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Prescribing exercise for people with fibromyalgia
Kim Dupree Jones1, Sharon R Clark, Robert M Bennett
1School of Nursing, Oregon Health & Science University, Portland, OR 97201, USA. joneskim@ohsu.edu
AACN Clinical Issues
|May 16, 2002
Summary
Fibromyalgia (FM) is a painful condition affecting millions, predominantly women. Disease-specific exercise is crucial for managing FM symptoms and combating deconditioning without exacerbating pain.
Area of Science:
- Rheumatology
- Pain Management
- Exercise Physiology
Background:
- Fibromyalgia (FM) is a prevalent, costly, and disabling pain disorder.
- Affects nearly 6 million individuals in the U.S., with 80-90% being women.
- Commonly managed by advanced practice nurses in acute care settings.
Purpose of the Study:
- To highlight the importance of exercise in managing Fibromyalgia.
- To emphasize the role of clinicians in prescribing appropriate exercise regimens.
- To address the challenges of deconditioning in patients with FM.
Main Methods:
- Review of current understanding of Fibromyalgia symptoms and their impact.
- Discussion of exercise as a therapeutic intervention for FM.
- Focus on disease-specific exercise to avoid pain exacerbation.
Main Results:
- Fibromyalgia presents with widespread pain, sleep disturbances, fatigue, and neurological symptoms.
- Physical deconditioning is a significant consequence of inactivity in FM patients.
- Targeted exercise can combat deconditioning without triggering pain.
Conclusions:
- Understanding FM pain and symptoms is vital for clinicians.
- Prescribing disease-specific exercise is key to mitigating deconditioning.
- Exercise is a cornerstone of comprehensive Fibromyalgia management.