German researchers have developed a guideline relating to the use of physical therapies in the treatment of Fibromyalgia Syndrome (Fibro).

The guideline, from researchers in the Pain Management department at Heidelberg University Hospital, was developed in cooperation with 10 German medical and psychological associations and 2 patient self-help groups.

In order to develop the guidelines, a systematic literature search for controlled studies evaluating physiotherapy, exercise and strength training and other physical therapies was carried out, covering the period 1966 to December 2006, although there were most studies available for the period 1980 to December 2006. The strengths of the recommendations from the studies found were graded according to the German program for disease management guidelines and standardised procedures were used to reach a consensus on the recommendations.

The guideline says that aerobic exercise training is strongly recommended (grade A) and the temporary use of whole body hyperthermia (heat therapy), balneotherapy (bathing) and spa therapy is recommended (grade B).

However, the researchers said that most of the studies used small sample sizes and were for short duration (6-12 weeeks) so the significance that can be applied to them is restricted.

Reference: Schiltenwolf M, Häuser W, Felde E, Flügge C, Häfner R, Settan M, Offenbächer M. [Physiotherapy, exercise and strength training and physical therapies in the treatment of fibromyalgia syndrome.] [Article in German].  Schmerz. 2008 May 2 [Epub ahead of print]