P-3-07-13
MUSCLE PERFORMANCE IN FIBROMYALGIA AND THE EFFECT OF THE EXERCISE
P. Borman, R. Celiker, Z. Hascelik (Hacettepe University, Ankara, Turkey)
The aim of the study is to examine muscle performance; isokinetic muscle strength, muscular endurance ratio and submaximal aerobic performance tests (PWC-170) in fibromyalgia patients (FM) and to evaluate the effects of aerobic exercise program for the treatment of FM.
Twenty-four FM and 15 control subjects underwent an examination of isokinetic muscle strength on Cybex dynamometer and submaximal aerobic performance tests. 11 patients attended to aerobic exercises for 45 minutes 3 times a week, for 8 weeks. At the end of 8 weeks, muscle performance and isokinetic tests were repeated in this group.
Maximal voluntary muscle strength of quadriceps at 60/sec were significantly lower in patients compared with the control group, whereas they were similar at 180/SEC. Endurance ratios showing the work capacity were not statistically different between the two groups. Submaximal aerobic performance scores were higher in the control group (p<0.05). For the patient group; there was a significant difference between pretreatment and posttreatment scores of peak torques both in low and high speeds, endurance ratios and PWC-170 tests. These results indicate that FM patients have impaired muscle function. The changes observed may be secondary to physical inactivity and this study also demonstrated aerobic exercise induced short term improvement.
P-3-07-14
CERVICOGENIC HEADACHE: CLINICAL AND THERAPEUTIC ASPECTS
T.Y. Lin, M.J. Teixeira,, EI Lin, H.H.S. Kaziyama, S.T. Imamura.
Pain Clinic and Physical Medicine & Rehabilitation Division, IOT, Hospital das Clinicas, University of Sao Paulo. Sao Paulo, Brazil.
Purpose: The objective of the study was to evaluate the clinical findings and the results of multidisciplinary approaches of 105 patients with the diagnosis of cervicogenic headache.
Method: All patients underwent a long interview during which special emphasis was focused to the possible origins of pain as poor postural habits. Neurological and physiatric examination was performed in all of the patients, with special attention to the presence of myofascial pain syndrome (MPS) and other abnormalities of the upper cervical spine. All patients were treated with NSAIDS, psychotropics, physical therapy and, when necessary, acupuncture and/or infiltration of the trigger points with local anesthetics.
Result: MPS was present in all of the patients. In 67.6% of the cases, the result of the multidisciplinary treatment was considered as excellent (relief > 75% of the initial pain) and, in 29.5%, good (> 50% of initial pain).
Conclusion: A multidisciplinary management is important for the correct diagnosis and treatment of cervicogenic headache. The program aiming the improvement of postural abnormalities and the correction of perpetuating factors of neck pain is important for the maintenance of satisfactory results of the treatment.
