Motor Dysfunctions in Fibromyalgia Patients: The Importance of Breathing
Author: Bruno Bordoni1, Allan R Escher2
Affiliation:
1 Dipartimento di Cardiologia, Fondazione Don Carlo Gnocchi IRCCS, Istituto di Ricovero e Cura, S Maria Nascente, Milano, 20100, Italia.
2 Anesthesiology/Pain Medicine, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, 33612, USA.
Conference/Journal: Open Access Rheumatol
Date published: 2024 Mar 7
Other:
Volume ID: 16 , Pages: 55-66 , Special Notes: doi: 10.2147/OARRR.S442327. , Word Count: 167
The classification of fibromyalgia (FM) is not always immediate and simple, with the time from the first diagnosis, compared to the onset of symptoms, of a few years. Currently, we do not have instrumental or biochemical tests considered as gold standards; the clinician will make a diagnosis of FM based on the patient's medical history and subjective assessment. The symptoms can involve physical, cognitive and psychological disorders, with the presence of pain of different origins and classifications: nociplastic, nociceptive and neuropathic pain. Among the symptoms highlighted, postural disorders and neuromotor uncoordination emerge, whose functional dysfunctions can increase the mortality and morbidity rate. An alteration of the diaphragm muscle could generate such functional motor problems. Considering that the current literature underestimates the importance of breathing in FM, the article aims to highlight the relationship between motor and diaphragmatic difficulties in the patient, soliciting new points of view for the clinical and therapeutic framework.
Keywords: breathing; chronic widespread pain; diaphragm; fascia; fibromyalgia; pain.
PMID: 38476512 PMCID: PMC10929242 DOI: 10.2147/OARRR.S442327
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