fibromyalgia

Question 1

true or false, fibromyalgia is a disorder of the PNS

Answer 1

flax, CNS

Question 2

fibromyalgia is neurosensory disorder of the BLANK

Answer 2

CNS

Question 3

fibromyalgia isBLANK disorder of the CNS

Answer 3

neurosensory

Question 4

explain the neurological basis to fibromayliagia

Answer 4

There is greater neuronal activity in pain-processing brain regions (somatosensory cortex), exaggerated pain responses to stimuli (altered processing of nociceptive stimuli), changes in brain morphology and altered levels of pain-related neuropeptides and neurotransmitters (for example, substance P, brain-derived neurotrophic factor, glutamine, and dopamine).

Question 5

Newest research shows the activation of glial cells that release inflammatory mediators which do what for fibromyalgia

Answer 5

thought to sensitize pain pathways and cause symptoms of fatigue

Question 6

what can sensitize pain pathways and cause symptoms of fatigue.

Answer 6

activation of glial cells that release inflammatory mediators

Question 7

fibromyalgia is a dysregulation of what

Answer 7

Dysregulation of the hypothalamic-pituitary-adrenocortical (HPA) axis and the sympathetic nervous system

Question 8

Dysregulation of the hypothalamic-pituitary-adrenocortical (HPA) axis and the sympathetic nervous system affects the response to what modality

Answer 8

pain

Question 9

explain affect of negative emotions and fibromyalgia

Answer 9

Negative emotions can lead to neuroendocrine cascade that causes flulike symptoms, depression, fatigue, myalgias, cognitive difficulties and poor sleep

Question 10

Negative emotions can lead to BLANK that causes flulike symptoms, depression, fatigue, myalgias, cognitive difficulties and poor sleep

Answer 10

neuroendocrine cascade

Question 11

is the prevalence of fibromyalgia more common in europe or US

Answer 11

europe

Question 12

are males or females more commonly diagnosed with fibromyalgia

Answer 12

females (9:1)

Question 13

what ethnicityy has a higher prev of fibromyalgia in US

Answer 13

african american (compared to white women)

Question 14

what is the age of fibromaylai

Answer 14

between 20-50 y.o. (mostly between 20-40 y.o), it is also observed in pediatric populations, especially adolescents

Question 15

when are more diagnoses of fibro given

Answer 15

between 20-40

Question 16

is fibre only affecting 20-40

Answer 16

no , also seen in pediatrics

Question 17

are there any genetic factors associated with fibromyalgia

Answer 17

t is more likely to develop fibromyalgia if a parent or sibling also has the condition

Question 18

true or false: t is less likely to develop fibromyalgia if a parent or sibling also has the condition

Answer 18

false, more

Question 19

what are the common symptoms of fibromyalgia

Answer 19

Pain, that can be in specific areas of the body or diffuse, and can travel depending on the day. Pain also leads to decreased activity which causes even more pain/fatigue/stiffness. Fatigue, Stiffness, Decreased mood/ depression, and Decreased sleep which often leads to decreased cognition (memory/concentration).

Question 20

is pain only specific in fibromyalgia

Answer 20

no , can be Pain, that can be in specific areas of the body or diffuse, and can travel depending on the day.

Question 21

what is the diagnosis criteria for fibromyalgia

Answer 21

Widespread Pain persistent for at least 3 months:
- Pain on both sides of the body
- Pain above and below the waist

Pain in 11/18 tender points (based on the 2010 ACR preliminary diagnostic criteria points), which may fluctuate over time The individual does not have another disorder that would otherwise explain their pain.

Question 22

to be diagnosed with fibromyalgia, you need to have Widespread Pain persistent how long

Answer 22

3 months

Question 23

how many tender points do you need to have for fibromyalgia

Answer 23

11/18

Question 24

what are the associated conditions with fibromyalgia

Answer 24

75-90% of individuals have fatigue, nonrestorative sleep, and Eosinophilia-myalgia syndrome. Many individuals with fibromyalgia also have tension headaches, temporomandibular joint (TMJ) disorders, irritable bowel syndrome, anxiety and depression.

Question 25

what is the most common associated condition with fibro

Answer 25

fatigue

Question 26

what are the impairments of fibromyalgia

Answer 26

Pain, Fatigue/ Decreased Energy, Decreased strength, Decreased endurance, Decreased mood, Decreased concentration/cognition

Question 27

what are the actvitity limitations with fibromyalgia

Answer 27

Challenges with ADLs (AM routine), Difficulties walking, Challenges with stairs, Challenges with IADLs, challenges with work, decreased interpersonal intimate relationship, Impact on recreation and leisure.

Question 28

what is the function of a general MD, pharma for treatment

Answer 28

prescribe drugs/medications and adjust them (different meds work for different people). Refer to neuro if any neuro symptoms.

Question 29

what is the function of psychologists/social worker for treatment of fibromyalgia

Answer 29

cognitive status, self-esteem, focusing on what they can do instead of what they still cannot do. Mindfulness (being in the moment, controlling what you’re doing, …)

Question 30

how can PT treat fibromyalgic

Answer 30

graded aerobic and strengthening exercises, taking into consideration the individual’s strength and endurance.

Question 31

how can OTs treat fibromyalgia

Answer 31

Adapt ADLs/IADLs and work environment.

Question 32

how can dietician help with fibro

Answer 32

to adjust an appropriate diet which can control some symptoms.

Question 33

explain why education can be a useful treatment for fibromyalgia

Answer 33

Education about Fibromyalgia for the individual and the people around them.
Work on self-management of condition and education about sleep hygiene