Effects of manual therapy on pain in women with fibromyalgia: a literature review

Authors

  • Marciele Monzon Ziani IBGEN
  • Elaine Alegre Bueno Pontifícia Universidade Católica do Rio Grande do Sul
  • Lenise Romero Kipper IBGEN
  • Fernanda Maria Vendrusculo Pontifícia Universidade Católica do Rio Grande do Sul
  • Aline Dill Winck Professora da Universidade de Caxias do Sul
  • João Paulo Heinzmann-Filho Pontifícia Universidade Católica do Rio Grande do Sul

DOI:

https://doi.org/10.15448/1983-652X.2017.1.23875

Keywords:

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.

Author Biographies

Elaine Alegre Bueno, Pontifícia Universidade Católica do Rio Grande do Sul

IBGEN

João Paulo Heinzmann-Filho, Pontifícia Universidade Católica do Rio Grande do Sul

Fisioterapeuta graduado pelo Instituto Cenecista de Ensino Superior de Santo Ângelo (2010), mestre em Pediatria e Saúde da Criança por meio da Pontifícia Universidade Católica do Rio Grande do Sul (2012) e doutorando pelo mesmo programa de pós-graduação. Atualmente desenvolve projetos relacionados a testes de função pulmonar, como, manovacuometria, espirometria, oscilometria de impulso, pletismografia, indução de escarro e o teste de exercício cardiopulmonar. Além disso, participa do ambulatório de doenças pulmonares crônicas realizando a avaliação funcional de crianças e adolescentes.

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Published

2017-02-23

Issue

Vol. 10 No. 1 (2017)

Section

Review Articles

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