Fibromyalgia Jonathan Cooke 0311284 Kevin Repay 0275542 Tara Ruberto 0306015.
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Transcript of Fibromyalgia Jonathan Cooke 0311284 Kevin Repay 0275542 Tara Ruberto 0306015.
FibromyalgiaFibromyalgia
Jonathan Cooke 0311284Jonathan Cooke 0311284
Kevin Repay 0275542Kevin Repay 0275542
Tara Ruberto 0306015Tara Ruberto 0306015
What is Fibromyalgia?What is Fibromyalgia?
• Fibromyalgia (FM) is a chronic pain illness characterized by widespread musculoskeletal aches, pain, and stiffness, soft tissue tenderness, general fatigue, and sleep disturbances. - (National Fibromyalgia Association, 2006)
Common Sites of PainCommon Sites of Pain
• The most common sites of pain include the neck, back, shoulders, pelvic girdle, and hands, but any body part can be affected.
Signs and Symptoms Signs and Symptoms
• Pain
• Fatigue
• Sleep disorder
• Chronic headaches
• Temporomandibular Joint Dysfunction Syndrome
• Irritable Bowel Syndrome
Contraindicators for Physical Contraindicators for Physical ActivityActivity
• Cold/humid weather• Insufficient sleep• Fatigue• Excessive vigorous physical activity or
inactivity • Anxiety• Stress• Strenuous strength training exercises
Treatment/Suggestions Treatment/Suggestions
• Moderate intensity aerobic exercise– Swimming or walking
• Lifestyle adaptations– Nutritional changes– Improves sleep regimen
• Medications– NSAIDS (Ibuprofen)– Acetaminophen
• Therapies– Therapeutic massage, application of heat or cold,
acupuncture
Tips for Exercise Tips for Exercise
• Moderate intensity aerobic exercise• Perform functional strength training exercises
using light weights• Focus on flexibility however, avoid
overstretching • Include pauses between exercise repetitions• Segment strength training – Perform
exercises for upper extremity and lower extremity muscles groups on separate occasions
Tips for Exercise Cont…Tips for Exercise Cont…
• Limit strenuous strength training activities
• Limit vigorous physical activity
• Avoid eccentric muscle contraction
• Incorporate at least 1 say rest between sessions– Essential to find a midpoint between too much
and too little activity
Recommendations for Exercise Recommendations for Exercise Programming Programming
• The goal of exercise programming should be first and foremost to prevent further de-conditioning that could compound the disability.
• Clients should be warned that they may feel increased fatigue in the first few weeks of an exercise program
• Exercise should be initiated at very low levels based on clients current activity tolerance
• Aerobic exercise should use familiar activities at low levels of intensity
• The focus should be to get client physically functional ie. push, pull, walking up stairs
• Flexibility exercise may be prescribed to preserve normal range of motion
Recommendations for Exercise Recommendations for Exercise Programming Con’tProgramming Con’t
• Strength training exercises should be based on preservation of levels of strength
• Progression of exercise activity should focus primarily on increasing the duration of moderate intensity activities instead of increasing exercise intensity
• Emphasize use of motivational cues – social and extrinsic
• Avoid eccentric or upper extremity overhead loading• Supervise and control with follow up support• Avoid early morning exercise• Ensure adequate time and attention for client
Special ConsiderationsSpecial Considerations
• Depression may accompany condition as lifestyle changes occur due to persistent symptoms
• Often clients will express frustration as people are not sympathetic to their condition
• Clients tend to cope with symptoms by planning acivities to budget their energy
ReferencesReferences
• Mondell, D. L. (c2005.). Living with fibromyalgia 4 steps to manage pain and lead a fulfilling life / (1st ed. ed.). New York : McGraw-Hill,.
• National Fibromyalgia Association. (2006). Retreived February 1, 2007, from http://www.fmaware.org/fminfo/brochure.htm
• Sietsema, K. E. (1997). Chronic Fatigue Syndrome. In J.L. Durstine & G.E. Moore (Eds.), American College of Sports Medicine: Exercise Management for Persons with Chronic Diseases and Disabilities. (pp.141-145). Windsor: Human Kinetics
• Wallace, Daniel J. (Daniel Jeffrey),1949-. (2002.). All about fibromyalgia. Oxford ; New York : Oxford University Press,.