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A J Busch1, K A R Barber, T J Overend

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Exercise training, particularly aerobic exercise, improves physical function and well-being for fibromyalgia (FMS) patients. More research is needed on strength and flexibility training for FMS.

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Area of Science:

  • Exercise physiology
  • Rheumatology
  • Physical therapy

Background:

  • Fibromyalgia (FMS) is a chronic pain syndrome impacting physical function and healthcare utilization.
  • Exercise training is a common recommendation for FMS management.
  • This review updates previous findings on exercise interventions for FMS.

Purpose of the Study:

  • To systematically evaluate the effects of exercise training on FMS.
  • To assess impacts on global well-being, pain, and physical function.
  • To examine cardiorespiratory, muscle strengthening, and flexibility exercises.

Main Methods:

  • Searched multiple databases (MEDLINE, EMBASE, CINAHL, etc.) up to July 2005.
  • Included randomized trials focusing on exercise interventions for FMS.
  • Assessed study quality and utilized meta-analysis for comparable studies.

Main Results:

  • Moderate evidence shows aerobic exercise improves well-being and physical function in FMS.
  • Aerobic exercise may also positively impact pain and tender points.
  • Strength and flexibility training effects are less evaluated.

Conclusions:

  • Supervised aerobic exercise demonstrates 'gold' level evidence for improving physical capacity and FMS symptoms.
  • Strength training may offer benefits for certain FMS symptoms.
  • Further research on strength, flexibility, and long-term exercise benefits for FMS is required.