Osteopathic treatment in patients with fibromyalgia
an integrative review
Abstract
Fibromyalgia (FM) has pain as its main symptom, which directly reflects on the patient's quality of life. Even so, it presents a refractory profile to several forms of treatment. The objective of the present study was to identify the main osteopathic techniques and the effects obtained in the treatment of patients with FM. This study is an integrative review and searches were used in Medline/Pubme and PEDro databases and academic google repository. Data collection took place on December 13, 2022 using the descriptors osteopathy and fibromyalgia in Portuguese, English and Spanish, which were separated by Boolean operators AND and/or OR. The inclusion criteria were: subjects with fibromyalgia, osteopathic interventions associated or not with other therapies, comparison group or not, the outcomes were related to the type of techniques and the observed effects and that they were types of studies such as clinical trial, pilot study, report or case study and case series. After collection, the data were tabulated and transcribed into figures and tables. The results observed in the six included studies regarding the most recurrent techniques were: high speed and low amplitude, joint mobilizations, global osteopathic treatment, myofascial techniques, craniosacral osteopathy, visceral techniques and muscle energy techniques. In addition, the main effects observed were the reduction of medication intake, improvement in quality of life and reduction in pain intensity. Finally, it was observed that osteopathy seems to improve limiting aspects in the management of patients with FM, such as pain intensity and quality of life; however, more robust studies with more adequate methodological quality and better homogeneity between groups are needed. In addition, studies with a larger sample size and better methodological rigor regarding randomization and use of the control group are suggested.
References
Bonilla Sierra P, Lanchi Rueda JY. Evolução da epidemiologia e diagnóstico da fibromialgia nos últimos dez anos. Revisão bibliográfica. 2022;6(44 esp):132-46. https://journalprosciences.com/index.php/ps/article/view/578
Moyano S, Kilstein JG, Alegre de Miguel C. Novos critérios diagnósticos para fibromialgia: Veio para ficar? Reumatol Clin. 2015 jul-ago;11(4):210-4. https://doi.org/10.1016/j.reuma.2014.07.008
Hernando-Garijo I, Jiménez-Del-Barrio S, Mingo-Gómez T, Medrano-de-la-Fuente R, Ceballos-Laita L. Effectiveness of non-pharmacological conservative therapies in adults with fibromyalgia: A systematic review of high-quality clinical trials. J Back Musculoskelet Rehabil. 2022;35(1):3-20. https://doi.org/10.3233/BMR-200282
Covarrubias-Gómez A, Carrillo-Torres O. Actualidades conceptuales sobre fibromialgia. Rev Mex Anest. 2016;39(1):58-63.
Marques AP, Santo A de S do E, Berssaneti AA, Matsutani LA, Yuan SLK. Prevalence of fibromyalgia: literature review update. Rev Bras Reumatol. 2017;57(4). https://doi.org/10.1016/j.rbre.2017.01.005
Sañudo JI, Corrales-Sánchez R, Sañudo B. Níveis de atividade física, qualidade de vida e incidência de depressão em mulheres idosas com fibromialgia. 2013;6(2):53-60.
Bidonde J, Busch AJ, Schachter CL, Webber SC, Musselman KE, Overend TJ, Góes SM, Dal Bello-Haas V, Boden C. Treinamento de exercícios mistos para adultos com fibromialgia. Cochrane Database Syst Rev. 2019 May 24;5(5):CD013340. https://doi.org/10.1002/14651858.CD013340
Queiroz LP. Worldwide epidemiology of fibromyalgia. Curr Pain Headache Rep. 2013 Aug;17(8):356. https://doi.org/10.1007/s11916-013-0356-5
McNally JD, Matheson DA, Bakowsky VS. The epidemiology of self-reported fibromyalgia in Canada. Chronic Dis Can. 2006;27(1):9-16. PMID: 16672135.
Wolfe F, Ross K, Anderson J, Russell IJ, Hebert L. A prevalência e as características da fibromialgia na população em geral. Artrite Reuma. 1995 janeiro;38(1):19-28. https://doi.org/10.1002/art.1780380104
Walitt B, Nahin RL, Katz RS, Bergman MJ, Wolfe F. The Prevalence and Characteristics of Fibromyalgia in the 2012 National Health Interview Survey. PLoS One. 2015 Sep 17;10(9):e0138024. https://doi.org/10.1371/journal.pone.0138024
Alves R de C, Nepomuceno VR, Marson PG, Bartholomeu Neto J, Silveira JM, Rodrigues ESR, Gomes A de O, Porfírio PMN, Araujo WN de, Silva KCC da. Aspectos epidemiológicos e diagnóstico da fibromialgia no Norte do Brasil. RSD. 2023;11(4):e53511427704.
Hernando-Garijo I, Jiménez-Del-Barrio S, Mingo-Gómez T, Medrano-de-la-Fuente R, Ceballos-Laita L. Effectiveness of non-pharmacological conservative therapies in adults with fibromyalgia: A systematic review of high-quality clinical trials. J Back Musculoskelet Rehabil. 2022;35(1):3-20. https://doi.org/10.3233/BMR-200282
Alciati A, Nucera V, Masala IF, Giallanza M, La Corte L, Giorgi V, Sarzi-Puttini P, Atzeni F. One year in review 2021: fibromyalgia. Clin Exp Rheumatol. 2021 May-Jun;39 Suppl 130(3):3-12. https://doi.org/10.55563/clinexprheumatol/gz4i3i
de Melo Vitorino DF, de Carvalho LBC, do Prado GF. Hydrotherapy and conventional physiotherapy improve total sleep time and quality of life of fibromyalgia patients: randomized clinical trial. Sleep Medicine 2006;7(3):293-6.
Silva HJ de A, Assunção Júnior JC, de Oliveira FS, Oliveira, JM de P, Figueiredo Dantas GA, Lins CA de A, et al. Sophrology versus resistance training for treatment of women with fibromyalgia: a randomized controlled trial. J Bodyw Mov Ther. 2019 Apr 1;23(2):382-9.
Hooten WM, Qu W, Townsend CO, Judd JW. Effects of strength vs aerobic exercise on pain severity in adults with fibromyalgia: a randomized equivalence trial. Pain. 2012 Apr; 153(4):915-23.
Caglayan BC, Basakci Calik B, Gur Kabul E, Karasu U. Investigation of effectiveness of reformer pilates in individuals with fibromyalgia: A randomized controlled trial. Reumatol Clin (Engl Ed). 2023 Jan;19(1):18-25. https://doi.org/10.1016/j.reumae.2022.01.003
KLAHR. P.S et.al A influência da Terapia Craniossacral na qualidade de vida de pacientes com fibromialgia. Revista Ter Man. 2011;9(44):362-365.
Coste J, Medkour T, Maigne JY, Pérez M, Laroche F, Perrot S. Osteopathic medicine for fibromyalgia: a sham-controlled randomized clinical trial. Ther Adv Musculoskelet Dis. 2021 Apr 16;13:1759720X211009017.
Marske C, Bernard N, Palacios A, Wheeler C, Preiss B, Brown M, Bhattacharya S, Klapstein G. Fibromyalgia with Gabapentin and Osteopathic Manipulative Medicine: A Pilot Study. J Altern Complement Med. 2018 Apr;24(4):395-402. https://doi.org/10.1089/acm.2017.0178
Uysal SC, Tüzün EH, Eker L, Angın E. Effectiveness of the muscle energy technique on respiratory muscle strength and endurance in patients with fibromyalgia. J Back Musculoskelet Rehabil. 2019;32(3):411-419. https://doi.org/10.3233/BMR-181287
Gomes ECC, Souza SL de, Marques AP de O, Leal MCC. Treino de estimulação de memória e a funcionalidade do idoso sem comprometimento cognitivo: uma revisão integrativa. Ciênc saúde coletiva. 2020;25(6). https://doi.org/10.1590/1413-81232020256.24662018
Mendes KDS, Silveira RC de CP, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto contexto - enferm. 2008;17(4). https://doi.org/10.1590/S0104-07072008000400018
Oxford Centre for Evidence-based Medicine: levels of evidence. March 2009. http://www.cebm.net/oxford-centre-evidence-based-medicine-levels-evidence-march-2009
Reis MS, Durigan JL, Arena R, Rossi BR, Mendes RG, Borghi-Silva A. Effects of Posteroanterior Thoracic Mobilization on Heart Rate Variability and Pain in Women with Fibromyalgia. Rehabil Res Pract. 2014;2014:898763. https://doi.org/10.1155/2014/898763
Albers J, Jäkel A, Wellmann K, von Hehn U, Schmidt T. Effectiveness of 2 Osteopathic Treatment Approaches on Pain, Pressure-Pain Threshold, and Disease Severity in Patients with Fibromyalgia: A Randomized Controlled Trial. Complement Med Res. 2018;25(2):122-128.
Yunus, MB. Gender and fibromyalgia. Best Practice & Research Clinical Rheumatology. 2007;21(1):117-124. https://doi.org/10.1016/j.berh.2006.12.001
Clauw DJ. Fibromyalgia: a clinical review. JAMA. 2014 Apr 16;311(15):1547-55. https://doi.org/10.1001/jama.2014.3266
Calvo-Lobo, C., Esparza, I., & Fernández-Carnero, J. Manual therapy for the management of fibromyalgia syndrome: A systematic review of randomized controlled trials. The Journal of Manual & Manipulative Therapy. 2015;23(4):191-201. https://doi.org/10.1179/2042618615Y.0000000024
Ernst E. Osteopathy and the treatment of musculoskeletal pain. Rheumatology (Oxford). 2002 Apr;41(4):385-6.
Vanelderen, P., De Wandele, I., & Cools, A. The effectiveness of manual therapy in the management of fibromyalgia: A systematic review. Manual Therapy. 2015;20(2):116-126. https://doi.org/10.1016/j.math.2014.08.002
Hidding, A., et al. . The effect of osteopathic treatment on pain and disability in patients with fibromyalgia syndrome: a randomized controlled trial. Journal of Manipulative and Physiological Therapeutics. 2008;31(7):489-497.
Gadsby, J., et al. Osteopathic manipulative treatment for fibromyalgia: a systematic review. The Journal of the American Osteopathic Association. 113(11):796-805.
Kizhakkeveettil A, Glazier RH. The effectiveness of osteopathic treatment: a systematic review of the literature. J Am Osteopath Assoc. 2005 Jan;105(1):37-43.
