J Fam Pract. 2003 Sep;52(9):717-9. Smith M, Gokula RR, Weismantel A, Malaty W. Michigan State University College of Human Medicine, East Lansing, MI USA.
Physical therapy is minimally effective in the treatment of fibromyalgia, with immediate post-treatment improvement in pain and tender points, and both short- and longer-term improved self-efficacy (confidence in performing tasks) (strength of recommendation [SOR]: B, 1 small, high-quality randomized controlled trial, 4 additional small randomized controlled trials).
Multidisciplinary rehabilitation is probably not effective for this disorder but warrants future research, as trial quality is poor (SOR: B, systematic review of 4 small or low-quality and 3 additional randomized controlled trials on widespread pain conditions).
PMID: 12967546 [PubMed – in process]