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Review of cognitive dysfunction in fibromyalgia: A convergence on working memory and attentional control impairments
Rheumatic Disease Clinics of North America, 08/10/09
Glass JM et al. – The data presented in this review highlights the fact that dyscognition is a real and troubling symptom for fibromyalgia (FM) sufferers. The evidence points to particular problems with working memory and attentional control. Further work is necessary to understand the precise cognitive mechanisms and brain systems that are involved. Article goes on to discuss as to what can be done about it?
- In a study with chronic pain subjects, no improvement in cognitive function with short-term local analgesia was found
- On a more positive note, a study found that aquatic therapy (exercise in warm water) improved many symptomsin FM, including cognitive function
- Their measures of cognition included working memory, episodic memory, and semantic memory tasks
- After 16 wks, the subjects who had FM in the exercise group had significant improvements in all cognitive measures
- In a recent study it was found that rehearsal helped subjects who have FM overcome the effects of distraction in a memory test
- Although, it is not yet known if any of the pharmacologic therapies are helpful for the cognitive domain
- Further work is needed to understand the causes and contributors to dyscognition in FM; in particular, a study with a large sample of subjects who have varied levels of depression, anxiety, pain, fatigue, and sleep disruption
Today in Chr Fatigue/Fibromyalgia...keeping you current
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Advances in fibromyalgia treatment: understanding endogenous pain modulation
International Journal of Clinical Rheumatology, 11/09/09
Pain and rheumatology: An overview of the problem
European Journal of Pain, 11/17/09
Recreational Exercise in Rheumatic Diseases
International Journal of Sports Medicine, 10/30/09
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