Fibromyalgi

Sammanfattning

The cause of fibromyalgia has long been unknown but recent studies has shown

that disturbance in the central pain modulation may be the cause. The aim of

the study was to examine what kind of physiotherapy and close related

treatment methods in the treatment of fibromyalgia there are and to

determine their evidence. Articles were obtained by searching through the

databases PubMed, Academic Search, AMED/Webspirs, CINAHL/webspirs and PEDro

for articles published from 1994 and ten years forward. The study was based

on thirty articles that met the criteria for inclusion. To assess the

quality of the clinical studies the SBU’s evaluation model was used. The

different treatment modalities studied in the article were balneotherapy,

pool exercise, aerobic exercise, high- and low intensive exercise, T?ai Chi,

acupuncture, massage, ultrasound and interferent current, bright light

treatment, exercise in combination of education and behavioural treatment.

Despite the fact that the studies and the treatment methods had surprisingly

low evidence and quality, the results indicated that pool exercise and the

combination of exercise and education have the most positive effects

regarding pain, global improvement and increased function or activity.