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Effect of Acupuncture at Tender Points for the Management of Fibromyalgia Syndrome: A Case Series

机译:针刺招标治疗纤维肌痛综合征的效果:一个病例系列

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Background Affecting more women than men, fibromyalgia syndrome (FMS) is a rheumatic disorder characterized by chronic, diffuse and widespread musculoskeletal pain, and its pathogenesis is still unknown. Among the recommended treatments, acupuncture (for its analgesic effects) is an effective option for reducing the pain sensitivity and improving quality of life. Therefore, this study aimed to investigate whether acupuncture at tender points could effectively manage FMS. Methods Eight female patients, with a previous diagnosis of fibromyalgia, underwent an initial assessment involving pressure algometer measurements for pain tolerance and questionnaires [Fibromyalgia Impact Questionnaire (FIQ), Heath Assessment Questionnaire (HAQ), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI)], followed by treatment. Over a 2-month period, acupuncture was performed once per week at five tender points, located bilaterally at the occipital bone, trapezius, rhomboid, upper chest and lateral epicondyle. At the end of treatment, the participants underwent a reassessment for a final review of the applied methods. Results We observed a reduction in the pain threshold and sensitivity and improvement in the areas of anxiety and depression and quality of life, which were demonstrated using the FIQ, BDI and BAI but not the HAQ. Conclusion The results demonstrated the effectiveness of tender-point acupuncture treatment on the patients' overall well-being, not only by improving quality of life, but also by reducing the pain sensitivity of FMS.
机译:背景技术纤维肌痛综合征(FMS)是一种风湿性疾病,以慢性,弥漫性和广泛性的肌肉骨骼疼痛为特征,是一种风湿性疾病,其影响女性的人数多于男性,其发病机理仍然未知。在推荐的治疗方法中,针灸(具有镇痛作用)是降低疼痛敏感性和改善生活质量的有效选择。因此,本研究旨在调查在针灸穴位是否可以有效地管理FMS。方法对八名先前诊断为肌纤维痛的女性患者进行了初步评估,其中包括压力血压计测量的疼痛耐受性和问卷[纤维肌痛影响问卷(FIQ),健康评估问卷(HAQ),贝克抑郁量表(BDI)和贝克焦虑症库存(BAI)],然后进行处理。在两个月的时间里,每周在五个枕骨,枕骨,菱形,菱形,上胸部和外侧上epi骨的五个压痛点每周进行一次针刺。在治疗结束时,对参与者进行了重新评估,以最终评估所应用的方法。结果我们观察到疼痛阈值的降低,敏感性和焦虑和抑郁症的改善以及生活质量的改善,这是通过FIQ,BDI和BAI而非HAQ证实的。结论结果表明,不仅通过改善生活质量,而且还通过降低FMS的疼痛敏感性,温和的针刺疗法对患者的整体健康是有效的。

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