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 .
Efficacy of a multidisciplinary treatment program in patients with severe fibromyalgia
The purpose of this study was to evaluate the efficacy of a multidisciplinary treatment program in patients severely affected by fibromyalgia . Thirty-four fibromyalgia patients were r and omly divided into two groups . The control group : 17 women who continued their medical treatment and participated in four educational sessions  and the experimental group that included 17 patients who besides the former medical treatment  also underwent a weekly 1-h session program for 8 weeks including massage therapy , ischemic pressure on the 18 tender points , aerobic exercise and thermal therapy . At the beginning of the program , there were no significant differences between the two groups in any of the parameters . At the end of treatment , there was a significant improvement in the experimental group in the following items : vitality , social functioning , grip strength and the 6-min walk test . At 1 month after the end of treatment , the experimental group showed significant differences in overall health perception , social functioning , grip strength and the 6-min walk test . At that time , considering the threshold for clinical efficacy set at an improvement of 30 % or above for the analyzed variables , 25 % of the patients met the requirement for improvement of the following : number of symptoms : Visual Analogic Scale for fatigue , Fibromyalgia Impact Question naire and Beck Anxiety Inventory . In conclusion , patients with severe manifestations of fibromyalgia can obtain improvement with a short-term , low-cost and simple-delivery multidisciplinary program . However , additional studies including higher numbers of patients are needed to confirm the beneficial effect of this treatment program
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 .