A randomized, controlled trial of exercise and education for individuals with fibromyalgia

Objective. To evaluate the efficacy of a 6-week exercise and educational pr ogram for patients with fibromyalgia. Methods. forty-one subjects were randomly assigned to the program or served as waiting list controls. Program outcome was assessed with a 6-minute wal k test, the Fibromyalgia Impact Questionnaire, a Self-Efficacy Scale, and a "knowledge" questionnaire (based on information provided during the educat ional sessions). Waiting list control subjects subsequently completed the p rogram. Program outcome was reassessed 3 or 6 months post-program. Results. The program produced significant improvements in 6-minute walk dis tance, well-being, fatigue, self-efficacy (for controlling pain and other s ymptoms), and knowledge. At followup, immediate gains in walk distance, wel l-being, and self-efficacy were maintained, but gains in fatigue and knowle dge were lost. Conclusion. Short-term exercise and educational programs can produce immedi ate and sustained benefits for patients wit fibromyalgia. The benefits of o ur program may be due to exercise or education since both interventions wer e given.