• Title/Summary/Keyword: fibromyalgia

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Treatment of Primary Fibromyalgia Syndrome Patient -A case report- (Primary Fibromyalgia Syndrome 환자의 치험례 -증례 보고-)

  • Heo, Hoo-Man;Park, Sang-Min;Kim, Yong-Ik;Park, Wook
    • The Korean Journal of Pain
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    • v.11 no.1
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    • pp.138-142
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    • 1998
  • Fibromyalgia syndrome is defined as a diffuse, aching musculoskeletal pain associated with multiple and discrete predictable tender points along with stiffness. A primary form associated without any disease is uncommon compared to the secondary diffuse fibrositis. We witnessed a case of a primary fibromyalgia syndrome. A 28-year-old woman was suffering from pain on posterior neck, right shoulder, upper back, left hand and arm for two years. She also complained of morning stiffness, fatigue, and headache. We treated her with stellate ganglion block with 0.25% bupivacaine, medication that included amitriptyline, TENS and superlizer. We also recommended aerobic exercise.

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A Case of Postural Orthostatic Tachycardia Syndrome Associated with Migraine and Fibromyalgia

  • Yun, Dong Joo;Choi, Han Na;Oh, Gun-Sei
    • The Korean Journal of Pain
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    • v.26 no.3
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    • pp.303-306
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    • 2013
  • Postural orthostatic tachycardia syndrome (POTS) refers to the presence of orthostatic intolerance with a heart rate (HR) increment of 30 beats per minute (bpm) or an absolute HR of 120 bpm or more. There are sporadic reports of the autonomic nervous system dysfunction in migraine and fibromyalgia. We report a case of POTS associated with migraine and fibromyalgia. The patient was managed with multidisciplinary therapies involving medication, education, and exercise which resulted in symptomatic improvement. We also review the literature on the association between POTS, migraine, and fibromyalgia.

Clinical Research on 1 Case of Fibromyalgia Treated by Iontophoresis (한방통전약물요법을 이용한 섬유근통환자 치험 1례)

  • Cho, Hyun-Chol;Jang, Gun;Song, Yun-Kyung;Lim, Hyung-Ho;Cho, Tae-Young
    • The Journal of Korea CHUNA Manual Medicine
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    • v.6 no.1
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    • pp.137-146
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    • 2005
  • Objective : We got a good effect on one patient who was diagnosed Fibromyalgia. Method : We treated 1 case of Fibromyalgia with acupuncture, moxibustion, herbal medication, and iontophoresis. We measured the VAS(Visual Analog Scale) and ROM(Range of motion) of Lumbar. Results : Patient's met complain is low back pain, pain and hemiparesis of night lower limb, and Pantalgia After treatment, most symptoms decreased and ROM, ambulation improved. VAS score changed from 10 to 2 for 52 days. Conclusion : The Fibromyalgia were successfully treated by acupuncture, moxibustion, herbal medication, and iontophoresis.

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The Clinical Study on a case of Fibromyalgia Syndrome(FMS) Patient Case Report (복합한방치료로 호전된 섬유근통증후군 환자에 대한 증례보고)

  • Lee, Yoo-Hwan;Kim, Jung-Hee;Lee, Chang-Hwan;Kim, Cheol-Hong;Youn, Hyoun-Min
    • Journal of Pharmacopuncture
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    • v.14 no.1
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    • pp.97-104
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    • 2011
  • Objective : This study is to report the effect that taken by using oriental treatment on the patient with Fibromyalgia Syndrome(FMS). Methods : We have observed this case of patient treated by Acupuncture therapy, pharmacopuncture therapy and herbal medication. Results : There was improvement in condition of the patient who had Fibromyalgia Syndrome(FMS) after treated by using oriental treatment. Conclusion : Oriental treatments such as Acupuncture therapy, Pharmacopuncture therapy and herbal medication can be effective for the Fibromyalgia Syndrome(FMS).

Effecting Factors on Depression in Patients with Fibromyalgia (섬유조직염환자의 우울에 영향을 미치는 요인)

  • Han, Sang-Sook;Lee, Sang-Chul
    • Journal of Korean Academy of Nursing
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    • v.35 no.1
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    • pp.87-94
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    • 2005
  • Purpose: The purpose of this research was to provide basic data in the control of depression found in patients with fibromyalgia by analysing the main factors that affect them. Method: The subjects were 207 out-patients in three university medical centers diagnosed with fibromyalgia according to the conditions by American College of Rheumatology (1990). Depression was measured by the CES-D Scale. Dependant variables, such as stress and anxiety were measured by the VAS Scale and physical activity was measured using 10(4-point-scale) questions developed by the researcher. The number of tender points was converted to scores based on the criteria of the ACR(1990) and of Yunus. Self-efficacy was measured by the Self-Efficacy Scale developed by Lorig et al. (1989) for arthritis patients. Result: The main factors that affect depression of patients with fibromyalgia were self-efficacy, anxiety, physical activity, tender points fatigue, and family support, which explained 49% of the depression. Conclusion: It has been confirmed that the regression equation model of this research may serve as a predictor of depression in patients with fibromyalgia.

Fibromyalgia Syndrome Combined with Insomnia and Depression Disorder Managed with Korean Medical Treatment: A Case Report (한의학적 치료로 호전된 불면과 우울을 동반한 섬유근통 증후군 환자 치험 1례)

  • Kim, Eui-su;Shin, Min-koo;Kim, Tae-ryun;Oh, Jae-seon;Ma, Young-hun;Le, Young-su
    • The Journal of Internal Korean Medicine
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    • v.36 no.3
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    • pp.400-409
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    • 2015
  • Objectives The study aimed to evaluate the therapeutic effect of Hyungtonghaeul-tang along with Korean medicine treatment for fibromyalgia syndrome. Methods A patient with fibromyalgia syndrome was treated with Hyungtonghaeul-tang as well as Korean medical treatment including acupuncture, electro-acupuncture, bee venom therapy, chuna, aromatherapy, and physical therapy. The counts of tenderness points, widespread pain index (WPI), symptom severity scale score (SS scale score), digital infrared thermal imaging (DITI), Ryodoraku diagnosis, visual analogue scale (VAS), fibromyalgia impact questionnaire (FIQ), and beck depression inventory (BDI) were measured. Results After treatment, the counts of tenderness point, WPI, SS scale score, VAS, FIQ, and BDI were decreased. The DITI and the Ryodoraku pattern recovered normally. Conclusions Hyungtonghaeul-tang along with Korean medicine treatment can be used in the treatment of fibromyalgia syndrome.

The study on Fatigue, Pain, and Coping of Pain in Fibromyalgia and Arthritis patients (섬유조직염과 관절염 환자의 피로, 통증, 및 통증 대처)

  • Lim, Nan-Young;Lee, Eun-Young;Yi, Yeo-Jin
    • The Korean Journal of Rehabilitation Nursing
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    • v.3 no.1
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    • pp.59-70
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    • 2000
  • The propose of this study was to identify fatigue, pain and coping of pain and to compare the variables between fibromyalgia and chronic arthritis. The sample consisted of 133 patients who visited H university hospital. Data were collected by questionnaire from May 1 to September 30, 1999. Data was analyzed by descriptive statistics, $x^2$-test, pearson correlation coefficient, and ANOVA. As a results, most of all patients felt fatigue and the mean score of the fatigue was above average. The mean score of rheumatoid arthritis and fibromyalgia patients on pain was higher than Osteoarthritis patients, and there was the statistically significant difference among three groups on pain(F=10.63, p=0.00). There was also the statistical difference among three groups on coping of pain(F=4.74, p=0.01). The mean score of rheumatoid arthritis and fibromyalgia patients on coping of pain was higher than Osteoarthritis patients. Fatigue showed positive relationship with pain(r=.262, p=.002), and pain showed positive relationship with coping of pain(r=.319, p=.000). According to this finding, fibromyalgia patients and rheumatoid arthritis patients felt high fatigue and pain, therefore the development of nursing intervention for relieving fatigue and pain would be needed.

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The Effect of a Tai-Chi Self-helf Program for Fibromyalgia Patient (섬유근통증후군(Fibromyalgia Syndrome) 환자에서 타이치 자조관리프로그램의 효과)

  • Han, Sang-Sook;Bak, Won-Sook;Yang, Hyung-In
    • Journal of muscle and joint health
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    • v.14 no.2
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    • pp.169-180
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    • 2007
  • Purpose: This study was done to determine the effect of Tai-Chi Self-help program to progress of reduction of symptom, difficulty on activity by application Tai-Chi Self-help program for Fibromyalgia patients. Method: The study was used the method of one group pretest-posttest design. The subjects were 65 outpatients who were diagnosed as Fibromyalgia by ACR(1990) standard at K University Hospital, medical center. Tai-Chi self-help program was done for 8 weeks(three a week for 2 hours)through group meeting of 65 patients. Collected data were analyzed by SPSS for window12.0 program package. Results: The result of this study suggests that could increase in reduction of symptom and lower disturbance in ADL and life Satisfaction compared with the before Tai-Chi Self-help program education. Conclusion: Accoradingly Tai-Chi Self-help program could be used as a proper nursing strategy for Fibromyalgia patients.

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Effects of a Cognitive Behavior Therapy Program for Patients with Fibromyalgia Syndrome: A Randomized Controlled Trial (섬유근통 증후군 환자를 위한 인지행동 프로그램의 효과: 무작위 대조군 전후실험설계)

  • Kong, Kyoung Ran;Lee, Eun Nam
    • Journal of Korean Academy of Nursing
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    • v.51 no.3
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    • pp.347-362
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    • 2021
  • Purpose: This study developed a cognitive behavioral therapy program aimed at altering the physical condition, emotions, and behaviors of fibromyalgia patients, and confirmed the program's clinical applicability. The program was developed by analyzing previous studies conducting in-depth interviews with fibromyalgia patients, drawing on cognitive behavior theory to establish the program contents, recruiting experts to test its validity, and conducting a preliminary survey. Methods: To confirm the program's effect, this study used a randomized controlled trial design. The participants were outpatients diagnosed with fibromyalgia in Dong-A University Hospital, Busan. The 30 patients in the experimental group took part in the program, which comprised 8 sessions (90 to 120 minutes) based on cognitive behavior theory, delivered over 8 weeks. Hypothesis testing was carried out using the repeated measures ANOVA. Results: The analysis revealed significant differences between the experimental and control groups in positive automatic thoughts, pain, fatigue, depression, and interpersonal relationships. However, there was no significant difference between the groups in terms of sleep disorders and negative automatic thoughts. Conclusion: This program is a positive effect on physical condition, emotions, and behaviors. It is thus expected to be used to help fibromyalgia patients improve their disease conditions.

The Effect of Graston Technique and Chuna manual therapy combined with Korean Medical Treatment for fibromyalgia: A Case Report

  • Kim, Myung Kwan;Kim, Hyun Ji;Kim, Hye Su;Jeong, Jeong Gyo;Jeon, Ju Hyun
    • Journal of Acupuncture Research
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    • v.34 no.3
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    • pp.121-130
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    • 2017
  • Objectives : The purpose of this study was to report the clinical effects of the Graston Technique and Chuna manual therapy, combined with Korean Medical Treatment for fibromyalgia. Methods : We treated a patient diagnosed with fibromyalgia. We used acupuncture, the Graston Technique, Chuna manual therapy, pharmacopuncture, herbal medicine, moxibustion and physical therapy. Outcomes were evaluated using the American College of Rheumatology Preliminary Diagnostic Criteria (ACR), the Fibromyalgia Impact Questionnaire (FIQ), and the Numeric Rating Scale (NRS). Results : The widespread pain index (WPI) scale score of the ACR decreased from 12 to 9, and the symptom severity scale (SS) score of the ACR decreased from 8 to 6. The FIQ score decreased from 63.69 to 50.15. On the NRS, lower back pain & lower limb pain decreased from 6 to 2; neck pain from 6 to 3; muscle tenderness & morning stiffness from 6 to 4; fatigue from 6 to 3; urticaria from 6 to 2. Conclusion : This case study suggests that the Graston Technique and Chuna manual therapy combined with Korean Medical Treatment may be effective treatments for fibromyalgia. However, further studies are needed.