A pilot study of biomechanical assessment before and after an integrative training program for adolescents with juvenile fibromyalgiaReportar como inadecuado

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Journal Title:

Pediatric Rheumatology


Volume 14, Number 1


BioMed Central | 2016-07-22, Pages 43-43

Type of Work:

Article | Final Publisher PDF

Abstract: Background: Adolescents with juvenile fibromyalgia JFM tend to be very sedentary and avoid participation in physical activity. A prior study suggested that JFM patients show altered biomechanics compared to healthy adolescents which may make them more prone to pain-injury during exercise. A new intervention combining well established cognitive behavioral therapy CBT techniques with specialized neuromuscular exercise -Fibromyalgia Integrative Training for Teens FIT Teens was developed and shown to be promising in improving functioning in adolescents with JFM. In contrast to traditional exercise programs such as aerobic or resistance training, neuromuscular training is a tailored approach which targets gait, posture, balance and movement mechanics which form the foundation for safe exercise participation with reduced risk for injury or pain and hence more tolerable by JFM patients. The aim of this pilot feasibility study was to establish whether objective biomechanical assessment including sophisticated 3-D motion analysis would be useful in measuring improvements in strength, balance, gait, and functional performance after participation in the 8-week FIT Teens program. Methods: Eleven female participants with JFM ages 12-18 years completed pre- and post-treatment assessments of biomechanics, including walking gait analysis, lower extremity strength assessment, functional performance, and dynamic postural stability. Results: Descriptive data indicated that mechanics of walking gait and functional performance appeared to improve after treatment. Hip abduction strength and dynamic postural control also demonstrated improvements bilaterally. Conclusions: Overall, the results of this pilot study offer initial evidence for the utility of biomechanical assessment to objectively demonstrate observable changes in biomechanical performance after an integrated training intervention for youth with JFM. If replicated in larger controlled studies, findings would suggest that through the FIT Teens intervention, adolescents with JFM can progress towards normalized strength and biomechanics, which may enhance their ability to engage in physical exercise.

Subjects: Psychology, Behavioral - Health Sciences, Medicine and Surgery - Health Sciences, Health Care Management - Research Funding: This study was funded by the National Institute of Arthritis and Musculoskeletal and Skin Diseases NIAMS-NIH Grants K24AR056687 and R21AR063412 to the last author SKZ.

Keywords: Science and Technology - Life Sciences and Biomedicine - Pediatrics - Rheumatology - Juvenile fibromyalgia - Chronic pain - Biomechanical assessment - Physical activity - Adolescents - COGNITIVE-BEHAVIORAL THERAPY - LOWER-EXTREMITY KINEMATICS - CRUCIATE LIGAMENT INJURY - DYNAMIC POSTURAL CONTROL - BASIC GAIT PARAMETERS - PHYSICAL-ACTIVITY - NEUROMUSCULAR CONTROL - JOINT HYPERMOBILITY - CLINICAL-TRIAL - CHRONIC PAIN -

Autor: Susan T. Tran, Staci Thomas, Christopher DiCesare, Megan Pfeiffer, Soumitri Sil, Tracy V. Ting, Sara E. Williams, Gregory D. Myer

Fuente: https://open.library.emory.edu/


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