Pain was significantly reduced post treatment by l and -based and water-based AE , exercises with slight to moderate intensity and frequency of two or three times per week .
Positive effects on depressed mood , HRQOL and physical fitness could be maintained at follow-up .
Continuing exercise was associated with positive outcomes at follow-up .
Introduction The efficacy and the optimal type and volume of aerobic exercise ( AE ) in fibromyalgia syndrome ( FMS ) are not established .
We therefore assessed the efficacy of different types and volumes of AE in FMS .
The Effectiveness of Multidisciplinary Rehabilitation in the Treatment of Fibromyalgia: A Randomized Controlled Trial
Objectives : To assess the effectiveness of multidisciplinary rehabilitation in the treatment of fibromyalgia in comparison to st and ard medical care . Methods : Seventy-nine men and women were r and omly assigned to one of two groups . The intervention group consisted of a rheumatologist and physical therapist intake and discharge , 18 group supervised exercise therapy sessions , 2 group pain and stress management lectures , 1 group education lecture , 1 group dietary lecture , and 2 massage therapy sessions . The control group consisted of st and ard medical care with the patients ' family physician . Outcome measures included self-perceived health status , pain-related disability , average pain intensity , depressed mood , days in pain , hours in pain , prescription and nonprescription medication usage , and work status . Outcomes were measured at the end of the 6-week intervention and at 15-month follow-up . Results : Thirty-five out of 43 patients from the intervention group and 36 out of 36 patients from the control group completed the study . There were no statistically significant differences between the 2 groups prior to intervention . Intention-to-treat analysis revealed that the intervention group , in comparison to the control group , experienced statistically significant changes at intervention completion in self-perceived health status , average pain intensity , pain related disability , depressed mood , days in pain , and hours in pain , but no significant differences in nonprescription drug use , prescription drug use , or work status . At 15 months , all health outcomes retained their significance except health status . Nonprescription and prescription drug use demonstrated significant reductions at 15 months . Binary logistic regression indicated that long-term changes in Pain Disability Index were influenced by long-term exercise adherence and income status . Conclusions : Positive health-related outcomes in this mostly unresponsive condition can be obtained with a low-cost , group multidisciplinary intervention in a community-based , non clinical setting
Pain was significantly reduced post treatment by l and -based and water-based AE , exercises with slight to moderate intensity and frequency of two or three times per week .
Positive effects on depressed mood , HRQOL and physical fitness could be maintained at follow-up .
Continuing exercise was associated with positive outcomes at follow-up .
Introduction The efficacy and the optimal type and volume of aerobic exercise ( AE ) in fibromyalgia syndrome ( FMS ) are not established .
We therefore assessed the efficacy of different types and volumes of AE in FMS .