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Non-pharmacological treatment of chronic widespread musculoskeletal pain
Department of Rheumatology and Inflammation Research, Sahlgrenska Academy, Göteborg University, Guldhedsgatan 10, SE-413 46 Göteborg, Sweden.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies.
2007 (English)In: Baillière's Best Practice & Research: Clinical Rheumatology, ISSN 1521-6942, Vol. 21, no 3, 513-534 p.Article, review/survey (Refereed) Published
Abstract [en]

Non-pharmacological treatment for patients with chronic widespread pain (CWP) and fibromyalgia (FM) aims to enhance overall health. This chapter reviews studies of exercise, education, movement therapies and sensory stimulation. Based on a systematic review of randomized controlled trials (RCTs), we suggest that aerobic exercise of low to moderate intensity, such as walking and pool exercise, can improve symptoms and distress in patients with CWP and FM, and it may improve physical capacity in sedentary patients. Aerobic exercise of moderate to high intensity has been shown to improve aerobic capacity and tender-point status. Educational programmes have been shown to enhance self-efficacy and health perception. There is no conclusive evidence about the type of educational programme that works best, but a small-group format and interactive discussions appear to be important components. Exercise combined with education appears to produce synergies. Studies of movement therapies (such as qigong) and sensory treatments (such as acupuncture and massage) are few in number. There is today no conclusive evidence about the effects of these treatments in CWP, although positive effects have been reported in a few studies. © 2007 Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
2007. Vol. 21, no 3, 513-534 p.
Keyword [en]
aerobic, education, exercise, fibromyalgia, movement therapy, pain, physical, sensory stimulation
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-49544DOI: 10.1016/j.berh.2007.04.001OAI: diva2:270440
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2011-01-11

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Henriksson, Chris
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