Latihan Aerobik sebagai Penatalaksanaan Fibromialgia

Oleh :

dr. Immanuel Natanael Tarigan

Latihan aerobik dapat digunakan sebagai salah satu penatalaksanaan fibromialgia, yang bertujuan untuk memperbaiki kualitas hidup pasien, meringankan intensitas nyeri, dan mengurangi kekakuan otot. Sindrom fibromialgia ditandai dengan nyeri kronik di seluruh tubuh, nyeri tekan, dan kekakuan otot tanpa didasari penyakit organik yang jelas. Fibromialgia dapat disertai gangguan mood, kelelahan, insomnia, dan gangguan kognitif.[1,2]

Terdapat beberapa modalitas untuk tata laksana fibromialgia. Terapi farmakologis yang banyak digunakan adalah antidepresan trisiklik, pregabalin, serotonin-norepinephrine reuptake inhibitor (SNRI), selective serotonin reuptake inhibitors (SSRI), dan cyclobenzaprine. Sementara itu, tata laksana nonfarmakologis dapat berupa cognitive behavior therapy (CBT), latihan fisik, dan edukasi.[1,2]

Efek Latihan Aerobik terhadap Fibromialgia

(Konten ini khusus untuk dokter. Registrasi untuk baca selengkapnya)

Referensi

1. Bellato E, Marini E, Castoldi F, et al. Fibromyalgia syndrome: Etiology, pathogenesis, diagnosis, and treatment. Pain Res Treat. 2012;2012:426130.
2. Dymon TE. Fibromyalgia. ACSAP. Neurologic and Psychiatric Care I. 2015.
https://www.accp.com/docs/bookstore/acsap/a15b1_m1sample.pdf
3. Carville SF, Arendt-Nielsen S, Bliddal H, et al. EULAR evidence-based recommendations for the management of fibromyalgia syndrome. Ann Rheum Dis. 2008;67:536–41.
4. Macfarlane GJ, Kronisch C, Dean LE, et al. EULAR revised recommendations for the management of fibromyalgia. Ann Rheum Dis. 2017;76:318–28.
5. Thieme K, Mathys M, Turk DC. Evidenced-based guidelines on the treatment of fibromyalgia patients: are they consistent and if not, why not? Have effective psychological treatments been overlooked? J Pain. 2017;18:747–56.
6. Häuser W, Thieme K, Turk DC. Guidelines on the management of fibromyalgia syndrome - A systematic review. Eur J Pain. 2010;14:5–10.
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9. Patel H, Alkhawam H, Madanieh R, et al. Aerobic vs anaerobic exercise training effects on the cardiovascular system. World J Cardiol. 2017;9:134–8.
10. Schachter CL, Busch AJ, Peloso PM, Sheppard MS. Effects of short versus long bouts of aerobic exercise in sedentary women with fibromyalgia: a randomized controlled trial. Phys Ther. United States; 2003;83:340–58.
11. Häuser W, Klose P, Langhorst J, et al. Efficacy of different types of aerobic exercise in fibromyalgia syndrome : a systematic review and meta-analysis of randomised controlled trials. Arthritis Res Ther. 2010;12:R79.
12. Mannerkorpi K, Nordeman L, Cider A, Jonsson G. Does moderate-to-high intensity Nordic walking improve functional capacity and pain in fibromyalgia? A prospective randomized controlled trial. Arthritis Res Ther. 2010;12:R189.
13. Couto N, Monteiro D, et al. Effect of different types of exercise in adult subjects with fibromyalgia: a systematic review and meta-analysis of randomised clinical trials. Sci Rep. 2022 Jun 20;12(1):10391. doi: 10.1038/s41598-022-14213-x. PMID: 35725780; PMCID: PMC9209512.