Group-Based Physical Activity Interventions for Fibromyalgia: A Systematic Scoping Review

Area of Science:

• Rheumatology
• Exercise Science
• Public Health

Background:

• Group-based physical activity interventions are cost-effective for managing Fibromyalgia Syndrome (FMS).
• Existing research lacks a comprehensive review of various physical activity approaches for FMS.
• A review is needed to map current research and report attrition data for group-based interventions.

Purpose of the Study:

• To conduct a scoping review of group-based physical activity interventions for adults with Fibromyalgia Syndrome.
• To descriptively analyze and report attrition data from included studies.

Main Methods:

• A comprehensive literature search was performed across Medline, CINAHL, SCOPUS, SPORTDiscus, and Web-of-Science.
• Studies published between January 1, 2000, and February 23, 2023, focusing on group-based physical activity in adults with FMS were included.
• Data extraction and analysis were conducted independently by two reviewers.

Main Results:

• Seventeen studies involving 893 participants were included.
• Interventions were predominantly multi-component, incorporating resistance, flexibility, and aerobic exercises.
• Other modalities included hydrotherapy, balance training, mindful movement, Pilates, and exergames, with a mean attrition rate of 21%.

Conclusions:

• Current research on group-based physical activity for FMS primarily features multi-component programs delivered by multidisciplinary teams in community settings.
• These findings align with best-practice guidelines for FMS management.
• Future research should investigate factors influencing attrition rates in these interventions.