There were no statistically significant differences in attrition rates between the interventions .
In general , adverse effects were poorly recorded , but no serious adverse effects were reported .
The evidence ( rated as low quality ) suggested that moderate- and moderate- to high-intensity resistance training improves multidimensional function , pain , tenderness , and muscle strength in women with fibromyalgia .
The evidence ( rated as low quality ) also suggested that eight weeks of aerobic exercise was superior to moderate-intensity resistance training for improving pain in women with fibromyalgia .
There was low- quality evidence that 12 weeks of low-intensity resistance training was superior to flexibility exercise training in women with fibromyalgia for improvements in pain and multidimensional function .
There was low- quality evidence that women with fibromyalgia can safely perform moderate- to high-resistance training
BACKGROUND Fibromyalgia is characterized by chronic widespread pain that leads to reduced physical function .
Exercise training is commonly recommended as a treatment for management of symptoms .
We examined the literature on resistance training for individuals with fibromyalgia .
Resistance training is exercise performed against a progressive resistance with the intention of improving muscle strength , muscle endurance , muscle power , or a combination of these .
OBJECTIVES To evaluate the benefits and harms of resistance exercise training in adults with fibromyalgia .
We compared resistance training versus control and versus other types of exercise training .
A six-month randomized controlled trial of exercise and pyridostigmine in the treatment of fibromyalgia.
OBJECTIVE A subset of fibromyalgia ( FM ) patients have a dysfunctional hypothalamic-pituitary-insulin-like growth factor 1 ( IGF-1 ) axis , as evidence d by low serum levels of IGF-1 and a reduced growth hormone ( GH ) response to physiologic stimuli . There is evidence that pyridostigmine ( PYD ) improves the acute response of GH to exercise in FM patients . The purpose of this study was to evaluate the clinical effectiveness of 6 months of PYD and group exercise on FM symptoms . METHODS FM patients were r and omized to 1 of the following 4 groups : PYD plus exercise , PYD plus diet recall but no exercise , placebo plus exercise , and placebo plus diet recall but no exercise . The primary outcome measures were the visual analog scale ( VAS ) score for pain , tender point count , and total myalgic score . Secondary outcome measures were the total score on the Fibromyalgia Impact Question naire ( FIQ ) and FIQ VAS scores for individual symptoms ( fatigue , poor sleep , stiffness , and anxiety ) , as well as quality of life ( QOL ) and physical fitness ( lower body strength/endurance , upper and lower body flexibility , balance , and time on the treadmill ) . RESULTS A total of 165 FM patients completed baseline measurements ; 154 ( 93.3 % ) completed the study . The combination of PYD and exercise did not improve pain scores .  PYD groups showed a significant improvement in sleep and anxiety in those who completed the study and in QOL in those who complied with the therapeutic regimen as compared with the placebo groups . Compared with the nonexercise groups , the 2 exercise groups demonstrated improvement in fatigue and fitness .  PYD was generally well tolerated . CONCLUSION Neither the combination of PYD plus supervised exercise nor either treatment alone yielded improvement in most FM symptoms . However , PYD did improve anxiety and sleep , and exercise improved fatigue and fitness . We speculate that PYD may have improved vagal tone , thus benefiting sleep and anxiety ; this notion warrants further study
There were no statistically significant differences in attrition rates between the interventions .
In general , adverse effects were poorly recorded , but no serious adverse effects were reported .
The evidence ( rated as low quality ) suggested that moderate- and moderate- to high-intensity resistance training improves multidimensional function , pain , tenderness , and muscle strength in women with fibromyalgia .
The evidence ( rated as low quality ) also suggested that eight weeks of aerobic exercise was superior to moderate-intensity resistance training for improving pain in women with fibromyalgia .
There was low- quality evidence that 12 weeks of low-intensity resistance training was superior to flexibility exercise training in women with fibromyalgia for improvements in pain and multidimensional function .
There was low- quality evidence that women with fibromyalgia can safely perform moderate- to high-resistance training
BACKGROUND Fibromyalgia is characterized by chronic widespread pain that leads to reduced physical function .
Exercise training is commonly recommended as a treatment for management of symptoms .
We examined the literature on resistance training for individuals with fibromyalgia .
Resistance training is exercise performed against a progressive resistance with the intention of improving muscle strength , muscle endurance , muscle power , or a combination of these .
OBJECTIVES To evaluate the benefits and harms of resistance exercise training in adults with fibromyalgia .
We compared resistance training versus control and versus other types of exercise training .