Cochrane · systematic review · CD010884

Resistance exercise training for fibromyalgia

Busch, AJ, Webber, SC, Richards, RS, et al. · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library

MusculoskeletalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
19
current version
GRADE rated
16
No studies
2
Included studies
NR
No studies 2 · 10.5%Ungraded 1 · 5.3%Very low 0 · 0%Low 16 · 84.2%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Resistance training compared with control for fibromyalgia

Population: Individuals with fibromyalgia.
7 questions
OutcomeEffectEvidenceStatus / GRADE
Multidimensional function FIQ Total Score. Scale 0‐100 (lower scores indicate greater health)
Resistance training vs control
no estimate extracted1 study · 60 participantsLow
Downgraded: imprecision, inconsistency
Self reported physical function Health Assessment Questionnaire and SF‐36 Physical Function Score Scale 0‐100 (converted so lower scores indicate better health)
Resistance training vs control
no estimate extracted3 studies · 107 participantsLow
Downgraded: imprecision, inconsistency
Pain Visual analog scale Scale 0‐10 cm (lower scores indicate less pain)
Resistance training vs control
no estimate extracted2 studies · 81 participantsLow
Downgraded: imprecision, inconsistency
Tenderness Tender point count and myalgic scores Scores converted to tender points, 0‐18 (lower scores indicate less tenderness)
Resistance training vs control
no estimate extracted3 studies · 107 participantsLow
Downgraded: imprecision, inconsistency
Muscle strength Maximum concentric leg extension (load measured in kg).
Resistance training vs control
no estimate extracted2 studies · 47 participantsLow
Downgraded: imprecision, inconsistency
Adverse effects
Resistance training vs control
no estimate extractedNRNo studies
All‐cause attrition Dropout rates.
Resistance training vs control
RR 3.5 [0.79, 15.49]3 studies · 107 participantsLow
Downgraded: imprecision, inconsistency

Resistance training compared with aerobic training for fibromyalgia

Population: Individuals with fibromyalgia.
6 questions
OutcomeEffectEvidenceStatus / GRADE
Multidimensional function FIQ Total Score. Scale 0‐100 (lower scores indicate greater health)
Resistance training vs aerobic training
no estimate extracted1 study · 60 participantsLow
Downgraded: imprecision
Self reported physical function SF‐36 Physical Function Scale. Scale 0‐100 (higher scores indicate greater health)
Resistance training vs aerobic training
no estimate extracted2 studies · 86 participantsLow
Downgraded: imprecision
Pain Visual analog scale. Scale 0‐10 cm (lower scores indicate less pain)
Resistance training vs aerobic training
no estimate extracted2 studies · 86 participantsLow
Downgraded: imprecision
Tenderness Tender point count and myalgic scores. Scores converted to tender points, 0 to 18 (lower scores indicate less tenderness)
Resistance training vs aerobic training
no estimate extracted2 studies · 86 participantsLow
Downgraded: imprecision
Adverse effects
Resistance training vs aerobic training
no estimate extractedNRNo studies
All‐cause attrition Dropout rates
Resistance training vs aerobic training
Peto OR 1 [0.24, 4.23]2 studies · 90 participantsLow
Downgraded: imprecision

Resistance training compared with flexibility exercise for fibromyalgia

Population: Individuals with fibromyalgia.
6 questions
OutcomeEffectEvidenceStatus / GRADE
Multidimensional function FIQ Total. Scale 0‐100 (lower scores indicate greater health)
Resistance training vs flexibility exercise
no estimate extracted1 study · 56 participantsLow
Downgraded: risk of bias
Pain VAS 0‐10 cm (lower scores indicate less pain)
Resistance training vs flexibility exercise
no estimate extracted1 study · 56 participantsLow
Downgraded: risk of bias
Tenderness Tender point count, scores 0‐18 (lower scores indicate less tenderness)
Resistance training vs flexibility exercise
no estimate extracted1 study · 56 participantsLow
Downgraded: risk of bias
Strength Maximal isokinetic strength of nondominant knee extension measured in foot‐pounds8
Resistance training vs flexibility exercise
no estimate extracted1 study · 56 participantsLow
Downgraded: risk of bias
Adverse effects
Resistance training vs flexibility exercise
no estimate extracted1 study · 3 participantsUngraded
All‐cause attrition Dropout rates
Resistance training vs flexibility exercise
RR 1 [0.37, 2.73]1 study · 56 participantsLow
Downgraded: risk of bias