Πέμπτη 15 Οκτωβρίου 2015

Complementary and alternative therapies for fibromyalgia syndrome. Systematic review, meta-analysis and guideline

















The development of the guidelines was coordinated by the German Interdisciplinary Association for
Pain Therapy ("Deutsche Interdisziplinären Vereinigung für  Schmerztherapie", DIVS),
9 scientific medical societies and 2 patient self-help organizations.

Meditative movement therapies like qi gong  and tai chi, are strongly recommended.

Author information

Langhorst J1, Häuser W, Bernardy K, Lucius H, Settan M, Winkelmann A, Musial F;
Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften.

Abstract

BACKGROUND:



The scheduled update to the German S3 guidelines on fibromyalgia syndrome (FMS)by 
the Association of the Scientific Medical Societies("Arbeitsgemeinschaft der 
Wissenschaftlichen Medizinischen Fachgesellschaften",
AWMF; registration number 041/004) was planned starting in March 2011.

MATERIALS AND METHODS:


The development of the guidelines was coordinated by the German Interdisciplinary Association for
Pain Therapy ("Deutsche Interdisziplinären Vereinigung für Schmerztherapie", DIVS), 
9 scientific medical societies and 2 patient self-help organizations. Eight working groups with a 
total of 50 members were evenly balanced in terms of gender, medical field, potential conflicts
 of interest and hierarchical position in the medical and scientific fields. 


Literature searches were performed using the Medline, PsycInfo, Scopus and 
Cochrane Library databases(until December 2010).

The grading of the strength of the evidence followed the scheme of the Oxford Centre for
Evidence-Based Medicine. The recommendations were based on level of evidence, 
efficacy (meta-analysis of the  outcomes pain, sleep, fatigue and health-related quality of life), 
acceptability (total dropout rate), risks (adverse events) and applicability of treatment modalities
 in the German health care system. The formulation and grading of recommendations
 was accomplished using a multi-step, formal consensus process.

The guidelines were reviewed by the boards of the participating scientific medical societies.

RESULTS AND CONCLUSION:

Meditative movement therapies (qi gong, tai chi, yoga) are strongly recommended.
Acupuncture can be considered.
Mindfulness-based stress reduction as monotherapy and dance therapy as monotherapy 
are not recommended.

Homeopathy is not recommended. In a minority vote, homeopathy was rated as "can be considered".


Nutritional supplements and reiki are not recommended. 
The English full-text version of this article is available at SpringerLink (under "Supplemental").


Learn more about the predecessor of Tai Chi, Shaolin Rou Quan 

Original source
Schmerz. 2012 Jun;26(3):311-7. doi: 10.1007/s00482-012-1178-9.

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