Evidence map›Paper›PMID 28493223›Full record

SynthesisSchmerz (Berlin, Germany)2017

[Physiotherapy, occupational therapy and physical therapy in fibromyalgia syndrome : Updated guidelines 2017 and overview of systematic review articles].

A Winkelmann, H Bork, W Brückle, C Dexl, P Heldmann, P Henningsen, L Krumbein, V Pullwitt, M Schiltenwolf, W Häuser

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Schmerz (Berlin, Germany), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Patient Version of Guideline for Fibromyalgia (2025 Edition).Journal of evidence-based medicine · 2025
    Article
  5. Article
  6. Review
  7. Review
  8. Facts and myths pertaining to fibromyalgia.Dialogues in clinical neuroscience · 2018
    Review
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

A WinkelmannKlinik und Poliklinik für Orthopädie, Physikalische Medizin und Rehabilitation, Klinikum der Universität München, München, Deutschland. andreas.winkelmann@med.uni-muenchen.de.
H BorkReha-Zentrum, St. Josef-Stift, Sendenhorst, Deutschland.
W BrückleRheumatologikum, Hannover, Deutschland.
C DexlDeutsche Fibromyalgie Vereinigung, Seckach, Deutschland.
P HeldmannBundesverband selbstständiger Physiotherapeuten, Bochum, Deutschland.
P HenningsenKlinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Technische Universität München, München, Deutschland.
L KrumbeinRehaKlinikum Bad Säckingen, Bad Säckingen, Deutschland.
V PullwittRheumazentrum Mittelhessen, Bad Endbach, Deutschland.
M SchiltenwolfSektion konservative Orthopädie, Zentrum für Orthopädie, Unfallchirurgie und Paraplegiologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.
W HäuserKlinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Technische Universität München, München, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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

methodsThe 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 literature search for systematic reviews of randomized, controlled trials on physiotherapy, occupational therapy and physical therapy 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 achieved 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

conclusionLow to moderate intensity endurance and strength training are strongly recommended. Chiropractic, laser therapy, magnetic field therapy, massage and transcranial magnetic stimulation are not recommended.

Indexed as

Occupational TherapyPhysical Therapy ModalitiesPractice Guidelines as TopicCombined Modality TherapyExerciseFibromyalgiaHumansPatient Care TeamSocieties, MedicalAerobic exerciseFibromyalgia syndromeGuidelinesPhysical therapiesReview, systematic

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.