• A Klement, W Häuser, W Brückle, U Eidmann, E Felde, M Herrmann, H Kühn-Becker, M Offenbächer, M Settan, M Schiltenwolf, M von Wachter, and W Eich.
• Institut für Allgemeinmedizin, Martin-Luther-Universität Halle-Wittenberg, 06112 Halle. andreas.klement@medizin.uni-halle.de
• Schmerz. 2008 Jun 1;22(3):283-94.

BackgroundA 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.MethodsA 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.ResultsPatient's information at first diagnosis of FMS is strongly recommended (grade A). Patient-centered communication is recommended (grade B). A stepwise treatment approach depending on the adapatation to restrictions in daily life and response to treatment options can be considered (grade C).ConclusionsThe long-term treatment should be based on principles of basic psychosomatic care and shared decision making on treatment options.

16 keywords...

hide…