Benlidayi Ilke Coskun
Cukurova University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Adana, Türkiye.
Mediterr J Rheumatol. 2025 Mar 31;36(1):12-27. doi: 10.31138/mjr.041124.pht. eCollection 2025 Mar.
Generalised pain is the major symptom in patients with fibromyalgia. The management of pain includes both pharmacological and non-pharmacological options. Exercise, meditative movement therapies and mindfulness-based stress reduction are examples of non-pharmacological treatments. Over the last decades, there is growing evidence regarding the role of physical modalities in the management of fibromyalgia-related pain. Physical modalities demonstrate their effects by using several energy types such as electrical, thermal, acoustic, or radiant energy. They may act through the alteration of blood flow, cellular activity, and nerve excitability. By reviewing the recent literature, the current article aimed to provide a comprehensive insight to the potential effects of physical modalities in the treatment of fibromyalgia-related pain. Evidence regarding the potential therapeutic role of transcutaneous electrical nerve stimulation, interferential current, therapeutic ultrasound, non-invasive brain stimulation techniques (e.g. transcranial direct current stimulation, transcranial magnetic stimulation), photobiomodulation therapy [e.g. Light Amplification by Stimulated Emission of Radiation (LASER)], the use of therapeutic cold (e.g. whole-body cryotherapy) was discussed.
广泛性疼痛是纤维肌痛患者的主要症状。疼痛的管理包括药物和非药物选择。运动、冥想运动疗法和基于正念的减压疗法是非药物治疗的例子。在过去几十年里,越来越多的证据表明物理治疗方式在纤维肌痛相关疼痛管理中的作用。物理治疗方式通过使用多种能量类型(如电能、热能、声能或辐射能)来发挥作用。它们可能通过改变血流、细胞活动和神经兴奋性来起作用。通过回顾近期文献,本文旨在全面洞察物理治疗方式在治疗纤维肌痛相关疼痛方面的潜在效果。文中讨论了关于经皮电刺激神经疗法、干扰电流、治疗性超声、非侵入性脑刺激技术(如经颅直流电刺激、经颅磁刺激)、光生物调节疗法[如受激辐射光放大(激光)]、治疗性冷疗(如全身冷冻疗法)潜在治疗作用的证据。
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