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J Athl Train. 1998 Oct-Dec; 33(4): 359–361.
PMCID: PMC1320588

Fibromyalgia and Chronic Fatigue Syndrome: An Update for Athletic Trainers

Carl R. Cramer, EdD, RKT, ATC/L

Abstract

Objective:

Primary fibromyalgia syndrome (PFS) and chronic fatigue syndrome (CFS) are clinical conditions characterized by a variety of symptoms, including prominent fatigue, myalgia, and sleep disturbances. Although the incidence of these syndromes is infrequent, when manifested, they can completely disrupt the life and career of those affected. When they are manifested within the physically active population, they can jeoardize the futures of the most promising athletes.

Data Sources:

Public documents available from the U. S. Department of Health and Human Services, Public Health Services, and the National Institutes of Health were researched. MEDLINE and CINAHL were researched back to 1988 with the following key words: chronic fatigue syndrome, primary fibromyalgia syndrome, sports participant, physically active, mononucleosis, myalgia, rehabilitation, reconditioning, athlete, and sports medicine.

Data Synthesis:

The definition of CFS in 1988 included disabling fatigue of unknown case of at least 6 months' duration. Primary fibromyalgia syndrome was once considered a subsyndrome of CFS. PFS is diagnostically characterized as a nonarticular rheumatism. The “yuppie flu” was a catch phrase of the 1980s for CFS, which was then named chronic Epstein-Barr virus syndrome. Initially the condition was thought of as simple infectious mononucleosis, but we now have a medically defined set of symptoms to describe what are called CFS and PFS. Training interruptions, feelings of loss of control, and concerns over possible psychologic or psychiatric referral can occur. Relaxation therapy, exercise, image therapy, serotonin supplementation, and antiviral therapy are in clinical trials now as the best options for management of CFS and PFS.

Conclusions/Recommendations:

Current statistics on those affected by CFS and PFS in the general population are less than 2% for CFS and 2% for PFS. Comprehensive documentation of signs, symptoms, and complaints, along with judicious physician follow-up, are important during the course of treatment leading up to and following a diagnosis of CFS or PFS. Professional evaluation of the affected player's neuropsychological status is important and necessary as a care plan is developed.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (633K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Shafran SD. The chronic fatigue syndrome. Am J Med. 1991 Jun;90(6):730–739. [PubMed]
  • Ward MH, DeLisle H, Shores JH, Slocum PC, Foresman BH. Chronic fatigue complaints in primary care: incidence and diagnostic patterns. J Am Osteopath Assoc. 1996 Jan;96(1):34–41. [PubMed]
  • Goldenberg DL, Simms RW, Geiger A, Komaroff AL. High frequency of fibromyalgia in patients with chronic fatigue seen in a primary care practice. Arthritis Rheum. 1990 Mar;33(3):381–387. [PubMed]
  • Goldenberg DL. Fibromyalgia and its relation to chronic fatigue syndrome, viral illness and immune abnormalities. J Rheumatol Suppl. 1989 Nov;19:91–93. [PubMed]
  • Wysenbeek AJ, Shapira Y, Leibovici L. Primary fibromyalgia and the chronic fatigue syndrome. Rheumatol Int. 1991;10(6):227–229. [PubMed]
  • Yunus MB, Kalyan-Raman UP, Kalyan-Raman K. Primary fibromyalgia syndrome and myofascial pain syndrome: clinical features and muscle pathology. Arch Phys Med Rehabil. 1988 Jun;69(6):451–454. [PubMed]
  • Goldenberg DL. Fibromyalgia, chronic fatigue syndrome, and myofascial pain syndrome. Curr Opin Rheumatol. 1991 Apr;3(2):247–258. [PubMed]
  • Reiffenberger DH, Amundson LH. Fibromyalgia syndrome: a review. Am Fam Physician. 1996 Apr;53(5):1698–1712. [PubMed]
  • Goldenberg DL. Fibromyalgia, chronic fatigue syndrome, and myofascial pain. Curr Opin Rheumatol. 1996 Mar;8(2):113–123. [PubMed]
  • Goldenberg DL. Fibromyalgia, chronic fatigue syndrome, and myofascial pain syndrome. Curr Opin Rheumatol. 1995 Mar;7(2):127–135. [PubMed]
  • Geel SE. The fibromyalgia syndrome: musculoskeletal pathophysiology. Semin Arthritis Rheum. 1994 Apr;23(5):347–353. [PubMed]
  • Fitzcharles MA, Esdaile JM. The overdiagnosis of fibromyalgia syndrome. Am J Med. 1997 Jul;103(1):44–50. [PubMed]
  • Gantz NM, Holmes GP. Treatment of patients with chronic fatigue syndrome. Drugs. 1989 Dec;38(6):855–862. [PubMed]
  • Walco GA, Ilowite NT. Cognitive-behavioral intervention for juvenile primary fibromyalgia syndrome. J Rheumatol. 1992 Oct;19(10):1617–1619. [PubMed]
  • Simms RW. Is there muscle pathology in fibromyalgia syndrome? Rheum Dis Clin North Am. 1996 May;22(2):245–266. [PubMed]
  • Russell IJ, Vaeroy H, Javors M, Nyberg F. Cerebrospinal fluid biogenic amine metabolites in fibromyalgia/fibrositis syndrome and rheumatoid arthritis. Arthritis Rheum. 1992 May;35(5):550–556. [PubMed]
  • Maffulli N, Testa V, Capasso G. Post-viral fatigue syndrome. A longitudinal assessment in varsity athletes. J Sports Med Phys Fitness. 1993 Dec;33(4):392–399. [PubMed]
  • Sietsema KE, Cooper DM, Caro X, Leibling MR, Louie JS. Oxygen uptake during exercise in patients with primary fibromyalgia syndrome. J Rheumatol. 1993 May;20(5):860–865. [PubMed]
  • Jacobsen S, Wildschiødtz G, Danneskiold-Samsøe B. Isokinetic and isometric muscle strength combined with transcutaneous electrical muscle stimulation in primary fibromyalgia syndrome. J Rheumatol. 1991 Sep;18(9):1390–1393. [PubMed]
  • Richardson PA, Latuda LM. Therapeutic imagery and athletic injuries. J Athl Train. 1995 Mar;30(1):10–12. [PMC free article] [PubMed]
  • Komaroff AL, Goldenberg D. The chronic fatigue syndrome: definition, current studies and lessons for fibromyalgia research. J Rheumatol Suppl. 1989 Nov;19:23–27. [PubMed]

Articles from Journal of Athletic Training are provided here courtesy of National Athletic Trainers Association