Randomized, blinded, controlled trial on effectiveness of photobiomodulation therapy and exercise training in the fibromyalgia treatment
| Autor: | Mariana Moreira da Silva, Sandra Kalil Bussadori, Ernesto Cesar Pinto Leal-Junior, Stella Sousa Vieira, Vanessa dos Santos Grandinetti, Paulo de Tarso Camillo de Carvalho, Regiane Albertini, Danilo Sales Bocalini, Luis Vicente Franco de Oliveira, Andrey Jorge Serra, José A.C. Silva |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Pain Threshold musculoskeletal diseases medicine.medical_specialty Fibromyalgia Research Diagnostic Criteria Dermatology law.invention 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Quality of life Randomized controlled trial law Surveys and Questionnaires Threshold of pain medicine Humans Low-Level Light Therapy Pain Measurement 030203 arthritis & rheumatology business.industry Body side medicine.disease Combined Modality Therapy Exercise Therapy Temporomandibular joint Treatment Outcome medicine.anatomical_structure Quality of Life Physical therapy Anxiety Female Surgery medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Lasers in Medical Science. 33:343-351 |
| ISSN: | 1435-604X 0268-8921 |
| Popis: | This study evaluated the role of the phototherapy and exercise training (EXT) as well as the combined treatment in general symptoms, pain, and quality of life in women suffering from fibromyalgia (FM). A total of 160 women were enrolled and measures were carried out in two sets: it was sought to identify the acute effect for a single phototherapy and EXT session (Set 1); long-term effect (10 weeks) of the interventions (Set 2). Phototherapy irradiation was performed at 11 locations in their bodies, employing a cluster with nine diodes (one super-pulsed infrared 905 nm, four light-emitting diodes [LEDs] of 640 nm, and four LEDs of 875 nm, 39.3 J per location). Algometry and VAS instrument were applied to evaluate pain. The FM symptoms were evaluated with Fibromyalgia Impact Questionnaire (FIQ) and Research Diagnostic Criteria (RDC) instruments. Quality of life was assessed through SF-36 survey. Set 1: pain threshold was improved with the phototherapy, and EXT improved the pain threshold for temporomandibular joint (right and left body side) and occipital site (right body side). Set 2: there was improved pain threshold in several tender points with the phototherapy and EXT. There was an overlap of therapies to reduce the tender point numbers, anxiety, depression, fatigue, sleep, and difficulty sleeping on FIQ/RDC scores. Moreover, quality of life was improved with both therapies. The phototherapy and EXT improved the pain threshold in FM women. A more substantial effect was noticed for the combined therapy, in which pain relief was accomplished by improving VAS and FIQ scores as well as quality of life. |
| Databáze: | OpenAIRE |
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