Activité physique dans la prise en charge de la fibromyalgie

The international therapeutic recommendations for fibromyalgia (FM) highlight the importance of adapted physical activity (APA) associated with therapeutic education. Cognitive and behavioural therapies as well as an interdisciplinary approach can be proposed for more complex or severe clinical situations, with a bio-psycho-social vision of rehabilitation. To allow for an optimal personalisation of the rehabilitation's therapeutic approach, the clinician can use simple and validated instruments for measuring physical performancethat will highlight levels of physical condition ranging from low to very low. Several systematic reviews and meta-analyses show strong evidence that supervised aerobic and resistance training programs reduce the pain's intensity and significantly improve the quality of life and the physical and psychological functioning of female FM subjects. These therapeutic approaches appear safe and promising in terms of cost-effectiveness and should be the subject of more randomized controlled trial (RCT) studies among male FM subjects and adolescents.