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Evidence summaries

Multidisciplinary Rehabilitation for Fibromyalgia

Multidisciplinary rehabilitation might possibly have no effect, although thre is no evidence from controlled trials. Level of evidence: "D"

A Cochrane review [Abstract] 1 included 7 studies with a total of 1 050 subjects. The methodological quality of the studies was poor. No clear evidence of overall effectiveness of multidisciplinary rehabilitation was observed. According to single studies, stress management was more effective than usual care (n=60), and education combined with physical training showed some positive effects in long term follow up (n=99).

Comment: The quality of evidence is downgraded by study quality (several issues) and by inconsistency (heterogeneity in interventions and outcomes).

See also reference 2.

    References

    • Karjalainen K, Malmivaara A, van Tulder M, Roine R, Jauhiainen M, Hurri H, Koes B. Multidisciplinary rehabilitation for fibromyalgia and musculoskeletal pain in working age adults.. Cochrane Database Syst Rev. 1999;(3):CD001984.
    • Burckhardt CS, Mannerkorpi K, Hedenberg L, Bjelle A. A randomized, controlled clinical trial of education and physical training for women with fibromyalgia. J Rheumatol 1994 Apr;21(4):714-20. [PubMed]

Primary/Secondary Keywords