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Exercise for Adults with Fibromyalgia: An Umbrella Systematic Review with Synthesis of Best Evidence.
MedLine Citation:
PMID:  25229499     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The objective of this umbrella systematic review was to identify, evaluate, and synthesize systematic reviews of physical activity interventions for adults with fibromyalgia (FM) focussing on four outcomes: pain, multidimensional function (wellness or quality of life), physical function (self-reported physical function or measured physical fitness) and adverse effects. A further objective was to link these outcomes with details of the interventions so as to guide and shape future practice and research. Electronic databases including Medline, EMBASE, CINAHL, AMED, the Cochrane Library, and DARE, were searched for the January 1st 2007 to March 31st 2013 period. Nine systematic reviews (60 RCTs with 3816 participants) were included. Meta-analysis was not conducted due to the heterogeneity of the sample. We found positive results of diverse exercise interventions on pain, multidimensional function, and self-reported physical function, and no supporting evidence for new (to FM) interventions (i.e., qigong, tai chi). There were no serious adverse effects reported. The variability of the interventions in the reviews prevented us from answering important clinical questions to guide practical decisions about optimal modes or dosages (i.e., frequency, intensity, duration). Finally, the number of review articles is proliferating, leading researchers and reviewers to consider the rigor and quality of the information being reviewed. As well, consumers of these reviews (i.e., clinicians, individuals with FM) should not rely on them without careful consideration.
Authors:
Julia Bidonde; Angela Jean Busch; Brenna Bath; Stephan Milosavljevic
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-9-14
Journal Detail:
Title:  Current rheumatology reviews     Volume:  -     ISSN:  1875-6360     ISO Abbreviation:  Curr Rheumatol Rev     Publication Date:  2014 Sep 
Date Detail:
Created Date:  2014-9-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101261938     Medline TA:  Curr Rheumatol Rev     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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