Physiotherapy performance in an individual with systemic lupus erythematosus associated with rheumatoid arthritis and fibromyalgia

Main Article Content

Matheus Santos Gomes Jorge
Karina Garbin
Poliana Luisa Müller
Lia Mara Wibelinger

Abstract

Introduction: Rheumatic diseases may occur singularly or in concomitant way, such as systemic lupus erythematosus, that may be associated with rheumatoid arthritis and fibromyalgia, compromising the functionality and quality of life. The aim of this study was to investigate the effects of physiotherapy on pain, handgrip strength, postural balance, incapacity level and quality of life in an individual with systemic lupus erythematosus associated with rheumatoid arthritis and fibromyalgia. Case report: Woman, 56 years old, diagnosed with systemic lupus erythematosus, rheumatoid arthritis and fibromyalgia for 14 years. Her main complaint was widespread and intense pain in several points of the body. We evaluated pain, handgrip strength, postural balance, incapacity level and quality of life. The individual performed 30 sessions of physiotherapy (kinesiotherapy and hydrokinesiotherapy), twice a week, between August and November 2015, at Physiotherapy Clinic of the University of Passo Fundo. After the intervention, there was reduction of pain by 5 points and incapacity by 30%, increased handgrip strength in 2,2 kgf (right hand) and 1,2 kgf (left hand) and postural balance in 6 points. As a consequence, the individual’s quality of life improved. Conclusion: The physiotherapy proved to be effective in reducing pain and disability, increasing bilateral handgrip strength and postural balance and improving the quality of life of an individual with systemic lupus erythematosus associated with rheumatoid arthritis and fibromyalgia.

Downloads

Download data is not yet available.

Article Details

How to Cite
Jorge, M. S. G., Garbin, K., Müller, P. L., & Wibelinger, L. M. (2017). Physiotherapy performance in an individual with systemic lupus erythematosus associated with rheumatoid arthritis and fibromyalgia. ABCS Health Sciences, 42(1). https://doi.org/10.7322/abcshs.v42i1.952
Section
Reports

References

1. Haliloglu S, Carlioglu A, Akdeniz D, Karaaslan Y, Kosar A. Fibromyalgia in patients with other rheumatic diseases: prevalence and relationship with disease activity. Rheumatol Int. 2014;34(9):1275-80. http://dx.doi.org/10.1007/s00296-014-2972-8

2. Freire EAM, Souto LM, Ciconelli RM. Medidas de avaliação em lúpus eritematoso sistêmico. Rev Bras Reumatol. 2011;51(1):70-80.

3. Peres JMC, Tedde PFB, Lamari NM. Fadiga nos portadores de lúpus eritematoso sistemático sob intervenção fisioterapêutica. Mundo Saúde. 2006;30(1):141-5.

4. Batista JC, Borges AM, Wibelinger LM. Tratamento fisioterapêutico na síndrome da dor miofascial e fibromialgia. Rev Dor. 2012;13(2):170-4. http://dx.doi.org/10.1590/S1806-00132012000200014

5. Wibelinger LM, Molin VD, Myra RS, DeMarco M. Perfil de uma população portadora de artrite reumatoide em um município do interior do Rio Grande do Sul. Efdeportes. 2015;19(202).

6. Petean FC, Voltarelli JC, Donadi EA, Lousada Júnior P, Carvalho IF. Tratamento farmacológico das doenças reumáticas. Medicina. 1997;30(4):522-531.

7. Myra RS, DeMarco M, Zanin C, Wibelinger LM. Kinesiotherapy for quality of life, pain and muscle strength of rheumatoid arthritis and systemic lupus erythematosus patient. Case report. Rev Dor. 2015;16(2):153-5. http://dx.doi.org/10.5935/1806-0013.20150029

8. Sociedade Brasileira de Reumatologia (SBR). Lúpus. 2011. Disponível em: http://www.reumatologia.com.br/PDFs/LES_Cartilha_ PDF_COMPLETO_2011.pdf. Acesso em: 21 jun. 2016.

9. Aparicio VA, Ortega FB, Heredia JM, Carbonell-Baeza A, Sjöström M, Delgado-Fernandez M. Handgrip strength test as a complementary tool in the assessment of fibromyalgia severity in women. Arch Phys Med Rehabil. 2011;92(1):83-8. http://dx.doi.org/10.1016/j.apmr.2010.09.010

10. Iop RR, Shiratori AP, Ferreira L, Borges Júnior NG, Domenech SC, Gevaerd MS. Capacidade de produção de força de preensão isométrica máxima em mulheres com artrite reumatoide: um estudo piloto. Fisioter Pesq. 2015;22(1):11-6. http://dx.doi.org/10.590/1809-2950/12371922012015

11. Myra RS, DeMarco M, Pancotte J, Rodrigues D, Secchin L, Sobral D, et al. Força de preensão palmar em um indivíduo portador de lúpus eritematoso sistêmico e artrite reumatóide: um estudo de caso. Efdeportes. 2015;20(209).

12. Bilberg A, Ahlmen M, Mannerkorpi K. Moderately intensive exercise in a temperate pool for patients with rheumatoid arthritis: a randomized controlled study. Rheumatology. 2005;44(4):502-8. http://dx.doi.org/10.1093/rheumatology/keh528

13. Santo ASE, Mango PC, Assumpção A, Sauer JF, Marques AP. Fibromyalgia: is there association between balance and pain? A pilot study. Fisioter Pesq. 2014;21(1):27-33. http://dx.doi.org/10.1590/1809-2950/341210114

14. Alves CT, Barros MFA, Oliveira EA, Carvalho AGC, Lucena NMG, Costa SML, et al. Abordagem fisioterapêutica ao portador de lúpus eritematoso sistêmico: relato de caso. Rev Bras Cienc Saúde. 2012;16(2):109-14. http://dx.doi.org/10.4034/RBCS.2012.16.s2.15

15. Jorge MSG, Myra RS, Schnornberger CM, Ranzi C, Wibelinger LM. Hidrocinesioterapia na dor e na qualidade de vida em indivíduos portadores de fibromialgia. Rev Inspirar. 2016;8(1):29-33.