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Re: exercise/fibro/cfs

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Exercise for Patients with Fibromyalgia: Risks versus Benefits.

Curr Rheumatol Rep 2001 Apr;3(2):135-40

SR, KD, Burckhardt CS, R

Oregon Health Sciences University, 3181 SW Sam , L323, Portland,

OR 97201, USA. robben@...

PMID: 11286670

Although exercise in the form of stretching, strength maintenance, and

aerobic conditioning is generally considered beneficial to patients with

fibromyalgia (FM), there is no reliable evidence to explain why exercise

should help alleviate the primary symptom of FM, namely pain.

Study results are varied and do not provide a uniform consensus that

exercise is beneficial or what type, intensity, or duration of exercise

is best. Patients who suffer from exercise-induced pain often do not

follow through with recommendations. Evidence-based prescriptions are

usually inadequate because most are based on methods designed for persons

without FM and, therefore, lack individualization. A mismatch between

exercise intensity and level of conditioning may trigger a classic

neuroendocrine stress reaction.

This review considers the adverse and beneficial effects of exercise. It

also provides a patient guide to exercise that takes into account the

risks and benefits of exercise for persons with FM.

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