A comparative evaluation of a fibromyalgia rehabilitation program

Objective. To compare an evidence-based clinical fibromyalgia program, refe rred to as Fibro-Fit, with results of controlled clinical trials. Methods. An interdisciplinary group education and exercise-program with 36 sessions over 12 weeks was used. Demographic, clinical, and outcome variabl es were collected on 149 participants, of whom 71% completed the program. O utcomes included measures of self-efficacy, pain, physical fitness, functio n, and coping skills. Results. Results of the prospective before-after evaluation showed statisti cally significant (P < 0.005) improvements in all outcomes except for grip strength. These results were comparable with controlled clinical trials fou nd in the literature. Data suggest that smoking, fibromyalgia support group s, and medications may be important modifiable factors. Conclusions. Results suggest that Fibro-Fit was effective in improving phys ical impairments and function. Further investigation is required to refine the effective components of these programs and determine how modifiable fac tors can be used to improve outcomes.