Friday, 8 July 2016

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

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

B. Alternative treatments 
Several types of alternative medicine have some potential for future clinical research. However, due to methodological inconsistencies across studies and the small body of evidence, no firm conclusions can be made at this time. we present here some of alternatives which have played an important role in human history for treatment of Fibromyalgia, according to the DePaul University(231) and Dicle University(232), in review of information regarding the efficacy of complementary and alternative medicine (CAM).
7. Biofeedback
According to the University of Maryland Medical Center, Biofeedback plays an important role to improve health of patients with Fibromyalgia through controlling certain bodily process involved heart rate, blood pressure, muscle tension, and skin temperature. The therapy has gained some traction in complementary and alternative medicine for treatment among individuals with fibromyalgia syndrome (FMS)(248).
According to a randomized controlled trial involving two groups of FMS patients, biofeedback treatment modality reduced pain in patients with FMS, induced improvements in FIQ, SMWT and the number of tender points(251).Dr, Hassett AL and colleagues at the Robert Wood Johnson Medical School (UMDNJ-RWJMS in support of the use of biofeedback for treatment of patients with FM, suggested that the effectiveness of the therapy probably is the result of mediated by autonomic changes in stress, HPA axis activity, and brain function(252).
Unfortunately, a literature search conducted by the University of Marburg, revealed that only electromyographic(EMG) biofeedback and not Electroencephalograph (EEG) feedback significantly reduced pain intensity in comparison to control groups. BFB did not reduce sleep problems, depression, fatigue, or health-related quality of life in comparison to a control group(253).

(251) Management of patients with fibromyalgia using biofeedback: a randomized control trial by Babu AS1, Mathew E, Danda D, Prakash H.(PubMed)
(252) A pilot study of the efficacy of heart rate variability (HRV) biofeedback in patients with fibromyalgia by Hassett AL1, Radvanski DC, Vaschillo EG, Vaschillo B, Sigal LH, Karavidas MK, Buyske S, Lehrer PM.(PubMed)
(253) Efficacy of EMG- and EEG-Biofeedback in Fibromyalgia Syndrome: A Meta-Analysis and a Systematic Review of Randomized Controlled Trials by Glombiewski JA1, Bernardy K, Häuser W.(PubMed)

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