Effects of manual therapy on pain in women with fibromyalgia: a literature review
DOI:
https://doi.org/10.15448/1983-652X.2017.1.23875Keywords:
fibromyalgia, pain, manual therapy, physical therapy.Abstract
Objective: To evaluate, through a literature review, the effects of manual therapy on pain in women with fibromyalgia (FM).
Materials and Methods: This is an integrative review study. We used the databases PubMed, Lilacs, PEDro and Scielo, selected clinical trials or quasi-experimental studies, published in Portuguese, English and Spanish, which aimed to evaluate the effects of manual therapy on pain in women with FM. The keywords and boolean operators used were: "Musculoskeletal Manipulations OR manual therapy AND Fibromyalgia". From a total of 133 articles found, 15 were selected for final inclusion in this study.
Results: Of these, most (55.5%) of the studies were conducted on the European continent, and only one was conducted in the Brazilian population. The sample size of the studies ranged from 12 to 86 individuals for each group studied, and 8 (88.8%) of them used the American College of Rheumatology criteria for clinical diagnosis of FM. The most widely used techniques were the myofascial release (33.3%), connective tissue massage (22.2%) and manual lymph drainage (22.2%), considering that the total duration of treatment ranged between 3 and 20 weeks. All studies found pain relief through manual therapy techniques, with positive effects on the symptoms of anxiety, sleep, physical function and quality of life.
Conclusion: The findings of this review show that the manual therapy techniques seem beneficial for the treatment of pain in women with FM.
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