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Physical exercise in fibromyalgia and related syndromes
Luleå University of Technology, Department of Health Sciences, Health and Rehab.
Department of Physical Therapy, Simmons College, Boston.
2003 (English)In: Baillière's Best Practice & Research: Clinical Rheumatology, ISSN 1521-6942, E-ISSN 1532-1770, Vol. 17, no 4, p. 629-647Article in journal (Refereed) Published
Abstract [en]

Fibromyalgia and related syndromes are characterized by chronic pain and fatigue. This chapter identifies the types of exercise that are effective for these patients and provides recommendations for exercise prescriptions. Based on a systematic review of randomized controlled studies of exercise, we suggest that low-intensity aerobic exercise, such as walking, can improve function and symptoms. Aerobic exercise performed twice a week at moderate intensity can improve aerobic capacity and reduce tenderness. Pool exercise can improve function, distress and symptoms. Strength training at adequate load can improve strength without exacerbation of symptoms. Most patients tolerate low-intensity exercise. High-intensity exercise should be undertaken with caution. Due to the large variability of functioning and symptom severity in patient populations, exercise prescriptions should be individualized and should include a long-term plan to maximize functioning and wellbeing. Studies with larger populations, allowing subgroup analyses regarding benefits and adverse effects of programmes, are needed.

Place, publisher, year, edition, pages
2003. Vol. 17, no 4, p. 629-647
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
URN: urn:nbn:se:ltu:diva-9300DOI: 10.1016/S1521-6942(03)00038-XISI: 000184239300008Scopus ID: 2-s2.0-0037593704Local ID: 7e483820-1004-11df-bae5-000ea68e967bOAI: oai:DiVA.org:ltu-9300DiVA, id: diva2:982238
Note

Validerad; 2003; 20100202 (andbra)

Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2018-07-10Bibliographically approved

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