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O objetivo do presente estudo foi analisar a resposta vascular periférica de uma paciente com fibromialgia em situação de fadiga como resposta ao exercício físico intenso. Analisámos uma paciente com fibromialgia, 55 anos, 65 kg, 156 cm, 26,7 Kg / m2, com 3,5 anos do diagnóstico de fibromialgia e 10 anos de sintomatologia, e uma participante saudável controlo, 57 anos, 73 kg, 163 cm, 27,5 Kg / m2. A resposta vascular periférica por termografia foi coletada em 3 momentos distintos, basal, logo após a aplicação do protocolo de fadiga (20 repetições de extensão do joelho e flexão da perna dominante a 180º · s-1), e após 6 min do término do protocolo de fadiga. Verificámos que a paciente com fibromialgia apresentou maior frequência cardíaca basal, menor temperatura cutânea das mãos em condições basais, temperatura semelhante no protocolo de fadiga proposto, e menor na recuperação comparativamente com a participante controlo, e maior temperatura basal da pele dos músculos da coxa na condição basal, maior no protocolo de fadiga e menor na recuperação do que a participante controle.
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Referências
- AGUILAR-FERRANDIZ, M. E.; CASAS-BARRAGAN, A.; TAPIA-HARO, R. M.; RUS, A. et al. Evaluation of sympathetic adrenergic branch of cutaneous neural control throughout thermography and its relationship to nitric oxide levels in patients with fibromyalgia. J Therm Biol, 95, p. 102813, Jan 2021.
- ALBRECHT, P. J.; HOU, Q.; ARGOFF, C. E.; STOREY, J. R. et al. Excessive peptidergic sensory innervation of cutaneous arteriole-venule shunts (AVS) in the palmar glabrous skin of fibromyalgia patients: implications for widespread deep tissue pain and fatigue. Pain Med, 14, n. 6, p. 895-915, Jun 2013.
- BELLATO, E.; MARINI, E.; CASTOLDI, F.; BARBASETTI, N. et al. Fibromyalgia syndrome: etiology, pathogenesis, diagnosis, and treatment. Pain Res Treat, 2012, p. 426130, 2012.
- BIDONDE, J., Boden, C., Foulds, H., & Kim, S. Y. Physical Activity and Exercise Training for Adults with Fibromyalgia. Fibromyalgia Syndrome, p. 59-72, 2021.
- BRUSSELMANS, G.; NOGUEIRA, H.; DE SCHAMPHELAERE, E.; DEVULDER, J. et al. Skin Temperature during Cold Pressor Test in Fibromyalgia: an Evaluation of the Autonomic Nervous System? Acta Anaesthesiol Belg, 66, n. 1, p. 19-27, 2015.
- BUSCH, A. J.; WEBBER, S. C.; BRACHANIEC, M.; BIDONDE, J. et al. Exercise therapy for fibromyalgia. Curr Pain Headache Rep, 15, n. 5, p. 358-367, Oct 2011.
- CHARKOUDIAN, N. Mechanisms and modifiers of reflex induced cutaneous vasodilation and vasoconstriction in humans. J Appl Physiol (1985), 109, n. 4, p. 1221-1228, Oct 2010.
- CHOI, D. H.; KIM, H. S. Quantitative analysis of nailfold capillary morphology in patients with fibromyalgia. Korean Journal of Internal Medicine, 30, n. 4, p. 531-537, Jul 2015.
- CLAUW, D. J.; CROFFORD, L. J. Chronic widespread pain and fibromyalgia: what we know, and what we need to know. Best Pract Res Clin Rheumatol, 17, n. 4, p. 685-701, Aug 2003.
- ELMAS, O.; YILDIZ, S.; BILGIN, S.; DEMIRCI, S. et al. Physiological parameters as a tool in the diagnosis of fibromyalgia syndrome in females: A preliminary study. Life Sciences, 145, p. 51-56, Jan 15 2016.
- FELDMAN, F.; NICKOLOFF, E. L. Normal thermographic standards for the cervical spine and upper extremities. Skeletal Radiol, 12, n. 4, p. 235-249, 1984.
- GIESECKE, T.; WILLIAMS, D. A.; HARRIS, R. E.; CUPPS, T. R. et al. Subgrouping of fibromyalgia patients on the basis of pressure-pain thresholds and psychological factors. Arthritis Rheum, 48, n. 10, p. 2916-2922, Oct 2003.
- HILDEBRANDT, C.; RASCHNER, C.; AMMER, K. An overview of recent application of medical infrared thermography in sports medicine in Austria. Sensors (Basel), 10, n. 5, p. 4700-4715, 2010.
- LI, X. S.; WANG, D. H. Suppression of thermogenic capacity during reproduction in primiparous brandt's voles (Microtus brandtii). Journal of Thermal Biology, 30, n. 6, p. 431-436, Aug 2005.
- MARINS, J. C. B.; FERNANDEZ-CUEVAS, I.; ARNAIZ-LASTRAS, J.; FERNANDES, A. A. et al. Applications of Infrared Thermography in Sports a Review. Revista Internacional De Medicina Y Ciencias De La Actividad Fisica Y Del Deporte, 15, n. 60, p. 805-824, Dec 2015.
- MEEUS, M.; NIJS, J.; HERMANS, L.; GOUBERT, D. et al. The role of mitochondrial dysfunctions due to oxidative and nitrosative stress in the chronic pain or chronic fatigue syndromes and fibromyalgia patients: peripheral and central mechanisms as therapeutic targets? Expert Opinion on Therapeutic Targets, 17, n. 9, p. 1081-1089, Sep 2013.
- NILSSON, E.; SUNDEN, P.; ZETTERQUIST, S. Leg Temperature Profiles with a Simplified Thermographic Technique in the Diagnosis of Acute Venous Thromboses. Scandinavian Journal of Clinical & Laboratory Investigation, 39, n. 2, p. 171-177, 1979.
- PICKERING, G.; ACHARD, A.; CORRIGER, A.; SICKOUT-ARONDO, S. et al. Electrochemical Skin Conductance and Quantitative Sensory Testing on Fibromyalgia. Pain Pract, 20, n. 4, p. 348-356, Apr 2020.
- RING, E. F.; AMMER, K. Infrared thermal imaging in medicine. Physiol Meas, 33, n. 3, p. R33-46, Mar 2012.
- SCHLADER, Z. J.; STANNARD, S. R.; MUNDEL, T. Human thermoregulatory behavior during rest and exercise - a prospective review. Physiol Behav, 99, n. 3, p. 269-275, Mar 3 2010.
- THEOHARIDES, T. C.; VALENT, P.; AKIN, C. Mast Cells, Mastocytosis, and Related Disorders. N Engl J Med, 373, n. 19, p. 1885-1886, Nov 5 2015.
- TOMAS-CARUS, P.; ORTEGA-ALONSO, A.; PIETILAINEN, K. H.; SANTOS, V. et al. A randomized controlled trial on the effects of combined aerobic-resistance exercise on muscle strength and fatigue, glycemic control and health-related quality of life of type 2 diabetes patients. Journal of Sports Medicine and Physical Fitness, 56, n. 5, p. 572-578, May 2016.
- TULEN, J. H.; BRUIJN, J. A.; DE MAN, K. J.; PEPPLINKHUIZEN, L. et al. Cardiovascular variability in major depressive disorder and effects of imipramine or mirtazapine (Org 3770). J Clin Psychopharmacol, 16, n. 2, p. 135-145, Apr 1996.
- VILLAFAINA, S.; COLLADO-MATEO, D.; DOMINGUEZ-MUNOZ, F. J.; GUSI, N. et al. Effects of exergames on heart rate variability of women with fibromyalgia: A randomized controlled trial. Sci Rep, 10, n. 1, p. 5168, Mar 20 2020.
- WOLFE, F.; CLAUW, D. J.; FITZCHARLES, M. A.; GOLDENBERG, D. L. et al. The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res (Hoboken), 62, n. 5, p. 600-610, May 2010.
Referências
AGUILAR-FERRANDIZ, M. E.; CASAS-BARRAGAN, A.; TAPIA-HARO, R. M.; RUS, A. et al. Evaluation of sympathetic adrenergic branch of cutaneous neural control throughout thermography and its relationship to nitric oxide levels in patients with fibromyalgia. J Therm Biol, 95, p. 102813, Jan 2021.
ALBRECHT, P. J.; HOU, Q.; ARGOFF, C. E.; STOREY, J. R. et al. Excessive peptidergic sensory innervation of cutaneous arteriole-venule shunts (AVS) in the palmar glabrous skin of fibromyalgia patients: implications for widespread deep tissue pain and fatigue. Pain Med, 14, n. 6, p. 895-915, Jun 2013.
BELLATO, E.; MARINI, E.; CASTOLDI, F.; BARBASETTI, N. et al. Fibromyalgia syndrome: etiology, pathogenesis, diagnosis, and treatment. Pain Res Treat, 2012, p. 426130, 2012.
BIDONDE, J., Boden, C., Foulds, H., & Kim, S. Y. Physical Activity and Exercise Training for Adults with Fibromyalgia. Fibromyalgia Syndrome, p. 59-72, 2021.
BRUSSELMANS, G.; NOGUEIRA, H.; DE SCHAMPHELAERE, E.; DEVULDER, J. et al. Skin Temperature during Cold Pressor Test in Fibromyalgia: an Evaluation of the Autonomic Nervous System? Acta Anaesthesiol Belg, 66, n. 1, p. 19-27, 2015.
BUSCH, A. J.; WEBBER, S. C.; BRACHANIEC, M.; BIDONDE, J. et al. Exercise therapy for fibromyalgia. Curr Pain Headache Rep, 15, n. 5, p. 358-367, Oct 2011.
CHARKOUDIAN, N. Mechanisms and modifiers of reflex induced cutaneous vasodilation and vasoconstriction in humans. J Appl Physiol (1985), 109, n. 4, p. 1221-1228, Oct 2010.
CHOI, D. H.; KIM, H. S. Quantitative analysis of nailfold capillary morphology in patients with fibromyalgia. Korean Journal of Internal Medicine, 30, n. 4, p. 531-537, Jul 2015.
CLAUW, D. J.; CROFFORD, L. J. Chronic widespread pain and fibromyalgia: what we know, and what we need to know. Best Pract Res Clin Rheumatol, 17, n. 4, p. 685-701, Aug 2003.
ELMAS, O.; YILDIZ, S.; BILGIN, S.; DEMIRCI, S. et al. Physiological parameters as a tool in the diagnosis of fibromyalgia syndrome in females: A preliminary study. Life Sciences, 145, p. 51-56, Jan 15 2016.
FELDMAN, F.; NICKOLOFF, E. L. Normal thermographic standards for the cervical spine and upper extremities. Skeletal Radiol, 12, n. 4, p. 235-249, 1984.
GIESECKE, T.; WILLIAMS, D. A.; HARRIS, R. E.; CUPPS, T. R. et al. Subgrouping of fibromyalgia patients on the basis of pressure-pain thresholds and psychological factors. Arthritis Rheum, 48, n. 10, p. 2916-2922, Oct 2003.
HILDEBRANDT, C.; RASCHNER, C.; AMMER, K. An overview of recent application of medical infrared thermography in sports medicine in Austria. Sensors (Basel), 10, n. 5, p. 4700-4715, 2010.
LI, X. S.; WANG, D. H. Suppression of thermogenic capacity during reproduction in primiparous brandt's voles (Microtus brandtii). Journal of Thermal Biology, 30, n. 6, p. 431-436, Aug 2005.
MARINS, J. C. B.; FERNANDEZ-CUEVAS, I.; ARNAIZ-LASTRAS, J.; FERNANDES, A. A. et al. Applications of Infrared Thermography in Sports a Review. Revista Internacional De Medicina Y Ciencias De La Actividad Fisica Y Del Deporte, 15, n. 60, p. 805-824, Dec 2015.
MEEUS, M.; NIJS, J.; HERMANS, L.; GOUBERT, D. et al. The role of mitochondrial dysfunctions due to oxidative and nitrosative stress in the chronic pain or chronic fatigue syndromes and fibromyalgia patients: peripheral and central mechanisms as therapeutic targets? Expert Opinion on Therapeutic Targets, 17, n. 9, p. 1081-1089, Sep 2013.
NILSSON, E.; SUNDEN, P.; ZETTERQUIST, S. Leg Temperature Profiles with a Simplified Thermographic Technique in the Diagnosis of Acute Venous Thromboses. Scandinavian Journal of Clinical & Laboratory Investigation, 39, n. 2, p. 171-177, 1979.
PICKERING, G.; ACHARD, A.; CORRIGER, A.; SICKOUT-ARONDO, S. et al. Electrochemical Skin Conductance and Quantitative Sensory Testing on Fibromyalgia. Pain Pract, 20, n. 4, p. 348-356, Apr 2020.
RING, E. F.; AMMER, K. Infrared thermal imaging in medicine. Physiol Meas, 33, n. 3, p. R33-46, Mar 2012.
SCHLADER, Z. J.; STANNARD, S. R.; MUNDEL, T. Human thermoregulatory behavior during rest and exercise - a prospective review. Physiol Behav, 99, n. 3, p. 269-275, Mar 3 2010.
THEOHARIDES, T. C.; VALENT, P.; AKIN, C. Mast Cells, Mastocytosis, and Related Disorders. N Engl J Med, 373, n. 19, p. 1885-1886, Nov 5 2015.
TOMAS-CARUS, P.; ORTEGA-ALONSO, A.; PIETILAINEN, K. H.; SANTOS, V. et al. A randomized controlled trial on the effects of combined aerobic-resistance exercise on muscle strength and fatigue, glycemic control and health-related quality of life of type 2 diabetes patients. Journal of Sports Medicine and Physical Fitness, 56, n. 5, p. 572-578, May 2016.
TULEN, J. H.; BRUIJN, J. A.; DE MAN, K. J.; PEPPLINKHUIZEN, L. et al. Cardiovascular variability in major depressive disorder and effects of imipramine or mirtazapine (Org 3770). J Clin Psychopharmacol, 16, n. 2, p. 135-145, Apr 1996.
VILLAFAINA, S.; COLLADO-MATEO, D.; DOMINGUEZ-MUNOZ, F. J.; GUSI, N. et al. Effects of exergames on heart rate variability of women with fibromyalgia: A randomized controlled trial. Sci Rep, 10, n. 1, p. 5168, Mar 20 2020.
WOLFE, F.; CLAUW, D. J.; FITZCHARLES, M. A.; GOLDENBERG, D. L. et al. The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res (Hoboken), 62, n. 5, p. 600-610, May 2010.