Download PDF
Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 2017; 27(01): 35-44
DOI: 10.1055/s-0042-120121
Wissenschaft und Forschung
© Georg Thieme Verlag KG Stuttgart · New York

Untersuchung der Wirksamkeit biomechanischer Stimulationstherapie bei Fibromyalgie-Syndrom

Evaluation of the Efficacy of Biomechanical Stimulation Therapy in Fibromyalgia Syndrome
Stefan Cebulla
1   Dermatologie und Allergologie, Universitätsklinikum Gießen und Marburg Standort Gießen, Gießen
,
Uwe Lange
2   Department of Rheumatology, Osteology and Physical Medicine, Kerckhoff-Klinik, University Gießen, Bad Nauheim
,
Ulf Müller-Ladner
3   Rheumatology, Osteology and Physical Medicine, Kerckhoff-Klinik, Bad Nauheim
,
Ingo H. Tarner
3   Rheumatology, Osteology and Physical Medicine, Kerckhoff-Klinik, Bad Nauheim
› Author Affiliations
Further Information

Publication History

eingereicht  18 June 2016

angenommen 27 October 2016

Publication Date:
12 April 2017 (online)

Also available at
    Permissions and Reprints

Zusammenfassung

Fragestellung:

Untersucht wurde die Wirksamkeit der biomechanischen Stimulationstherapie (BMS) bei Fibromyalgie-Syndrom (FMS).

Methode:

15 Probanden erhielten eine BMS der tender points im Bereich der Humerusepikondylen über 6 Wochen 3-mal pro Woche für je 20 min, 13 Probanden eine Scheinbehandlung mit abgekoppelter BMS-Sonde nach gleichem Schema. Untersucht wurden lokaler und globaler Schmerz mittels visueller Analogskala, Muskelkraft der an den Humerusepikondylen inserierenden Muskelgruppen mittels Muskelfunktionstests sowie Lebensqualität und globale körperliche Funktion mittels fibromyalgia impact questionnaire und FIBRO change scale.

Ergebnisse:

Für keinen der untersuchten Parameter wurde am Ende der Behandlungsphase sowie 12 Wochen danach eine signifikante Veränderung festgestellt.

Schlussfolgerung:

Eine BMS der tender points scheint trotz guter Verträglichkeit wenig geeignet, die lokalen oder globalen Beschwerden und die körperliche Funktion bei FMS-Patienten positiv zu beeinflussen.

Abstract

Purpose:

We evaluated the efficacy of biomechanical stimulation therapy (BMS) in fibromyalgia syndrome (FMS).

Methods:

15 participants received 20 min of BMS therapy of the tender points near the humeral epicondyles 3 times a week for 6 weeks, 13 participants received a sham treatment with a disconnected probe according to the same scheme. We evaluated local and global pain by visual analogue scale, muscular strength of the muscle groups inserting at the epicondyli by means of muscle function tests as well as quality of life and physical functioning by fibromyalgia impact questionnaire and FIBRO change scale.

Results:

Both after 6 weeks of treatment and at the end of a 12-week follow-up period there were no significant changes within and between the treatment groups.

Conclusions:

It can be concluded that although BMS of tender points is well tolerated, it is not suited for improving local or global symptoms and physical function in FMS patients.

Schlüsselwörter

Fibromyalgie-Syndrom - biomechanische Stimulation - physikalische Medizin

Key words

fibromyalgia syndrome - biomechanical stimulation - physical medicine
 

  • Literatur

  • 1 Wolfe F, Smythe HA, Yunus MB. et al. The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis Rheum 1990 33: 160-172
    PubMed
  • 2 Wolfe F, Clauw DJ, Fitzcharles MA. et al. The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res 2010; 62: 600-610
    CrossrefPubMedSearch in Google Scholar
  • 3 Atzeni F, Salaffi F, Bazzichi L. et al. The evaluation of the fibromyalgia patients. Reumatismo 2008; 60 (Suppl. 01) 36-49
    PubMedSearch in Google Scholar
  • 4 Fitzcharles MA, Yunus MB. The clinical concept of fibromyalgia as a changing paradigm in the past 20 years. Pain Res Treat 2012; 2012: 184835
    PubMedSearch in Google Scholar
  • 5 Staud R, Rodriguez ME. Mechanisms of disease: pain in fibromyalgia syndrome. Nat Clin Pract Rheumatol 2006; 2: 90-98
    CrossrefPubMedSearch in Google Scholar
  • 6 Cassisi G, Sarzi-Puttini P, Alciati A. et al. Symptoms and signs in fibromyalgia syndrome. Reumatismo 2008; 60 (Suppl. 01) 15-24
    PubMedSearch in Google Scholar
  • 7 White KP, Harth M. Classification, epidemiology, and natural history of fibromyalgia. Curr Pain Headache Rep 2001; 5: 320-329
    CrossrefPubMedSearch in Google Scholar
  • 8 Eich W, Häuser W, Friedel E. et al. Themenheft Fibromyalgiesyndrom – Interdisziplinäre S3-Leitlinie. Definition, Pathophysiologie, Diagnostik und Therapie des Fibromyalgiesyndroms. Schmerz 2008; 22: 255-266
    CrossrefPubMedSearch in Google Scholar
  • 9 Langhorst J, Häuser W, Bernardy K. et al. Themenheft Fibromyalgiesyndrom – Eine interdisziplinäre S3-Leitlinie. Hintergründe und Ziele – Methodenreport – Klassifikation – Pathophysiologie – Behandlungsgrundsätze und verschiedene Therapieverfahren. Schmerz 2012; 26: 311-317
    CrossrefPubMedSearch in Google Scholar
  • 10 Vierck Jr CJ. Mechanisms underlying development of spatially distributed chronic pain (fibromyalgia). Pain 2006; 124: 242-263
    CrossrefPubMedSearch in Google Scholar
  • 11 Staud R. Treatment of fibromyalgia and its symptoms. Expert Opin Pharmacother 2007; 8: 1629-1642
    CrossrefPubMedSearch in Google Scholar
  • 12 Stisi S, Cazzola M, Buskila D. et al. Etiopathogenetic mechanisms of fibromyalgia syndrome. Reumatismo 2008; 60 (Suppl. 01) 25-35
    PubMedSearch in Google Scholar
  • 13 Collado-Mateo D, Adsuar JC, Olivares PR. et al. Effects of Whole-Body Vibration Therapy in Patients with Fibromyalgia: A Systematic Literature Review. Evid Based Complement Alternat Med 2015; 2015: 719082
    PubMedSearch in Google Scholar
  • 14 Klyscz T. et al. Biomechanical stimulation therapy as physical treatment of arthrogenic venous insufficiency. Hautarzt 1997; 48: 318-322
    CrossrefPubMedSearch in Google Scholar
  • 15 Fox EL, Matthew DK. The physiological basis of physical education and athletics. Saunders,CBC College Publishing, : Philadelphia; 1981: 293-393
    Search in Google Scholar
  • 16 Lundeberg T, Nordemar R, Ottoson D. Pain alleviation by vibratory stimulation. Pain 1984; 20: 25-44
    CrossrefPubMedSearch in Google Scholar
  • 17 Klyscz T, Ritter-Schempp C, Jünger M. et al. Biomechanical stimulation therapy. A novel physiotherapy method for systemic sclerosis. Adv Exp Med Biol 1999; 455: 309-316
    PubMedSearch in Google Scholar
  • 18 Berg W, Tarner IH, Riemekasten G. et al. Biomechanical stimulation therapy – an efficacious method for facial scleroderma with reduced oral aperture. J Rheum Dis Treat 2016; 2: 030
    PubMedSearch in Google Scholar
  • 19 Issurin VB, Liebermann DG, Tenenbaum G. Effect of vibratory stimulation training on maximal force and flexibility. J Sports Sci 1994; 12: 561-566
    CrossrefPubMedSearch in Google Scholar
  • 20 Boomershine CS. A comprehensive evaluation of standardized assessment tools in the diagnosis of fibromyalgia and in the assessment of fibromyalgia severity. Pain Res Treat 2012; 2012: 653714
    PubMedSearch in Google Scholar
  • 21 Bennett RM, Friend R, Jones KD. et al. The Revised Fibromyalgia Impact Questionnaire (FIQR): validation and psychometric properties. Arthritis Res Ther 2009; 11: R120
    CrossrefPubMedSearch in Google Scholar
  • 22 Bennett R. The Fibromyalgia Impact Questionnaire (FIQ): a review of its development, current version, operating characteristics and uses. Clin Exp Rheumatol 2005; 23 (Suppl. 39) 154-162
    PubMedSearch in Google Scholar
  • 23 Boomershine CS. The FIBRO System: a rapid strategy for assessment and management of fibromyalgia syndrome. Ther Adv Musculoskel Dis 2011; 3: 215-226
    CrossrefPubMedSearch in Google Scholar
  • 24 Nampiaparampil DE, Shmerling RH. A review of fibromyalgia. Am J Manag Care 2004; 10 11 Pt 1 794-800
    PubMedSearch in Google Scholar