Clinical Research Study Rehabilitation of chronic myofascial pain disorders.

 Tidsskr Nor Laegeforen. 2007 Mar 1;127(5):604-8.
[Rehabilitation of chronic myofascial pain disorders.][Article in Norwegian]
Wigers SH, Finset A.
Opptreningssenteret Jeloy Kurbad Bratengaten 94 1515 Moss. sigrid.wigers@c2i.net.

BACKGROUND: Chronic musculoskeletal pain of diffuse origin affects many, and at a significant cost. Evidence-based guidelines for therapeutic interventions are presented and exemplified. MATERIAL AND METHODS: 200 patients with chronic myofascial pain and/or fibromyalgia who participated in a 4-week multidimensional rehabilitation programme, were included in the study. The programme included education and pain management in a cognitive setting, various forms of aerobic exercises, myofascial pain treatment, relaxation and medication as needed. The patients filled in questionnaires on arrival, at follow-up after six and 12-months and at discharge. They completed visual analogue scales (pain, fatigue, sleep problems, depression), the Nottingham Health Profile, the Fibromyalgia Impact Questionnaire, global subjective improvement, and during the follow-up period also the physical activity level, changes in quality of life and occupational workload. Work capacity, a tender point count and whether patients met the diagnostic criteria for fibromyalgia were assessed at baseline and at discharge. RESULTS: Significant improvements were seen in all variables throughout the follow-up period. 30 % of the fibromyalgia patients no longer met the diagnostic criteria at discharge. There was a significant increase in quality of life over time. After one year, more patients had returned to work and fewer were off sick, but there was also an increased number on disability pensions. The majority did exercise training on a regular basis. INTERPRETATION: Our findings confirm the existing evidence-based guidelines by showing that multidimensional rehabilitation is an effective intervention for patients with widespread chronic pain. It is a challenge for health politicians to change today’s common practice towards that described in evidence-based guidelines.

PMID: 17332816 [PubMed – in process]

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Folllowing Rick Usher's death in December 2008, at his request in September of that year, I had agreed, as his principal contributor and an experienced journalist, to run the FMS Global News service due to his heavy commitments to music and raising research funds through this avenue. Following his sad and sudden death I hope to continue his work as he would have wished.
This entry was posted in Awareness, Chronic Fatigue, Chronic Fatigue Syndrome, Chronic Insomnia, Chronic Myofacial Pain, Chronic Pain, Clinical, Feeds, Fibrohugs, Fibromyalgia, Fibromyalgia News, Global News, Health, Invisible Illness, Medical, Myofacial Pain Syndrome, News, News Australia, News Canada, News India, News Norway, News UK, North Carolina, Research, RSS, Sleep Disorders, Tenderpoints, World, World News. Bookmark the permalink.

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