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Fibromyalgia in children

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https://www.readbyqxmd.com/read/27496265/benign-joint-hypermobility-minimally-impacts-autonomic-abnormalities-in-pediatric-subjects-with-chronic-functional-pain-disorders
#1
Gisela Chelimsky, Katja Kovacic, Pippa Simpson, Melodee Nugent, Donald Basel, Julie Banda, Thomas Chelimsky
OBJECTIVE: To determine if children with benign joint hypermobility (BJH) syndrome and chronic functional pain disorders have more autonomic dysfunction. STUDY DESIGN: Retrospective chart review study of pediatric patients seen in the pediatric neurogastroenterology and autonomic clinic who underwent autonomic testing and had either a Beighton score of ≥6 and met Brighton criteria for BJH (with BJH) or a score of ≤2 (no BJH). RESULTS: Twenty-one female subjects (10 without BJH) met inclusion criteria; 64% of BJH had diagnosis confirmed by genetics consultation...
October 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27421251/sleep-and-pain-in-pediatric-illness-a-conceptual-review
#2
Jennifer M Allen, Danielle M Graef, Jennifer H Ehrentraut, Brooklee L Tynes, Valerie M Crabtree
BACKGROUND: Sleep disruption is a common comorbidity of pediatric pain. Consequences of pain and disrupted sleep, evidence for the pain-sleep relation, and how aspects of illness, treatment, and pharmacological pain management may contribute to or exacerbate these issues are presented. AIMS: This conceptual review explored the relation between pain and sleep in children diagnosed with chronic medical or developmental conditions. The goal of this review is to expand upon the literature by examining common themes in sleep disturbances associated with painful conditions across multiple pediatric illnesses...
July 15, 2016: CNS Neuroscience & Therapeutics
https://www.readbyqxmd.com/read/27331358/preliminary-outcomes-of-a-cross-site-cognitive-behavioral-and-neuromuscular-integrative-training-intervention-for-juvenile-fibromyalgia
#3
Susan T Tran, Jessica W Guite, Ashley Pantaleao, Megan Pfeiffer, Gregory D Myer, Soumitri Sil, Staci M Thomas, Tracy V Ting, Sara E Williams, Barbara Edelheit, Sylvia Ounpuu, Jennifer Rodriguez-MacClintic, Lawrence Zemel, William Zempsky, Susmita Kashikar-Zuck
OBJECTIVE: Cognitive-behavioral therapy (CBT) is effective in reducing disability among youth with juvenile fibromyalgia (JFM); however, engagement in moderate-vigorous physical activity remains poor even after CBT. The purpose of this study was to evaluate the feasibility and preliminary outcomes of an innovative program combining CBT with specialized neuromuscular exercise; the Fibromyalgia Integrative Training for Teens (FIT Teens) program. METHODS: Adolescents with JFM (n = 22, all female, ages 12-18) from two urban children's hospitals participated in the eight-week FIT Teens intervention...
June 22, 2016: Arthritis Care & Research
https://www.readbyqxmd.com/read/27262712/functional-limitations-in-children-and-adolescents-suffering-from-chronic-pain-validation-and-psychometric-properties-of-the-german-functional-disability-inventory-fdi-g
#4
Martin Offenbächer, Niko Kohls, Lynn Walker, Christiane Hermann, Boris Hügle, Natalie Jäger, Matthias Richter, Johannes-Peter Haas
Our objective was to translate the Functional Disability Inventory (FDI) into German, to evaluate its validity and to assess functional limitation in a large cohort of children and adolescents with juvenile fibromyalgia syndrome (jFMS). We administered several questions (e.g., sociodemographics, school-related issues) and questionnaires to 329 patients and one parent. The questionnaires included, among others, a German version of the FDI, the CHAQ (parent report), KIDSCREEN, tender point score (TPS), Depression Inventory for Children and Adolescents (DIKJ) and others...
October 2016: Rheumatology International
https://www.readbyqxmd.com/read/26984803/juvenile-fibromyalgia-different-from-the-adult-chronic-pain-syndrome
#5
REVIEW
Susmita Kashikar-Zuck, Christopher King, Tracy V Ting, Lesley M Arnold
While a majority of research has focused on adult fibromyalgia (FM), recent evidence has provided insights into the presence and impact of FM in children and adolescents. Commonly referred as juvenile fibromyalgia (JFM), youths, particularly adolescent girls, present with persistent widespread pain and cardinal symptoms observed in adult FM. A majority of youth with JFM continue to experience symptoms into adulthood, which highlights the importance of early recognition and intervention. Some differences are observed between adult and juvenile-onset FM syndrome with regard to comorbidities (e...
April 2016: Current Rheumatology Reports
https://www.readbyqxmd.com/read/26890280/a-quantitative-summary-of-the-listening-program-tlp-efficacy-studies-what-areas-were-found-to-improve-by-tlp-intervention
#6
Sadako Vargas, Jay R Lucker
A quantitative summary of existing research examining the effects of The Listening Program (TLP) on various functions in children is presented. Nine studies were used, looking at TLP intervention effects across studies, within each study and for various outcome measures. The studies looked at TLP intervention on children with autism spectrum disorder, Down syndrome, learning disabilities, auditory processing disorders, attention deficit hyperactivity disorders, Rhett syndrome, dyspraxia, cerebral palsy, fibromyalgia, arthritis and stroke...
June 2016: Occupational Therapy International
https://www.readbyqxmd.com/read/26843364/associations-between-patterns-of-active-commuting-and-socioeconomic-factors-in-women-with-fibromyalgia-the-al-%C3%A3-ndalus-project
#7
Manuel Herrador-Colmenero, Inmaculada C Álvarez-Gallardo, Víctor Segura-Jiménez, Fernando Estévez-López, Alberto Soriano-Maldonado, Pedro J Ruiz-Montero, Pablo Tercedor, María José Girela-Rejón, Manuel Delgado-Fernández, Palma Chillón
OBJECTIVES: The aims of this study were to know whether active commuting behaviour differs between fibromyalgia patients and controls, and to test whether active commuting is associated with socioeconomic factors in this population. METHODS: This cross-sectional study included 459 women with fibromyalgia (52.2 years) and 214 female control participants (51.3 years) from Andalusia (southern Spain). Participants reported patterns of active commuting and socioeconomic factors (civil status, accompaniment at home, living with, educational level, and current occupational and professional status)...
March 2016: Clinical and Experimental Rheumatology
https://www.readbyqxmd.com/read/26681474/fibromyalgia-toward-a-definition-in-children
#8
EDITORIAL
Cara M Hoffart, David D Sherry
No abstract text is available yet for this article.
February 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/26568508/managing-chronic-pain-in-children-and-adolescents-a-clinical-review
#9
REVIEW
Bradford W Landry, Philip R Fischer, Sherilyn W Driscoll, Krista M Koch, Cynthia Harbeck-Weber, Kenneth J Mack, Robert T Wilder, Brent A Bauer, Joline E Brandenburg
Chronic pain in children and adolescents can be difficult for a single provider to manage in a busy clinical setting. Part of this difficulty is that pediatric chronic pain not only impacts the child but also the families of these children. In this review article, we discuss etiology and pathophysiology of chronic pain, along with variables that impact the severity of chronic pain and functional loss. We review diagnosis and management of selected chronic pain conditions in pediatric patients, including headache, low back pain, hypermobility, chronic fatigue, postural orthostatic tachycardia syndrome, abdominal pain, fibromyalgia, and complex regional pain syndrome...
November 2015: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/26430233/juvenile-fibromyalgia-in-an-adolescent-patient-with-sickle-cell-disease-presenting-with-chronic-pain
#10
Stalin Ramprakash, Daniel Fishman
Juvenile fibromyalgia in children with sickle cell disease has not been reported in the literature. We report an adolescent patient with sickle cell whose pain symptoms progressed from having recurrent acute sickle cell pain crisis episodes to a chronic pain syndrome over several years. He was eventually diagnosed with juvenile fibromyalgia based on the clinical history and myofascial tender points and his pain symptoms responded better to multidisciplinary strategies for chronic fibromyalgia pain. Chronic pain in sickle cell disease is an area of poor research, and in addition there is inconsistency in the definition of chronic pain in sickle cell disease...
2015: BMJ Case Reports
https://www.readbyqxmd.com/read/26190965/brain-fog-inflammation-and-obesity-key-aspects-of-neuropsychiatric-disorders-improved-by-luteolin
#11
REVIEW
Theoharis C Theoharides, Julia M Stewart, Erifili Hatziagelaki, Gerasimos Kolaitis
Brain "fog" is a constellation of symptoms that include reduced cognition, inability to concentrate and multitask, as well as loss of short and long term memory. Brain "fog" characterizes patients with autism spectrum disorders (ASDs), celiac disease, chronic fatigue syndrome, fibromyalgia, mastocytosis, and postural tachycardia syndrome (POTS), as well as "minimal cognitive impairment," an early clinical presentation of Alzheimer's disease (AD), and other neuropsychiatric disorders. Brain "fog" may be due to inflammatory molecules, including adipocytokines and histamine released from mast cells (MCs) further stimulating microglia activation, and causing focal brain inflammation...
2015: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/26112278/preliminary-experience-using-milnacipran-in-patients-with-juvenile-fibromyalgia-lessons-from-a-clinical-trial-program
#12
RANDOMIZED CONTROLLED TRIAL
Lesley M Arnold, Lucinda Bateman, Robert H Palmer, Yuhua Lin
BACKGROUND: There are no approved medications for juvenile fibromyalgia (JFM), a disorder that is often under-diagnosed. The effects of milnacipran, a drug approved for the management of fibromyalgia (FM) in adults, was assessed in a clinical trial program for JFM. METHODS: Patients, ages 13-17 years who met the Yunus and Masi criteria for JFM and/or 1990 American College of Rheumatology criteria for FM, were enrolled in a responder-enriched, randomized withdrawal trial...
2015: Pediatric Rheumatology Online Journal
https://www.readbyqxmd.com/read/26111293/disability-in-children-and-adolescents-with-irritable-bowel-syndrome-and-or-fibromyalgia
#13
COMPARATIVE STUDY
Charles G Otu-Nyarko, Abraham Gedalia, Aryn C Karpinski, Andrew Kolomensky, Paul E Hyman
To compare disability and emotional health in individuals with irritable bowel syndrome (IBS), fibromyalgia, or both, patients completed the Questionnaire on Pediatric Gastrointestinal Symptoms-Rome III, childhood Functional Disability Inventory (FDI), and the Behavior Assessment System for Children, Second Edition. Patients' (age range 8-18 years, 19 IBS, 12 fibromyalgia, and 12 both) FDI scores showed greater disability than scores from historically healthy patients. Fibromyalgia (FDI 22.5 ± 12.7, P = 0...
November 2015: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/25917768/comorbid-conditions-do-not-differ-in-children-and-young-adults-with-functional-disorders-with-or-without-postural-tachycardia-syndrome
#14
Gisela Chelimsky, Katja Kovacic, Melodee Nugent, Adriane Mueller, Pippa Simpson, Thomas C Chelimsky
OBJECTIVE: To determine if several multisystem comorbid conditions occur more frequently in subjects with tilt-table defined postural tachycardia syndrome (POTS) compared with those without. STUDY DESIGN: Retrospective chart review of 67 subjects aged 6-24 years, referred to a tertiary care neurogastroenterology and autonomic disorders clinic for a constellation of functional gastrointestinal, chronic pain, and autonomic complaints. All patients underwent formal autonomic testing, Beighton scores assessment for joint hypermobility (0-9), and fibromyalgia tender points (0-18) (43 subjects)...
July 2015: Journal of Pediatrics
https://www.readbyqxmd.com/read/25504938/united-states-physical-therapists-knowledge-about-joint-hypermobility-syndrome-compared-with-fibromyalgia-and-rheumatoid-arthritis
#15
Leslie N Russek, Emily A LaShomb, Amy M Ware, Sarah M Wesner, Vanessa Westcott
BACKGROUND: Joint hypermobility syndrome (JHS) is one of the most common inherited connective tissue disorders. It causes significant pain and disability for all age groups, ranging from developmental delay among children to widespread chronic pain in adults. Experts in JHS assert that the condition is under-recognized and poorly managed. PURPOSE: The aim of this study was to assess US physical therapists' knowledge about JHS compared with other causes of widespread pain and activity limitations: fibromyalgia, juvenile rheumatoid arthritis and adult rheumatoid arthritis...
March 2016: Physiotherapy Research International: the Journal for Researchers and Clinicians in Physical Therapy
https://www.readbyqxmd.com/read/25156509/preliminary-evidence-of-altered-biomechanics-in-adolescents-with-juvenile-fibromyalgia
#16
Soumitri Sil, Staci Thomas, Christopher DiCesare, Daniel Strotman, Tracy V Ting, Gregory Myer, Susmita Kashikar-Zuck
OBJECTIVE: Juvenile fibromyalgia (FM) is characterized by chronic musculoskeletal pain and marked reduction in physical activity. Despite recommendations for exercise to manage juvenile FM pain, exercise adherence is poor. Because of pain and activity avoidance, adolescents with juvenile FM are at risk for altered joint mechanics that may make them susceptible to increased pain and reduced tolerance for exercise. The primary aim of this study was to assess functional deficits in patients with juvenile FM compared to healthy controls using objective biomechanical assessment...
January 2015: Arthritis Care & Research
https://www.readbyqxmd.com/read/25151198/joint-hypermobility-a-common-association-with-complex-functional-gastrointestinal-disorders
#17
Katja Kovacic, Thomas C Chelimsky, Manu R Sood, Pippa Simpson, Melodee Nugent, Gisela Chelimsky
OBJECTIVE: To evaluate the prevalence of joint hypermobility (JH) and comorbid conditions in children and young adults referred to a tertiary care neurogastroenterology and autonomic disorders clinic for functional gastrointestinal complaints. STUDY DESIGN: This was a retrospective chart review of 66 new patients aged 5-24 years who fulfilled at least 1 pediatric Rome III criteria for a functional gastrointestinal disorder (FGID) and had a recorded Beighton score (n = 45) or fibromyalgia tender point score (n = 45) based on physician examination...
November 2014: Journal of Pediatrics
https://www.readbyqxmd.com/read/24796681/psychological-therapies-for-the-management-of-chronic-and-recurrent-pain-in-children-and-adolescents
#18
REVIEW
Christopher Eccleston, Tonya M Palermo, Amanda C de C Williams, Amy Lewandowski Holley, Stephen Morley, Emma Fisher, Emily Law
BACKGROUND: This is an update of the original Cochrane review first published in Issue 1, 2003, and previously updated in 2009 and 2012. Chronic pain affects many children, who report severe pain, disability, and distressed mood. Psychological therapies are emerging as effective interventions to treat children with chronic or recurrent pain. This update focuses specifically on psychological therapies delivered face-to-face, adds new randomised controlled trials (RCTs), and additional data from previously included trials...
2014: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/24709568/musculoskeletal-manifestations-and-autoantibodies-in-children-and-adolescents-with-leprosy
#19
Luciana Neder, Daniel A Rondon, Silvana S Cury, Clovis A da Silva
OBJECTIVE: To evaluate musculoskeletal involvement and autoantibodies in pediatric leprosy patients. METHODS: 50 leprosy patients and 47 healthy children and adolescents were assessed according to musculoskeletal manifestations (arthralgia, arthritis, and myalgia), musculoskeletal pain syndromes (juvenile fibromyalgia, benign joint hypermobility syndrome, myofascial syndrome, and tendinitis), and a panel of autoantibodies and cryoglobulins. Health assessment scores and treatment were performed in leprosy patients...
September 2014: Jornal de Pediatria
https://www.readbyqxmd.com/read/24650858/identifying-treatment-responders-and-predictors-of-improvement-after-cognitive-behavioral-therapy-for-juvenile-fibromyalgia
#20
RANDOMIZED CONTROLLED TRIAL
Soumitri Sil, Lesley M Arnold, Anne Lynch-Jordan, Tracy V Ting, James Peugh, Natoshia Cunningham, Scott W Powers, Daniel J Lovell, Philip J Hashkes, Murray Passo, Kenneth N Schikler, Susmita Kashikar-Zuck
The primary objective of this study was to estimate a clinically significant and quantifiable change in functional disability to identify treatment responders in a clinical trial of cognitive-behavioral therapy (CBT) for youth with juvenile fibromyalgia (JFM). The second objective was to examine whether baseline functional disability (Functional Disability Inventory), pain intensity, depressive symptoms (Children's Depression Inventory), coping self-efficacy (Pain Coping Questionnaire), and parental pain history predicted treatment response in disability at 6-month follow-up...
July 2014: Pain
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