“Clinical Approach to Fibromyalgia: Synthesis of Evidence-based Recommendations, a Systematic Review”

Recomendaciones clínicas para la rehabilitación de personas con fibromialgia. Una revisión narrativa.

“…Respecto a la aplicabilidad clínica, inicialmente el terapeuta físico es quien debe adaptar e incorporar gradualmente los ejercicios de acuerdo a las características de cada persona (106). Sin embargo, también se debe incentivar progresivamente a las personas con FM a regular y planificar de manera autónoma sus rutinas de ejercicio y desarrollo de AF.…”

Controversies and challenges in fibromyalgia: a review and a proposal

“…109 While there is heterogeneity, they do agree that the main treatment should be multidisciplinary with a nonpharmacologic focus, balancing cautious pharmacologic input when required with patient education and engagement. 7,110–112 There are differences between the guidelines on the strength of recommendations for pharmacologic therapies, and on the types of nonpharmacologic therapies. The recently revised EULAR guidelines note that many recommendations were based upon expert opinion, and in the revision have recommendations underpinned by high-quality reviews and meta-analyses.…”

“…These include the antidepressant (tricyclic, selective serotonin norepinephrine uptake inhibitor (SNRI), serotonin selective reuptake inhibitor (SSRI)] and anticonvulsant classes of medications. Amitriptyline has some evidence 110 and is recommended in all the guidelines, 114 and therefore is worthwhile considering particularly for patients with FM and sleep disturbance. The serotonin norepinephrine uptake inhibitors (SNRIs) have better evidence than SSRIs, 7 and may benefit from their effect on both serotonin and noradrenaline on the descending modulatory pathways.…”

The Therapeutic Effects of Whole-Body Vibration in Patients With Fibromyalgia. A Randomized Controlled Trial

“…Recent reviews have exposed rehabilitation techniques, such as massage, myofascial release or acupuncture or multidisciplinary rehabilitation as yielding benefits at short and long term in function and multidisciplinary rehabilitation at intermediate term in pain (7,8). Clinical practice guidelines consider physical exercise and cognitive-behavioral therapy as the best non-pharmacological interventions (9). Exercise yields functional and pain improvement at short and intermediate term (8).…”

“…Thus, it remains uncertain the active component of this therapy (24). Some reviews highlighted the need for further research in this field to improve understanding of the effects of WBV in patients with fibromyalgia (9,25). Furthermore, these previous studies did not measure important parameters such as motor function, proprioception or vibration sensitive threshold.…”