.
• Cao H, Hu H, Colagiuri B, Liu J. Medicinal cupping therapy in 30 patients with fibromyalgia: a case series observation. Forsch Komplementmed. 2011;18(3):122-6.