[en] Background. Fibromyalgia (FM) is a chronic painful syndrome, which affects the female sex to a greater extent and which is characterized by pain and generalized musculoskeletal hypersensitivity, which also presents with other symptoms such as fatigue, functional deterioration, sleep disturbances, anxiety, depression and cognitive dysfunction. Objective. To analyze the efficacy in the improvement of the quality of life in patients diagnosed with FM, after establishing an aerobic exercise program in comparison with the application of massage therapy measures. Methods. A systematic information search is carried out between April 20 and June 4, 2018, in the Cochrane Library, Pubmed, Scopus, PEDro and CINAHL databases. Outcomes. A total of 10 articles are obtained that meet the inclusion criteria, evaluating seven of them for the effectiveness of an aerobic exercise program, and the remaining 3, for the application of massage therapy procedures. Both exercise programs and massage therapy methods were found to be effective in improving some of the study variables proposed as indicators of the quality of life level. Within the modalities of massage therapy analyzed, myofascial release is the one that has shown a higher level of evidence. It was not feasible to compare the effectiveness between the interventions, due to the great variability of the registry scales used to quantify the improvements. Conclusions. The two intervention procedures studied are effective in improving the quality of life in fibromyalgic patients. It is necessary to standardize and agree on registration procedures in order to compare the effectiveness between different treatment approaches

[gl] Introdución. A fibromialxia (FM) é un síndrome doloroso crónico, que afecta en maior medida ao sexo feminino e que se caracteriza por dor e hipersensibilidade musculo-esquelética xeneralizada, que ademais cursa con outros síntomas como son a fatiga, o deterioro funcional, alteracións no soño, ansiedade, depresión e disfunción cognitiva. Obxectivo. Analizar a eficacia na mellora da calidade de vida en pacientes diagnosticados de FM, tras instaurar un programa de exercicio aerobio en comparación coa aplicación de medidas de masoterapia. Material y método. Realízase unha busca sistematizada de información entre o 20 de abril e o 4 de xuño de 2018, nas bases de datos Cochrane Library, Pubmed, Scopus, PEDro y CINAHL. Resultados. Obtéñense un total de 10 artigos que cumpren os criterios de inclusión, avaliando sete deles a eficacia dun programa de exercicio aerobio, e os 3 restantes, a aplicación de procedementos de masoterapia. Tanto os programas de exercicio como os métodos de masoterapia, resultaron ser eficaces na mellora dalgunha das variables de estudio propostas como indicadoras do nivel de calidade de vida. Dentro das modalidades de masoterapia analizadas, a liberación miofascial é a que mostrou un maior nivel de evidencia. Non foi factible comparara eficacia entre as intervención, debido á gran variabilidade de escalas de rexistro utilizadas para cuantificar as melloras. Conclusións. Ámbolos dous procedementos de intervención estudados son efectivos na mellora da calidade de vida en pacientes fibromiálxicos. É preciso estandarizar e consensuar procedementos de rexistro para poder comparar a eficacia entre distintos enfoques de tratamento.