[Complementary and alternative procedures for fibromyalgia syndrome : Updated guidelines 2017 and overview of systematic review articles].

Author: Langhorst J1, Heldmann P2, Henningsen P3, Kopke K4, Krumbein L5, Lucius H6, Winkelmann A7, Wolf B8, Häuser W3,9
1Innere Medizin V (Naturheilkunde und integrative Medizin), Kliniken Essen-Mitte, Essen, Deutschland. j.langhorst@kliniken-essen-mitte.de.
2Bundesverband selbstständiger Physiotherapeuten, Bochum, Deutschland.
3Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Technische Universität München, München, Deutschland.
4Department Pflege und Management, Hochschule für angewandte Wissenschaft Hamburg, Hamburg, Deutschland.
5RehaKlinikum Bad Säckingen, Bad Säckingen, Deutschland.
6Schmerzambulanz, Helios-Fachklinik Schleswig, Schleswig, Deutschland.
7Klinik und Poliklinik für Orthopädie, Physikalische Medizin und Rehabilitation, Klinikum der Universität München, München, Deutschland.
8Deutsche Fibromyalgie Vereinigung, Seckach, Deutschland.
9Innere Medizin I, Klinikum Saarbrücken gGmbH, Saarbrücken, Deutschland.
Conference/Journal: Schmerz.
Date published: 2017 May 10
Other: Special Notes: doi: 10.1007/s00482-017-0206-1. [Epub ahead of print] [Article in German] , Word Count: 208

BACKGROUND: The regular update of the guidelines on fibromyalgia syndrome, AWMF number 145/004, was scheduled for April 2017.

METHODS: The guidelines were developed by 13 scientific societies and 2 patient self-help organizations coordinated by the German Pain Society. Working groups (n =8) with a total of 42 members were formed balanced with respect to gender, medical expertise, position in the medical or scientific hierarchy and potential conflicts of interest. A search of the literature for systematic reviews of randomized controlled trials of complementary and alternative therapies from December 2010 to May 2016 was performed in the Cochrane library, MEDLINE, PsycINFO and Scopus databases. Levels of evidence were assigned according to the classification system of the Oxford Centre for Evidence-Based Medicine version 2009. The strength of recommendations was formed by multiple step formalized procedures to reach a consensus. Efficacy, risks, patient preferences and applicability of available therapies were weighed up against each other. The guidelines were reviewed and approved by the board of directors of the societies engaged in the development of the guidelines.

RESULTS AND CONCLUSION: Meditative movement therapies (e.g. qi gong, tai chi and yoga) are strongly recommended. Acupuncture and weight reduction in cases of obesity can be considered.

KEYWORDS: Complementary medicine; Fibromyalgia syndrome; Guidelines; Medicine, alternative; Review, systematic

PMID: 28493227 DOI: 10.1007/s00482-017-0206-1