Document Detail


Rehabilitation approaches in fibromyalgia.
MedLine Citation:
PMID:  16012064     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: This paper provides an overview of the evidence for the principal approaches taken to the rehabilitation of patients with fibromyalgia (FM): exercise, psychologically-based approaches, multimodal approaches, self-management approaches, and complementary and alternative therapies. METHOD: A review of current published evidence. RESULTS: Owing to factors such as methodological shortcomings of existing studies, and the lack of evidence on individual modalities, it is difficult to draw definitive conclusions as to which is the most appropriate rehabilitation approach in FM. However, there is growing evidence for the role of exercise training, and clear indications that if appropriately prescribed, this can be undertaken without adverse effects. Similarly, psychologically-based interventions such as cognitive-behavioural therapy have received some support from the literature. Evidence for other interventions is more equivocal. CONCLUSIONS: 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.
Authors:
Nicola Adams; Julius Sim
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Disability and rehabilitation     Volume:  27     ISSN:  0963-8288     ISO Abbreviation:  Disabil Rehabil     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-07-13     Completed Date:  2005-10-12     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  9207179     Medline TA:  Disabil Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  711-23     Citation Subset:  IM    
Affiliation:
Centre for Research in Health Care, Liverpool John Moores University, Great Crosshall Street, Liverpool, UK. j.sim@keele.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Biofeedback, Psychology / methods*
Complementary Therapies
Electromyography
Evidence-Based Medicine
Exercise Therapy*
Fibromyalgia / psychology,  rehabilitation*
Great Britain
Humans
Patient Education as Topic*
Physical Therapy Modalities*
Randomized Controlled Trials as Topic

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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