Jaime Gonzalez Gonzalez1, Maria del Mar del Teso Rubio2, Carmen Nelida Waliño Paniagua3, Juan Jose Criado-Alvarez4, Javier Sanchez Holgado5. 1. Médico Atención Primaria, Centro de Salud Santa Olalla, Toledo, España; Profesor Asociado, Doctor Departamento Ciencias Médicas, Universidad de Castilla-La Mancha, España. Electronic address: jaime.gonzalez@uclm.es. 2. Terapeuta ocupacional, Residencia Tercera Edad San Pablo de los Montes, San Pablo de los Montes, Toledo, España. 3. Terapeuta ocupacional, Asociación Fibromialgia Talavera de la Reina (AFIBROTAR), Talavera de la Reina, Toledo, España. 4. Médico Atención Primaria, Centro de Salud Pueblanueva, Pueblanueva, Toledo, España; Profesor Asociado, Doctor Departamento Ciencias Médicas, Universidad Castilla-La Mancha, España. 5. Médico Atención Primaria, Centro de Salud Santa Olalla, Toledo, España.
Abstract
INTRODUCTION: Fibromyalgia is a chronic disease of unknown etiology characterized by widespread muscle pain, with occupational, familial, social, physical and psychological performance involvement. The multidisciplinary approach to the disease leads to improvement in quality of life and symptomatology. OBJECTIVES: To evaluate the improvement of activities of daily living (ADL) and quality of life following a multidisciplinary intervention (Health Primary Care and Occupational Therapy). MATERIAL AND METHODS: Pretest-posttest study performed with a simple random sample of 21 patients with fibromyalgia (range 16-55 years). The measurement was performed with the Barthel scale (ADL), the scale of Lawton and Brody (IADL), the FIQ questionnaire, and no standardized surveys to assess the pre and post intervention situation. An intervention on motor skills (basic motor skills, pool exercise, outdoor exercise, restructuring, occupational performance and graded activity and intervention in ADL) was performed, combining pharmacological control of their symptoms and treatment. RESULTS AND CONCLUSIONS: Fibromyalgia patients are not fully satisfied with their treatment; Primary Care receives a score of 6.89, and Hospital Care 5.79, improving the Barthel, Lawton and Brody and FIQ indexes, being statistically significant (p<.05). After the combined procedure the number of independent women in ADL and IADL increases.
INTRODUCTION:Fibromyalgia is a chronic disease of unknown etiology characterized by widespread muscle pain, with occupational, familial, social, physical and psychological performance involvement. The multidisciplinary approach to the disease leads to improvement in quality of life and symptomatology. OBJECTIVES: To evaluate the improvement of activities of daily living (ADL) and quality of life following a multidisciplinary intervention (Health Primary Care and Occupational Therapy). MATERIAL AND METHODS: Pretest-posttest study performed with a simple random sample of 21 patients with fibromyalgia (range 16-55 years). The measurement was performed with the Barthel scale (ADL), the scale of Lawton and Brody (IADL), the FIQ questionnaire, and no standardized surveys to assess the pre and post intervention situation. An intervention on motor skills (basic motor skills, pool exercise, outdoor exercise, restructuring, occupational performance and graded activity and intervention in ADL) was performed, combining pharmacological control of their symptoms and treatment. RESULTS AND CONCLUSIONS:Fibromyalgiapatients are not fully satisfied with their treatment; Primary Care receives a score of 6.89, and Hospital Care 5.79, improving the Barthel, Lawton and Brody and FIQ indexes, being statistically significant (p<.05). After the combined procedure the number of independent women in ADL and IADL increases.
Authors: Julia Bidonde; Angela J Busch; Candice L Schachter; Tom J Overend; Soo Y Kim; Suelen M Góes; Catherine Boden; Heather Ja Foulds Journal: Cochrane Database Syst Rev Date: 2017-06-21