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Postural counseling represents a novel option in pain management of fibromyalgia patients

BACKGROUND: Chronic pain is a key symptom in fibromyalgia (FM), and its management is still challenging for rheumatologists in daily practice. FM patients show psychological and psychiatric manifestations, going from mood and emotional disorders to depression and alexithymia that negatively impact t...

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Autores principales: Galvani, Carla, Caramaschi, Paola, Mura, Paolo, Paladini, Antonella, Piroli, Alba, Arnaudo, Elisa, De Franceschi, Lucia, Evangelista, Maurizio, Pari, Alice, Ongaro, Giovanna, Finco, Gabriele, Ciannameo, Anna, Carletto, Antonio, Varrassi, Giustino, Biasi, Domenico
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333156/
https://www.ncbi.nlm.nih.gov/pubmed/30666151
http://dx.doi.org/10.2147/JPR.S164714
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author Galvani, Carla
Caramaschi, Paola
Mura, Paolo
Paladini, Antonella
Piroli, Alba
Arnaudo, Elisa
De Franceschi, Lucia
Evangelista, Maurizio
Pari, Alice
Ongaro, Giovanna
Finco, Gabriele
Ciannameo, Anna
Carletto, Antonio
Varrassi, Giustino
Biasi, Domenico
author_facet Galvani, Carla
Caramaschi, Paola
Mura, Paolo
Paladini, Antonella
Piroli, Alba
Arnaudo, Elisa
De Franceschi, Lucia
Evangelista, Maurizio
Pari, Alice
Ongaro, Giovanna
Finco, Gabriele
Ciannameo, Anna
Carletto, Antonio
Varrassi, Giustino
Biasi, Domenico
author_sort Galvani, Carla
collection PubMed
description BACKGROUND: Chronic pain is a key symptom in fibromyalgia (FM), and its management is still challenging for rheumatologists in daily practice. FM patients show psychological and psychiatric manifestations, going from mood and emotional disorders to depression and alexithymia that negatively impact their quality of life, limiting their daily activities. Since pharmacological strategies have a limited efficacy in FM pain, alternative or complementary non-pharmacological approaches have been introduced in the clinical management of FM. PATIENTS AND METHODS: This is a retrospective study on FM patients (n=52) treated with a novel integrated postural counseling (PC) rehabilitation program carried out by a counselor physiotherapist. The clinical impact of PC was evaluated by 1) a semi-structured interview using an ad hoc modified questionnaire McGill Illness Narrative Interview (MINI) 1 to obtain data on pain management by highlighting everyday experience of living with pain and 2) an FM impact questionnaire (FIQ) total score. RESULTS: Two main structures of narrative emplotment of FM illness were recognized: 1) the cumulative life narrative structure (46.15%) and 2) the broken life (53.85%) narrative structure. Baseline FIQ score was 77.38±7.77, and it was significantly reduced after PC to 39.12±13.27 (P<0.0001). Although well-being still requires further definition as outcome in pain management, it is important for FM patients, dealing with pain-related sensations, thoughts and feelings and limiting their daily activities. In our study, 87.5% of interviewed FM patients reported an improvement in their well-being after PC. CONCLUSION: Our data suggest that an integrated PC program positively impacts chronic pain and fatigue based on self-management strategies. PC allows FM patients to resume their own life and regenerate their own image. Finally, we propose the introduction of the evaluation of the ability to resume daily activities as the target of rehabilitation programs in FM.
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spelling pubmed-63331562019-01-21 Postural counseling represents a novel option in pain management of fibromyalgia patients Galvani, Carla Caramaschi, Paola Mura, Paolo Paladini, Antonella Piroli, Alba Arnaudo, Elisa De Franceschi, Lucia Evangelista, Maurizio Pari, Alice Ongaro, Giovanna Finco, Gabriele Ciannameo, Anna Carletto, Antonio Varrassi, Giustino Biasi, Domenico J Pain Res Original Research BACKGROUND: Chronic pain is a key symptom in fibromyalgia (FM), and its management is still challenging for rheumatologists in daily practice. FM patients show psychological and psychiatric manifestations, going from mood and emotional disorders to depression and alexithymia that negatively impact their quality of life, limiting their daily activities. Since pharmacological strategies have a limited efficacy in FM pain, alternative or complementary non-pharmacological approaches have been introduced in the clinical management of FM. PATIENTS AND METHODS: This is a retrospective study on FM patients (n=52) treated with a novel integrated postural counseling (PC) rehabilitation program carried out by a counselor physiotherapist. The clinical impact of PC was evaluated by 1) a semi-structured interview using an ad hoc modified questionnaire McGill Illness Narrative Interview (MINI) 1 to obtain data on pain management by highlighting everyday experience of living with pain and 2) an FM impact questionnaire (FIQ) total score. RESULTS: Two main structures of narrative emplotment of FM illness were recognized: 1) the cumulative life narrative structure (46.15%) and 2) the broken life (53.85%) narrative structure. Baseline FIQ score was 77.38±7.77, and it was significantly reduced after PC to 39.12±13.27 (P<0.0001). Although well-being still requires further definition as outcome in pain management, it is important for FM patients, dealing with pain-related sensations, thoughts and feelings and limiting their daily activities. In our study, 87.5% of interviewed FM patients reported an improvement in their well-being after PC. CONCLUSION: Our data suggest that an integrated PC program positively impacts chronic pain and fatigue based on self-management strategies. PC allows FM patients to resume their own life and regenerate their own image. Finally, we propose the introduction of the evaluation of the ability to resume daily activities as the target of rehabilitation programs in FM. Dove Medical Press 2019-01-11 /pmc/articles/PMC6333156/ /pubmed/30666151 http://dx.doi.org/10.2147/JPR.S164714 Text en © 2019 Galvani et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Galvani, Carla
Caramaschi, Paola
Mura, Paolo
Paladini, Antonella
Piroli, Alba
Arnaudo, Elisa
De Franceschi, Lucia
Evangelista, Maurizio
Pari, Alice
Ongaro, Giovanna
Finco, Gabriele
Ciannameo, Anna
Carletto, Antonio
Varrassi, Giustino
Biasi, Domenico
Postural counseling represents a novel option in pain management of fibromyalgia patients
title Postural counseling represents a novel option in pain management of fibromyalgia patients
title_full Postural counseling represents a novel option in pain management of fibromyalgia patients
title_fullStr Postural counseling represents a novel option in pain management of fibromyalgia patients
title_full_unstemmed Postural counseling represents a novel option in pain management of fibromyalgia patients
title_short Postural counseling represents a novel option in pain management of fibromyalgia patients
title_sort postural counseling represents a novel option in pain management of fibromyalgia patients
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333156/
https://www.ncbi.nlm.nih.gov/pubmed/30666151
http://dx.doi.org/10.2147/JPR.S164714
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