Symptomatic pain and fibromyalgia treatment through multidisciplinary approach for primary care.
BACKGROUND
Fibromyalgia is a chronic disease of unknown etiology characterized by widespread muscle pain, with occupational, familial, social, physical and psychological performance involvement. The multidisciplinary approach to the disease leads to improvement in quality of life and symptomatology.


OBJECTIVE
To evaluate the improvement of activities of daily living (ADL) and quality of life following a multidisciplinary intervention (Health Primary Care and Occupational Therapy).


METHODS
Pretest-posttest study performed with a simple random sample of 21 patients with fibromyalgia (range 16-55 years). The measurement was performed with the Barthel scale (ADL), the scale of Lawton and Brody (IADL), the FIQ questionnaire, and no standardized surveys to assess the pre and post intervention situation. An intervention on motor skills (basic motor skills, pool exercise, outdoor exercise, restructuring, occupational performance and graded activity and intervention in ADL) was performed, combining pharmacological control of their symptoms and treatment.


CONCLUSIONS
Fibromyalgia patients are not fully satisfied with their treatment; Primary Care receives a score of 6.89, and Hospital Care 5.79, improving the Barthel, Lawton and Brody and FIQ indexes, being statistically significant (p<.05). After the combined procedure the number of independent women in ADL and IADL increases.
Médico Atención Primaria, Centro de Salud Santa Olalla, Toledo, España; Profesor Asociado, Doctor Departamento Ciencias Médicas, Universidad de Castilla-La Mancha, España. Electronic address: jaime.gonzalez@uclm.es.
Jaime
J
Gonzalez Gonzalez
Terapeuta ocupacional, Residencia Tercera Edad San Pablo de los Montes, San Pablo de los Montes, Toledo, España.
Maria del Mar
Mdel M
del Teso Rubio
Terapeuta ocupacional, Asociación Fibromialgia Talavera de la Reina (AFIBROTAR), Talavera de la Reina, Toledo, España.
Carmen Nelida
CN
Waliño Paniagua
Médico Atención Primaria, Centro de Salud Pueblanueva, Pueblanueva, Toledo, España; Profesor Asociado, Doctor Departamento Ciencias Médicas, Universidad Castilla-La Mancha, España.
Juan Jose
JJ
Criado-Alvarez
Médico Atención Primaria, Centro de Salud Santa Olalla, Toledo, España.
Javier
J
Sanchez Holgado
D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D003131:Combined Modality Therapy; D005260:Female; D005356:Fibromyalgia / Q000534:rehabilitation*; D006801:Humans; D033183:Interdisciplinary Communication; D008875:Middle Aged; D009788:Occupational Therapy / Q000379:methods* / Q000458:organization & administration; D011320:Primary Health Care / Q000379:methods* / Q000458:organization & administration; D011788:Quality of Life; D016896:Treatment Outcome; D055815:Young Adult
Actividades de la vida diaria; Activities of daily living; Fibromialgia; Fibromyalgia; Occupational Therapy; Terapia Ocupacional