What is the efficacy of multidisciplinary rehabilitation for fibromyalgia?

Updated: Feb 07, 2019
  • Author: Regina P Gilliland, MD; Chief Editor: Dean H Hommer, MD  more...
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Answer

Answer

A number of randomized, controlled trials of multidisciplinary treatment and exercise, combined with education and/or cognitive behavioral therapy showed that patients with fibromyalgia had improvements on a 6-minute walk, with significant decreases in pain and beneficial efficacy.

One randomized, controlled trial of multidisciplinary rehabilitation showed improvement in health-related outcomes in a nonclinical, community-based setting at 15-month follow-up. [9]

A published study that evaluated the impact of a physical therapy–based educational program on patients with fibromyalgia found that the program had a positive impact on patients' well-being. [10] The study also concluded, however, that the program had no effect on the other symptoms of fibromyalgia.

Reviewing 9 studies, which included a total of 1,119 patients, Häuser et al found evidence that treatment combining at least 1 educational or psychological therapy with at least 1 exercise therapy can provide short-term reduction in pain, fatigue, and depressive symptoms. [11] The study results also indicated that physical fitness benefits from the treatment can be maintained over the long term.


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