n International SportMed Journal - The role of exercise in the treatment of fibromyalgia : an overview

Volume 2, Issue 4
  • ISSN : 1528-3356



Most agree that exercise should be part of the comprehensive therapy for most individuals with fibromyalgia (FM), but a specific, positive effect of exercise on the primary symptom of FM - pain - has not been demonstrated. Individuals with FM seem as "trainable" as healthy subjects are; any fitness gain should lead to improved physical function. Low to moderate endurance training could also improve muscle oxygenation and local metabolism, making patients less prone to muscle injuries. Exercise has positive effects on patients with FM, many of which could be explained by a change in attitude of the patients, particularly toward physical activity, rather than by any specific neurohormonal or muscular effect. Unless the patient is found unfit, the main goal of the exercise program should not be cardiovascular reconditioning. Low-intensity, low-impact cardiovascular workouts and warm-water poolbased exercises and stretching should be combined. Education about the disease is an important element of the program. Exercise-group sessions can also be useful.

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