Danneskiold-Samsøe Bente, Bartels Else Marie, Genefke Inge
The Parker Institute, Frederiksberg Hospital, Copenhagen University Hospital, Frederiksberg, Denmark.
Torture. 2007;17(1):11-7.
To look at the effect of physiotherapy as part of the multidisciplinary treatment of torture victims.
Monitoring of an extended, personally designed, multidisciplinary treatment of 21 torture victims, earlier exposed to both physical and psychological torture, over nine months with assessment of outcome. The physiotherapy comprised elements such as massage, exercise on land, balance training and stimulation of proprioception, all aiming at regaining body awareness. Effect of treatment was measured using the fibrositis index. Non-parametric statistics using the Wilcoxon test was applied.
Prior to treatment the median score of the fibrositis index was 15 points (range 2-34). After nine months of multidisciplinary treatment the median score of the fibrositis index was 2 points (range 0-3415). This decrease in experienced muscle pain was statistically significant (p<0,0001).
A high percentage of the torture victims in our study suffered from fibromyalgia prior to treatment. A multidisciplinary treatment involving individualised physiotherapy and psychotherapy had a significant effect on musculoskeletal pain in torture victims. Following nine months of treatment, only one torture victim in our study could be classified as suffering from fibromyalgia when applying the fibrositis index.
探讨物理治疗作为酷刑受害者多学科治疗一部分的效果。
对21名曾遭受身体和心理酷刑的酷刑受害者进行为期九个月的扩展式、个性化多学科治疗监测，并评估治疗结果。物理治疗包括按摩、陆地运动、平衡训练和本体感觉刺激等项目，所有这些都旨在恢复身体感知。使用纤维肌痛指数来衡量治疗效果。采用Wilcoxon检验进行非参数统计。
治疗前，纤维肌痛指数的中位数为15分（范围为2 - 34分）。经过九个月的多学科治疗后，纤维肌痛指数的中位数为2分（范围为0 - 3415分）。这种经历的肌肉疼痛的减轻具有统计学意义（p<0.0001）。
在我们的研究中，很大比例的酷刑受害者在治疗前患有纤维肌痛。包括个性化物理治疗和心理治疗的多学科治疗对酷刑受害者的肌肉骨骼疼痛有显著效果。经过九个月的治疗，在应用纤维肌痛指数时，我们研究中的酷刑受害者中只有一人可被归类为患有纤维肌痛。
