THE EFFECT OF KINESITHERAPY ON PEOPLE WITH FIBROMYALGIA

Cilj ovog diplomskog rada bio je sistematizirati dosadašnje spoznaje o sindromu mišićno-koštane kronične boli, ukazati na njegovu problematiku te navesti utjecaje tjelesnog vježbanja na osobe kojima je isti dijagnosticiran. Recentna istraživanja upućuju na određene kemijske procese koji su prisutni kod pacijenata, no točna etiologija i patogeneza još uvijek nisu definirane. Kronična bol, umor, neadekvatan san i kognitivne teškoće uz prisutnost određenih komorbiditeta čine tipičnu kliničku sliku. Dijagnoza se postavlja pomoću posebno definiranih kriterija koji, osim analize simptoma, uključuju anamnestičke podatke te bol prisutnu u 11 od 18 osjetljivih točaka. Pristup liječenju je multidisciplinaran, a njegov glavni oblik predstavlja kombinaciju lijekova i nefarmakoloških metoda poput terapijskog vježbanja i kognitivno-bihevioralne terapije. Za postizanje optimalnih rezultata potrebno je aktivno sudjelovanje pacijenta i njegove obitelji u procesu liječenja, kao i njihova edukacija.The aim of this thesis was to systematize former cognitions about chronic muskuloskeletal pain syndrome, to indicate on its problems and cite the influence of physical exercise on people with diagnosis. Recent explorations suggest certain chemical processes present in patients but the exact etiology and pathogenesis have not yet been defined. Chronic pain, fatique, inadequate sleep and cognitive difficulties with the presence of certain comorbidities form a typical clinical picture. The diagnosis is made using specially defined criteria which, in addition to the analysis of symptoms, include anamnestic data and pain present in 11 of the 18 sensitive points. Treatment approach is multidisciplinary and its main form is a combination of drugs and non-pharmacological methods such as therapeutic exercise and cognitive-behavioral therapy. Achieving optimal results requires the active participation of the patient and his family in the treatment process, as well as their education