Positive outcomes were reported for pain , health-status and tender point count .
There is strong evidence for the use of hydrotherapy in the management of FMS
Hydrotherapy is often used in the treatment of  fibromyalgia syndrome ( FMS ) , however there has been limited evaluation of its effectiveness .
The aim of this systematic review was therefore to examine the effectiveness of hydrotherapy in the management of FMS .
Hydrotherapy and conventional physiotherapy improve total sleep time and quality of life of fibromyalgia patients: randomized clinical trial.
OBJECTIVE To compare hydrotherapy ( HT ) and conventional physiotherapy ( CP ) in the treatment of fibromyalgia ( FM ) , regarding quality of life ( QOL ) , total sleep time ( TST ) , and total nap time ( TNT ) . METHODS Fifty out patients , all female , 30 - 60 years old , diagnosed with FM , were r and omly assigned to two groups to carry out 3 weeks of treatment with HT or CP . In the beginning and in the end of treatment , patients were evaluated with the SF-36 question naire to measure QOL and the sleep diary for TST and TNT . Data analyses were blind . RESULTS All 24 HT patients increased 1h in TST compared to 19 CP patients . TNT decreased in the HT group . QOL improved for the two groups in all domains when pre- and post-intervention were compared , but there was no difference between groups . CONCLUSION HT is more effective than CP to improve TST and to decrease TNT in FM patients
Positive outcomes were reported for pain , health-status and tender point count .
There is strong evidence for the use of hydrotherapy in the management of FMS
Hydrotherapy is often used in the treatment of  fibromyalgia syndrome ( FMS ) , however there has been limited evaluation of its effectiveness .
The aim of this systematic review was therefore to examine the effectiveness of hydrotherapy in the management of FMS .