Monday, 27 June 2016

Most Common Disease of 50plus: The Clinical trials and Studies of Musculo-Skeletal disorders(MSDs) - Fibromyalgia Treatment - Physical therapy

Kyle J. Norton(Scholar, Master of Nutrients), all right reserved.
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
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Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

Musculoskeletal disorders (MSDs) are  medical condition mostly caused by work related occupations and working environment, affecting patients’ muscles, joints, tendons, ligaments and nerves and developing over time. A community sample of 73 females and 32 males aged 85 and over underwent a standardised examination at home. Musculoskeletal pain was reported by 57% of those interviewed(1).

      Types of Musculo-Skeletal disorders in elder

1. Osteoarthritis
2. Gout
3. Rheumatoid Arthritis
4. Polymalagia Arthritis
5. Cervical myleopathy and spinal canal stenosis
6. Osteoporosis
7. Low back pain
8. Fibromyalgia


Fibromyalgia, according to the American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia in the newly proposed criteria for the classification of fibromyalgia are 1) widespread pain in combination with 2) tenderness at 11 or more of the 18 specific tender point sites(a) as a result in responding to pressure.

                        The Treatment

 In conventional medicine perspective
FM usually involves females, particular to women entering stage of menopause. But it is often diagnosed both in young as well as elderly individuals. Diagnosis of pediatric FMS is a lengthy and frustrated condition affecting children and adolescents physical and emotional development, as the disease mimicked a spectrum of inflammatory joint disorders such as juvenile idiopathic arthritis (JIA), juvenile ankylosing spondylitis, etc, according to the study by Soroka Medical Center, Beer-Sheva(193)

A. Non medication
4. Physical therapy
Epidemiological studies suggested, physiotherapy may reduce overloading of the muscle system, improve postural fatigue and positioning, and condition weak muscles and reduce localized as well as generalized pain in short term(207). When use conjunction with Mind and body therapy, physiotherapy may improve the effectiveness of improving physical functioning, pain and low mood for adults with fibromyalgia(208).
In discussion of the treatment of physiotherapy, Dr. Winkelmann A and research team at the Klinikum der Universität München, insisted, "physical therapy with Low-to-moderate intensity aerobic exercise and strength training are strongly recommended"(209).
In deed, "the multimodal programme, (including those of above) incorporating deep water running (DWR) is a safe and effective intervention for fibromyalgia syndrome that is acceptable to patients" Dr. Cuesta-Vargas AI Dr. Adams N. said(210).

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(207) Physical therapy in the treatment of fibromyalgia by Offenbächer M1, Stucki G.(PubMed)
(208) Mind and body therapy for fibromyalgia by Theadom A1, Cropley M, Smith HE, Feigin VL, McPherson K.(PubMed)
(209) [Physiotherapy and physical therapies for fibromyalgia syndrome. Systematic review, meta-analysis and guideline].[Article in German] by Winkelmann A1, Häuser W, Friedel E, Moog-Egan M, Seeger D, Settan M, Weiss T, Schiltenwolf M; Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften.(PubMed)
(210) A pragmatic community-based intervention of multimodal physiotherapy plus deep water running (DWR) forfibromyalgia syndrome: a pilot study by Cuesta-Vargas AI1, Adams N.(PubMed)

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