INTRODUCTION: Fibromyalgia is a long-term condition that is associated with widespread pain and is recognized as one of the major common causes of disability. The standard clinical guidance for fibromyalgia includes both pharmacological and nonpharmacological interventions. In the latter, different interventions are implemented such as aerobic exercises, flexibility exercises, strength training, stretching and body awareness therapies. The aims of this review were to provide a summary of movement and Body Awareness Therapies in patients with fibromyalgia and to compare the different therapies in relation to outcomes. EVIDENCE ACQUISITION: The search strategy was undertaken using the following databases from inception to October 2018: Pubmed, Cinahl, PEDro, PsychoInfo and The Cochrane Library. Articles were eligible if they were randomized controlled trials (RCTs) comparing movement and body awareness therapies with another intervention. EVIDENCE SYNTHESIS: two authors independently extracted data and assessed trial quality. 418 studies were found, twenty-two of which met the inclusion criteria. Pain symptom was improved with movement and body awareness therapies such as, Affective Self-Awareness, T'ai Chi, Yoga, Belly dance, strengthening program and Resseguier method. Forest plot analysis in short term confirms positive trend in favor of body awareness; however a great heterogeneity was found between trials. CONCLUSION: this systematic review and meta-analysis shows positive results in favour of movement and body awareness therapies as adjunct treatment to usual care in patients who suffer from fibromyalgia. Further work in identifying the mechanism of action by which body awareness therapies benefit outcomes should be undertaken.

This study showed that BBAT might be an effective intervention in patients suffering from fibromyalgia in relation to pain, movement quality, and anxiety.

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Même si plusieurs réformes ont été mises en place ces dernières années, la professionnalisation de l’université en Espagne est souvent remise en question dans des rapports d’expertise internationale. Pourtant, dans ce même contexte, les formations infirmières se distinguent par une longue tradition de coopération avec le monde professionnel, d’orientation pratique des curriculums et d’ouverture vers une forme d’alternance. En fondant notre analyse sur le principe d’une distinction entre une offre de formation et ses usages effectifs, nous nous sommes posé la question des effets de ces dispositifs sur le développement professionnel d’étudiants infirmiers. À partir d’une recherche collaborative menée en Espagne dans une faculté en sciences infirmières, nous avons mis en évidence les dynamiques professionnalisantes induites par un dispositif. Au-delà de l’influence de variables contextuelles, ces conjectures éclairent les conceptions que l’on peut avoir de l’objet « formation en alternance ».

RESUMEN TÍTULO. Uso de miniplatos inestables para la mejora del equilibrio en pacientes