Fibromyalgia 2 Flashcards

1
Q

FM: pt education should focus on

A
  • energy conservation

- proper biomechanics

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2
Q

energy conservation

A
  • time mgmt skills

- possible AD usage

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3
Q

proper biomechanics

A
  • postural exercise

- body mechanics

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4
Q

aquatic therapy: aerobic exercise temp

A

28-30˚ C

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5
Q

aquatic therapy: variations of aerobic exercise

A
  • run at height of xiphoid
  • subaquatic cycling
  • adapted swimming
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6
Q

aquatic therapy: frequency and duration

A
  • 3x/wk

- ≥ 20 mins per session

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7
Q

aquatic therapy: strengthening and stretching temp

A

no less than 32˚C

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8
Q

Most FM pts have poor

A
  • strength
  • flexibility
  • aerobic capacity
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9
Q

outcome measures for FM

A

HAD scale
SF-36
FIQR

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10
Q

HAD scale

A
  • anxiety and depression
  • 2 subscales
  • scores range 0-21
  • higher score = higher anxiety and depression
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11
Q

SF-36 measures

A

quality of life

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12
Q

SF-36

A
  • scores range 0-100

- higher score = better health

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13
Q

FIQR =

A

Refived fibromyalgia impact questionnaire

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14
Q

FIQR: 3 sections

A
  1. activity level
  2. overall impact
  3. symptom intensity
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15
Q

FIQR: scoring (section 1)

A

add totals and divide by 3

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16
Q

FIQR: scoring (section 2)

A

add totals

17
Q

FIQR: scoring (section 3)

A

add totals and divide by 2

18
Q

FIQR: scoring (section 4)

A

compute totals

19
Q

FIQR: higher score =

A

negative impact

20
Q

typical FIQR score for a FM pt

A

40s/50s

21
Q

best types of PT interventions for FM

A
  • aquatic therapy
  • aerobic exercise
  • strengthening
22
Q

worst PT interventions for FM

A

modalities - don’t do it!