Effects of Physical-Agent Pain Relief Modalities for Fibromyalgia Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Purpose. We conducted a systematic review and meta-analysis to investigate the effects of the following physical-agent modalities for pain relief in fibromyalgia (FM) patients. Methods. We identified randomized controlled studies of adults with FM in the MEDLINE, CINAHL, and PEDro databases. The pri...

Full description

Saved in:
Bibliographic Details
Main Authors: Yuichiro Honda, Junya Sakamoto, Yohei Hamaue, Hideki Kataoka, Yasutaka Kondo, Ryo Sasabe, Kyo Goto, Takuya Fukushima, Satoshi Oga, Ryo Sasaki, Natsumi Tanaka, Jiro Nakano, Minoru Okita
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2018/2930632
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832550296672272384
author Yuichiro Honda
Junya Sakamoto
Yohei Hamaue
Hideki Kataoka
Yasutaka Kondo
Ryo Sasabe
Kyo Goto
Takuya Fukushima
Satoshi Oga
Ryo Sasaki
Natsumi Tanaka
Jiro Nakano
Minoru Okita
author_facet Yuichiro Honda
Junya Sakamoto
Yohei Hamaue
Hideki Kataoka
Yasutaka Kondo
Ryo Sasabe
Kyo Goto
Takuya Fukushima
Satoshi Oga
Ryo Sasaki
Natsumi Tanaka
Jiro Nakano
Minoru Okita
author_sort Yuichiro Honda
collection DOAJ
description Purpose. We conducted a systematic review and meta-analysis to investigate the effects of the following physical-agent modalities for pain relief in fibromyalgia (FM) patients. Methods. We identified randomized controlled studies of adults with FM in the MEDLINE, CINAHL, and PEDro databases. The primary outcome measure was pain relief measured by a visual analogue scale (VAS), and the secondary outcome measures of interest were subjective improvements in the number of tender points, Fibromyalgia Impact Questionnaire (FIQ), and quality of life (QOL) scores. Results. Eleven studies were included in our review. The studies’ physical-agent modalities were low-level laser therapy (LLLT), thermal therapy, electromagnetic field therapy, and transcutaneous electrical nerve stimulation (TENS). LLLT did not reduce VAS scores, but it significantly reduced both the number of tender points and FIQ score. Thermal therapy was associated with significantly reduced VAS scores, tender points, and FIQ scores. Electromagnetic field therapy was associated with significantly reduced VAS score and FIQ score. TENS significantly reduced VAS scores. Conclusion. Our analyses revealed that thermal therapy and LLLT had a partial effect on pain relief in FM patients, and this beneficial effect may have a positive influence on FM patients’ health status.
format Article
id doaj-art-9c6fe446f7024d2cab379bc45c05f5f4
institution Kabale University
issn 1203-6765
1918-1523
language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Pain Research and Management
spelling doaj-art-9c6fe446f7024d2cab379bc45c05f5f42025-02-03T06:07:14ZengWileyPain Research and Management1203-67651918-15232018-01-01201810.1155/2018/29306322930632Effects of Physical-Agent Pain Relief Modalities for Fibromyalgia Patients: A Systematic Review and Meta-Analysis of Randomized Controlled TrialsYuichiro Honda0Junya Sakamoto1Yohei Hamaue2Hideki Kataoka3Yasutaka Kondo4Ryo Sasabe5Kyo Goto6Takuya Fukushima7Satoshi Oga8Ryo Sasaki9Natsumi Tanaka10Jiro Nakano11Minoru Okita12Department of Physical Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto 1-7-1, Nagasaki 852-8520, JapanDepartment of Physical Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto 1-7-1, Nagasaki 852-8520, JapanDepartment of Physical Therapy, Niigata University of Health and Welfare, Shimami-cho 1398, Kitaku, Niigata 950-3198, JapanDepartment of Physical Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto 1-7-1, Nagasaki 852-8520, JapanDepartment of Rehabilitation, Japanese Red Cross Nagasaki Atomic Bomb Hospital, Mori 3-15, Nagasaki 852-8104, JapanDepartment of Physical Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto 1-7-1, Nagasaki 852-8520, JapanDepartment of Physical Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto 1-7-1, Nagasaki 852-8520, JapanDepartment of Physical Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto 1-7-1, Nagasaki 852-8520, JapanDepartment of Physical Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto 1-7-1, Nagasaki 852-8520, JapanDepartment of Physical Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto 1-7-1, Nagasaki 852-8520, JapanDepartment of Physical Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto 1-7-1, Nagasaki 852-8520, JapanDepartment of Physical Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto 1-7-1, Nagasaki 852-8520, JapanDepartment of Physical Therapy Science, Nagasaki University Graduate School of Biomedical Sciences, Sakamoto 1-7-1, Nagasaki 852-8520, JapanPurpose. We conducted a systematic review and meta-analysis to investigate the effects of the following physical-agent modalities for pain relief in fibromyalgia (FM) patients. Methods. We identified randomized controlled studies of adults with FM in the MEDLINE, CINAHL, and PEDro databases. The primary outcome measure was pain relief measured by a visual analogue scale (VAS), and the secondary outcome measures of interest were subjective improvements in the number of tender points, Fibromyalgia Impact Questionnaire (FIQ), and quality of life (QOL) scores. Results. Eleven studies were included in our review. The studies’ physical-agent modalities were low-level laser therapy (LLLT), thermal therapy, electromagnetic field therapy, and transcutaneous electrical nerve stimulation (TENS). LLLT did not reduce VAS scores, but it significantly reduced both the number of tender points and FIQ score. Thermal therapy was associated with significantly reduced VAS scores, tender points, and FIQ scores. Electromagnetic field therapy was associated with significantly reduced VAS score and FIQ score. TENS significantly reduced VAS scores. Conclusion. Our analyses revealed that thermal therapy and LLLT had a partial effect on pain relief in FM patients, and this beneficial effect may have a positive influence on FM patients’ health status.http://dx.doi.org/10.1155/2018/2930632
spellingShingle Yuichiro Honda
Junya Sakamoto
Yohei Hamaue
Hideki Kataoka
Yasutaka Kondo
Ryo Sasabe
Kyo Goto
Takuya Fukushima
Satoshi Oga
Ryo Sasaki
Natsumi Tanaka
Jiro Nakano
Minoru Okita
Effects of Physical-Agent Pain Relief Modalities for Fibromyalgia Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Pain Research and Management
title Effects of Physical-Agent Pain Relief Modalities for Fibromyalgia Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
title_full Effects of Physical-Agent Pain Relief Modalities for Fibromyalgia Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
title_fullStr Effects of Physical-Agent Pain Relief Modalities for Fibromyalgia Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
title_full_unstemmed Effects of Physical-Agent Pain Relief Modalities for Fibromyalgia Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
title_short Effects of Physical-Agent Pain Relief Modalities for Fibromyalgia Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
title_sort effects of physical agent pain relief modalities for fibromyalgia patients a systematic review and meta analysis of randomized controlled trials
url http://dx.doi.org/10.1155/2018/2930632
work_keys_str_mv AT yuichirohonda effectsofphysicalagentpainreliefmodalitiesforfibromyalgiapatientsasystematicreviewandmetaanalysisofrandomizedcontrolledtrials
AT junyasakamoto effectsofphysicalagentpainreliefmodalitiesforfibromyalgiapatientsasystematicreviewandmetaanalysisofrandomizedcontrolledtrials
AT yoheihamaue effectsofphysicalagentpainreliefmodalitiesforfibromyalgiapatientsasystematicreviewandmetaanalysisofrandomizedcontrolledtrials
AT hidekikataoka effectsofphysicalagentpainreliefmodalitiesforfibromyalgiapatientsasystematicreviewandmetaanalysisofrandomizedcontrolledtrials
AT yasutakakondo effectsofphysicalagentpainreliefmodalitiesforfibromyalgiapatientsasystematicreviewandmetaanalysisofrandomizedcontrolledtrials
AT ryosasabe effectsofphysicalagentpainreliefmodalitiesforfibromyalgiapatientsasystematicreviewandmetaanalysisofrandomizedcontrolledtrials
AT kyogoto effectsofphysicalagentpainreliefmodalitiesforfibromyalgiapatientsasystematicreviewandmetaanalysisofrandomizedcontrolledtrials
AT takuyafukushima effectsofphysicalagentpainreliefmodalitiesforfibromyalgiapatientsasystematicreviewandmetaanalysisofrandomizedcontrolledtrials
AT satoshioga effectsofphysicalagentpainreliefmodalitiesforfibromyalgiapatientsasystematicreviewandmetaanalysisofrandomizedcontrolledtrials
AT ryosasaki effectsofphysicalagentpainreliefmodalitiesforfibromyalgiapatientsasystematicreviewandmetaanalysisofrandomizedcontrolledtrials
AT natsumitanaka effectsofphysicalagentpainreliefmodalitiesforfibromyalgiapatientsasystematicreviewandmetaanalysisofrandomizedcontrolledtrials
AT jironakano effectsofphysicalagentpainreliefmodalitiesforfibromyalgiapatientsasystematicreviewandmetaanalysisofrandomizedcontrolledtrials
AT minoruokita effectsofphysicalagentpainreliefmodalitiesforfibromyalgiapatientsasystematicreviewandmetaanalysisofrandomizedcontrolledtrials