The effectiveness of multidisciplinary rehabilitation in the treatment of fibromyalgia: a randomized controlled trial.

摘要: Objectives To assess the effectiveness of multidisciplinary rehabilitation in treatment fibromyalgia comparison to standard medical care. Methods Seventy-nine men and women were randomly assigned one two groups. The intervention group consisted a rheumatologist physical therapist intake discharge, 18 supervised exercise therapy sessions, 2 pain stress management lectures, 1 education lecture, dietary massage sessions. control care with patients' family physician. Outcome measures included self-perceived health status, pain-related disability, average intensity, depressed mood, days pain, hours prescription nonprescription medication usage, work status. Outcomes measured at end 6-week 15-month follow-up. Results Thirty-five out 43 patients from 36 completed study. There no statistically significant differences between groups prior intervention. Intention-to-treat analysis revealed that group, experienced changes completion related but drug use, or At 15 months, all outcomes retained their significance except Nonprescription use demonstrated reductions months. Binary logistic regression indicated long-term Pain Disability Index influenced by adherence income Conclusions Positive health-related this mostly unresponsive condition can be obtained low-cost, community-based, nonclinical setting.