Rev Med UAS; Vol. 10: No. 4. Octubre-Diciembre 2020
ISSN 2007-8013


Conocimiento de fisioterapeutas mexicanos respecto a la fibromialgia y su tratamiento no farmacológico

Knowledge of Mexican physiotherapists regarding fibromyalgia and its non -pharmacological treatment

Adriana Cruz-Bañares1*, Claire Diver1p

1Division of Physiotherapy and Rehabilitation Sciences, University of Nottingham, Nottingham, UK

*Autor corresponsal: Adriana Cruz–Bañares
Dirección: Av. Valle del Campanario #128.
Fracc. Valle del Campanario. C.P. 20100. Aguascalientes, Ags. México.

DOI http://dx.doi.org/10.28960/revmeduas.2007-8013.v10.n4.002

Recibido 27 de Septiembre 2020, aceptado 27 de Octubre 2020


RESUMEN
Antecedentes: La fibromialgia es una patología compleja caracterizada principalmente por dolor generalizado y fatiga; su complejidad dificulta su diagnóstico y tratamiento multidisciplinario. Es comúnmente asociada a un conocimiento limitado entre profesionales de la salud. --- Objetivo: evaluar el conocimiento que fisioterapeutas mexicanos tienen respecto a la Fibromialgia y su tratamiento no farmacológico basado en la evidencia. --- Materiales y Métodos: se realizó un estudio transversal aplicando un cuestionario cuantitativo a fisioterapeutas Mexicanos para evaluar su conocimiento respecto a la patología, sintomatología, diagnóstico y tratamiento de la fibromialgia. --- Resultados:La muestra incluyó 97/405 fisioterapeutas egresados. El estudio reveló que 73% de los participantes contaban con experiencia previa con pacientes con Fibromialgia; el dolor difuso (90%) y sueño no efectivo (78%), se identificaron como los principales síntomas. La consulta médica y el examen físico se consideraron como los medios diagnósticos más frecuentes (73%); el ejercicio físico y los antidepresivos fueron considerados la mejor combinación terapéutica (73%). El 81% expresó que la actividad física puede mejorar la salud del paciente. Finalmente, más de la mitad de los participantes (55%) enunció no conocer las guías clínicas nacionales y el 69% no estar familiarizado con ninguna guía nacional o internacional. --- Conclusiones: El conocimiento de fisioterapeutas mexicanos respecto a la fibromialgia es inconsistente con las guías clínicas actuales. La mejora de los programas formativos en relación al conocimiento y uso de guías clínicas puede mejorar el manejo de pacientes con Fibromialgia.
Palabras clave: Fibromialgia; Estudio Transversal; Fisioterapeutas; México

ABSTRACT
Knowledge of Mexican physiotherapists regarding fibromyalgia and its non -pharmacological treatment
Background: Fibromyalgia is a complex condition primarily characterized by widespread pain and fatigue; its complexity makes its diagnosis and multidisciplinary treatment difficult. This is commonly associated with poor knowledge amongst health care professionals. --- Objective: To assess the specific knowledge about fibromyalgia and its non-pharmacological treatment among Mexican physiotherapists. --- Methods and Materials: a cross-sectional study of Mexican physiotherapists was conducted utilizing a quantitative questionnaire to assess their knowledge about Fibromyalgia symptoms, diagnosis and treatment. --- Results: The sample included 97/405 registered physiotherapists. 73% of responding participants had previous experience treating patients with Fibromyalgia; diffuse pain (90%) and restless sleep (78%), were identified as the main symptoms. The most common method of diagnosis was consultation including physical examination by a medical Practitioner (73%); physical exercise and antidepressants were considered the optimum treatment combination (73%). 81% expressed that physical activity can improve patient well-being. More than half of the participants (55%) were unfamiliar with the national Mexican clinical guideline, and 69% were unfamiliar with any national or international guidelines. --- Conclusions: The knowledge of fibromyalgia among Mexican physiotherapists is inconsistent with current best practice guidelines. Education of physiotherapists regarding awareness and utilization of clinical guidelines could improve management of patients with Fibromyalgia.
Key words: Fibromyalgia; Cross-sectional study; Physiotherapists; Mexico


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