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Sistematični pregled raziskav iz leta 2010 je pokazal, da kognitivna vedenjska terapija izboljša bolnikovo soočanje z bolečino in zmanjša število obiskov pri zdravniku po opravljeni terapiji, vendar pa ni učinkovita pri samem lajšanju bolečine ter blaženju drugih simptomov, kot so utrujenost, motnje spanja in z zdravjem povezano zmanjšanje kakovosti življenja. Izboljšalo se je tudi depresivno počutje bolnikov, vendar v analizi niso mogli potrditi, da gre za nepristransko izboljšanje.<ref>{{cite journal |vauthors=Bernardy K, Füber N, Köllner V, Häuser W | title = Efficacy of cognitive-behavioral therapies in fibromyalgia syndrome – a systematic review and meta-analysis of randomized controlled trials | journal = [[J. Rheumatol.]] | volume = 37 | issue = 10 | pages = 1991–2005 | date = oktober 2010 | pmid = 20682676 | doi = 10.3899/jrheum.100104 | url = https://semanticscholar.org/paper/1065aa8078827c984944ce90d17802ad59645c77 }}</ref>
==== MindDuhovno-bodytelesne therapytehnike ====
MindDuhovno-bodytelesne therapiestehnike focusse onosredinjajo interactionsna amongsovplivanje the brainmožganov, mindduha, bodytelesa andin behaviourvedénja. TheTemeljijo [[Nationalna Centerholističnem fornačelu Complementarymedsebojne andpovezanosti Integrativeduha Health|Nationalin Centretelesa forin Complementarypacient andz Alternativeusvojitvijo Medicine]]tehnik definesobčuti theizboljšanje treatmentsv under holistic principle that mind-body are interconnected and through treatment there is improvementduševnem in psychologicaltelesnem andpočutju physicalter well-being,ima andv allowprocesu patient to have an active role inzdravljenja theiraktivno treatmentvlogo.<ref name=coch-mb>{{Cite journal|last=Theadom|first=Alice|last2=Cropley|first2=Mark|last3=Smith|first3=Helen E.|last4=Feigin|first4=Valery L.|last5=McPherson|first5=Kathryn|date=2015-04-09|title=Mind and body therapy for fibromyalgia|journal=The Cochrane Database of Systematic Reviews|issue=4|pages=CD001980|doi=10.1002/14651858.CD001980.pub3|issn=1469-493X|pmid=25856658}}</ref> ThereObstaja areveč severaltakih therapies such as mindfulnesstehnik, movementkot therapyso (yoga[[čuječnost]], tai chi)[[joga]], psychological (including CBT) and [[biofeedbacktaj či]], (use[[metoda ofbiološke technologypovratne to give audio/visual feedback on physiological processes like heartzanke]] rate)... ThereObstajajo isšibki onlydokazi weako evidenceučinkovitosti thatpsiholoških [[psychologicalintervencij intervention]]pri iszdravljenju effectivefibromialgije, inza theučinkovitost treatmentdrugih, oftako fibromyalgiaimenovanih andduhovno-telesnih notehnik, goodpa evidence for the benefit of other mind-bodydokazov therapiesni.<ref name=coch-mb/>
===ExerciseTelesna vadba===
ThereObstajajo ismočni strongdokazi, evidenceda indicatingpri thatnekaterih exercisebolnikih improvess fitnessfibromialgijo andtelesna sleepvadba andizboljša maytelesno reducepočutje painin andspanec fatigueter inlahko sometudi peopleublaži withbolečino fibromyalgiain utrujenost.<ref name=Busch2007>{{Cite journal|last=Busch|first=A. J.|last2=Barber|first2=K. a. R.|last3=Overend|first3=T. J.|last4=Peloso|first4=P. M. J.|last5=Schachter|first5=C. L.|date=2007-10-17|title=Exercise for treating fibromyalgia syndrome|url=|journal=The Cochrane Database of Systematic Reviews|volume=|issue=4|pages=CD003786|doi=10.1002/14651858.CD003786.pub2|issn=1469-493X|pmid=17943797}}</ref><ref name=pmid14770100>{{cite journal |vauthors=Gowans SE, deHueck A | title = Effectiveness of exercise in management of fibromyalgia | journal = [[Current Opinion in Rheumatology]] | volume = 16 | issue = 2 | pages = 138–42 | year = 2004 | pmid = 14770100 | doi = 10.1097/00002281-200403000-00012 }}</ref> InZlasti particular,močni theredokazi isso strongo evidenceučinkovitosti that[[aerobna cardiovasculartelesna exercisevadba|aerobne istelesne effectivevadbe]] forpri somenekaterih peoplebolnikih.<ref name="Goldenberg2004"/> Low-quality evidence suggests that high-intensity resistance training may improve pain and strength in women.<ref>{{Cite journal|last=Busch|first=Angela J|last2=Webber|first2=Sandra C|last3=Richards|first3=Rachel S|last4=Bidonde|first4=Julia|last5=Schachter|first5=Candice L|last6=Schafer|first6=Laurel A|last7=Danyliw|first7=Adrienne|last8=Sawant|first8=Anuradha|last9=Dal Bello-Haas|first9=Vanina|date=2013-12-20|title=Resistance exercise training for fibromyalgia|journal=Cochrane Database of Systematic Reviews|issue=12|pages=CD010884|doi=10.1002/14651858.cd010884|pmid=24362925|pmc=6544808|issn=1465-1858}}</ref> Studies of different forms of aerobic exercise for adults with fibromyalgia indicate that aerobic exercise improves quality of life, decreases pain, slightly improves physical function and makes no difference in fatigue and stiffness.<ref name=Bid2017/> Long-term effects are uncertain.<ref name=Bid2017>{{Cite journal|title=The Cochrane Library|journal = Cochrane Database of Systematic Reviews|volume = 6|pages = CD012700|last=Bidonde|first=Julia|last2=Busch|first2=Angela J.|last3=Schachter|first3=Candice L.|last4=Overend|first4=Tom J.|last5=Kim|first5=Soo Y.|last6=Góes|first6=Suelen M.|last7=Boden|first7=Catherine|last8=Foulds|first8=Heather JA|date=2017-06-21|language=en|doi=10.1002/14651858.cd012700|pmid = 28636204|pmc = 6481524}}</ref> Combinations of different exercises such as flexibility and aerobic training may improve stiffness.<ref name=":3">{{Cite journal|last=Bidonde|first=Julia|last2=Busch|first2=Angela J|last3=Schachter|first3=Candice L|last4=Webber|first4=Sandra C|last5=Musselman|first5=Kristin E|last6=Overend|first6=Tom J|last7=Góes|first7=Suelen M|last8=Dal Bello-Haas|first8=Vanina|last9=Boden|first9=Catherine|date=2019-05-24|title=Mixed exercise training for adults with fibromyalgia|journal=Cochrane Database of Systematic Reviews|volume=5|pages=CD013340|doi=10.1002/14651858.cd013340|pmid=31124142|issn=1465-1858}}</ref> However, the evidence is of low-quality.<ref name=":3" /> Tentative evidence suggests aquatic training can improve symptoms and wellness but, further research is required.<ref>{{Cite journal|last=Bidonde|first=Julia|last2=Busch|first2=Angela J|last3=Webber|first3=Sandra C|last4=Schachter|first4=Candice L|last5=Danyliw|first5=Adrienne|last6=Overend|first6=Tom J|last7=Richards|first7=Rachel S|last8=Rader|first8=Tamara|date=2014-10-28|title=Aquatic exercise training for fibromyalgia|journal=Cochrane Database of Systematic Reviews|issue=10|pages=CD011336|doi=10.1002/14651858.cd011336|pmid=25350761|issn=1465-1858}}</ref>
Low-quality evidence suggests that high-intensity resistance training may improve pain and strength in women.<ref>{{Cite journal|last=Busch|first=Angela J|last2=Webber|first2=Sandra C|last3=Richards|first3=Rachel S|last4=Bidonde|first4=Julia|last5=Schachter|first5=Candice L|last6=Schafer|first6=Laurel A|last7=Danyliw|first7=Adrienne|last8=Sawant|first8=Anuradha|last9=Dal Bello-Haas|first9=Vanina|date=2013-12-20|title=Resistance exercise training for fibromyalgia|journal=Cochrane Database of Systematic Reviews|issue=12|pages=CD010884|doi=10.1002/14651858.cd010884|pmid=24362925|pmc=6544808|issn=1465-1858}}</ref> Studies of different forms of aerobic exercise for adults with fibromyalgia indicate that aerobic exercise improves quality of life, decreases pain, slightly improves physical function and makes no difference in fatigue and stiffness.<ref name=Bid2017/> Long-term effects are uncertain.<ref name=Bid2017>{{Cite journal|title=The Cochrane Library|journal = Cochrane Database of Systematic Reviews|volume = 6|pages = CD012700|last=Bidonde|first=Julia|last2=Busch|first2=Angela J.|last3=Schachter|first3=Candice L.|last4=Overend|first4=Tom J.|last5=Kim|first5=Soo Y.|last6=Góes|first6=Suelen M.|last7=Boden|first7=Catherine|last8=Foulds|first8=Heather JA|date=2017-06-21|language=en|doi=10.1002/14651858.cd012700|pmid = 28636204|pmc = 6481524}}</ref> Combinations of different exercises such as flexibility and aerobic training may improve stiffness.<ref name=":3">{{Cite journal|last=Bidonde|first=Julia|last2=Busch|first2=Angela J|last3=Schachter|first3=Candice L|last4=Webber|first4=Sandra C|last5=Musselman|first5=Kristin E|last6=Overend|first6=Tom J|last7=Góes|first7=Suelen M|last8=Dal Bello-Haas|first8=Vanina|last9=Boden|first9=Catherine|date=2019-05-24|title=Mixed exercise training for adults with fibromyalgia|journal=Cochrane Database of Systematic Reviews|volume=5|pages=CD013340|doi=10.1002/14651858.cd013340|pmid=31124142|issn=1465-1858}}</ref> However, the evidence is of low-quality.<ref name=":3" /> Tentative evidence suggests aquatic training can improve symptoms and wellness but, further research is required.<ref>{{Cite journal|last=Bidonde|first=Julia|last2=Busch|first2=Angela J|last3=Webber|first3=Sandra C|last4=Schachter|first4=Candice L|last5=Danyliw|first5=Adrienne|last6=Overend|first6=Tom J|last7=Richards|first7=Rachel S|last8=Rader|first8=Tamara|date=2014-10-28|title=Aquatic exercise training for fibromyalgia|journal=Cochrane Database of Systematic Reviews|issue=10|pages=CD011336|doi=10.1002/14651858.cd011336|pmid=25350761|issn=1465-1858}}</ref>
A recommended approach to a graded exercise program begins with small, frequent exercise periods and builds up from there.<ref name=Ryan2013>{{Cite journal | vauthors=Ryan S | title = Care of patients with fibromyalgia: Assessment and management | journal = Nursing Standard | volume = 28 | issue = 13 | pages = 37–43 | year = 2013 | doi = 10.7748/ns2013.11.28.13.37.e7722|pmid=24279570}}</ref> In children, fibromyalgia is often treated with an intense physical and occupational therapy program for musculoskeletal pain syndromes. These programs also employ counseling, art therapy, and music therapy. These programs are evidence-based and report long-term total pain resolution rates as high as 88%.<ref>{{cite web |url=http://www.chop.edu/service/amplified-musculoskeletal-pain-syndrome/about-amps/amps-treatment.html |title=Archived copy |accessdate=2014-02-02 |url-status=live |archiveurl=https://web.archive.org/web/20140220043827/http://www.chop.edu/service/amplified-musculoskeletal-pain-syndrome/about-amps/amps-treatment.html |archivedate=20 February 2014 |df=dmy-all }}</ref> Limited evidence suggests vibration training in combination with exercise may improve pain, fatigue and stiffness.<ref>{{Cite journal|last=Bidonde|first=Julia|last2=Busch|first2=Angela J|last3=van der Spuy|first3=Ina|last4=Tupper|first4=Susan|last5=Kim|first5=Soo Y|last6=Boden|first6=Catherine|date=2017-09-26|title=Whole body vibration exercise training for fibromyalgia|journal=Cochrane Database of Systematic Reviews|volume=9|pages=CD011755|odi=10.1002/14651858.cd011755.pub2|pmid=28950401|pmc=6483692|issn=1465-1858}}</ref> ▼
Priporoča se program postopnega intenziviranja telesne vadbe, s kratkimi, a pogostimi telesnimi aktivnostmi v začetku.<ref name=Ryan2013>{{Cite journal | vauthors=Ryan S | title = Care of patients with fibromyalgia: Assessment and management | journal = Nursing Standard | volume = 28 | issue = 13 | pages = 37–43 | year = 2013 | doi = 10.7748/ns2013.11.28.13.37.e7722|pmid=24279570}}</ref>
▲A recommended approach to a graded exercise program begins with small, frequent exercise periods and builds up from there.<ref name=Ryan2013>{{Cite journal | vauthors=Ryan S | title = Care of patients with fibromyalgia: Assessment and management | journal = Nursing Standard | volume = 28 | issue = 13 | pages = 37–43 | year = 2013 | doi = 10.7748/ns2013.11.28.13.37.e7722|pmid=24279570}}</ref> In children, fibromyalgia is often treated with an intense physical and occupational therapy program for musculoskeletal pain syndromes. These programs also employ counseling, art therapy, and music therapy. These programs are evidence-based and report long-term total pain resolution rates as high as 88%.<ref>{{cite web |url=http://www.chop.edu/service/amplified-musculoskeletal-pain-syndrome/about-amps/amps-treatment.html |title=Archived copy |accessdate=2014-02-02 |url-status=live |archiveurl=https://web.archive.org/web/20140220043827/http://www.chop.edu/service/amplified-musculoskeletal-pain-syndrome/about-amps/amps-treatment.html |archivedate=20 February 2014 |df=dmy-all }}</ref> Limited evidence suggests vibration training in combination with exercise may improve pain, fatigue and stiffness.<ref>{{Cite journal|last=Bidonde|first=Julia|last2=Busch|first2=Angela J|last3=van der Spuy|first3=Ina|last4=Tupper|first4=Susan|last5=Kim|first5=Soo Y|last6=Boden|first6=Catherine|date=2017-09-26|title=Whole body vibration exercise training for fibromyalgia|journal=Cochrane Database of Systematic Reviews|volume=9|pages=CD011755|odi=10.1002/14651858.cd011755.pub2|pmid=28950401|pmc=6483692|issn=1465-1858}}</ref>
=== Zdravila ===
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