Schiltenwolf M, Häuser W, Felde E, Flügge C, Häfner R, Settan M, Offenbächer M
Sektion Schmerztherapie, Stiftung Orthopädische Universitätsklinik Heidelberg, Schlierbacher Landstrasse 200, 69118 Heidelberg.
Schmerz. 2008 Jun;22(3):303-12. doi: 10.1007/s00482-008-0675-3.
A guideline for the treatment and diagnostic procedures for fibromyalgia syndrome (FMS) was developed in cooperation with 10 German medical and psychological associations and 2 patient self-help groups.
A systematic literature search including all controlled studies evaluating physiotherapy, exercise and strength training as well as physical therapies was performed in the Cochrane Collaboration Reviews (1993-12/2006), Medline (1980-12/2006), PsychInfo (1966-12/2006) and Scopus (1980-12/ 2006). Levels of evidence were assigned according to the classification system of the Oxford Centre for Evidence-Based Medicine. Grading of the strengths of recommendations was done according to the German program for disease management guidelines. Standardized procedures to reach a consensus on recommendations were used.
Aerobic exercise training is strongly recommended (grade A) and the temporary use of whole body hyperthermia, balneotherapy and spa therapy is recommended (grade B).
The significance which can be assigned to most of the studies on the various procedures for therapy is restricted due to short study duration (mean 6-12 weeks) and small sample sizes.
与10个德国医学和心理学协会以及2个患者自助组织合作制定了纤维肌痛综合征（FMS）的治疗和诊断程序指南。
在Cochrane协作评价（1993 - 2006年12月）、Medline（1980 - 2006年12月）、PsychInfo（1966 - 2006年12月）和Scopus（1980 - 2006年12月）中进行了系统的文献检索，纳入所有评估物理治疗、运动和力量训练以及物理疗法的对照研究。根据牛津循证医学中心的分类系统确定证据级别。根据德国疾病管理指南计划对推荐强度进行分级。采用标准化程序就推荐意见达成共识。
强烈推荐有氧运动训练（A级），推荐临时使用全身热疗、浴疗法和温泉疗法（B级）。
由于研究持续时间短（平均6 - 12周）和样本量小，大多数关于各种治疗程序的研究的意义有限。
