A Review of Multidisciplinary Interventions for Fibromyalgia Patients: Where Do We Go from Here?

Abstract

Objectives: This paper reviews multidisciplinary treatment programs designed for people with fibromyalgia [FMS], identifies factors that may be associated with treatment efficacy, and makes recommendations for future FMS interventions.Findings: Most efficacious interventions included physical activity and cognitive-behavioral therapy. Recommendations for future research studies include: 1. the use of aerobic exercise and cognitive-behavioral therapy training in coping skills and relaxation; 2. individualized exercise training; 3. power analysis conducted a priori to determine appropriate sample size; 4. uniformity in outcome measurement and follow-up assessment; and 5. the use of randomized, controlled trials that can lead to stronger conclusions regarding treatment efficacy.Conclusions: Multidisciplinary treatment programs for FMS patients are generally effective. Researchers should continue to develop multi-

Should Rheumatologists Retain Ownership of Fibromyalgia?

“…To date, there is no single treatment intervention that successfully addresses all these issues concomitantly. The management of patients with FM is therefore increasingly multifaceted, with a move away from reliance on traditional simple pharmacologic measures, and evidence supporting the use of pain management strategies such as cognitive behavioral training, relaxation, meditation, massage, and others, many of which are unfamiliar to routine rheumatology practice 13,[30][31][32][33] . Indeed, even the pharmacologic treatment options for patients with FM are rapidly expanding with the increasing use of adjuvant medications, including antidepressants and antiepileptic drugs [34][35][36] .…”

“…In the ideal world, patients with FM would be best managed in a multidisciplinary healthcare setting with healthcare professionals of various disciplines contributing to care as needed 32,33 . The perfect world does not exist and therefore only a small proportion of patients with FM are likely to be treated in this ideal setting.…”

Pain rehabilitation – outcome of an 8-week rehabilitation program

“…Rehabilitation in a structured program with a multiprofessional team has shown beneficial effects on sick-leave, disability pension and /or return to work. The clinical effectiveness of such programs has also been documented in systematic reviews (Malone, Strube, 1988;Flor et al, 1992;Morley et al, 1999;Karjalainen et al, 2001;Karjalainen et al, 1999;Guzmán et al, 2001;Nielson, Weir, 2001;Marhold et al, 2001;Oliver, 2001;Shonstein et al, 2003; SBU, 2000; SBU, 2006; SBU, 2010).…”

“…Rehabilitation in a structured program with a multiprofessional team has shown beneficial effects on sick-leave, disability pension and /or return to work. The clinical effectiveness of such programs has also been documented in systematic reviews (Malone, Strube, 1988;Flor et al, 1992;Morley et al, 1999;Karjalainen et al, 2001;Karjalainen et al, 1999;Guzmán et al, 2001;Nielson, Weir, 2001;Marhold et al, 2001;Oliver, 2001;Shonstein et al, 2003; SBU, 2000; SBU, 2006; SBU, 2010).The Department of Rehabilitation Medicine at Huddinge University Hospital in Stockholm, Sweden, offered an 8-week multiprofessional work-related rehabilitation program for patients on long-term sickleave suffering from persistent musculoskeletal related pain.The objectives of the clinical rehabilitation program were: 1) return-to-work, 2) increased activity level, and 3) reduced pain intensity.The 8-week medical and work-related multiprofessional rehabilitation program ran 7.5 hours a day and 5 days a week.The program consisted of 2 parts: A 3-week Impairment and Disability Evaluation Analysis (IDEA) and a 5-week work-related program.The idea of the IDEA included the different tools of the multiprofessional team to measure, observe and evaluate the patients' medical, physical, psychological and social functions, ability to work. This, This is an Open Access article distributed under the terms of the Creative Commons Attribution License 2.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.…”

Therapeutic education and fibromyalgia

“…Enfin, divers critères comme l'autoefficacité, les stratégies de coping, les connaissances sur la fibromyalgie, l'efficacité coût-bénéfice, sont parfois utilisés. Pour Oliver et al [8,9], il semble opportun que les futures études utilisent, au minimum, des critères de jugement basés sur le FIQ et une éva-luation psychologique et du handicap.…”