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Multidisciplinary rehabilitation treatments for patients with fibromyalgia: an international recent literature review.

INTRODUCTION
Fibromyalgia (FM) is a pathology that causes physical, psychological, and social problems. For this reason, it requires treatment that involves all of these elements. The main of study is to examine multidisciplinary rehabilitation treatment (MRT) in fibromyalgia and to identify healthcare approaches developing effective MRT tools for the treatment of FM.


EVIDENCE ACQUISITION
In this systematic review, we searched the following databases: CINAHL, PubMed, Scopus, Cuidatge, Cuiden, ENFISPO, IBEC and IME.


EVIDENCE SYNTHESIS
Of 356 articles found we selected 13 to analyze and summarize. We created 4 different categories: (1) multidisciplinary rehabilitation treatment focusing on health education and cognitive behavioral therapy (CBT), (2) multidisciplinary rehabilitation treatment that includes dietetics, (3) multidisciplinary rehabilitation treatment adapted to the patients' characteristics and (4) multidisciplinary rehabilitation treatment based on physical exercise.


CONCLUSIONS
This review identifies the most effective treatments that may be usefully applied in many different rehabilitation contexts. These include all treatments that incorporated an education (ED) program to patients and an exercise program complete with aerobic exercise (AE), stretching (SE), relaxation (RE), strengthening (TE), endurance (EN), and which includes the entire body and biofeedback. Furthermore, many approaches also include Cognitive Behavioral Therapy (CBT) for self-management such as occupational therapy, moderation, acceptance, commitment, motivation to change and forgiveness.