Skip to main content
Erschienen in: Der Schmerz 3/2008

01.06.2008 | Schwerpunkt

Physiotherapie, medizinische Trainingstherapie und physikalische Therapie beim Fibromyalgiesyndrom

verfasst von: Prof. Dr. M. Schiltenwolf, W. Häuser, E. Felde, C. Flügge, R. Häfner, M. Settan, M. Offenbächer

Erschienen in: Der Schmerz | Ausgabe 3/2008

Einloggen, um Zugang zu erhalten

Zusammenfassung

Hintergrund

Eine interdisziplinäre Leitlinie auf S3-Niveau zur Diagnostik und Therapie des Fibromyalgiesyndroms (FMS) wurde in Kooperation von 10 medizinischen bzw. psychologischen Fachgesellschaften und 2 Patientenselbsthilfeorganisationen erstellt.

Methodik

Eine Literatursuche über alle kontrollierten Studien zur Physiotherapie, medizinische Trainingstherapie sowie physikalischen Therapie des FMS wurde unter Benutzung der Cochrane Collaboration Reviews (1993–12/2006), Medline (1980–12/2006), PsychInfo (1966–12/2006) und Scopus (1980–12/2006) durchgeführt. Für die Vergabe von Evidenzklassen wurde das System des Oxford Centre for Evidence Based Medicine verwendet. Für die Vergabe von Empfehlungsgraden wurde die Empfehlungsgraduierung der nationalen Versorgungsleitlinien verwendet. Die Erstellung der Empfehlungen erfolgte in einem mehrstufigen nominalen Gruppenprozess.

Ergebnisse

Aerobes Ausdauertraining erhielt den Empfehlungsgrad A und die zeitlich befristete Verwendung von Ganzkörperwärmetherapie und Balneo- bzw. Spatherapie den Empfehlungsgrad B.

Schlussfolgerung

Die Aussagekraft der meisten Studien zu verschiedenen Verfahren der Physiotherapie, medizinischen Trainingstherapie und physikalischen Therapie ist durch die kurze Studiendauer (durchschnittliche Studiendauer 6–12 Wochen) und kleinen Fallzahlen in den meisten Studien eingeschränkt.
Literatur
1.
Zurück zum Zitat Alfano AP et al. (2001) Static magnetic fields for treatment of fibromyalgia: a randomized controlled trial. J Altern Complement Med 7(1): 53–64PubMedCrossRef Alfano AP et al. (2001) Static magnetic fields for treatment of fibromyalgia: a randomized controlled trial. J Altern Complement Med 7(1): 53–64PubMedCrossRef
2.
Zurück zum Zitat Almeida TF et al. (2003) The effect of combined therapy (ultrasound and interferential current) on pain and sleep in fibromyalgia. Pain 104(3): 665–672PubMedCrossRef Almeida TF et al. (2003) The effect of combined therapy (ultrasound and interferential current) on pain and sleep in fibromyalgia. Pain 104(3): 665–672PubMedCrossRef
3.
Zurück zum Zitat Alnigenis M et al. (2001) Massage therapy in the management of fibromyalgia: a pilot study. J Musculoskelet Pain 9(2): 55–67CrossRef Alnigenis M et al. (2001) Massage therapy in the management of fibromyalgia: a pilot study. J Musculoskelet Pain 9(2): 55–67CrossRef
4.
Zurück zum Zitat Altan L et al. (2004) Investigation of the effects of pool-based exercise on fibromyalgia syndrome. Rheumatol Int 24(5): 272–277PubMedCrossRef Altan L et al. (2004) Investigation of the effects of pool-based exercise on fibromyalgia syndrome. Rheumatol Int 24(5): 272–277PubMedCrossRef
5.
Zurück zum Zitat Ammer K, Melnizky P (1999) Medicinal baths for treatment of generalized fibromyalgia. Forsch Komplementarmed 6(2): 80–85PubMedCrossRef Ammer K, Melnizky P (1999) Medicinal baths for treatment of generalized fibromyalgia. Forsch Komplementarmed 6(2): 80–85PubMedCrossRef
6.
Zurück zum Zitat Armagan O et al. (2006) Long-term efficacy of low level laser therapy in women with fibromyalgia: a placebo-controlled study. J Back Musculoskelet Rehabil 19(4): 135–140 Armagan O et al. (2006) Long-term efficacy of low level laser therapy in women with fibromyalgia: a placebo-controlled study. J Back Musculoskelet Rehabil 19(4): 135–140
7.
Zurück zum Zitat Asplund R (2003) Manual lymph drainage therapy using light massage for fibromyalgia sufferers: a pilot study. J Orthop Nurs 7(4): 192–196CrossRef Asplund R (2003) Manual lymph drainage therapy using light massage for fibromyalgia sufferers: a pilot study. J Orthop Nurs 7(4): 192–196CrossRef
8.
Zurück zum Zitat Assis MR et al. (2006) A randomized controlled trial of deep water running: clinical effectiveness of aquatic exercise to treat fibromyalgia. Arthritis Rheum 55(1): 57–65PubMedCrossRef Assis MR et al. (2006) A randomized controlled trial of deep water running: clinical effectiveness of aquatic exercise to treat fibromyalgia. Arthritis Rheum 55(1): 57–65PubMedCrossRef
9.
Zurück zum Zitat Bauer J, Heine H (1999) Möglichkeiten chirurgischer Intervention bei fibromyalgischen Beschwerden (Rücken und untere Extremitäten) – Beziehungen zu Akupunkturpunkten. Biol Med 28(3): 135–141 Bauer J, Heine H (1999) Möglichkeiten chirurgischer Intervention bei fibromyalgischen Beschwerden (Rücken und untere Extremitäten) – Beziehungen zu Akupunkturpunkten. Biol Med 28(3): 135–141
10.
Zurück zum Zitat Bauer J, Heine H (2000) Akupunkturpunkte und Quadrantenschmerz. Biol Med 29(6): 282–288 Bauer J, Heine H (2000) Akupunkturpunkte und Quadrantenschmerz. Biol Med 29(6): 282–288
11.
Zurück zum Zitat Bennett RM et al. (2007) An internet survey of 2596 people with fibromyalgia. BMC Musculoskelet Disord 8: 27PubMedCrossRef Bennett RM et al. (2007) An internet survey of 2596 people with fibromyalgia. BMC Musculoskelet Disord 8: 27PubMedCrossRef
12.
Zurück zum Zitat Blunt KL, Rajwani MH, Guerriero RC (1997) The effectiveness of chiropractic management of fibromyalgia patients: a pilot study. J Manipulative Physiol Ther 20(6): 389–399PubMed Blunt KL, Rajwani MH, Guerriero RC (1997) The effectiveness of chiropractic management of fibromyalgia patients: a pilot study. J Manipulative Physiol Ther 20(6): 389–399PubMed
13.
Zurück zum Zitat Brattberg G (1999) Connective tissue massage in the treatment of fibromyalgia. Eur J Pain 3(3): 235–244PubMedCrossRef Brattberg G (1999) Connective tissue massage in the treatment of fibromyalgia. Eur J Pain 3(3): 235–244PubMedCrossRef
14.
Zurück zum Zitat Brockow T et al. (2007) A randomized controlled trial on the effectiveness of mild water-filtered near infrared whole-body hyperthermia as an adjunct to a standard multimodal rehabilitation in the treatment of fibromyalgia. Clin J Pain 23(1): 67–75PubMedCrossRef Brockow T et al. (2007) A randomized controlled trial on the effectiveness of mild water-filtered near infrared whole-body hyperthermia as an adjunct to a standard multimodal rehabilitation in the treatment of fibromyalgia. Clin J Pain 23(1): 67–75PubMedCrossRef
15.
Zurück zum Zitat Buckelew SP et al. (1998) Biofeedback/relaxation training and exercise interventions for fibromyalgia: a prospective trial. Arthritis Care Res 11(3): 196–209PubMedCrossRef Buckelew SP et al. (1998) Biofeedback/relaxation training and exercise interventions for fibromyalgia: a prospective trial. Arthritis Care Res 11(3): 196–209PubMedCrossRef
16.
Zurück zum Zitat Burckhardt CS et al. (1994) A randomized, controlled clinical trial of education and physical training for women with fibromyalgia. J Rheumatol 21(4): 714–720PubMed Burckhardt CS et al. (1994) A randomized, controlled clinical trial of education and physical training for women with fibromyalgia. J Rheumatol 21(4): 714–720PubMed
17.
Zurück zum Zitat Buskila D et al. (2001) Balneotherapy for fibromyalgia at the Dead Sea. Rheumatol Int 20(3): 105–108PubMedCrossRef Buskila D et al. (2001) Balneotherapy for fibromyalgia at the Dead Sea. Rheumatol Int 20(3): 105–108PubMedCrossRef
18.
Zurück zum Zitat Cedraschi C et al. (2004) Fibromyalgia: a randomised, controlled trial of a treatment programme based on self management. Ann Rheum Dis 63(3): 290–296PubMedCrossRef Cedraschi C et al. (2004) Fibromyalgia: a randomised, controlled trial of a treatment programme based on self management. Ann Rheum Dis 63(3): 290–296PubMedCrossRef
19.
Zurück zum Zitat Citak-Karakaya I et al. (2006) Short and long-term results of connective tissue manipulation and combined ultrasound therapy in patients with fibromyalgia. J Manipulative Physiol Ther 29(7): 524–528PubMedCrossRef Citak-Karakaya I et al. (2006) Short and long-term results of connective tissue manipulation and combined ultrasound therapy in patients with fibromyalgia. J Manipulative Physiol Ther 29(7): 524–528PubMedCrossRef
20.
Zurück zum Zitat Colbert AP et al. (1999) Magnetic mattress pad use in patients with fibromyalgia: a radomised double-blind pilot study. J Back Musculoskelet Rehabil 13: 19–31 Colbert AP et al. (1999) Magnetic mattress pad use in patients with fibromyalgia: a radomised double-blind pilot study. J Back Musculoskelet Rehabil 13: 19–31
21.
Zurück zum Zitat Da Costa D et al. (2005) A randomized clinical trial of an individualized home-based exercise programme for women with fibromyalgia. Rheumatol (Oxford) 44(11): 1422–1427. Epub 2005 Jul 19 Da Costa D et al. (2005) A randomized clinical trial of an individualized home-based exercise programme for women with fibromyalgia. Rheumatol (Oxford) 44(11): 1422–1427. Epub 2005 Jul 19
22.
Zurück zum Zitat Di Benedetto P, Iona LG, Zidarich V (1993) Clinical evaluation of L-adenosyl-L-methionin versus transcutaneous electrical nerve stimulation in primary fibromyalgia. Curr Ther Res 53: 222–229CrossRef Di Benedetto P, Iona LG, Zidarich V (1993) Clinical evaluation of L-adenosyl-L-methionin versus transcutaneous electrical nerve stimulation in primary fibromyalgia. Curr Ther Res 53: 222–229CrossRef
23.
Zurück zum Zitat Dobkin PL et al. (2005) Maintenance of exercise in women with fibromyalgia. Arthritis Rheum 53(5): 724–731PubMedCrossRef Dobkin PL et al. (2005) Maintenance of exercise in women with fibromyalgia. Arthritis Rheum 53(5): 724–731PubMedCrossRef
24.
Zurück zum Zitat Dobkin PL et al. (2006) Adherence during an individualized home based 12-week exercise program in women with fibromyalgia. J Rheumatol 33(2): 333–341PubMed Dobkin PL et al. (2006) Adherence during an individualized home based 12-week exercise program in women with fibromyalgia. J Rheumatol 33(2): 333–341PubMed
25.
Zurück zum Zitat Donmez A et al. (2005) SPA therapy in fibromyalgia: a randomised controlled clinic study. Rheumatol Int 26(2): 168–172. Epub 2005 Jun 17PubMedCrossRef Donmez A et al. (2005) SPA therapy in fibromyalgia: a randomised controlled clinic study. Rheumatol Int 26(2): 168–172. Epub 2005 Jun 17PubMedCrossRef
26.
Zurück zum Zitat Ernst E, PH Canter (2006) A systematic review of systematic reviews of spinal manipulation. J R Soc Med 99: 192–196PubMedCrossRef Ernst E, PH Canter (2006) A systematic review of systematic reviews of spinal manipulation. J R Soc Med 99: 192–196PubMedCrossRef
27.
Zurück zum Zitat Evcik D, Kizilay B, Gokcen E (2002) The effects of balneotherapy on fibromyalgia patients. Rheumatol Int 22(2): 56–59. Epub 2002 Mar 29PubMedCrossRef Evcik D, Kizilay B, Gokcen E (2002) The effects of balneotherapy on fibromyalgia patients. Rheumatol Int 22(2): 56–59. Epub 2002 Mar 29PubMedCrossRef
28.
Zurück zum Zitat Faull K (2005) A pilot study of the comparative effectiveness of two water-based treatments for fibromyalgia syndrome: Watsu and Aix massage. J Bodywork Mov Ther 9(3): 202–210CrossRef Faull K (2005) A pilot study of the comparative effectiveness of two water-based treatments for fibromyalgia syndrome: Watsu and Aix massage. J Bodywork Mov Ther 9(3): 202–210CrossRef
29.
Zurück zum Zitat Field T et al. (2002) Fibromyalgia pain and substance P decrease and sleep improves after massage therapy. J Clin Rheumatol 8(2): 72–76PubMedCrossRef Field T et al. (2002) Fibromyalgia pain and substance P decrease and sleep improves after massage therapy. J Clin Rheumatol 8(2): 72–76PubMedCrossRef
30.
Zurück zum Zitat Field T, Delage J, Hernandez-Reif M (2003) Movement and massage therapy reduce fibromyalgia pain. J Bodywork Mov Ther 7(1): 49–52CrossRef Field T, Delage J, Hernandez-Reif M (2003) Movement and massage therapy reduce fibromyalgia pain. J Bodywork Mov Ther 7(1): 49–52CrossRef
31.
Zurück zum Zitat Fregni F et al. (2006) A randomized, sham-controlled, proof of principle study of transcranial direct current stimulation for the treatment of pain in fibromyalgia. Arthritis Rheum 54(12): 3988–3998PubMedCrossRef Fregni F et al. (2006) A randomized, sham-controlled, proof of principle study of transcranial direct current stimulation for the treatment of pain in fibromyalgia. Arthritis Rheum 54(12): 3988–3998PubMedCrossRef
32.
Zurück zum Zitat Gamber RG et al. (2002) Osteopathic manipulative treatment in conjunction with medication relieves pain associated with fibromyalgia syndrome: results of a randomized clinical pilot project. J Am Osteopath Assoc 102(6): 321–325PubMed Gamber RG et al. (2002) Osteopathic manipulative treatment in conjunction with medication relieves pain associated with fibromyalgia syndrome: results of a randomized clinical pilot project. J Am Osteopath Assoc 102(6): 321–325PubMed
33.
Zurück zum Zitat Gandhi N et al. (2002) Effect of an exercise program on quality of life of women with fibromyalgia. Women Ther 25(2): 91–103 Gandhi N et al. (2002) Effect of an exercise program on quality of life of women with fibromyalgia. Women Ther 25(2): 91–103
34.
Zurück zum Zitat Gordon C, Emiliozzi, Zartarian M (2006) Use of a mechanical massage technique in the treatment of fibromyalgia: a preliminary study. Arch Phys Med Rehabil 87(1): 145–147PubMedCrossRef Gordon C, Emiliozzi, Zartarian M (2006) Use of a mechanical massage technique in the treatment of fibromyalgia: a preliminary study. Arch Phys Med Rehabil 87(1): 145–147PubMedCrossRef
35.
Zurück zum Zitat Gowans SE et al. (1999) A randomized, controlled trial of exercise and education for individuals with fibromyalgia. Arthritis Care Res 12(2): 120–128PubMedCrossRef Gowans SE et al. (1999) A randomized, controlled trial of exercise and education for individuals with fibromyalgia. Arthritis Care Res 12(2): 120–128PubMedCrossRef
36.
Zurück zum Zitat Gowans SE et al. (2001) Effect of a randomized, controlled trial of exercise on mood and physical function in individuals with fibromyalgia. Arthritis Rheum 45(6): 519–529PubMedCrossRef Gowans SE et al. (2001) Effect of a randomized, controlled trial of exercise on mood and physical function in individuals with fibromyalgia. Arthritis Rheum 45(6): 519–529PubMedCrossRef
37.
Zurück zum Zitat Gowans SE et al. (2004) Six-month and one-year followup of 23 weeks of aerobic exercise for individuals with fibromyalgia. Arthritis Rheum 51(6): 890–898PubMedCrossRef Gowans SE et al. (2004) Six-month and one-year followup of 23 weeks of aerobic exercise for individuals with fibromyalgia. Arthritis Rheum 51(6): 890–898PubMedCrossRef
38.
Zurück zum Zitat Gunther V et al. (1994) Fibromyalgia – the effect of relaxation and hydrogalvanic bath therapy on the subjective pain experience. Clin Rheumatol 13(4): 573–578PubMedCrossRef Gunther V et al. (1994) Fibromyalgia – the effect of relaxation and hydrogalvanic bath therapy on the subjective pain experience. Clin Rheumatol 13(4): 573–578PubMedCrossRef
39.
Zurück zum Zitat Gür A et al. (2002a) Effects of low power laser and low dose amitriptyline therapy on clinical symptoms and quality of life in fibromyalgia: a single-blind, placebo-controlled trial. Rheumatol Int 22: 188–193PubMedCrossRef Gür A et al. (2002a) Effects of low power laser and low dose amitriptyline therapy on clinical symptoms and quality of life in fibromyalgia: a single-blind, placebo-controlled trial. Rheumatol Int 22: 188–193PubMedCrossRef
40.
Zurück zum Zitat Gür A et al. (2002b) Efficacy of low power laser therapy in fibromyalgia: a single-blind, placebo-controlled trial. Lasers Med Sci 17: 57–61PubMedCrossRef Gür A et al. (2002b) Efficacy of low power laser therapy in fibromyalgia: a single-blind, placebo-controlled trial. Lasers Med Sci 17: 57–61PubMedCrossRef
41.
Zurück zum Zitat Gusi N et al. (2006) Exercise in waist-high warm water decreases pain and improves health-related quality of life and strength in the lower extremities in women with fibromyalgia. Arthritis Rheum 55(1): 66–73PubMedCrossRef Gusi N et al. (2006) Exercise in waist-high warm water decreases pain and improves health-related quality of life and strength in the lower extremities in women with fibromyalgia. Arthritis Rheum 55(1): 66–73PubMedCrossRef
42.
Zurück zum Zitat Haanen HC et al. (1991) Controlled trial of hypnotherapy in the treatment of refractory fibromyalgia. J Rheumatol 18: 72–75PubMed Haanen HC et al. (1991) Controlled trial of hypnotherapy in the treatment of refractory fibromyalgia. J Rheumatol 18: 72–75PubMed
43.
Zurück zum Zitat Häuser W et al. (2006) Subjektive Krankheitsattributionen und Inanspruchnahme medizinischer Leistungen von Patienten mit Fibromyalgiesyndrom. Schmerz 20:119–127PubMedCrossRef Häuser W et al. (2006) Subjektive Krankheitsattributionen und Inanspruchnahme medizinischer Leistungen von Patienten mit Fibromyalgiesyndrom. Schmerz 20:119–127PubMedCrossRef
44.
Zurück zum Zitat Häuser W et al. (2008) Methodische Grundlagen für die Entwicklung der Leitlinienempfehlungen (Methodenreport). Schmerz 22, im Druck Häuser W et al. (2008) Methodische Grundlagen für die Entwicklung der Leitlinienempfehlungen (Methodenreport). Schmerz 22, im Druck
45.
Zurück zum Zitat Hakkinen A et al. 2001 Strength training induced adaptations in neuromuscular function of premenopausal women with fibromyalgia: comparison with healthy women. Ann Rheum Dis 60(1): 21–26CrossRef Hakkinen A et al. 2001 Strength training induced adaptations in neuromuscular function of premenopausal women with fibromyalgia: comparison with healthy women. Ann Rheum Dis 60(1): 21–26CrossRef
46.
Zurück zum Zitat Hammond A, Freeman K (2006) Community patient education and exercise for people with fibromyalgia: a parallel group randomized controlled trial. Clin Rehabil 20(10): 835–846PubMed Hammond A, Freeman K (2006) Community patient education and exercise for people with fibromyalgia: a parallel group randomized controlled trial. Clin Rehabil 20(10): 835–846PubMed
47.
Zurück zum Zitat Hong CZ, Hsueh TC (1996) Difference in pain relief after trigger point injections in myofascial pain patients with and without fibromyalgia. Arch Phys Med Rehabil 77(11): 1161–1166PubMedCrossRef Hong CZ, Hsueh TC (1996) Difference in pain relief after trigger point injections in myofascial pain patients with and without fibromyalgia. Arch Phys Med Rehabil 77(11): 1161–1166PubMedCrossRef
48.
Zurück zum Zitat Huuhka MJ, Haanpa MLB, Leinonen EVJ (2004) Electroconvulsive therapy in patients with depression and fibromyalgia. Eur J Pain 8(4): 371–376PubMedCrossRef Huuhka MJ, Haanpa MLB, Leinonen EVJ (2004) Electroconvulsive therapy in patients with depression and fibromyalgia. Eur J Pain 8(4): 371–376PubMedCrossRef
49.
Zurück zum Zitat Jentoft ES, Kvalvik AG, Mengshoel AM (2001) Effects of pool-based and land-based aerobic exercise on women with fibromyalgia/chronic widespread muscle pain. Arthritis Rheum 45(1): 42–47PubMedCrossRef Jentoft ES, Kvalvik AG, Mengshoel AM (2001) Effects of pool-based and land-based aerobic exercise on women with fibromyalgia/chronic widespread muscle pain. Arthritis Rheum 45(1): 42–47PubMedCrossRef
50.
Zurück zum Zitat Jones KD et al. (2002) A randomized controlled trial of muscle strengthening versus flexibility training in fibromyalgia. J Rheumatol 29(5): 1041–1048PubMed Jones KD et al. (2002) A randomized controlled trial of muscle strengthening versus flexibility training in fibromyalgia. J Rheumatol 29(5): 1041–1048PubMed
51.
Zurück zum Zitat Jones KD et al. (2006) A comprehensive review of 46 exercise treatment studies in fibromyalgia. Health Qual Life Outcomes 4: 67PubMedCrossRef Jones KD et al. (2006) A comprehensive review of 46 exercise treatment studies in fibromyalgia. Health Qual Life Outcomes 4: 67PubMedCrossRef
52.
Zurück zum Zitat King SJ et al. (2002) The effects of exercise and education, individually or combined, in women with fibromyalgia. J Rheumatol 29(12): 2620–2627PubMed King SJ et al. (2002) The effects of exercise and education, individually or combined, in women with fibromyalgia. J Rheumatol 29(12): 2620–2627PubMed
53.
Zurück zum Zitat Kingsley JD et al. (2005) The effects of a 12-week strength-training program on strength and functionality in women with fibromyalgia. Arch Phys Med Rehabil 86(9): 1713–1721PubMedCrossRef Kingsley JD et al. (2005) The effects of a 12-week strength-training program on strength and functionality in women with fibromyalgia. Arch Phys Med Rehabil 86(9): 1713–1721PubMedCrossRef
54.
Zurück zum Zitat Koulil SV et al. (2006) A review of cognitive behaviour therapies and exercise programmes for fibromyalgia patients: State of the art and future directions. Ann Rheum Dis. Epub ahead of print Koulil SV et al. (2006) A review of cognitive behaviour therapies and exercise programmes for fibromyalgia patients: State of the art and future directions. Ann Rheum Dis. Epub ahead of print
55.
Zurück zum Zitat Kurzeja R, Gutenbrunner C, Krohn-Grimberghe B (2003) Fibromyalgia: comparison of whole-body-cryotherapy with two classical thermotherapy methods. (Primäre fibromyalgie: Vergleich der Kältekammertherapie mit zwei klassischen waermetherapieverfahren.) Akt Rheumatol 28(3): 158–163 Kurzeja R, Gutenbrunner C, Krohn-Grimberghe B (2003) Fibromyalgia: comparison of whole-body-cryotherapy with two classical thermotherapy methods. (Primäre fibromyalgie: Vergleich der Kältekammertherapie mit zwei klassischen waermetherapieverfahren.) Akt Rheumatol 28(3): 158–163
56.
Zurück zum Zitat Lemstra M, Olszynski WP (2005) The effectiveness of multidisciplinary rehabilitation in the treatment of fibromyalgia: a randomized controlled trial. Clin J Pain 21(2): 166–174PubMedCrossRef Lemstra M, Olszynski WP (2005) The effectiveness of multidisciplinary rehabilitation in the treatment of fibromyalgia: a randomized controlled trial. Clin J Pain 21(2): 166–174PubMedCrossRef
57.
Zurück zum Zitat Lichtbroun AS et al. (2001) The treatment of fibromyalgia with cranial electrotherapy stimulation. J Clin Rheumatol 7(2): 72–78PubMedCrossRef Lichtbroun AS et al. (2001) The treatment of fibromyalgia with cranial electrotherapy stimulation. J Clin Rheumatol 7(2): 72–78PubMedCrossRef
58.
Zurück zum Zitat Mannerkorpi K, Ahlmen M, Ekdahl C (2002) Six- and 24-month follow-up of pool exercise therapy and education for patients with fibromyalgia. Scand J Rheumatol 31(5): 306–310PubMedCrossRef Mannerkorpi K, Ahlmen M, Ekdahl C (2002) Six- and 24-month follow-up of pool exercise therapy and education for patients with fibromyalgia. Scand J Rheumatol 31(5): 306–310PubMedCrossRef
59.
Zurück zum Zitat Mannerkorpi K et al. (2000) Pool exercise combined with an education program for patients with fibromyalgia syndrome. A prospective, randomized study. J Rheumatol 27(10): 2473–2481PubMed Mannerkorpi K et al. (2000) Pool exercise combined with an education program for patients with fibromyalgia syndrome. A prospective, randomized study. J Rheumatol 27(10): 2473–2481PubMed
60.
Zurück zum Zitat Martin L et al. (1996) An exercise program in the treatment of fibromyalgia. J Rheumatol 23(6): 1050–1053PubMed Martin L et al. (1996) An exercise program in the treatment of fibromyalgia. J Rheumatol 23(6): 1050–1053PubMed
61.
Zurück zum Zitat McCain GA et al. (1988) A controlled study of the effects of a supervised cardiovascular fitness training program on the manifestations of primary fibromyalgia. Arthritis Rheum 31(9): 1135–1141PubMedCrossRef McCain GA et al. (1988) A controlled study of the effects of a supervised cardiovascular fitness training program on the manifestations of primary fibromyalgia. Arthritis Rheum 31(9): 1135–1141PubMedCrossRef
62.
Zurück zum Zitat Meiworm L et al. (2000) Patients with fibromyalgia benefit from aerobic endurance exercise. Clin Rheumatol 19(4): 253–257PubMedCrossRef Meiworm L et al. (2000) Patients with fibromyalgia benefit from aerobic endurance exercise. Clin Rheumatol 19(4): 253–257PubMedCrossRef
63.
Zurück zum Zitat Mengshoel AM, Komnaes HB, Forre O (1992) The effects of 20 weeks of physical fitness training in female patients with fibromyalgia. Clin Exp Rheumatol 10(4): 345–349PubMed Mengshoel AM, Komnaes HB, Forre O (1992) The effects of 20 weeks of physical fitness training in female patients with fibromyalgia. Clin Exp Rheumatol 10(4): 345–349PubMed
64.
Zurück zum Zitat Metzger D et al. (2000) The whole body cold therapy as analgesic treatment in patients with rheumatic diseases. Rehabilitation (Stuttg) 39(2): 93–100 Metzger D et al. (2000) The whole body cold therapy as analgesic treatment in patients with rheumatic diseases. Rehabilitation (Stuttg) 39(2): 93–100
65.
Zurück zum Zitat Meyer BB, Lemley KJ (2000) Utilizing exercise to affect the symptomology of fibromyalgia: a pilot study. Med Sci Sports Exerc 32(10): 1691–1697PubMedCrossRef Meyer BB, Lemley KJ (2000) Utilizing exercise to affect the symptomology of fibromyalgia: a pilot study. Med Sci Sports Exerc 32(10): 1691–1697PubMedCrossRef
66.
Zurück zum Zitat Müller A, Hartmann M, Eich W (2000) Inanspruchnahme medizinischer Versorgungsleistungen. Untersuchungen bei Patienten mit Fibromyalgiesyndrom. Schmerz 14: 77–83PubMedCrossRef Müller A, Hartmann M, Eich W (2000) Inanspruchnahme medizinischer Versorgungsleistungen. Untersuchungen bei Patienten mit Fibromyalgiesyndrom. Schmerz 14: 77–83PubMedCrossRef
67.
Zurück zum Zitat Neumann L et al. (2001) The effect of balneotherapy at the Dead Sea on the quality of life of patients with fibromyalgia syndrome. Clin Rheumatol 20(1): 15–19PubMedCrossRef Neumann L et al. (2001) The effect of balneotherapy at the Dead Sea on the quality of life of patients with fibromyalgia syndrome. Clin Rheumatol 20(1): 15–19PubMedCrossRef
68.
Zurück zum Zitat Nichols DS, Glenn TM (1994) Effects of aerobic exercise on pain perception, affect, and level of disability in individuals with fibromyalgia. Phys Ther 74(4): 327–332PubMed Nichols DS, Glenn TM (1994) Effects of aerobic exercise on pain perception, affect, and level of disability in individuals with fibromyalgia. Phys Ther 74(4): 327–332PubMed
69.
Zurück zum Zitat Norregaard J, Lykkegaard JJ, Mehlsen J et al. (1997) Exercise training in treatment of fibromyalgia. J Musculoskelet Pain 5(1): 71–79CrossRef Norregaard J, Lykkegaard JJ, Mehlsen J et al. (1997) Exercise training in treatment of fibromyalgia. J Musculoskelet Pain 5(1): 71–79CrossRef
70.
Zurück zum Zitat Piso U et al. (2001) Analgesic effects of sauna in fibromyalgia. Phys Med Rehabilitationsmed Kurortmed 11(3): 94–99CrossRef Piso U et al. (2001) Analgesic effects of sauna in fibromyalgia. Phys Med Rehabilitationsmed Kurortmed 11(3): 94–99CrossRef
71.
Zurück zum Zitat Ramsay C et al. (2000) An observer-blinded comparison of supervised and unsupervised aerobic exercise regimens in fibromyalgia. Rheumatology (Oxford) 39(5): 501–505 Ramsay C et al. (2000) An observer-blinded comparison of supervised and unsupervised aerobic exercise regimens in fibromyalgia. Rheumatology (Oxford) 39(5): 501–505
72.
Zurück zum Zitat Reddy SS et al. (2000) Tender point injections are beneficial in fibromyalgia syndrome: a descriptive, open study. J Musculoskelet Pain 8(4): 7–18CrossRef Reddy SS et al. (2000) Tender point injections are beneficial in fibromyalgia syndrome: a descriptive, open study. J Musculoskelet Pain 8(4): 7–18CrossRef
73.
Zurück zum Zitat Redondo JR et al. (2004) Long-term efficacy of therapy in patients with fibromyalgia: a physical exercise-based program and a cognitive-behavioral approach. Arthritis Rheum 51(2): 184–192PubMedCrossRef Redondo JR et al. (2004) Long-term efficacy of therapy in patients with fibromyalgia: a physical exercise-based program and a cognitive-behavioral approach. Arthritis Rheum 51(2): 184–192PubMedCrossRef
74.
Zurück zum Zitat Rehabilitationsträger (2007) Rahmenvereinbarung über den Rehabilitationssport und das Funktionstraining vom 01.10.2003 in der Fassung vom 01.01.2007. http://www.bar-frankfurt.de/upload/Rehabilitationssport_314.pdf Rehabilitationsträger (2007) Rahmenvereinbarung über den Rehabilitationssport und das Funktionstraining vom 01.10.2003 in der Fassung vom 01.01.2007. http://​www.​bar-frankfurt.​de/​upload/​Rehabilitationss​port_​314.​pdf
75.
Zurück zum Zitat Richards SC, Scott DL (2002) Prescribed exercise in people with fibromyalgia: parallel group randomised controlled trial. BMJ 325(7357): 185PubMedCrossRef Richards SC, Scott DL (2002) Prescribed exercise in people with fibromyalgia: parallel group randomised controlled trial. BMJ 325(7357): 185PubMedCrossRef
76.
Zurück zum Zitat Robinson RL, Jones ML (2006) In search of pharmacoeconomic evaluations for fibromyalgia treatments: a review. Expert Opin Pharmacother 7: 1027–1039PubMedCrossRef Robinson RL, Jones ML (2006) In search of pharmacoeconomic evaluations for fibromyalgia treatments: a review. Expert Opin Pharmacother 7: 1027–1039PubMedCrossRef
77.
Zurück zum Zitat Salek AK et al. (2005) Effect of aerobic exercise on patients with primary fibromyalgia syndrome. Mymensingh Med J 14(2): 141–144PubMed Salek AK et al. (2005) Effect of aerobic exercise on patients with primary fibromyalgia syndrome. Mymensingh Med J 14(2): 141–144PubMed
78.
Zurück zum Zitat Samborski W et al. (1992) Intraindividual comparison of whole body cold therapy and warm treatment with hot packs in generalized tendomyopathy. Z Rheumatol 51(1): 25–30PubMed Samborski W et al. (1992) Intraindividual comparison of whole body cold therapy and warm treatment with hot packs in generalized tendomyopathy. Z Rheumatol 51(1): 25–30PubMed
79.
Zurück zum Zitat Schachter CL et al. (2003) Effects of short versus long bouts of aerobic exercise in sedentary women with fibromyalgia: a randomized controlled trial. Phys Ther 83(4): 340–358PubMed Schachter CL et al. (2003) Effects of short versus long bouts of aerobic exercise in sedentary women with fibromyalgia: a randomized controlled trial. Phys Ther 83(4): 340–358PubMed
80.
Zurück zum Zitat Sencan S et al. (2004) A study to compare the therapeutic efficacy of aerobic exercise and paroxetine in fibromyalgia syndrome. J Back Musculoskelet Rehabil 17(2): 57–61 Sencan S et al. (2004) A study to compare the therapeutic efficacy of aerobic exercise and paroxetine in fibromyalgia syndrome. J Back Musculoskelet Rehabil 17(2): 57–61
81.
Zurück zum Zitat Shupak NM et al. (2006) Exposure to a specific pulsed low-frequency magnetic field: a double-blind placebo-controlled study of effects on pain ratings in rheumatoid arthritis andfibromyalgia patients. Pain Res Manag 11(2): 85–90PubMed Shupak NM et al. (2006) Exposure to a specific pulsed low-frequency magnetic field: a double-blind placebo-controlled study of effects on pain ratings in rheumatoid arthritis andfibromyalgia patients. Pain Res Manag 11(2): 85–90PubMed
82.
Zurück zum Zitat Sunshine W et al. (1996) Fibromyalgia benefits from massage therapy and transcutaneous electrical stimulation. J Clin Rheumatol 2(1): 18–22CrossRefPubMed Sunshine W et al. (1996) Fibromyalgia benefits from massage therapy and transcutaneous electrical stimulation. J Clin Rheumatol 2(1): 18–22CrossRefPubMed
83.
Zurück zum Zitat Usui C et al. (2006) Electroconvulsive therapy improves severe pain associated with fibromyalgia. Pain 121(3): 276–280PubMedCrossRef Usui C et al. (2006) Electroconvulsive therapy improves severe pain associated with fibromyalgia. Pain 121(3): 276–280PubMedCrossRef
84.
Zurück zum Zitat Valim V et al. (2003) Aerobic fitness effects in fibromyalgia. J Rheumatol 30(5): 1060–1069PubMed Valim V et al. (2003) Aerobic fitness effects in fibromyalgia. J Rheumatol 30(5): 1060–1069PubMed
85.
Zurück zum Zitat Valkeinen H et al. (2005) Muscle hypertrophy, strength development, and serum hormones during strength training in elderly women with fibromyalgia. Scand J Rheumatol 34(4): 309–314PubMedCrossRef Valkeinen H et al. (2005) Muscle hypertrophy, strength development, and serum hormones during strength training in elderly women with fibromyalgia. Scand J Rheumatol 34(4): 309–314PubMedCrossRef
86.
Zurück zum Zitat Van Santen M et al. (2002) A randomized clinical trial comparing fitness and biofeedback training versus basic treatment in patients with fibromyalgia. J Rheumatol 29(3): 575–581 Van Santen M et al. (2002) A randomized clinical trial comparing fitness and biofeedback training versus basic treatment in patients with fibromyalgia. J Rheumatol 29(3): 575–581
87.
Zurück zum Zitat Verstappen FTJ, van Santen-Hoeuft HMS, Bolwijn S (1997) Effect of a group activity program for fibromyalgia patients on physical fitness and well-being. J Musculoskeletal Pain 5: 17–28CrossRef Verstappen FTJ, van Santen-Hoeuft HMS, Bolwijn S (1997) Effect of a group activity program for fibromyalgia patients on physical fitness and well-being. J Musculoskeletal Pain 5: 17–28CrossRef
88.
Zurück zum Zitat Vitorino DF, Carvalho LB, Prado GF (2006) Hydrotherapy and conventional physiotherapy improve total sleep time and quality of life of fibromyalgia patients: randomized clinical trial. Sleep Med 7(3): 293–296. Epub 2006 Mar 24PubMedCrossRef Vitorino DF, Carvalho LB, Prado GF (2006) Hydrotherapy and conventional physiotherapy improve total sleep time and quality of life of fibromyalgia patients: randomized clinical trial. Sleep Med 7(3): 293–296. Epub 2006 Mar 24PubMedCrossRef
89.
Zurück zum Zitat Wigers SH, Stiles TC, Vogel PA (1996) Effects of aerobic exercise versus stress management treatment in fibromyalgia. A 4.5 year prospective study. Scand J Rheumatol 25(2): 77–86PubMedCrossRef Wigers SH, Stiles TC, Vogel PA (1996) Effects of aerobic exercise versus stress management treatment in fibromyalgia. A 4.5 year prospective study. Scand J Rheumatol 25(2): 77–86PubMedCrossRef
90.
Zurück zum Zitat Yildiz S et al. (2004) A new treatment modality for fibromyalgia syndrome: hyperbaric oxygen therapy J Int Med Res 32(3): 263–267 Yildiz S et al. (2004) A new treatment modality for fibromyalgia syndrome: hyperbaric oxygen therapy J Int Med Res 32(3): 263–267
91.
Zurück zum Zitat Yurtkuran M, Celiktas M (1996) A randomized, controlled trial of balneotherapy in the treatment of patients with primary fibromyalgia syndrome. Phys Med Rehabilitationsmed Kurortmed 6(4): 109–112CrossRef Yurtkuran M, Celiktas M (1996) A randomized, controlled trial of balneotherapy in the treatment of patients with primary fibromyalgia syndrome. Phys Med Rehabilitationsmed Kurortmed 6(4): 109–112CrossRef
Metadaten
Titel
Physiotherapie, medizinische Trainingstherapie und physikalische Therapie beim Fibromyalgiesyndrom
verfasst von
Prof. Dr. M. Schiltenwolf
W. Häuser
E. Felde
C. Flügge
R. Häfner
M. Settan
M. Offenbächer
Publikationsdatum
01.06.2008
Verlag
Springer-Verlag
Erschienen in
Der Schmerz / Ausgabe 3/2008
Print ISSN: 0932-433X
Elektronische ISSN: 1432-2129
DOI
https://doi.org/10.1007/s00482-008-0675-3

Weitere Artikel der Ausgabe 3/2008

Der Schmerz 3/2008 Zur Ausgabe

Mitteilungen der Österreichischen Schmerzgesellschaft

Liebe Kolleginnen, liebe Kollegen!

President's Corner (Mitteilungen der SGSS)

Liebe Kolleginnen, liebe Kollegen

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Hinter dieser Appendizitis steckte ein Erreger

23.04.2024 Appendizitis Nachrichten

Schmerzen im Unterbauch, aber sonst nicht viel, was auf eine Appendizitis hindeutete: Ein junger Mann hatte Glück, dass trotzdem eine Laparoskopie mit Appendektomie durchgeführt und der Wurmfortsatz histologisch untersucht wurde.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Mehr Schaden als Nutzen durch präoperatives Aussetzen von GLP-1-Agonisten?

23.04.2024 Operationsvorbereitung Nachrichten

Derzeit wird empfohlen, eine Therapie mit GLP-1-Rezeptoragonisten präoperativ zu unterbrechen. Eine neue Studie nährt jedoch Zweifel an der Notwendigkeit der Maßnahme.

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.