http://www.youtube.com/watch?v=Vw_ojmCP8ZI&feature=youtube_gdata_player
Sent from Amanda's iPhone
http://www.youtube.com/watch?v=Vw_ojmCP8ZI&feature=youtube_gdata_player
Sent from Amanda's iPhone
August 19, 2010 — Tai chi may be a helpful intervention for patients with fibromyalgia, according to the results of a single-blind, randomized trial reported in the August 19 issue of the New EnglandJournal of Medicine.
"Previous research has suggested that tai chi offers a therapeutic benefit in patients with fibromyalgia," write Chenchen Wang, MD, MPH, from Tufts Medical Center, Tufts University School of Medicine in Boston, Massachusetts, and colleagues. "...[Tai chi] combines meditation with slow, gentle, graceful movements, as well as deep breathing and relaxation, to move vital energy (or qi) throughout the body. It is considered a complex, multicomponent intervention that integrates physical, psychosocial, emotional, spiritual, and behavioral elements."
Fibromyalgia was defined by American College of Rheumatology 1990 criteria. Participants (n = 66) were randomly assigned 1:1 to receive classic Yang-style tai chi or a control intervention consisting of wellness education and stretching. In both groups, participants received 60-minute sessions twice weekly for 12 weeks.
Fibromyalgia Impact Questionnaire (FIQ) score (ranging from 0 - 100) at the end of 12 weeks was the main study outcome, with higher scores indicating more severe symptoms. Secondary outcomes were summary scores on the physical and mental components of the Medical Outcomes Study 36-Item Short-Form Health Survey. To assess durability of the response, these tests were performed again at 24 weeks.
Improvements in the FIQ total score and quality of life in the tai chi group were clinically important. For this group, mean baseline and 12-week FIQ scores were 62.9 ± 15.5 and 35.1 ± 18.8, respectively, vs 68.0 ± 11 and 58.6 ± 17.6, respectively, in the control group. The mean between-group difference from baseline in the tai chi group vs the control group was −18.4 points (P < .001).
The tai chi group also fared better than the wellness intervention group in physical component scores of the Short-Form Health Survey (28.5 ± 8.4 and 37.0 ± 10.5 for the tai chi group vs 28.0 ± 7.8 and 29.4 ± 7.4 for the control group; between-group difference, 7.1 points; P = .001) and mental component scores (42.6 ± 12.2 and 50.3 ± 10.2 vs 37.8 ± 10.5 and 39.4 ± 11.9, respectively; between-group difference, 6.1 points; P = .03).
These improvements were still present at 24 weeks (FIQ score between-group difference, −18.3 points;P < .001), with no reported adverse events.
Limitations of this study include lack of double blinding, lack of generalizability because treatment was delivered by a single tai chi master at a single center, and follow-up limited to 24 weeks.
"In conclusion, our preliminary findings indicate that tai chi may be a useful treatment in the multidisciplinary management of fibromyalgia," the study authors write. "Longer-term studies involving larger clinical samples are warranted to assess the generalizability of our findings and to deepen our understanding of this promising therapeutic approach."
It feels like my muscles are all cramped up all the time and hurts to the slightest touch. The Chronic Myofascial Pain Syndrome I can only describe like this: Think of the skin on a chicken breast, it’s slimy and moves around really well. Now think of say your arm for example is made up of layers. First your skin, then the “chicken skin”, muscle then more “chicken skin”, then bone. My “chicken skin” has turned to concrete while most people’s move freely like the skin of a chicken breast.After giving up a job that she loved 3 years ago, she has been trying to be approved for Social Security Disability unsuccessfully. She is on prescriptions that cause her to twitch, which she finds embarrassing. Because of that and that the fear of leaving her home (Agoraphobia) as well as a fear of crowds, Amanda is almost always at home.
Researchers had 18 women with fibromyalgia undergo six-minute fMRI brain scans, and compared their results to women without the condition.
Participants were asked to rate the intensity of the pain they were feeling at the time of the test. Some people reported feeling little pain, while others reported feeling more intense pain.
Brain scans showed the connectivity, or neural activity, between certain brain networks and the insular cortex, a region of the brain involved in pain processing, was heightened in women with fibromyalgia compared to those without the condition.
The connectivity to the insular cortex was even stronger in participants who reported feeling more intense pain compared to milder pain, said study author Vitaly Napadow, a neuroscientist at Massachusetts General Hospital.
"We took advantage of the fact that there is a large discrepancy in the amount of pain patients happen to be in at the time they come in. Unfortunately some patients come in, and they are in a lot of pain. Other patients come in and they are not in pain," Napadow said.
The study, by researchers from Massachusetts General Hospital and the University of Michigan, is published in the August issue of Arthritis & Rheumatism.
Fibromyalgia is a chronic pain syndrome that's characterized by widespread pain, fatigue, insomnia, and the presence of multiple tender points. The syndrome can also cause psychological issues, including anxiety, depression and memory and concentration problems, sometimes called the "fibromyalgia fog."
Prior research has shown that people with fibromyalgia feel a given amount of pain more intensely than others, Napadow explained. In other words, studies have shown a typical person might rate a painful stimuli a "one" on a scale or one to 10, while a person with fibromyalgia might rate the pain a 5 or higher.
The new study is different in that fibromyalgia patients' pain responses were measured while they were at rest and not being exposed to anything painful, Napadow said.
The brain networks involved were the default mode network (DMN) and the right executive attention network (EAN). The DMN is involved in "self-referential thinking," when you think about yourself or what's happening to you, Napadow explained.
The EAN is involved in working memory and attention. When that brain network is occupied, or distracted, by pain, it may explain some of the cognitive issues that fibromyalgia patients experience, Napadow said.
Dr. Philip Mease, director of rheumatology research at Swedish Medical Center in Seattle and a member of the National Fibromyalgia Association medical advisory board, said the study provides insight into what may be going on in the brains of people with fibromyalgia.
"This work shows there is increased connectivity between different brain centers that connect the purely sensory pain processing centers of the brain with some of the emotional and evaluative parts of the brain, or areas of the brain that take a sensory stimulus and say, "How do I interpret this? How do I feel about this'?" Mease said.
For years, fibromyalgia has been a highly misunderstood syndrome, with some doctors doubting it even existed, and others attributing the pain to depression or other psychological issues.
That began to change early this decade, when brain scans showed pain-processing abnormalities in fibromyalgia patients, Mease said.
"That first neuroimaging study really demonstrated fibromyalgia patients were different than normal individuals, and at a neurobiological level, were truly experiencing more pain at lower intensities," Mease said.
The new research moves understanding of the condition a step further, by exploring what's happening in the brain during a resting state.
"Regardless of poking or prodding them, this study is trying to get at an understanding of what is crackling in the brain, intrinsically, such that they have this higher sensitivity," Mease said.
About 10 million Americans are believed to have fibromyalgia, almost 90 percent of whom are women, according to the National Fibromyalgia Association. Sufferers report a history of widespread pain in all four quadrants of the body for at least three months, and pain in at least 11 of 18 "tender points."
More information
Read more about fibromyalgia at the National Fibromyalgia Association.
SOURCES: Vitaly Napadow, Ph.D, neuroscientist and assistant professor, radiology, Massachusetts General Hospital, Harvard Medical School, Boston; Philip Mease, M.D., director, rheumatology research, Swedish Medical Center, Seattle, and member, National Fibromyalgia Association medical advisory board; August 2010 Arthritis & Rheumatism