Fisioterapia_-_Fibromialgia
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Fisioterapia_-_Fibromialgia


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UNIVERSIDAD SAN PABLO CEU 
DEPARTAMENTO DE FISIOTERAPIA 
 
 
 
 
 
 
 
 
 
 
 
 
 
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 Madrid, Junio 2004 
 
 
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Propuesta de modelo fisiopatológico fascial 
Ensayo clínico 
 
Javier Rubio Fueyo1 y Dr. Jose Antonio Paredes Mancilla2 
 
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Pathophysiological fascial model hypothesis & 
Clinical trial 
 
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El presente trabajo ha sido elaborado como proyecto de investigación 
para la obtención de la diplomatura en fisioterapia por la Universidad San Pablo 
CEU entre los meses de Febrero y Junio de 2004. 
La edición del mismo en formato digital no estaba prevista y responde 
exclusivamente a las solicitudes realizadas en este sentido por los pacientes 
que se sometieron al ensayo clínico. 
 
El libro se divide en dos partes, por un lado la fundamentación teórica 
de un nuevo modelo fisiopatológico para la fibromialgia, y por otra, el ensayo 
clínico de un protocolo de tratamiento basado en los postulados de dicha 
teoría. 
El modelo teórico propuesto se basa en los últimos hallazgos sobre 
histología y patomecánica del tejido conectivo, y plantea la posibilidad de que la 
lesión primaria en fibromialgia se encuentre, no a nivel muscular como sugieren 
estudios precedentes, sino a nivel de la fascia asociada al músculo. 
Se introducen dos conceptos nuevos, las áreas de atrapamiento fascial 
(AAF), y las áreas de tensión mantenida multidirecional (ATTM) que podrían 
explicar la clínica dolorosa del paciente fibromiálgico. 
Además, se incorporan al modelo conceptos derivados de la 
investigación neurológica, atribuyendo al fenómeno de sensibilización central 
un papel clave en la fibromialgia. 
 
El ensayo clínico ha sido realizado sobre una veintena de pacientes 
fibromialgicos voluntarios por un período de cuatro meses, y tiene como 
objetivos comprobar la validez del modelo fascial, y, paralelamente, evaluar la 
eficacia de un tratamiento actualizado en base a los postulados de dicho 
modelo. 
 
La elaboración de un informe de estas características es un trabajo 
laborioso y complejo y es innumerable la cantidad de personas que han 
colaborado en él. 
Quisiera dar las gracias, en primer lugar, a los pacientes que 
voluntariamente se han sometido a un tratamiento experimental como el que 
aquí se propone. Gracias por su colaboración, su compromiso con el proyecto y 
su comprensión si los resultados no cumplieron sus expectativas. 
 
Gracias a mis compañeros por debatir conmigo sobre los principios 
teóricos del modelo y aportar ideas y soluciones para los problemas que han 
ido surgiendo a lo largo de estos meses. Gracias a la profesora Carmen Belén 
Martinez Cepa (Universidad San Pablo CEU) por introducirme en el mundo de 
la electroterapia y al Profesor David Díez Díez (Universidad Alfonso X el Sabio) 
por renovar mi interés por las corrientes de Trabert. 
 
Por último, quisiera agradecer muy especialmente al Prof. J.A. Paredes 
sus valiosas directrices, sus magistrales lecciones de anatomía y la libertad que 
me dió para presentar un modelo teórico y experimental como éste. 
 
A todos ellos, GRACIAS 
 
 
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