Une étude dans le numéro du 15 octobre du Journal of Clinical Sleep Medicine a constaté que les adultes souffrant de fibromyalgie avaient une prévalence et du risque beaucoup plus élevé de syndrome des jambes sans repos que les témoins en bonne santé. L’étude suggère que le traitement du SJSR peuvent améliorer le sommeil et la qualité de vie chez les personnes atteintes de fibromyalgie.
Les résultats montrent que la prévalence du syndrome des jambes sans repos est d’environ 10 fois plus élevé dans le groupe de la fibromyalgie (33 pour cent) que chez les témoins (3,1 pour cent). Après ajustements statistiques pour les facteurs confondants potentiels tels que l’âge, le sexe et l’origine ethnique, les participants souffrant de fibromyalgie étaient 11 fois plus susceptibles que les témoins ont RLS (odds ratio = 11.2). Comme prévu, la perturbation du sommeil considérable a été signalé par les participants avec la fibromyalgie en utilisant le sommeil de Pittsburgh Indice de la qualité, l’insomnie et l’Indice de gravité échelle de somnolence Epworth. Dans le groupe de la fibromyalgie ces problèmes de sommeil étaient plus graves chez les personnes qui avaient également RLS.
« Les troubles du sommeil est fréquent dans la fibromyalgie, et souvent difficile à traiter », a déclaré le Dr Nathaniel auteur collaborateur F. Watson, professeur agrégé de neurologie à l’Université de Washington à Seattle, Washington. « Il ressort de notre étude qu’une partie importante de sommeil des perturbations dans la fibromyalgie est due au syndrome des jambes sans repos « .
. L’équipe de recherche dirigée par le Dr Watson et auteur principal Dr Mari Viola-Saltzman de l’Université Loyola Medical Center à Maywood, Illinois, a étudié 172 personnes souffrant de fibromyalgie qui avaient un âge moyen de 50 ans; 93 pour cent étaient des femmes. Ils ont été comparés à 63 témoins sains qui avaient un âge moyen de 41 ans.
Fibromyalgie a été identifié par autodéclaration ou examen des dossiers médicaux, et il a été confirmé à l’examen selon les directives publiées en ce qui concerne la présence de la douleur qui est chronique et généralisée. La douleur a été évaluée par rapport subjectif et par mesure objective avec un dolorimètre, une jauge à ressort qui est utilisé pour appliquer des taux normalisés de la pression d’offres points sur les bras et les jambes.
Selon l’Institut national de l’arthrite et musculo-squelettiques et les maladies de la peau, la fibromyalgie peut causer des douleurs importantes et la fatigue. On estime à affecter 5 millions d’Américains âgés de 18 ans ou plus, et entre 80 et 90 pour cent des personnes atteintes de fibromyalgie sont des femmes. Les causes de la fibromyalgie restent inconnues.
Le syndrome des jambes sans repos a été diagnostiquée à l’aide d’un auto-administré, questionnaire validé. RLS est un trouble du mouvement lié au sommeil qui implique une envie de bouger les jambes qui est généralement accompagné ou causé par des sensations inconfortables et désagréables dans les jambes. Cette envie commence ou se détériore pendant les périodes de repos ou d’inactivité, est partiellement ou totalement résolu par le mouvement, et se détériore ou ne se produit que la nuit. RLS se produit 1,5 à deux fois plus souvent chez les femmes que chez les hommes.
Watson a noté que le syndrome des jambes sans repos le traitement peut être l’une des clés pour réduire la fatigue et l’amélioration de la qualité de vie chez les personnes atteintes de fibromyalgie. RLS peut souvent être traitée avec succès avec un médicament comme le pramipexole ou ropinirole.
« Puisque le syndrome des jambes sans repos est une maladie qui se soigne, le diagnostic et le traitement du SJSR chez les patients atteints de fibromyalgie a le potentiel d’améliorer leur sommeil », a déclaré Watson.
Selon les auteurs, la nature transversale de l’étude n’a pas permis un examen de la causalité. Cependant, plusieurs aspects des deux syndromes suggèrent un chevauchement logique. Les deux troubles impliquent des anomalies sensorielles et un physiopathologie similaire du système qui régule la dopamine a été proposé pour les deux syndromes. En outre, le syndrome des jambes sans repos peut être induite par les antidépresseurs, qui sont un traitement commun pour la douleur et de la dépression dans la fibromyalgie. En outre, l’exercice a été montré pour améliorer les symptômes des deux syndromes.
L’étude a été appuyée par l’Institut national de l’arthrite et les maladies musculo-squelettiques et la peau de l’Institut national de la santé et par l’Association Nationale de la Recherche Fibromyalgie.
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