Strong evidence was found for interventions categorized for this review as  cognitive – behavioral interventions ; relaxation and stress management ; emotional disclosure ; physical activity ;  and  multidisciplinary interventions for improving daily living , pain , depressive symptoms , and fatigue .
There was limited to no evidence for self-management , and few interventions result ed in better sleep .
Although the evidence supports interventions within the scope of occupational therapy practice for people with fibromyalgia , few interventions were occupation based
This systematic review addresses the effectiveness of occupational therapy – related interventions for adults with fibromyalgia .
Effect of a 24-week physical training programme (in water and on land) on pain, functional capacity, body composition and quality of life in women with fibromyalgia.
OBJECTIVES To analyse the effect of a 24-week physical training programme in water and on l and on women with fibromyalgia . METHODS A controlled study was conducted from December 2009 to May 2010 . Seventy-two women with fibromyalgia ( age : 51.79±7.87 years ) were assigned to an exercise group ( 3 sessions/week , 2 sessions in water , 1 session on l and ) ( n=42 ) and to a control group ( n=30 ) . The variables analysed were : number of tender points , visual analogue scale ( VAS ) of pain , algometer score , functional capacity ( leg strength , h and -grip dynamometry , flexibility , agility , balance , aerobic endurance , heart response ) , body composition ( body mass index , fat mass index , skeletal muscle mass index and percentage of body fat ) and psychological variables ( Fibromyalgia Impact Question naire [ FIQ ] and Short Form Health Survey 36 [ SF-36 ] ) . RESULTS The exercise group improved in the algometer score ( p<0.001 ) , positive tender points ( p=0.005 ) , VAS ( p<0.001 ) and FIQ ( p<0.001 ) . Improvements were also detected in functional capacity ( leg strength , p=0.001 ; h and -grip dynamometry , p=0.001 ; flexibility , p<0.001 ; balance , p=0.006 ; 6-minute walk test , p<0.001 ; mean heart rate , p=0.031 ; maximum heart rate , p<0.001 and VO2 max , p<0.001 ) . There was a decrease in the percentage of body fat ( p=0.040 ) . There was also an improvement in the subscales of the SF-36 ; vitality ( p=0.004 ) , mental health ( p=0.001 ) social role functioning ( p=0.020 ) and general health functioning ( p=0.002 ) . CONCLUSIONS The findings of this study show that a 24-week physical training programme ( 3 sessions/week , of which 2 sessions are in water and 1 session is on l and ) reduces pain and disease impact and improves functional capacity in women with fibromyalgia
Strong evidence was found for interventions categorized for this review as  cognitive – behavioral interventions ; relaxation and stress management ; emotional disclosure ; physical activity ;  and  multidisciplinary interventions for improving daily living , pain , depressive symptoms , and fatigue .
There was limited to no evidence for self-management , and few interventions result ed in better sleep .
Although the evidence supports interventions within the scope of occupational therapy practice for people with fibromyalgia , few interventions were occupation based
This systematic review addresses the effectiveness of occupational therapy – related interventions for adults with fibromyalgia .