Non-pharmacological treatment of chronic widespread musculoskeletal pain
Language: 
English
Abstract: 

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.

Author(s): 
Mannerkorpi, Kaisa
Henriksson, Chris
Item Type: 
Journal Article
Publication Title: 
Best Practice & Research. Clinical Rheumatology
Journal Abbreviation: 
Best Pract Res Clin Rheumatol
Publication Date: 
2007-06
Publication Year: 
2007
Pages: 
513-534
Volume: 
21
Issue: 
3
ISSN: 
1521-6942
DOI: 
10.1016/j.berh.2007.04.001
Library Catalog: 
PubMed
Extra: 
PMID: 17602997

Turabian/Chicago Citation

Kaisa Mannerkorpi and Chris Henriksson. 2007-06. "Non-pharmacological treatment of chronic widespread musculoskeletal pain." Best Practice & Research. Clinical Rheumatology 21: 3: 513-534. 10.1016/j.berh.2007.04.001.

Wikipedia Citation

<ref> {{Cite journal | doi = 10.1016/j.berh.2007.04.001 | issn = 1521-6942 | volume = 21 | pages = 513-534 | last = Mannerkorpi | first = Kaisa | coauthors = Henriksson, Chris | title = Non-pharmacological treatment of chronic widespread musculoskeletal pain | journal = Best Practice & Research. Clinical Rheumatology | date = 2007-06 | pmid = | pmc = }} </ref>