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Approche pluridisciplinaire de la fibromyalgie (FM)

A multidisciplinary approach to fibromyalgia (FM)

  • Dossier Thématique
  • Published:
La Lettre de médecine physique et de réadaptation

Résumé

Ce travail se veut une mise au point sur la prise en charge de la fibromyalgie (FM). Après un bref rappel clinique, physiopathologique et des principes du traitement médicamenteux, une large place est réservée au traitement non médicamenteux. Le consensus qui se dégage à travers les études scientifiques est en faveur d’une approache multidisciplinaire, associant exercices physiques personnalisés de type aérobie, étirement musculaire et rééducation en milieu aquatique. L’éducation du patient et la thérapie cognitive et comportementale jouent un rôle fondamental dans la prise en charge. La promotion d’un comportement positif avec l’aide psychologique, le maintien dans la mesure du possible d’un statut actif sur le plan professionnel sont des gages d’une évolution favorable de cette affection.

Abstract

The goal of this investigation was to report on the current treatment guidelines for fibromyalgia (FM). After reviewing the FM clinical presentation, pathophysiology, and medical treatment guidelines, we focus extensively on non-drug therapies. Based on the results of various scientific studies, a consensus is developing in favour of a multidisciplinary approach that combines physiotherapy in an aquatic environment, personalized aerobic exercise and muscle stretching. Patient education and cognitive and behavioural therapies play a fundamental role in clinical management. Encouraging positive behaviour through psychological techniques and maintaining an active professional life to the greatest extent possible help ensure the favourable outcome of this disorder.

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Références

  1. Moldofsky H (1989) Sleep-Wake mechanism in fibrositis. J Rheumatol 16(suppl): 47–48

    Google Scholar 

  2. Vaeroy H, Helle R, Forre, et al. (1988) Elevated CSF levels of substance P and high incidence of Raynaud phenomenon in patients with fibromyalgia: new features for diagnosis. Pain 33: 21–26

    Article  Google Scholar 

  3. Lund N, Bengtsson A, Thorborg P (1986) Muscle tissue oxygen pressure in primary fibromyalgia. Scandinavian J Rheumatol 115: 165–173

    Google Scholar 

  4. Crofford LJ, Pillimer SR, Kalogeras KT, et al. (1994) Hypothalamic-pituitary-adrenal axis perturbations in patients with fibromyalgia. Arthritis and Rheumatism 37: 1583–1592

    Article  PubMed  CAS  Google Scholar 

  5. Bradley LA, Alberts KR, Alarcon GS, et al. (1996) Abnormal brain regional cerebral blood flow (rCBF) and cerebrospinal fluid (CSF) levels of substance P (SP) in patients and non-patients with fibromyalgia (FM). Arthritis Rheum 39(9 suppl): S212

    Google Scholar 

  6. Menkes CJ, Godeau P (2007) La fibromyalgie. Rapport. Académie nationale de médecine. Le concours médical des spécialistes. Rhumatologie 2007

  7. Kahn MF (2003) Fibromyalgie: où en est-on? Rev Prat 53: 1865–1872

    PubMed  Google Scholar 

  8. Wolfe F, Smythe H, Yunus MB, Bennett R (1990) The American college of rheumatology 1990. Criteria for the classification of fibromyalgia. Report of multicenter criteria classification. Arthritis Rheum 33(2): 164–170

    Article  Google Scholar 

  9. Hadhazy V, Ezzo JM, Berman BM, et al. (2007) Mind and body therapy for fibromyalgia. Cochrane Collaboration: 1–5

  10. Goldenberg DL, Burckhardt C, Crofford L (2004) Management of fibromyalgia syndrome. JAMA 292(19): 2388–2395

    Article  PubMed  CAS  Google Scholar 

  11. El-Hage W, Lamy C, Goupille P, et al. (2006) Fibromyalgie: une maladie du traumatisme psychique. la presse médicale 35(11): 1683–1689

    Article  PubMed  Google Scholar 

  12. Karjalainen K, Malmivaara A, Van Tulder M, et al. (2007) Multidisciplinary rehabilitation for fibromyalgia and musculoskeletal pain in working age adults (review). Cochrane Collaboration 1–17

  13. Lesley MA (2006) Review. Biology and therapy of fibromyalgia. New therapy in fibromyalgia. Arthritis Res Ther 8(4): 1–20

    Google Scholar 

  14. Nishishinya B, Walitt B, Urrutia G, et al. (2007) Antidepressants and centrally active agents for fibromyalgia syndrome (protocol). Cochrane Collaboration 1–6

  15. Rooks (2007) Fibromyalgia treatment update. Curr Opin Rheumatol 19(2): 111–117

    Article  PubMed  Google Scholar 

  16. Goldenberg DL, Felson DT, Dinerman H (1986) A randomized, controlled trial of amitriptylline and naproxen in the treatment of patients with fibromyalgia. Arthritis Rheum 29: 1371–1377

    Article  PubMed  CAS  Google Scholar 

  17. Jung AC, Sullivan M, Staiger T (1996) The efficacy of selective serotonin reuptake inhibitors for the management of chronic pain. Mater Med Pol 28: 17–19

    Google Scholar 

  18. Norregaard J, Volkman H, Danneskiold-Samsoe B (1995) A randomized controlled trial of citalopram in the treatment of fibromyalgia. Pain 61: 445–449

    Article  PubMed  CAS  Google Scholar 

  19. Busch AJ, Barber K, Overend TJ, et al. (2007) Exercise for treating fibromyalgia syndrome (review) Cochrane Collaboration 1–18

  20. Kim Dupree J, Carol S, Burckhardt C, Bennett JA (2004) Motivational interviewing may encourage exercise in persons with fibromyalgia by enhancing self-efficacy. Arthritis Rheum (Arthritis care & research) 51(5): 864–867

    Google Scholar 

  21. Jones KD, Burckhardt C, Bennett JA (2004) Motivation interviewing may encourage exercise in persons with fibromyalgia by enhancing self-efficacy. Arthritis Rheum 51(5): 864–867

    Article  PubMed  Google Scholar 

  22. Gowans SE, de Hueck A (2007) Pool exercise for individuals with fibromyalgia. Curr Opin Rheumatol 19(2): 168–173

    Article  PubMed  Google Scholar 

  23. Brockow T, Wagner A, Franke A, et al. (2007) A randomized controlled trial on effectiveness of mild water filtered near infared whole-body hyperthermia as an adjunct to a standart multimodal rehabilitation in the treatment of fibromyalgia. Clin J Pain 23(1): 67–75

    Article  PubMed  Google Scholar 

  24. Wigers SH, Finset A (2007) Rehabilitation of chronic myofascial pain disorders. Tidsskr Nor Laegeforen 127(5): 604–608

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Laboratoire d’urodynamique et d’électrophysiologie périnéale, service de rééducation neurologique, hôpital Robert-Ballanger, Aulnay-sous-Bois, France

    S. Bendaya, F. Le Breton, F. Gahlouz & C. Aymard

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  1. S. Bendaya
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  2. F. Le Breton
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  3. F. Gahlouz
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  4. C. Aymard
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Bendaya, S., Le Breton, F., Gahlouz, F. et al. Approche pluridisciplinaire de la fibromyalgie (FM). Lett Med Phys Readapt 23, 97–102 (2007). https://doi.org/10.1007/s11659-007-0066-7

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  • DOI: https://doi.org/10.1007/s11659-007-0066-7

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