Fibromyalgia 2 Flashcards
FM: pt education should focus on
- energy conservation
- proper biomechanics
energy conservation
- time mgmt skills
- possible AD usage
proper biomechanics
- postural exercise
- body mechanics
aquatic therapy: aerobic exercise temp
28-30˚ C
aquatic therapy: variations of aerobic exercise
- run at height of xiphoid
- subaquatic cycling
- adapted swimming
aquatic therapy: frequency and duration
- 3x/wk
- ≥ 20 mins per session
aquatic therapy: strengthening and stretching temp
no less than 32˚C
Most FM pts have poor
- strength
- flexibility
- aerobic capacity
outcome measures for FM
HAD scale
SF-36
FIQR
HAD scale
- anxiety and depression
- 2 subscales
- scores range 0-21
- higher score = higher anxiety and depression
SF-36 measures
quality of life
SF-36
- scores range 0-100
- higher score = better health
FIQR =
Refived fibromyalgia impact questionnaire
FIQR: 3 sections
- activity level
- overall impact
- symptom intensity
FIQR: scoring (section 1)
add totals and divide by 3
FIQR: scoring (section 2)
add totals
FIQR: scoring (section 3)
add totals and divide by 2
FIQR: scoring (section 4)
compute totals
FIQR: higher score =
negative impact
typical FIQR score for a FM pt
40s/50s
best types of PT interventions for FM
- aquatic therapy
- aerobic exercise
- strengthening
worst PT interventions for FM
modalities - don’t do it!