There has
been a Cochrane review on fibromyalgia and physical exercises recently.
Angela J. Busch and
colleagues looked at "Resistance exercise training for fibromyalgia" (Link: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD010884/abstract).
Conclusions: "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."
Do we get something out of this
review? Yes, indeed we do. Though the evidence gained is based on low quality
studies, we get some valuable new insights by combining different studies,
which the authors did. These insights enable us to better structure
multidisciplinary approaches. I see own therapeutic structures confirmed. You
can extract the following:
- resistance training is safe
- resistance training improves
multidimensional function, pain, tenderness, and muscle strength
- aerobic exercise is superior to
resistance training
- low-intensity resistance training
is superior to flexibility exercise training.
In a clinical setting we use a
combination of aerobic exercise and resistance training. But we use it in a
multidisciplinary context with cognitive behavioural therapy and relaxing
techniques as well as patient education.
I'm very happy that Angela J. Busch and colleagues took the effort to
review the studies on this aspect of therapeutic effects in fibraomyalgia
patients.
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