علاج الفيبروميالجيا من الخط الأول: التمارين والعلاجات القائمة على الحركة

References

• We were unanimous in providing a 'strong for' recommendation for the use of exercise, particularly given its effect on pain, physical function and well-being, availability, relatively low cost and lack of safety concerns.
• The available evidence did not allow us to distinguish between the benefits of aerobic or strengthening.
• Exercise programmes lasting 2.5–24 weeks.
• We gave 'weak for' recommendations in relation to meditative movement therapies (which improved sleep, fatigue and quality of life) or mindfulness-based stress reduction (which improved pain and quality of life); the physical therapies acupuncture or hydrotherapy for which there was evidence that they improved pain/fatigue and pain/quality of life, respectively.
• Aerobic exercise was associated with improvements in pain (0.65; −0.09 to 1.39) and physical function (0.66; 0.41 to 0.92).
• Busch et al reviewed five trials with 219 participants and concluded that resistance training resulted in a significant improvement in pain (−3.3 cm on a 10 cm scale; −6.35 to −0.26) as well as function compared with control.

DOI: 10.1136/annrheumdis-2016-209724