تاثير يك برنامه بازتواني جسماني بر كاهش علائم و بهبود كيفيت زندگي افراد مبتلا به سندروم فيبروميالژي

The effect of physical rehabilitation program on lessening the symptoms and improving the quality of life of patients with libromyalgia syndrome

The purpose of this study is to prepare and examine the effect of a comprehensive physical rehabilitation program on patients with fibromyalgia syndrome in lumbosacral region with respect to age and clinical-functional characteristics and the phase of the illness. The present study is semi-experimental (pretest and posttest design with non-equivalent control group). The statistical population consisted of patients with secondary fibromyalgia in physiotherapy ward of "Hospital Number 15 in Moscow" during 2003-2005 years. From the patients 40 (males and females) aged 26-65 were chosen and assigned randomly to the experimental and control groups. Data collection was done by questionnaire, and measurement of the range of mati on of lumbar spine region, strength of paravertebral muscles and lower limbs, tender points, muscle pain. psychological conditions and quality of life before and after the participation in the rehabilitation program. Subjects performed the program for 1.5 hours 3 times per week for 9 weeks. The results showed a significant increase in the range of motion and muscle strength in lumbar region of the spine and lower limbs in the experimental group compared with the control group (p<0.05). The number of tender points in the experimental group decreased by 66.5% compared with the control group (37.5%). Muscle pain significantly decreased in the experimental group compared with the controlled group (p<0.05). The psychological condition and quality of life in the experimental group improved significantly compared with the control group (p<0.05). It was concluded that the physical rehabilitation program could decrease negative symptoms in patients with fibromyalgia, like muscle pain, tender points, morning stiffness, weakness and depression, moreover it led to the improvement of functional condition and ultimately their quality of life. Thus. it seems that this program can be used as a new method for rehabilitation and reduction of symptoms of patients with fibromyalgia in rehabilitation and medical centers.