thalia wynne, pt, dpt, at for fibromyalgia stigma: exercise … · 2020. 9. 24. · 9/15/2020 1...
TRANSCRIPT
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Moving Through the Stigma: Exercise Options for Fibromyalgia THALIA WYNNE, PT, DPT, AT
STIGMA ME THIS?
OBJECTIVESUpon completion of this session, the attendee will be able to:
1. Identify barriers to exercise for patients with fibromyalgia
2. Apply principles of exercise prescription specific to fibromyalgia
3. Promote efficacy, health and wellness in patients suffering from chronic pain
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1. Knowledge of co-morbidities and physiological barriers to exercise
2. It is possible and NECESSARY to tailor exercise to fibromyalgia
3. Self-efficacy + Therapeutic Alliance = Successful integration of long-term exercise
Exertional pain due to muscle
ischemia
Pain pathway abnormalities
Reduced opioid receptor
binding in brain regions
involving pain modulation
Abnormal autonomic
system
Cytokine associated
sickness syndrome
Abnormal endocrine
system
Pain
Fatigue
1. Knowledge of co-morbidities and physiological barriers to exercise
2. It is possible and NECESSARY to tailor exercise to fibromyalgia
3. Self-efficacy + Therapeutic Alliance = Successful integration of long-term exercise
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Simple Movements
Avoid Repetitiveness
Low and Slow
10%
67%
Fatigue Reduction Program
1. Knowledge of co-morbidities and physiological barriers to exercise
2. It is possible and NECESSARY to tailor exercise to fibromyalgia
3. Self-efficacy + Therapeutic Alliance = Successful integration of long-term
exercise
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Mastery
Celebrate small wins
Cheerleader
Buddy Up
Pain + Fatigue 2x6
Self-efficacy + Therapeutic Alliance
Thank you!THALIA WYNNE, PT, DPT, AT
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ReferencesJones K, Liptan G. Exercise Interventions in Fibromyalgia: Clinical Applications from the Evidence. Rheumatic Disease Clinics of North America. 2009;35(2):373-391. doi:10.1016/j.rdc.2009.05.004
Shillam, Casey R.; Dupree Jones, Kim; Miller, Lois Fibromyalgia Symptoms, Physical Function, and Comorbidity in Middle-Aged and Older Adults, Nursing Research: September-October 2011 - Volume 60 - Issue 5 - p 309-317
Wallace D, Gavin I, Karpenko O, Barkhordar F, Gillis B. Cytokine and chemokine profiles in fibromyalgia, rheumatoid arthritis and systemic lupus erythematosus: a potentially useful tool in differential diagnosis. Rheumatol Int. 2014;35(6):991-996. doi:10.1007/s00296-014-3172-2
Jones KD, Deodhar AA, Burckhardt CS, et al. A combination of 6 months of treatment with pyridostigmine and triweekly exercise fails to improve insulin-like growth factor-1 levels in fibromyalgia, despite improvements in acute growth hormone response to exercise. J Rheumatol 2007; 34(5): 1103-11.
Jones KD, Burckhardt CS, Clark SR, et al. A randomized controlled trial of muscle strengthening versus flexibility training in fibromyalgia. J Rheumatol 2002; 29(5):1041-8
De Roa P, Paris P, Poindessous J, Maillet O, Héron A. Subjective Experiences and Sensitivities in Women with Fibromyalgia: A Quantitative and Comparative Study. Pain Research and Management. 2018;2018:1-8. doi:10.1155/2018/8269564
Ossipov M, Dussor G, Porreca F. Central modulation of pain. Journal of Clinical Investigation. 2010;120(11):3779-3787. doi:10.1172/jci43766
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