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Exercise Recommendations in Patients With Newly Diagnosed Fibromyalgia.
MedLine Citation:
PMID:  22405684     Owner:  NLM     Status:  Publisher    
OBJECTIVE: To evaluate exercise recommendations in patients newly diagnosed with fibromyalgia. DESIGN: A retrospective chart review. SETTING: A public university rheumatology clinic. PATIENTS: Patients newly diagnosed with fibromyalgia (N = 122). MAIN OUTCOME MEASUREMENTS: Frequency and type of exercise recommendations. RESULTS: The mean (standard deviation) age of these patients with fibromyalgia was 45 ± 12 years; 91% were women. Exercise was recommended as part of the documented treatment plan in 47% of these patients (57/122); only 3 patients had a documented contraindication for exercise. Aquatic exercise was most frequently recommended (56% [32/57]), followed by combined aquatic-aerobic exercise (26% [15/57]), and, infrequently, aerobic exercise only (5% [3/57]); only 7% of these patients (4/57) were referred for physical therapy. The primary method of communication was verbal discussion (94% [54/57]). CONCLUSIONS: Although there is well-documented evidence that exercise is beneficial for patients with fibromyalgia, we found that less than half of patients with newly diagnosed fibromyalgia in our study were provided recommendations to initiate an exercise program as part of their treatment plan. Further investigation of these findings are warranted, including evaluation of other university and community rheumatology practices as well as that of other physicians caring for patients with fibromyalgia. However, our findings indicate that there appears to be an opportunity to provide more specific and practical education regarding the implementation of an exercise regimen for patients with newly diagnosed fibromyalgia. Physiatrists may be particularly well suited to manage the exercise component of patients with fibromyalgia due to their specialized training in exercise prescription.
Brad Wilson; Horace Spencer; Patrick Kortebein
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-3-7
Journal Detail:
Title:  PM & R : the journal of injury, function, and rehabilitation     Volume:  -     ISSN:  1934-1563     ISO Abbreviation:  -     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-3-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101491319     Medline TA:  PM R     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.
Department of Physical Medicine and Rehabilitation, University of Arkansas for Medical Sciences, Little Rock, AR (†).
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