• Title/Summary/Keyword: Fibromyalgia

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Fibromyalgia: practical considerations for oral health care providers

  • Jeon, Younghoon
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.20 no.5
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    • pp.263-269
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    • 2020
  • Fibromyalgia is a syndrome characterized by chronic pain in the skeletal system accompanied by stiffness, sleep disturbance, fatigue, and psychiatric problems, such as anxiety and depression. Fibromyalgia commonly affects orofacial health, presenting with a variety of oral manifestations, including temporomandibular disorder, xerostomia, glossodynia, and dysgeusia. Therefore, oral healthcare providers need to be aware of this clinical entity to effectively manage oral symptoms and provide proper oral self-care modification and education on the nature of fibromyalgia. This review focuses on the epidemiology, pathophysiology, clinical manifestation, diagnosis, orofacial concerns, and treatment of fibromyalgia.

Prediction Factors of Fatigue in Patients with Fibromyalgia (섬유조직염환자의 피로 예측 요인)

  • Han, Sang-Sook
    • Journal of East-West Nursing Research
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    • v.11 no.1
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    • pp.42-50
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    • 2005
  • Purpose: The purpose this research was to provide with basic data in the control of the fatiguer found in the patients with fibromyalgia by analysing the factors that predict that. Method: At three university medical center, appointed 245 out-patients diagnosed of fibromyalgia according to the conditions by American College of Rheumatology (1990). The research instruments used in this study were graphic rating scale(Anxiety, sleep disturbance, pain, joint stiffness and depression), physical activity, the number of tender points, life satisfaction and Self-efficacy scale. In data analysis, SPSS 12.0 program was utilized and data were analyzed using descriptive statistics, Pearson's correlation coefficient and multiple regression. Result: The factors that predict the fatigue of patients with fibromyalgia were sleep disturbance, life satisfaction, pain, joint stiffness, illness duration, and anxiety which explained 50.1% of the fatigue. Conclusion: It has been confirmed that the regression equation model of this research may serve as a fatigue prediction factors in patients with fibromyalgia.

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Affecting Factor on Sleep Disorder in Patients with Fibromyalgia (섬유조직염환자의 수면장애에 영향을 미치는 요인)

  • Han, Sang-Sook
    • Journal of muscle and joint health
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    • v.11 no.2
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    • pp.176-186
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    • 2004
  • Purpose: The purpose this research was to provide with basic data in the control of the sleep disorder found in the patients with fibromyalgia by analysing the main factors that affect that. Method: At two university medical center, appointed 171 out-patients diagnosed of fibromyalgia according to the conditions by American College of Rheumatology(1990). The research instruments used in this study were VAS Scale(Anxiety, fatigue, pain, joint stiffness and depression), physical activity family support, the number of tender points and Self-efficacy scale. In data analysis, SPSS 11.0 program was utilized and data were analyzed using descriptive statistics, Pearson's correlation coefficient and multiple regression. Result: The main factors that affect the sleep disorder of patients with fibromyalgia were fatigue, physical activity, and depressions which explained 46.2% of the sleep disorder. Conclusion: It has been confirmed that the regression equation model of this research may serve as a sleep disorder prediction factors in patients with fibromyalgia.

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A Case Report of Symptomatic Character and Diagnosis of Fibromyalgia (섬유근통(fibromyalgia)의 병태와 진단을 위한 임상 1례 보고)

  • Jeong, Tae-Young;Cho, Jung-Hyo;Park, Bong-Ky;Son, Chang-Gue
    • The Journal of Korean Medicine
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    • v.30 no.4
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    • pp.162-168
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    • 2009
  • Objective: This report aimed to study fibromyalgia's diagnostic criteria, differential diagnoses and its pathology from the viewpoint of oriental medicine. Method: We observed and diagnosed a female patient who complained of prolonged whole body pain, even several times hospitalized for treatment. Result: The patient's symptoms correspond with fibromyalgia and we ruled out other suspected diseases. Conclusion: Fibromyalgia is prone to be misdiagnosed because the patient has complicated symptoms such as various pains and chronic fatigue as well as depression unexplained by medical tests. Furthermore, the symptoms often never disappear completely, although it isn't progressive or life-threatening, and can be improved. So accumulation of data and analysis from the viewpoint of oriental medicine is necessary for development of oriental medical standard treatment.

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A Comparative Study on Symptoms, Living Activities, Self-efficacy and Family Support between Rheumatoid Arthritis Patients and Fibromyalgia Patients (류마티스관절염과 섬유조직염환자의 증상, 일상생활, 자기효능 및 가족지지 비교 연구)

  • Kang, Hyun-Sook;Han, Sang-Sook
    • Journal of muscle and joint health
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    • v.7 no.1
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    • pp.25-39
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    • 2000
  • This study was conducted to compare symptoms, living activities, self-efficacy and family support between rheumatoid arthritis patients and fibromyalgia patients. The subjects were consisted of 150 rheumatoid arthritis patients and 125 fibromyalgia patients at H Rheumatism Clinic. Data were collected by means of structured interview with questionnaires. The results were as follows: 1. Fibromyalgia patients have more symptoms than rheumatoid arthritis patients have. But the latter has more difficulties concerning living activities. 2. Self-efficacy score of fibromyalgia arthritis patients was higher than that of rheumatoid arthritis patients, but both the scores were at moderate level. 3. The level of family support of rheumatoid arthritis patients was moderate, similar as that of fibromyalgia patients. As self-efficacy and family support are important factors to relieve symptoms of both diseases, their promotion holds a key post.

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Modification and Test of Self-help Program for Patients having Fibromyalgia-Pilot Study- (섬유조직염환자용 자조관리과정의 수정 및 검증 -예비조사-)

  • Lee, Eun-Ok;Han, Sang-Sook
    • Journal of muscle and joint health
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    • v.4 no.2
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    • pp.262-276
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    • 1997
  • The purposes of this study are 1) to modify a self-help program for patients having fibromyalgia, 2) to revise instruments to measure the self-efficacy and impact of fibromyalgia; and 3) to test the effects of the program in terms of self-efficacy, physical activities, and clinical symptoms. The subjects of this study were persons diagnosed as fibromyalgia at a university hospital. For the first two purposes, six patients were selected. Twenty three subjects for the third purpose were selected and assigned to experimental and control group on the base of their residence. Thirteen were assigned to the experimental group, while 10 to the control group. Instruments selected for revision were self-efficacy scale and fibromyalgia impact profile. On the basis of the text developed by Arthritis Foundation, a program for patients with fibromyalgia was tentatively developed. Instruments for measurement of self-efficacy and impact of fibromyalgia were revised to show high reliabilities. Results obtained by utilization of the program were as follows : 1) There were no increase of self-efficacy and physical activities. 2) There were no improvement of the number of tender points and pain. 3) There were improvement of depression, fatigue and sleep impairment. These findings indicate the needs for modification of the program with emphasis of exercise for relaxation of tender points, increases of enactive action and vicarious learning.

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The Perception and Utilization patterns of Complementary and Alternative Medicines in Patients with Fibromyalgia Syndrome (섬유근통 증후군 환자의 보완대체요법에 대한 인식과 이용행태)

  • Kong, Kyoung Ran;Lee, Eun Nam;Jeong, Won Tae
    • Journal of muscle and joint health
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    • v.23 no.3
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    • pp.187-196
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    • 2016
  • Purpose: The purpose of this study was to investigate the perception and utilization patterns of complementary and alternative medicines (CAM) in patients with fibromyalgia syndrome. Methods: A total of 92 fibromyalgia syndrome patients participated in this study. Data were collected using a structured questionnaire and were analyzed with SPSS/WIN 23.0 program. Results: As a result, 59.8% of subjects had an experience of CAM and 33.7% of subjects have used until now. There were significant differences of the use of CAM between the group of CAM users and non-CAM users by education ($x^2$=4.04, p=.044), period of illness ($x^2$=15.03, p=.001), and period of treatment ($x^2$=12.10, p=.002). Relatively large numbers of patients understanded as that CAM was effective (58.7%) and fibromyalgia syndrome was controllable (75.0%). Moreover, there were significant differences of the use of CAM by the perception of CAM effects ($x^2$=4.15, p=.042), fibromyalgia syndrome ($x^2$=6.55, p=.038), and best treatment for fibromyalgia ($x^2$=11.03, p=.001). Conclusion: These results could be utilized as a basic data for developing nursing intervention for fibromyalgia syndrome.

The long-term Effects after Self-help Program for Fibromyalgia (섬유조직염환자를 위한 자조관리과정 지속효과에 관한 연구)

  • Han, Sang-Sook
    • Journal of muscle and joint health
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    • v.9 no.2
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    • pp.154-165
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    • 2002
  • Purpose: The purpose of this study was to find out long-term effects of the self-help program including the stretching exercise of patient with fibromyalgia, Our findings will have the way for the nursing intervention for reduction of fibromyalgia symptoms and physical disability. Method: The research design was pre-post test design of an experimental group. 41 subjects with fibromyalgia were subjected to our study. Participants of this program were participated with a group of 8 to 12 members with duration of two and half hours for two years(March. 1998 to January. 2000). The Self-efficacy was measured by the Self-efficacy scale. Symptom was converted to scores based on visual analog scale. Physical disability was measured with questionnaires prepared by researchers of this study. Data were collected by the structured interview using questionnaires after self-help program and after 8 months. Data were analyzed by frequency, $x^2$-test and repeated t-test using SPSS 11.0 for windows. Result: Daily activities were not changed but self-described symptom was changed after 8 months. After 8 months, exercise performance along with taking drugs showed significantly lowering trend with respect to self-help program. Relieved symptom of patient with fibromyalgia has continued until 8months after 6weeks program of self-help. Also Promoted self-efficacy of patient with fibromyalgia continued after 8months. After 8 months, in self-described physical disability has showed significantly worse off than after self-help program. Conclusion: In this study, the long-term effects after self-help program for fibromyalgia have showed all symptoms and self-efficacy except exercise performance and physical disability. Therefore, it will be desirable that application of the follow up program with peer group meeting.

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The Study on Literature Review of Chinese Medical Treatment for Fibromyalgia (섬유근육통의 중의학적 치료에 대한 문헌적 연구)

  • Lee, Jong-Jin;Cho, Hyun-Chol;Song, Yeun-Kyung;Lim, Hyung-Ho
    • The Journal of Korea CHUNA Manual Medicine
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    • v.5 no.1
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    • pp.169-181
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    • 2004
  • Fibromyalgia(FMS) is a heterogeneous construct of chronic and widespread musculoskeletal pain that is frequently associated with sleep difficulties, fatigue, and other adjunctive symptoms. This article aims to review the literature on the theory and treatment for fibromyalgia in the chinese language article. chinese language aricles In wanfang data between 2001 and 2004 were reviewed. this result of research demonstrate that Acupuncture, Negative Pressure Therapy(Buhang), the Electrical Acupuncture Stimulation Therapy. Acupoints TENS are applied to treatment for fibromyalgia and these therapic managements of chinese medicine are more effective than western drug treatment.

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Fibromyalgia (섬유근육통)

  • Lee, Dong Kuck
    • Annals of Clinical Neurophysiology
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    • v.2 no.2
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    • pp.63-69
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    • 2000
  • The majority of patients who present with muscle pain does not have a definable myopathic disorder in the usual sense, despite intensive evaluation. Currently, most of these individuals are diagnosed with the syndrome of fibromyalgia, a condition that has been discussed under a number of different names for approximately a century. Fibromyalgia is a form of nonarticular rheumatism characterized by widespread musculoskeletal aching and stiffness, as well as tenderness on palpation at charateristic sites, called tender points. The American College of Rheumatology in 1990 set criteria for the diagnosis of fibromyalgia as that includes at least 3 months of widespread pain and the presence of at least 11 of 18 specific tender points on examination.

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