PHYSICAL THERAPY INTERVENTION IN WOMEN WITH FIBROMYALGIA
DOI:
https://doi.org/10.56238/ERR01v10n6-079Keywords:
Fibromyalgia, Pain, Physical Therapy, Women, MyalgiaAbstract
Introduction: Fibromyalgia (FM) is a chronic syndrome that causes generalized musculoskeletal pain, often accompanied by fatigue, sleep disorders, and an impact on quality of life, predominantly affecting women. Although its exact cause is unknown, recent research points to alterations in pain processing within the Central Nervous System (CNS), with a prevalence in women, especially those between 35 and 44 years old. Physical therapy emerges as a crucial approach in the management of FM, utilizing diverse and individualized techniques and exercises to reduce pain, improve physical function, and enhance the quality of life of these patients. Objective: To evidence the benefits of physical therapy in the treatment of women with FM. Methodology: An integrative and non-systematic literature review was conducted using electronic databases such as: Portal Capes, PubMed®, Lilacs, SciELO, and Cochrane Library. Final Considerations: Physical therapy methods, including electrotherapy, manual therapy, and kinesitherapy (therapeutic exercise), have been shown to be effective in the treatment of fibromyalgia.
Downloads
References
Alberti, F. F.; Blatt, C. R.; Pilger, D. Custos diretos e indiretos da fibromialgia: uma revisão de escopo. Jornal Brasileiro de Economia da Saúde, v.13, n.3, p.338-344, 2021.
Almanza, A. P. M. C.; Cruz, D. S. da; Oliveira-Júnior, S. A. de et al. Etiology and pathophysiology of fibromyalgia. Revista Ciências em Saúde, v.13, n.3, p.3-9, 2023.
Antunes, M. D.; Marques, A. P. The role of physiotherapy in fibromyalgia: Current and future perspectives. Frontiers in physiology, v.13, n.968292, p.1-11, 2022.
Athnaiel, O.; Cantillo, S.; Paredes, S. et al. O papel dos hormônios sexuais em condições relacionadas à dor. International Journal of Molecular Sciences, Basileia, v.24, n.3, p.18-66, 2023.
Audoux, C. R.; Estradas-Barranco, C.; Martínez-Pozas, O. et al. What Concept of Manual Therapy Is More Effective to Improve Health Status in Women with Fibromyalgia Syndrome? A Study Protocol with Preliminary Results. Int J Environ Res Public Health, v.20, n.2, p.1061-1076, 2023.
Bernardi, L.; Bertuccelli, M.; Formaggio, E. et al. Beyond physiotherapy and pharmacological treatment for fibromyalgia syndrome: tailored TACS as a new therapeutic tool. Eur Arch Psychiatry Clin Neurosci. v.271, n.1, p.199-210, 2021.
BRASIL. Lei nº 15.176, de 23 de julho de 2025. Dispõe sobre o diagnóstico e tratamento da fibromialgia. Diário Oficial da União, Brasília, DF, Seção 1, p.1, 24 jul. 2025.
Caglayan, B. C.; Basakci Calik, B.; Gur Kabul, E. et al. Investigation of effectiveness of reformer pilates in individuals with fibromyalgia: A randomized controlled trial. Reumatología Clínica, Madri, v.19, n.1, p.18-25, 2023.
Costa, L. P.; Ferreira, M. A. A (in)visibilidade da Fibromialgia por meio de seus sintomas e os desafios de seu diagnóstico e terapia. Revista Brasileira de Enfermagem, v.77, n.2, p.0363-0372, 2024.
Couto, N.; Monteiro, D.; Cid, L. et al. Effect of different types of exercise in adult subjects with fibromyalgia: systematic review and meta-analysis of randomised clinical trials. Scientific reports, v.12, n.1, p.10391-10406, 2022.
Dailey, D. L.; Vance, C. G. T.; Rakel, B. A. et al. Transcutaneous Electrical Nerve Stimulation Reduces Movement-Evoked Pain and Fatigue: A Randomized, Controlled Trial. Arthritis & rheumatology (Hoboken, N.J.), v.72, n.5, p.824-836, 2020.
Gomes, T. P.; Livramento, R. A. A relevância do acompanhamento fisioterapêutico em indivíduos com fibromialgia: Revisão de literatura. Brazilian Journal of Implantology and Health Sciences, v.5, n.5, p.3227–3238, 2023.
Izquierdo-Alventosa, R.; Inglés, M.; Cortés-Amador, S. et al. Low-Intensity Physical Exercise Improves Pain Catastrophizing and Other Psychological and Physical Aspects in Women with Fibromyalgia: A Randomized Controlled Trial. International journal of environmental research and public health, v.17, n.10, p.3634-3648, 2020.
Melo, G. A.; Araújo, G. de L.; Vasconcelos, A. M. de et al. Recursos terapêuticos para a Fibromialgia: uma revisão sistemática. Revista Contexto & Saúde, v.20, n.38, p.49–56, 2020.
Nadal-Nicolás Y.; Rubio-Arias, J. Á.; Martínez-Olcina, M. et al. Effects of Manual Therapy on Fatigue, Pain, and Psychological Aspects in Women with Fibromyalgia. Int J Environ Res Public Health. v.17, n.12, p.4611-4623, 2020.
Ribeiro, N. F.; Leal-Junior, E. C. P; Johnson, D. S. et al. Photobiomodulation therapy combined with static magnetic field is better than placebo in patients with fibromyalgia: a randomized placebo-controlled trial. Eur J Phys Rehabil Med., v.59, n.6, p.754-762, 2023.
Rodríguez-Almagro, D.; Del Moral-García, M.; López-Ruiz, M. D. C. et al. Optimal dose and type of exercise to reduce pain, anxiety and increase quality of life in patients with fibromyalgia. A systematic review with meta-analysis. Frontiers in Physiology, v.14, n.1, p.1-17, 2023.
Rodríguez-Mansilla, J.; Mejías-Gil, A.; Garrido-Ardila, E. M. et al. Effects of Non-Pharmacological Treatment on Pain, Flexibility, Balance and Quality of Life in Women with Fibromyalgia: A Randomised Clinical Trial. Journal of clinical medicine, v.10, n.17, p.3826-3841, 2021.
Ruschak, I.; Montesó-Curto, P.; Rosselló, L. et al. Fibromyalgia Syndrome Pain in Men and Women: A Scoping Review. Healthcare, v.11, n.2, p.223-241, 2023.
Schulze, N. B.; Salemi, M. M; de Alencar, G. G. et al. Efficacy of Manual Therapy on Pain, Impact of Disease, and Quality of Life in the Treatment of Fibromyalgia: A Systematic Review. Pain Physician, v.23, n.5, p.461-476, 2020.
Siracusa, R.; Paola, R. D.; Cuzzocrea, S. et al. Fibromyalgia: Pathogenesis, Mechanisms, Diagnosis and Treatment Options Update. International journal of molecular sciences, v.22, n.8, p.1-31, 2021.
Sociedade Brasileira de Reumatologia. Doenças Reumáticas. Ano 2025. Disponível em: https://www.reumatologia.org.br/doencas-reumaticas/fibromialgia-e-doencas-articulares-inflamatorias. Acesso em 20 de agosto de 2025.
Vance, C. G. T.; Zimmerman, M. B.; Dailey, D. L. et al. Reduction in movement-evoked pain and fatigue during initial 30-minute transcutaneous electrical nerve stimulation treatment predicts transcutaneous electrical nerve stimulation responders in women with fibromyalgia. PAIN v.162, n.5, p.1545–1555, 2021.
Vilarino, G. T.; Coimbra, D. R.; Bevilacqua, G. G. Ruschak, I. et al. Can different degrees of resistance training improve mood states in patients with fibromyalgia? A randomized controlled trial. Reumatismo, v.74, n.3, p.122-130, 2022.