Patients' perceptions of exercise therapy in the treatment of fibromyalgia syndrome: a survey

Objective: To identify patients' perceptions of the role and benefits of exercise in the treatment of fibromyalgia syndrome (FMS). Design: A postal questionnaire was sent to all 225 members of the Northern Ireland Fibromyalgia Support Group. The questionnaire consisted of 19 questions and was sub‐divided into four sections: (1) background information; (2) previous treatment; (3) opinions on the role of exercise in FMS and (4) current participation in, and barriers to, exercise. Data were analysed using descriptive statistics. Results: A response rate of 51.1% (115/225) was achieved. Forty nine percent (57) of respondents were receiving FMS‐associated disability benefits and 13% (15) were working full‐time. All reported previous treatment for FMS. Ninety‐six (84%) had received medication and 82 (71%) exercise‐based therapy. Just over half (42/82) of those who had participated in exercise therapy reported it to be an effective management strategy. Two thirds (48/71) of those who used bedrest, and over half (52/96) of those who used medications reported these interventions to be effective. Eighty‐two per cent (94) ‘agreed’ or ‘strongly agreed’ that exercise improved fitness and 60% (69) ‘agreed’ or ‘strongly agreed’ that exercise increased feelings of well‐being, but only 13.9% (16) reported that it reduced their pain. The most commonly reported barriers to exercise were fatigue (85%, 98) and pain (73%, 84). Conclusion: Exercise therapy is a common treatment for fibromyalgia syndrome, but while respondents accepted its general health benefits, the vast majority did not report that it reduced their pain. Copyright © 2003 Whurr Publishers Ltd.