Rehabilitation approaches in fibromyalgia

Adams, Nicola; Sim, Julius

doi:10.1080/09638280400014709

Cited by 45 publications

(27 citation statements)

References 77 publications

(75 reference statements)

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“…Three of the studies restricted the use of medications (not stated in the remaining two). The fairly high quality of this small number of studies with positive results has led to this recommendation and there is agreement with previous reviews 47 48…”

Section: Resultssupporting

confidence: 83%

“…Only two multidisciplinary trials were short-listed in the summary tables for further analysis 50 51. Other reviews have supported the use of multidisciplinary treatment,47 48 but highlighted the lack of high-quality trials in this area 48 52…”

Section: Resultsmentioning

confidence: 99%

“…The poor quality of the trials and our predetermined outcome measures were likely precluding positive outcomes from being shown. In previous reviews, exercise has been recommended12 16 17 47 48 with aerobic exercise gaining the most support. It is likely that different forms of exercise would suit different subgroups of patients, hence these programmes should be tailored to the individual.…”

Section: Resultsmentioning

confidence: 99%

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EULAR evidence-based recommendations for the management of fibromyalgia syndrome

et al. 2007

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Objective: To develop evidence-based recommendations for the management of fibromyalgia syndrome. Methods: A multidisciplinary task force was formed representing 11 European countries. The design of the study, including search strategy, participants, interventions, outcome measures, data collection and analytical method, was defined at the outset. A systematic review was undertaken with the keywords ''fibromyalgia'', ''treatment or management'' and ''trial''. Studies were excluded if they did not utilise the American College of Rheumatology classification criteria, were not clinical trials, or included patients with chronic fatigue syndrome or myalgic encephalomyelitis. Primary outcome measures were change in pain assessed by visual analogue scale and fibromyalgia impact questionnaire. The quality of the studies was categorised based on randomisation, blinding and allocation concealment. Only the highest quality studies were used to base recommendations on. When there was insufficient evidence from the literature, a Delphi process was used to provide basis for recommendation. Results: 146 studies were eligible for the review. 39 pharmacological intervention studies and 59 non-pharmacological were included in the final recommendation summary tables once those of a lower quality or with insufficient data were separated. The categories of treatment identified were antidepressants, analgesics, and ''other pharmacological'' and exercise, cognitive behavioural therapy, education, dietary interventions and ''other non-pharmacological''. In many studies sample size was small and the quality of the study was insufficient for strong recommendations to be made. Conclusions: Nine recommendations for the management of fibromyalgia syndrome were developed using a systematic review and expert consensus.Fibromyalgia syndrome (FMS) is a common rheumatological condition characterised by chronic widespread pain and reduced pain threshold, with hyperalgesia and allodynia. Associated features include fatigue, depression, anxiety, sleep disturbance, headache, migraine, variable bowel habits, diffuse abdominal pain and urinary frequency. Although effective treatments are available 12-14 no guidelines exist for the management of FMS. The objectives were to ascertain the strength of the research evidence on the effectiveness of treatment of FMS and develop recommendations for its management based on the best available evidence and expert opinion to inform healthcare professionals. METHODS ParticipantsA multidisciplinary taskforce was formed consisting of 19 experts in FMS representing 11 European countries. Search strategyA systematic search of Medline, PubMed, EmBASE, PsycINFO, CINAHL, Web of Sciences, Science Citation Indices, Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews using the keywords: ''fibromyalgia'', ''treatment or management'' and ''trial'' for all publications till the end of December 2005 was carried out. A manual search of the bibliographies of trials was undertaken to...

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Section: Resultssupporting

confidence: 83%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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EULAR evidence-based recommendations for the management of fibromyalgia syndrome

et al. 2007

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“…Identification of subgroups of patients is an important factor of the treatments' effectiveness particularly for patients with fibromyalgia (Adams & Sims, 2005). We used the bootstrapped method in the present study to evaluate the moderating role of comorbid RLS on the MMRT effect.…”

Section: Discussionmentioning

confidence: 99%

The effectiveness of the Mitchell Method Relaxation Technique for the treatment of fibromyalgia symptoms: A three-arm randomized controlled trial.

Amirova

Cropley

Theadom

2017

International Journal of Stress Management

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“…[5] It is observed that the best mode of treatment of FMS is a multimodal combination of physical, cognitive and pharmacological interventions. [6] Biofeedback is a new mode of treatment for the management of FMS. [7][8][9] This mode of treatment uses computers and surface electrodes that are placed on the skin of the person to reveal their internal physiological events, in the form of visual and auditory signals.…”

mentioning

confidence: 99%

Management of patients with fibromyalgia using biofeedback: A randomized control trial

Babu¹,

Mathew²,

Danda³

et al. 2007

Indian J Med Sci

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Rehabilitation approaches in fibromyalgia

Abstract: It appears that a combination of interventions, in a multimodal approach (e.g., exercises combined with education and psychologically-based interventions) is the most promising means of managing patients with FM.

Cited by 45 publications

References 77 publications

EULAR evidence-based recommendations for the management of fibromyalgia syndrome

EULAR evidence-based recommendations for the management of fibromyalgia syndrome

The effectiveness of the Mitchell Method Relaxation Technique for the treatment of fibromyalgia symptoms: A three-arm randomized controlled trial.

Management of patients with fibromyalgia using biofeedback: A randomized control trial

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