Der Schmerz

, 22:339 | Cite as

Fibromyalgiesyndrom bei Kindern und Jugendlichen

  • H. Michels
  • K. Gerhold
  • R. Häfner
  • W. Häuser
  • A. Illhardt
  • K. Mönkemöller
  • M. Richter
  • L. Schuchmann
Schwerpunkt
First Online:

Zusammenfassung

Fragestellung

Erstellung einer interdisziplinären Leitlinie auf S3-Niveau zur Diagnostik und Therapie des juvenilen Fibromyalgiesyndroms (JFMS) in Kooperation von 10 medizinischen bzw. psychologischen Fachgesellschaften und 2 Patientenselbsthilfeorganisationen.

Methodik

Eine Literatursuche nach allen kontrollierten Studien zur Therapie des FMS wurde unter Benutzung der Cochrane Collaboration Reviews (1993–12/2006), Medline (1980-12/2006), PsychInfo (1966–12/2006) und Scopus (1980–12/2006) durchgeführt. Die Vergabe von Evidenzklassen erfolgte mittels des Systems des Oxford Centre for Evidence-Based Medicine. Empfehlungsgrade wurden nach der Empfehlungsgraduierung der nationalen Versorgungsleitlinien vergeben und in einem mehrstufigen nominalen Gruppenprozess erstellt.

Ergebnisse

Schmerzen bei Kindern/Jugendlichen in mehreren Körperregionen mit einer Dauer >3 Monaten ohne erkennbare somatische Ursache werden als juveniles FMS (JFMS) oder als „Schmerzverstärkungssyndrom“ (SVS) bezeichnet. Ein multimodales Konzept mit psycho- und physiotherapeutischen Verfahren, Entspannungstherapien und Schulungsprogrammen wird empfohlen (Empfehlungsgrad offen).

Schlussfolgerung

Diese Leitlinien werden zu einer besseren Erkennung und standardisierten Versorgung von JFMS-Patienten beitragen und die Durchführung klinischer Studien erleichtern.

Schlüsselwörter

Juveniles Fibromyalgiesyndrom Generalisiertes Schmerzverstärkungssyndrom Leitlinie Systematischer Review 

Juvenile fibromyalgia syndrome

Abstract

Objective

The aim was to develop a guideline for diagnostic procedures and treatment of juvenile fibromyalgia syndrome (JFMS) in cooperation with 10 German medical and psychological associations and 2 patient self-help groups.

Methods

A systematic literature search, including all controlled studies evaluating diagnosis and treatment of JFMS, was performed in the Cochran Collaboration Reviews (1993–12/2006), Medline (1980-12/2006), PsychInfo (1966–12/2006) and Scopus (1980–12/2006). Levels of evidence were assigned according to the classification system of the Oxford Centre for Evidence-Based Medicine. Grading of the strengths of recommendations was performed according to the German program for disease management guidelines. Standardized procedures to reach a consensus on recommendations were used.

Results

Pain in children/adolescents involving several body areas and lasting >3 months without an obvious somatic cause is called JFMS or pain amplification syndrome. Therapeutically, a multidisciplinary concept with psychotherapy and physiotherapy, relaxation techniques and patient education is recommended.

Conclusion

These guideline will contribute to a better recognition and standardized care of patients with JFMS and facilitate clinical studies.

Keywords

Juvenile fibromyalgia syndrome Diffuse amplified musculoskeletal pain syndrome Guideline Systematic review 
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Notes

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

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Copyright information

© Springer Medizin Verlag 2008

Authors and Affiliations

  • H. Michels
    • 1
  • K. Gerhold
    • 2
  • R. Häfner
    • 1
  • W. Häuser
    • 3
  • A. Illhardt
    • 4
  • K. Mönkemöller
    • 5
  • M. Richter
    • 2
  • L. Schuchmann
    • 6
  1. 1.Deutsches Zentrum für Kinder- und JugendrheumatologieGarmisch-PartenkirchenDeutschland
  2. 2.Klinik für Pädiatrie mit Schwerpunkt Pneumologie/ImmunologieCampus Virchow-Klinikum, Charité, Universitätsmedizin BerlinBerlinDeutschland
  3. 3.Zentrum für SchmerztherapieKlinikum Saarbrücken gGmbHSaarbrückenDeutschland
  4. 4.Abt. für Kinder- und JugendrheumatologieSt.-Josef-StiftSendenhorstDeutschland
  5. 5.Kinderkrankenhaus Klinikum der Stadt KölnKölnDeutschland
  6. 6.AG Pädiatrische Rheumatologie e.V.Freiburg i.Br.Deutschland

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