Download - S.D.M EJERC 2
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UNIVERSIDAD ALAS PERUANAS FACULTAD DE MEDICINA HUMANA Y
CIENCIAS DE LA SALUD ESCUELA PROFESIONAL DE TECNOLOGIA
MDICA
EJERCICIOS TERAPEUTICOS 2
SINDROME MIOFASCIAL Y FIBROMIALGIA
Mayo 2009
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Es una ds!un"#nn$u%o&us"u'a% "on($nd$n"a a 'a "%on"dad)
$s un (%as(o%no do'o%oso%$*ona') +u$ a!$"(a a&,s"u'os y !as"as-
.S-D-M-/ T$n$ 1%$d'$""#n
1o% 'os +u$ s$ $n"u$n(%an$n "u$''o y "n(u%a$s"a1u'a%-
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Cua'+u$% na&a"#n)(%au&a(s&o a*udo)(%au&a(s&os d$ %$1$("#n)$31os"#n a' !%4o y o(%os!a"(o%$s $s(%$san($s&us"u'a%$s 1u$d$nd$s$n"ad$na% &$"ans&os
1a(o*5n"os) 'os "ua'$s dano%*$n a +u$ 'a !as"a) $'&,s"u'o +u$ "on($n$ y $no"ason$s o(%os ($6dos"on6un(7os $38'$s y$'s("os 7$"nos) 1$%dan su$'as("dad-
Con $''o 'a !as"a y $' &,s"u'os$ a"o%(an y du$'$n)*$n$%ando $n una :ona d$'&s&o) una 8anda ($nsa $n"uyo n($%o% a'8$%*a un1un(o ;1$%%%(a8'$) $'
''a&ado
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E' a"o%(a&$n(o) $' do'o% y $'
$s1as&o) no s$ (%a(a) y nos$ '8$%an .'8$%a"#n&o!as"a'/ 'a !as"a y 'os&,s"u'os 1o%(ado%$s d$'
P-G-E' "uad%o s$ "%on="a y $'
do'o% %$!$%do $s &snso1o%(a8'$) dando 'u*a%
a o(%os P-G- s$"unda%os ysa(5'($s-
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Co&o "ons$"u$n"a d$'a "%on="a"#n) $'&,s"u'o s$ a"o%(a&s) s$ ;a"$ &$nos$'s("o) $s(a &s'&(ado y d58') du$'$&s) *$n$%ando una*%an ($ns#n 'o"a' y%$*ona') +u$ $s d!4"'d$ (%a(a%-
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Do'o% *$n$%ado y &an($ndo 1o% uno o&s P-G- a"(7o-
E' P-G- $s(a s(uado d$n(%o d$ una8anda ($nsa d$ un &,s"u'o o d$ su!as"a-
La 8anda y $' P-G- son 1a'1a8'$s y "ondo'o% %$!$%do-E' 1a(%#n d$ do'o% %$!$%do $s
$s1$"4="o y 1%o1o 1a%a "ada&,s"u'o-
Los &,s"u'os 7$"nos a' a!$"(ado(a&85n s$ $n"u$n(%an ($nsos a 'a1a'1a"#n-
La 1a'1a"#n &od$%ada) 1$%o sos($ndaso8%$ un P-G- su$'$ a"$n(ua% $' do'o%$n 'a :ona d$ do'o% %$!$%do-
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La !u$%:a &3&a d$"on(%a""#n d$'
&,s"u'o a!$"(ado $s(ds&nuda) "ond$8'dad d$' &,s"u'oy au&$n(o d$ 'a!a(*a8'dad) 1$%o sna(%o=a &us"u'a%-
E' %an*o d$ a'a%*a&$n(od$' &,s"u'o a!$"(ados$ $n"u$n(%a%$s(%n*do y "on!%$"u$n"a $' &,s"u'o
no 1u$d$ ''$*a% a$3($nd$%s$ d$' (odo-Los P-G- s$ a"(7an 1o%
(%au&a(s&o d%$"(o)1%$s#n y>o so8%$"a%*ad$' &,s"u'o-
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S$ 1u$d$n $n"on(%a% P-G-.'a($n($s/ ;as(a $n $' ?0@d$ 'a 1o8'a"#n sana adu'(a
6o7$n-A &$dda +u$ au&$n(a 'a
$dad y ds&nuy$ 'a
a"(7dad !4s"a 'os P-G-'a($n($s son &s !%$"u$n($s-E' S-D-M- $s &s !%$"u$n($
$n(%$ 'os 0 y 'os ?0 aos-Ms !%$"u$n($ $n &u6$%$s +u$
$n ;o&8%$s s$*,n 'a&ayo%4a d$ 'os au(o%$s-Es &s !%$"u$n($ $n 1a"$n($s
+u$ n7o'u"%an (a%$as d$&an$%a %$1$((7a-
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P$%(u%8a"on$s d$' su$o-E' $s(%5s *$n$%a'-E' $s(%5s &us"u'a% 1o% $3"$so d$
$6$%""o !4s"o-M"%o(%au&a(s&os d$ %$1$("#n-
T%au&a(s&os a*udos&us"u'o$s+u$'5("os-
En!%a&$n(o 8%us"o d$' "u$%1o-Pa(o'o*4a 7$%($8%a' y ds"o1a(4as-Ina&a"on$s a%("u'a%$s-L$son$s d$ una %a4: n$%7osa-Ina"(7dad 1a%"a' d$ un s$*&$n(o
"o%1o%a'-D$="$n"as nu(%(7as-O8$sdad-En!$%&$dad$s $ndo"%nas-
T%as(o%nos $&o"ona'$s-Ma'os ;8(os 1os(u%a'$s-
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A/ PUNTOS GATILLO ACTIOS-Son do'o%osos sn $s(&u'a"#n-S$&1%$ s$ns8'$s) $' 1a"$n($'os s$n($ "o&o un 1un(o d$do'o% "ons(an($- E' do'o%au&$n(a a' 1a'1a% $' &,s"u'o)
a' 1%$sona%'o) a' &o7':a%'o ya' $s(%a%'o-B/ PUNTOS GATILLO
SECUNDARIOS- Su$'$nd$sa%%o''a%s$ "o&o %$s1u$s(a a'a so8%$"a%*a $3s($n($ $n 'a:ona "uando 'os &,s"u'osa*ons(as y an(a*ons(as d$'a!$"(ado (%a(an d$ "o&1$nsa% oayuda% a $s($ &,s"u'o daado-
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C/ PUNTOS GATILLOLATENTES O SATELITES-
S$ d$sa%%o''an d$n(%o d$ 'a:ona d$ %$!$%$n"a d$' P-G-a"(7o o%*na'-
No o"asonan do'o% du%an($'as a"(7dad$s no%&a'$s-
So'o son do'o%osos a 'a1a'1a"#n-
E' da*nos("o d$' S-D-M- s$8asa $n 'a $31'o%a"#n&$("u'osa y $n 'os;a''a:*os "'4n"os)!unda&$n(a'&$n($ $n 'a'o"a':a"#n &anua' d$ 'osP-G-
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Los P-G- s$ d$n(="an 1o% &$do d$ 'a1a'1a"#n) $n 1%&$% 'u*a% su1$%="a'
y 1os($%o%&$n($ 1%o!unda-- Pa'1a"#n su1$%="a' S$ %$a':a $n
1%&$% 'u*a% 1a%a 'o"a':a% $' %$asos1$";osa d$ a"(7dad d$ un P-G-
2- Pa'1a"#n 1%o!unda A' $31'o%a%
1%o!unda&$n($ 'a :ona 1a%a$n"on(%a% $' %$a d$ P-G- y 'a 8anda($nsa +u$ 'o $n*'o8a) s$ 1u$d$$n"on(%a% ;1$%%%(a8'dad)n&o7'dad) s$ns8'dad do'o%osa)$d$&a) ($ns#n) "on(%a"(u%a &us"u'a%y "a&8os =8%#("os-
E' P-G- s$ 1a'1a "o&o un n#du'o)do'o%oso o ;1$%do'o%oso) du%o) &uy1$+u$o) "on un (a&ao +u$ os"'a$n(%$ ? y 0 &'4&$(%os d$ d&$(%o y"on una "onss($n"a "o&o d$
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Lo"a':a"#n d$ (odos 'os P-G-
$s(a%$&os $n "ond"on$s d$"o&$n:a% $' o1o%(uno(%a(a&$n(o-
En *$n$%a') "uan(o &s an(*ua s$a'a '$s#n &s 1un(os s$"unda%os
y sa(5'($s 1od%n *$n$%a%s$) 1o%'o +u$ &s *'o8a' s$% $' 1a(%#nd$ do'o% y &s 1%o'on*adod$8$% s$% $' (%a(a&$n(o
A' $n!o"a% $' (%a(a&$n(o) $'
1%n"1a' o86$(7o s$%- 'o"a':a% $' 1a(%#n d$ do'o%
- d$=n% d$ 'a !o%&a &s 1%$"sa'a 'o"a':a"#n d$ 'os P-G-
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M,s"u'os d$ 'a "a8$:a) d$' "u$''o
y "n(u%a $s"a1u'a%($&1o%a'$s) &as$($%os)
"$%7"a'$s) 1a%a$s($%na'$s)(%a1$"os) su1%a$s1nosos)%o&8od$s)
$s($%no"'$do&as(od$o)an*u'a% d$ 'a $s"1u'a) $("-
En 'a %$*#n 'u&8a% .do%son!$%o%/ 'os +u$ s$ a!$"(an "on&s !%$"u$n"a son 'os
$%$"(o%$s d$' %a+us y $'"uad%ado 'u&8a%-En 'os &$&8%os n!$%o%$s 'os
&,s"u'os &s a!$"(ados son $'"ud%"$1s) 'os s+uo(8a'$s y
'os *$&$'os-
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E' o86$(7o 1%n"1a' "onss($ $n 'a
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- DIGITOPRESION GRADUALPROFUNDA-
P%$s#n d*(a' so8%$ $' P-G-) %$a':ada"on $' d$do 1u'*a%) &an($ndadu%an($ &s d$ 0 s$*undos) "ond$s"ansos d$ H s$*undos y +u$s$ 7a n"%$&$n(ando ? s$*undos"ada 7$: +u$ s$ 1%$sona) ;as(aa'"an:a% 'os &nu(os o ;as(a +u$$' 1a"$n($ %$=$%$ +u$ $' do'o% $n $'%$a d$ %$!$%$n"a ;a "$sado-
Es(a 1%$s#n) do'o%osa o d$sa*%ada8'$)$s s+u$&an($ n"a'&$n($) ys$"unda%a&$n($ $s 7asod'a(ado%a-
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2- FRICCION TRANSERSAPROFUNDA DE CYRIA-S$ %$a':a) s$*,n 'a (o'$%an"ad$' 1a"$n($) du%an($ 2 a &nu(os-
D$s1$*a 'a 8anda ($nsa aso"adaa 'os P-G-) "o'a8o%a $n 'ads1$%s#n d$' !o"o d$' P-G-)!a7o%$"$ 'a ana'*$sa y 'a
7asod'a(a"#n) "on $'"ons*u$n($ au&$n(o d$' a1o%($d$ o34*$no a 'a :ona (%a(ada-
A *ua' +u$ 'a (5"n"a d$' 1u'*a%)$s(a $s d$sa*%ada8'$ y do'o%osa)1o% 'o +u$ d$8$&os "on(a% "on
'a "o'a8o%a"#n y (o'$%an"a d$'1a"$n($-
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- CRIOMASAJE OCRIORREFRIGERACION-
Fa7o%$"$ 'a ana'*$sa($&1o%a' d$sd$ 'asu1$%="$) "on(%8uy$ndo a
%o&1$% $' "4%"u'o do'o%.$s1as&o &us"u'a%) $n(%$ 'a1$') !as"a y &,s"u'o/-
S$ n"a d$sd$ 'a su1$%="$
d$ 'a 1$' $n +u$ s$ 'o"a':a$' P-G- ;a"a 'as :onas d$%$!$%$n"a-
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7/23/2019 S.D.M EJERC 2
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- ESTIRAMIENTO MIOFASCIAL
MANTENIDO-Su o86$(7o $s 'a $'on*a"#n d$ 'os($6dos a"o%(ados&,s"u'o y !as"aK d$7o'7$% a'&,s"u'o su 'on*(ud no%&a'K y%$"u1$%a% $' %an*o d$ &o7&$n(o
1o% &$dos &$"n"os-U(':a% 1%&$%o 'os $s(%a&$n(os
1as7os d$ 1$+u$as 1o%"on$s d$'&,s"u'o &1'"ado y a"on(nua"#n d$' &,s"u'o"o&1'$(o-
Pos($%o%&$n($ %$a':a%$s(%a&$n(os 1os(so&5(%"os d$'&,s"u'o &1'"ado-
http://www.google.com.pe/imgres?imgurl=http://www.efisioterapia.net/articulos/graficos/307_clip_image002.jpg&imgrefurl=http://www.efisioterapia.net/articulos/leer.php%3Fid_texto%3D307&usg=__Qf-YzQ3gu5kfErU3_tvG41I7nPM=&h=245&w=254&sz=10&hl=es&start=16&zoom=1&tbnid=-_npVbPL9vhWnM:&tbnh=107&tbnw=111&ei=RJvPT6yoOuue6QGMpfyvDA&prev=/search%3Fq%3DESTIRAMIENTO%2BMIOFASCIAL%2BMANTENIDO%2BDEL%2BBICEPS%26um%3D1%26hl%3Des%26gbv%3D2%26tbm%3Disch&um=1&itbs=1 -
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?- MASAJE DE AMASAMIENTO-
Es una (5"n"a +u$ ($%&na d$$'as(="a% 'as =8%as &us"u'a%$sa 'a 7$: +u$ !a7o%$"$ 'as (%$s"%"u'a"on$s 7$nosa) a%($%a' y'n!("a-
Es(a %$7as"u'a%:a"#n 1o%
7asod'a(a"#n a%($%a' *a%an(:aad$&s 'a sa'da d$ 1%odu"(os(#3"os a"u&u'ados $n $'&,s"u'o !unda&$n(a'&$n($ $n$' P-G- y $n 'a 8anda ($nsa 1o%74a d$ "a1'a%$s 7$nosos y'n!("os-
Las &ano8%as d$ a&asa&$n(o1%o!undo) $n
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- CALOR UMEDO-Po% &$do d$
8o'sas) (oa''as "a'$n($s)+u$ s$ "o'o"a%n so8%$ 'a:ona (%a(ada y "uyo
o86$(7o $s *a%an(:a% una&$6o% "%"u'a"#n a 'a 7$:+u$ s$ %$'a6a y $'as(="a 'a:ona dond$ s$ %$a':# $'(%a(a&$n(o &anua'-
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- NUEO ESTIRAMIENTO-
S$ %$a':a 1a%a '8$%a% 'a ($ns#n%$sdua' +u$ 1ud$%a ;a8$% +u$dado(%as $' an($%o% (%a(a&$n(o-
Es un $s(%a&$n(o 1as7o y&an($ndo) "o&1'$(o y d$ &s"o%(a du%a"#n +u$ s$ %$a':a d$ a
0 7$"$s $n &nu(os-S$ $s(%an *%u1os &us"u'a%$s $n"'uso *%and$s s$*&$n(os.&$&8%o su1$%o% o n!$%o%/) d$$s(a &an$%a s$ '8$%an 'as($nson$s &oa1on$u%#("as
%$sdua'$s) *$n$%a'&$n($ s(uadas$n 'os &,s"u'os &s 1%o!undos y+u$ no ;a84a sdo 1os8'$ '8$%a%n"a'&$n($-
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H- SILENCIO PERIFERICO-Conss($ $n &an($n$% $n
%$1oso %$'a(7o $' %$a (%a(adadu%an($ 2H ;o%as)$7(ando (oda a"(7dad
$s(%$san($-So'o d$8$n %$a':a% 'as
a"(7dad$s &s $'$&$n(a'$sd$ 'a 7da da%a) 1o% 'o (an(os$ $7(a%n 'as a"(7dad$s
1%o!$sona'$s y d$1o%(7as-
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7/23/2019 S.D.M EJERC 2
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Con ?0 s$son$s d$(%a(a&$n(o%$a':adas a 'o 'a%*od$ a ? s$&anas-La &$6o%4a s$ 1u$d$
o8s$%7a% ya d$s1u5sd$ 'a 1%&$%a os$*unda s$s#n-
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En!$%&$dad
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9- 8%(n"o s% R";a%d Mannn*;a& $nsu 1u8'"a"#n d$ !$8%4"u'a o =$8%$ 8a6a y!a(*a-
H9 $' &5d"o $s(adound$ns$ G$o%*$ M-B$a%d $s"%8# un '8%o ''a&ado A&$%"anN$%7ousn$ss u(':ando $' (5%&nod$ n$u%as($na-n$u%as($na-
H $' ana(o&s(a Ro8$%( R- F%o%$1d$s"%8# una aso"a"#n $n(%$ %$u&a(s&oy 1un(os do'o%osos d$ &,s"u'os %4*dos-
La Fibromialgia es una enfermedad reconocida por todas lasorganizaciones internacionales y por la O.M.S. desde 1992
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A!$"(a &s a &u6$%$s +u$ a ;o&8%$s $n
una 1%o1o%"#n d$ 20> +u$ 1od%4a a!$"(a%
a un 2@ d$ 'a 1o8'a"#n 'o"a'-
S$ o8s$%7a&ayo%(a%a&$n($ $n(%$ 'os 20 y 'os ?0aos d$ $dad-
En(%$ 0 y 20@ d$ 'os n*%$sos a "'4n"as
$s1$"a':adas $n %$u&a(o'o*4a %$"8$n $'da*n#s("o d$ =8%o&a'*a-
Dr. Aleandro Andersson Fibromialgia en !ntele"is " M#$%O &'(
&)(2&1&
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La $(o'o*4a d$ 'a &s&a no $s(a 8$nd'u"dada ya +u$ 'os $3&$n$s no %$1o%(annn*una a'($%a"#n d$ 'a8o%a(o%o n *a8n$($n&$da(o) aun+u$ s$ ;a %$1o%(ado +u$ $' au&$n(o'o"a' d$ ;s(a&na y
s$%o(onna) 1o% 'a 74a d$ a"(7a"#n d$ no""$1(o%$so"asona un n"%$&$n(o d$ 'a sus(an"a SP +u$ au(o1$%1$(,a $' $s(4&u'o do'o%oso- Aun+u$ s$ &an$6an
G$n5("aFa"(o%$s Ps"oso&("os
Es(%5sT%as(o%nos d$' su$oFa"(o%$s a&8$n(a'$s
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Es(udos d$ %$sonan"a &a*n5("a %$a':ados $n 1a"$n($s"on $s($ 1%o8'$&as d$ sa'ud ;an 1$%&(do "o&1%o8a% +u$'os do'o%$s s$ $31%$san "o&o $s(&u'a"on$s d$ 8a6an($nsdad a d!$%$n"a d$ 'as 1$%sonas sanas d$ 'as %$asd$' "$%$8%o %$s1onsa8'$s d$' do'o%) "o&o 'a "o%($:a
so&a(os$nso%a' 1%&a%a y s$"unda%a so&a(os$nso%a') 'a"o%($:a 1%$!%on(a') $' '#8u'o 1a%$(a' n!$%o%) 'a "o%($:a"n*u'a% an($%o%) 'a nsu'a) 'os *an*'os 8asa'$s) $' 1u(a&$ny $' "$%$8$'o-
*arece ser +ue e"iste un d,ficit de modulaci-n perif,rica +ue acta amplificando el dolor/ 0ennet19'9unto a la disminuci-n de la micro circulaci-n muscular.
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Do'o% &us"u'o$s+u$'5("o d!usoIn"on(n$n"a u%na%aDo'o% d$ "a8$:a) &*%aas
Mo7&$n(os 1$%#d"os ano%&a'$sD="u'(ad d$ "on"$n(%a"#n y
d="u'(ad 1a%a %$"o%da% "osas .&a'a&$&o%a/
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Au&$n(o d$ 'a s$ns8'dad ("('Es"o:o% *$n$%a':adoR$s$+u$dad d$ o6os y 8o"a-Qu&8dos y "a&1an''$os $n 'os o4dos
.a"u!$nos/A'($%a"on$s d$ 'a 7s#n .!os!$nos/A'*unos s4n(o&as n$u%o'#*"os
d$ n"oo%dna"#n-
S$ ;a aso"ado a 'a $n!$%&$dad d$ Raynaud"o&o una &an!$s(a"#n "'4n"a d$ %a%a1%$s$n(a"#n du%an($ $' "u%so d$ $s(a$n!$%&$dad-
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E' do'o% su$'$ s$% n($nso y $n &u";aso"ason$s d!4"' d$ d$s"%8%) y $n *$n$%a')$&1$o%a "on $' $6$%""o !4s"o n($nso) $' !%4oy $' $s(%5s $&o"ona'- Los s(os !%$"u$n($s$n 'os "ua'$s s$ 1%$s$n(an 'os s4n(o&as d$=8%o&a'*4a n"'uy$n
R$*#n 'u&8a% .$s1a'da 8a6a/ Cu$''o
T#%a3Mus'os-
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Los nue3e pares de c4rculos pintados son reconocidos como puntos sensibles comunes
asociados con la fibromialgia. D5 /67(11
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E' da*n#s("o $s "'4n"o y s$ $s(a8'$"$ 1o% $3"'us#n d$ o(%as1a(o'o*4as y 1o% 'a 1%$s$n"a d$ s4n(o&as y s*nos "a%a"($%4s("os-Pa%a da*nos("a% 'a =8%o&a'*4a) $' &5d"o %$u&a(#'o*o d$8$7a'o%a% 'a ;s(o%a "'4n"a d$' $n!$%&o) as4 "o&o 'os s4n(o&as)$s(udos y an'ss-
La =8%o&a'*a s$ "on!und$ !%$"u$n($&$n($ "on o(%os1ad$"&$n(os %$u&("os d!$%$n($s) "o&o $' 'u1us $%($&a(oso)'a a%(%oss) $' s4nd%o&$ d$ !a(*a "%#n"a) ETC-
Po% 'o &$nos d$ 'os H 1un(os s$ns8'$s d$' do'o%-
Dr. Aleandro Andersson Fibromialgia en !ntele"is " M#$%O &'(&)(2&1&
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Es &an$6ado 1o% &5d"os d$ 7a%asds"1'nas!a&'a%:ados "on $s(a "ond"#n y su (%a(a&$n(o) un (%a(a&$n(o &u'(ds"1'na%o-
M5d"os d$ "a8$"$%a) n($%ns(as*$n$%a'$s) %$u&a(#'o*os) =so($%a1$u(a)Ps"#'o*os) $("-
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Los &$d"a&$n(os an(na&a(o%os +u$s$ !%&a"os an(na&a(o%os no
$s($%od$os .AINEs/ o d$ ana'*5s"os1u$d$n a'7a% 1a%($ d$' do'o%- Unasu8"a($*o%4a d$ 'os AINEs) 1%n"1a'&$n($'os s$'$"(7os $n 'a n;8"#n d$ 'a CO2-
ANTIDEPRESIOS- RELAJANTES MUSCULARES- INFILTRACIONES DE LOS PUNTOS
DOLOROSOS ACUPUNTURA CLASICA-
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CORREGIR O PREENIR FACTORESAGRAANTES DEL CUADRO
SOBRECARGA MUSCULAR:SOBRECARGA MUSCULAR: Ens$a% a' 1a"$n($ $7(a% $s!u$%:osEns$a% a' 1a"$n($ $7(a% $s!u$%:osn,('$s-n,('$s-
Co%%$""#n 1os(u%a'-Co%%$""#n 1os(u%a'- Es"u$'a d$ $s1a'da-Es"u$'a d$ $s1a'da-
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DISMINUCION DE LA TOLERANCIA ALDISMINUCION DE LA TOLERANCIA AL
EJERCICIO DEBIDO A LAFATIGA Y ELEJERCICIO DEBIDO A LAFATIGA Y ELDOLOR, CON DISMINUCION DELDOLOR, CON DISMINUCION DELTROFISMO MUSCULAR:TROFISMO MUSCULAR:
E6$%""os d$ !o%&a %$*u'a%) +u$ (a&85nE6$%""os d$ !o%&a %$*u'a%) +u$ (a&85n
!a7o%$"$n a' su$o) $7(a% $6$%""os!a7o%$"$n a' su$o) $7(a% $6$%""osn($nsosn($nsos E6$%""os sua7$s "a&na%) nada%) &on(a%E6$%""os sua7$s "a&na%) nada%) &on(a%
8""'$(a8""'$(a Es(%a&$n(os &us"u'a%$sEs(%a&$n(os &us"u'a%$s
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T$%&o($%a1a .n!%a%%o6os) 1a%a!an*os/ Maso($%a1a d%o($%a1a) ;d%o"n$s($%a1a
Es(%a&$n(os &us"u'a%$s "on ayuda d$!%&a"os- Las$%) US S $3s($ '&(a"#n a%("u'a%) (%a(a% "on
"n$s($%a1a 1as7a) a"(7a-
Segn terapia manual *eru8 ttps877:::.faceboo;.com7terapia.manualperu
el tto de la fibromialgia 3a con t.m de partes blandas eercicios de
fle"ibilizacionfortalecimientomuco control postural y la ayuda de ciertos f
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El tratami!t" # $r#"!al 'a $n!$%&$dad $s un $s(ado d$' s$%) no
una a"u&u'a"#n d$ s4n(o&as) $s "ons$"u$n"a d$ "#&o%$'a"ona $' nd7duo "on su $n(o%no) "uando 'a %$'a"#n $s a%&onosa s$ 1%odu"$ sa'ud) una !o%&a d$ 7da
a'$6ada d$' ds$o na(u%a' ''$7a a 'a $n!$%&$dad-Es 1o% $''o +u$ 1%o1on$% un (%a(a&$n(o no da %$su'(ados) 'a &$d"na n($*%a' "on (odas sus a'($%na(7as'o*%a% 'os "a&8os d$n(%o !u$%a +u$ (odas y "ada unad$ 'as &an!$s(a"on$s %$+u$%$n 1a%a sana%
'a "u%a"#n $s a'*o 1$%sona') "ons$"u$n"a d$'$+u'8%o-
La #$ra!%a & la C"!%ima '()
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;((1>>-$=so($%a1a-n$(>a%("u'os>=8%o&a'*a>H00-1;1
;((1>>-$'s$7$%-$s>s($s>d$!au'(>='$s>$'s$7$%>1d!>29>2972n0a01d!00-1d! . ARTICULO
T%a(a&$n(o &u'(ds"1'na%o d$ 'a =8%o&a'*a-Es(udo 1'o(o 1%os1$"(7o "on(%o'ado-;((1>>-($'$"n"o-$s>n!o%&a(7os>so"$dad>=8%o
&a'*a$n!$%&$dadn7s8'$0209-;(&';((1>>-!unda"on!a(*a-o%*>=8%o&a'*a-;(&
.FUNDACION DE FIBROMIALGIA Y SINDROME DEFATIGA CRONICA-
;((1>>-you(u8$-"o&>a(";7C$TIR:DdVI
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FIN