Article

Chiropractic Management of Fibromyalgia Syndrome: A Systematic Review of the Literature

School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, Pa, USA.
Journal of manipulative and physiological therapeutics (Impact Factor: 1.25). 02/2009; 32(1):25-40. DOI: 10.1016/j.jmpt.2008.08.012
Source: PubMed

ABSTRACT Fibromyalgia syndrome (FMS) is one of the most commonly diagnosed nonarticular soft tissue conditions in all fields of musculoskeletal medicine, including chiropractic. The purpose of this study was to perform a comprehensive review of the literature for the most commonly used treatment procedures in chiropractic for FMS and to provide evidence ratings for these procedures. The emphasis of this literature review was on conservative and nonpharmaceutical therapies.
The Scientific Commission of the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) was charged with developing literature syntheses, organized by anatomical region, to evaluate and report on the evidence base for chiropractic care. This article is the outcome of this charge. As part of the CCGPP process, preliminary drafts of these articles were posted on the CCGPP Web site www.ccgpp.org (2006-8) to allow for an open process and the broadest possible mechanism for stakeholder input. Online comprehensive literature searches were performed of the following databases: Cochrane Database of Systematic Reviews; National Guidelines Clearinghouse; Cochrane Central Register of Controlled Trials; Manual, Alternative, and Natural Therapy Index System; Index to Chiropractic Literature, Cumulative Index to Nursing and Allied Health Literature; Allied and Complementary Medicine; and PubMed up to June 2006.
Our search yielded the following results: 8 systematic reviews, 3 meta-analyses, 5 published guidelines, and 1 consensus document. Our direct search of the databases for additional randomized trials did not find any chiropractic randomized clinical trials that were not already included in one or more of the systematic reviews/guidelines. The review of the Manual, Alternative, and Natural Therapy Index System and Index to Chiropractic Literature databases yielded an additional 38 articles regarding various nonpharmacologic therapies such as chiropractic, acupuncture, nutritional/herbal supplements, massage, etc. Review of these articles resulted in the following recommendations regarding nonpharmaceutical treatments of FMS. Strong evidence supports aerobic exercise and cognitive behavioral therapy. Moderate evidence supports massage, muscle strength training, acupuncture, and spa therapy (balneotherapy). Limited evidence supports spinal manipulation, movement/body awareness, vitamins, herbs, and dietary modification.
Several nonpharmacologic treatments and manual-type therapies have acceptable evidentiary support in the treatment of FMS.

1 Follower
 · 
112 Views
  • Source
    • "Un análisis general de las características fisicoquímicas de las frutas, indican que el cacao y el copoazú tienen características ácidas mientras que el maraco es un fruto prácticamente neutro; tienen pulpas viscosas por su alto contenido de sólidos solubles totales y de azúcares como la sacarosa, la glucosa y la fructosa; tienen un alto potencial nutracéutico por los contenidos de fitoquímicos fenólicos que tienen alta actividad antioxidantes y actúan en la prevención de enfermedades degenerativas como cáncer, enfermedades cardiovasculares y cerebrovasculares, debido a que reaccionan con las principales especies reactivas de oxígeno, evitando el deterioro del funcionamiento celular normal siendo benéficos ante enfermedades crónicas [14] [15]. El contenido de azúcares y ácidos orgánicos es muy importante desde el punto de vista nutricional y sus contenidos en las frutas se han asociado con el gusto y el sabor de la fruta y en general factores de calidad organoléptica [16] [17], encontramos un contenido de ácido cítrico en copoazú dos veces más alto en comparación con los otros dos Theobromas, ácido que proporciona a la mayoría de frutas el sabor ácido y de que también se ha reportado su capacidad antioxidante [17]; además un contenido de ácido málico que es similar en maraco y cacao y mayor en copoazú, este ácido es nutricionalmente importante ya que hace parte del ciclo de Krebs, en el cual se da producción de energía, y además se han reportado sus beneficios ante enfermedades como la fribromalgia [18], lo cual le da características de compuesto nutracéutico. "
    [Show abstract] [Hide abstract]
    ABSTRACT: RESUMEN El Theobroma, es el género de mayor relevancia de la familia de las Esterculiáceas, debido a la importancia económica del árbol de cacao. Por esta razón las especies del género Theobroma, en particular el copoazú y el maraco, se han convertido en el objetivo de estudios, ya que se han catalogado como especies promisorias, de acuerdo al potencial agroeconómico que representan para la región amazónica de donde provienen. En este estudio, se analizaron algunos parámetros fisicoquímicos como el pH, la acidez titulable, sólidos solubles totales, en base a peso fresco, y el contenido de azúcares reductores, contenido de los azúcares fructosa, glucosa y sacarosa, contenido de los ácidos orgánicos málico, oxálico y cítrico, y el contenido de fenoles totales, en base a peso seco de la pulpa de tres especies del género Theobroma, con el fin de comparar sus características fisicoquímicas. Palabras Clave— Theobroma bicolor, Theobroma cacao, Theobroma grandiflorum
    Encuentro Nacional de Investigación y desarrollo, Universidad Nacional de Colombia; 10/2014
  • Source
    • "In addition, favorable effects of acupuncture for depression [171, 172], fibromyalgia [173], insomnia [174], and CFS [175], and of shiatsu (acupressure) for sleep disturbance [176] and CFS [177] were reported. These may also be promising therapeutic tools for the treatment of asynchronization. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Circadian disruptions are common in modern society, and there is an urgent need for effective treatment strategies. According to standard diagnostic criteria, most adolescents showing both insomnia and daytime sleepiness are diagnosed as having behavioral-induced sleep efficiency syndrome resulting from insomnia due to inadequate sleep hygiene. However, a simple intervention of adequate sleep hygiene often fails to treat them. As a solution to this clinical problem, the present review first overviews the basic neurochemical and neuropharmachological aspects of sleep and circadian rhythm regulation, then explains several circadian disruptions from similar viewpoints, and finally introduces the clinical notion of asynchronization. Asynchronization is designated to explain the pathophysiology/pathogenesis of exhibition of both insomnia and hypersomnia in adolescents, which comprises disturbances in various aspects of biological rhythms. The major triggers for asynchronization are considered to be a combination of light exposure during the night, which disturbs the biological clock and decreases melatonin secretion, as well as a lack of light exposure in the morning, which prohibits normal synchronization of the biological clock to the 24-hour cycle of the earth and decreases the activity of serotonin. In the chronic phase of asynchronization, involvement of both wake- and sleep-promoting systems is suggested. Both conventional and alternative therapeutic approaches for potential treatment of asynchronization are suggested.
    DNA research: an international journal for rapid publication of reports on genes and genomes 06/2011; 9(2):330-41. DOI:10.2174/157015911795596522 · 2.35 Impact Factor
  • Source
Show more