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 .
Effects of a prolonged exercise program on key health outcomes in women with fibromyalgia: a randomized controlled trial.
OBJECTIVE To assess the impact of a long-term exercise programme vs usual care on perceived health status , functional capacity and depression in patients with fibromyalgia . DESIGN R and omized controlled trial . SUBJECTS Forty-two women with fibromyalgia were allocated r and omly to 1 of 2 groups : an experimental group that carried out aerobic , strength and flexibility exercises for 24 weeks and a usual care control group . METHODS Health status and functional capacity were evaluated using the Fibromyalgia Impact Question naire and the Short Form Health Survey 36 . Depression was evaluated with the Beck Depression Inventory . RESULTS Significant improvements were observed in health status and functional capacity for the exercise group over the control group . The magnitude of the effect size of these improvements , expressed as Cohen 's d , was medium . The effect size ( 95 % confidence interval ) for the Fibromyalgia Impact Question naire was 0.58 ( -14.12 , -2.35 ) , for the Short Form Health Survey 36 . global score 0.54 ( 1.28 , 14.52 ) , and in the mental health domain of the Short Form Health Survey 36 . 0.51 ( 1.20 , 16.26 ) . There was a large effect size in vitality . All the aforementioned improvements can be considered as clinical ly important changes . CONCLUSION Results confirm that a long-term combination of aerobic exercise , strengthening and flexibility improves psychological health status and health-related quality of life in patients 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 .