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European Guidelines Strongly Recommend Physical Therapy With Exercise for Fibromyalgia

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Experts from 12 European countries now unanimously recommend supervised exercise as a primary intervention for individuals with fibromyalgia. According to an updated clinical practice guideline (CPG) by the European League Against Rheumatism (EULAR) published in BMJ, physical therapy with graded exercise is the only intervention that received the group’s strongest recommendation.

The previous EULAR guideline found very few studies on pharmacologic or nonpharmacologic treatments for fibromyalgia, but that has changed. The current CPG is based on an analysis of 275 published articles and 107 systematic reviews. Authors looked at how well interventions addresseed, pain, fatigue, sleep, and daily functioning, and assigned levels of support for each intervention: “strong against,” “weak against,” “weak for,” and “strong for.”

Full story of PT with exercise to treat fibromyalgia at APTA


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