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用于治疗纤维肌痛患者疼痛的物理治疗方法。

Physical Modalities for the Treatment of Pain in Patients with Fibromyalgia.

作者信息

Benlidayi Ilke Coskun

机构信息

Cukurova University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Adana, Türkiye.

出版信息

Mediterr J Rheumatol. 2025 Mar 31;36(1):12-27. doi: 10.31138/mjr.041124.pht. eCollection 2025 Mar.


DOI:10.31138/mjr.041124.pht
PMID:40557176
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12183450/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88bb/12183450/dca358c63c59/MJR-36-1-12-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88bb/12183450/cb2b01a8935b/MJR-36-1-12-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88bb/12183450/dca358c63c59/MJR-36-1-12-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88bb/12183450/cb2b01a8935b/MJR-36-1-12-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88bb/12183450/dca358c63c59/MJR-36-1-12-g002.jpg

相似文献

[1]
Physical Modalities for the Treatment of Pain in Patients with Fibromyalgia.

Mediterr J Rheumatol. 2025-3-31

[2]
Transcutaneous electrical nerve stimulation (TENS) for fibromyalgia in adults.

Cochrane Database Syst Rev. 2017-10-9

[3]
Transcutaneous electrical nerve stimulation and acupuncture for primary dysmenorrhoea.

Cochrane Database Syst Rev. 2002

[4]
Exercise interventions and patient beliefs for people with hip, knee or hip and knee osteoarthritis: a mixed methods review.

Cochrane Database Syst Rev. 2018-4-17

[5]
Non-invasive brain stimulation techniques for chronic pain.

Cochrane Database Syst Rev. 2018-3-16

[6]
Non-invasive brain stimulation techniques for chronic pain.

Cochrane Database Syst Rev. 2018-4-13

[7]
Antiepileptic drugs for chronic non-cancer pain in children and adolescents.

Cochrane Database Syst Rev. 2017-8-5

[8]
Whole body vibration exercise training for fibromyalgia.

Cochrane Database Syst Rev. 2017-9-26

[9]
Aerobic exercise training for adults with fibromyalgia.

Cochrane Database Syst Rev. 2017-6-21

[10]
Non-invasive physical treatments for chronic/recurrent headache.

Cochrane Database Syst Rev. 2004

本文引用的文献

[1]
Using High-Definition Transcranial Alternating Current Stimulation to Treat Patients with Fibromyalgia: A Randomized Double-Blinded Controlled Study.

Life (Basel). 2022-8-31

[2]
Modification of Alpha Brain Oscillatory Activity in Fibromyalgia After Very Low Intensity Transcranial Magnetic Stimulation.

Pain Physician. 2022-9

[3]
Association of low-dose naltrexone and transcranial direct current stimulation in fibromyalgia: a randomized, double-blinded, parallel clinical trial.

Braz J Anesthesiol. 2023

[4]
An International Multidisciplinary Delphi-Based Consensus on Heat Therapy in Musculoskeletal Pain.

Pain Ther. 2023-2

[5]
Efficacy of High-Frequency Repetitive Transcranial Magnetic Stimulation at 10 Hz in Fibromyalgia: A Systematic Review and Meta-analysis.

Arch Phys Med Rehabil. 2023-1

[6]
Effectiveness of Transcranial Direct Current Stimulation Combined With Exercising in People With Fibromyalgia: A Randomized Sham-Controlled Clinical Trial.

Arch Phys Med Rehabil. 2022-8

[7]
Test-Retest Reliability and Responsiveness of PROMIS Sleep Short Forms Within an RCT in Women With Fibromyalgia.

Front Pain Res (Lausanne). 2021-6-8

[8]
The Influence of Opioids on Transcutaneous Electrical Nerve Stimulation Effects in Women With Fibromyalgia.

J Pain. 2022-7

[9]
Active and sham transcranial direct current stimulation (tDCS) improved quality of life in female patients with fibromyalgia.

Qual Life Res. 2022-8

[10]
Low-intensity LASER and LED (photobiomodulation therapy) for pain control of the most common musculoskeletal conditions.

Eur J Phys Rehabil Med. 2022-4

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