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Fibromyalgiesyndrom bei Kindern und Jugendlichen

Juvenile fibromyalgia syndrome

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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.

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.

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Authors and Affiliations

  1. Deutsches Zentrum für Kinder- und Jugendrheumatologie, Gehfeldstraße 24, 82467, Garmisch-Partenkirchen, Deutschland

    H. Michels & R. Häfner

  2. Klinik für Pädiatrie mit Schwerpunkt Pneumologie/Immunologie, Campus Virchow-Klinikum, Charité, Universitätsmedizin Berlin, Berlin, Deutschland

    K. Gerhold & M. Richter

  3. Zentrum für Schmerztherapie, Klinikum Saarbrücken gGmbH, Saarbrücken, Deutschland

    W. Häuser

  4. Abt. für Kinder- und Jugendrheumatologie, St.-Josef-Stift, Sendenhorst, Deutschland

    A. Illhardt

  5. Kinderkrankenhaus , Klinikum der Stadt Köln, Köln, Deutschland

    K. Mönkemöller

  6. AG Pädiatrische Rheumatologie e.V., Freiburg i.Br., Deutschland

    L. Schuchmann

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  1. H. Michels
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  2. K. Gerhold
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Correspondence to H. Michels.

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Michels, H., Gerhold, K., Häfner, R. et al. Fibromyalgiesyndrom bei Kindern und Jugendlichen. Schmerz 22, 339–348 (2008). https://doi.org/10.1007/s00482-008-0679-z

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