Evidence Based Physical Therapy Interventions for Fibromyalgia Management: Systematic Review

Background: Fibromyalgia (FMS) is a chronic pain condition characterized by generalized musculoskeletal pain, hyperalgesia and allodynia, commonly associated with other symptoms such as fatigue, poor sleep quality, anxiety and depression. Although pain in FMS is widespread, the most affected regions are related to respiratory mechanics. Methods: Four electronic data base (PubMed, Pedro, Cochrane and Google scholar) were searched from 2014 till 2024.Study selection: Two independent reviewers screened studies for eligibility first by title then by abstract then finally by full text. 13 studies met the inclusion criteria of this review, all of them were about evidence based physical therapy interventions for fibromyalgia management, quality was assessed using Pedro and the Cochrane risk of bias assessment tool. Data synthesis: 12 studies were included in the quality assessment. For Pedro scale, five studies introduced the least bias, 8 yes in their scores with good quality, as there was blinding for the assessor and follow up for more than 85 % for at least one key out come in both studies which decrease the risk of bias in both studies and increase its quality. While, the high risk of bias represented in one study with 4 yes and 2 study with 5 yes. The rest of studies were between six and seven yes indicating good quality. Result: The studyshowed that there was significant effect of Evidence Based Physical Therapy Interventions for Fibromyalgia: in the following outcome masseurs (HR, Fatigue, Quality of Life, depression, Anxiety, ROM, Muscle strength and Physical function). Conclusion: The systematic review showed that there were effects of Evidence Based Physical Therapy Interventions for Fibromyalgia Management