Symptomatic Pain and Fibromyalgia Treatment Through Multidisciplinary Approach for Primary Care

Reumatol Clin. Jan-Feb 2015;11(1):22-6. doi: 10.1016/j.reuma.2014.03.005. Epub 2014 May 16.
[Article in English, Spanish]


Introduction: 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.

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

Material and 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.

Results and 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.

Keywords: Actividades de la vida diaria; Activities of daily living; Fibromialgia; Fibromyalgia; Occupational Therapy; Terapia Ocupacional.

Publication types

  • Clinical Trial

MeSH terms

  • Activities of Daily Living
  • Adolescent
  • Adult
  • Chronic Disease
  • Combined Modality Therapy
  • Female
  • Fibromyalgia / rehabilitation*
  • Humans
  • Interdisciplinary Communication
  • Middle Aged
  • Occupational Therapy / methods*
  • Occupational Therapy / organization & administration
  • Primary Health Care / methods*
  • Primary Health Care / organization & administration
  • Quality of Life
  • Treatment Outcome
  • Young Adult