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...
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Language: | English |
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Wiley
2018-01-01
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Series: | Pain Research and Management |
Online Access: | http://dx.doi.org/10.1155/2018/2930632 |
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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. |
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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 |
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