The Turkish Society of Physical Medicine and Rehabilitation (TSPMR) guideline recommendations for the management of fibromyalgia syndrome

Ketenci, Ayşegül; Evcik, Fatma Deniz; Sindel, Dilsad

doi:10.5606/tftrd.2019.4815

The Turkish Society of Physical Medicine and Rehabilitation (TSPMR) guideline recommendations for the management of fibromyalgia syndrome

Deniz EVCİK, (Güven Hastanesi, Fiziksel Tıp ve Rehabilitasyon Bölümü, Ankara, Türkiye)

Ayşegül KETENCİ, (İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

Dilşad SİNDEL (İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

Turkish Journal of Physical Medicine and Rehabilitation

16 0

Yıl: 2019 Cilt: 65 Sayı: 2 Sayfa Aralığı: 111 - 123 Metin Dili: İngilizce DOI: 10.5606/tftrd.2019.4815 İndeks Tarihi: 03-12-2020

The Turkish Society of Physical Medicine and Rehabilitation (TSPMR) guideline recommendations for the management of fibromyalgia syndrome

Öz:

In the present study, we aimed to establish a national guideline including recommendations of the Turkish Society of Physical Medicine andRehabilitation (TSPMR) for the management of Fibromyalgia (FM) syndrome. This guideline was built mainly in accordance with the 2017revised European League Against Rheumatism (EULAR) guideline recommendations for the management of FM. A total of 46 physicalmedicine and rehabilitation specialists were included. A systematic literature search was carried out in PubMed, Scopus, Cochrane, andTurkish Medical Index between 2000 and 2018. Evidence levels of the publications were evaluated, and the levels of recommendation weregraded on the basis of relevant levels of evidence, The Assessment of Level of Agreement with opinions by task force members was establishedusing the electronic Delphi technique. Recommendations were assessed by two Delphi rounds and 7 of 10 points were deemed necessary foragreement. The treatment recommendations were classified as non-pharmacological therapies (6 main items), pharmacological treatments(10 items), and complementary therapies (5 items). These were recommended in the light of evidence, depending on the clinical and generalcondition of each patient. This is the first national TSPMR guideline recommendations for the management of FM in Turkey. We believe oureffort would be helpful for the physicians who are interested in the treatment of FM.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık

1. Kia S, Choy E. Update on Treatment Guideline in Fibromyalgia Syndrome with Focus on Pharmacology. Biomedicines 2017;5. pii: E20.
2. Bazzichi L, Giacomelli C, Consensi A, Atzeni F, Batticciotto A, Di Franco M, et al. One year in review 2016: fibromyalgia. Clin Exp Rheumatol 2016;34:145-9.
3. Ata AM, Çetin A. Fibromiyalji Tanımı, Epidemiyolojisi: Türkiye Klinikleri J. PM&R-Special Topics 2015;8:1-4.
4. Gürer G, Şendur ÖF. Fibromiyaljili hastalarımızın klinik özellikleri ile bulgular arasındaki korelasyonlar. Romatizma 2006;21:41-4.
5. Ofluoğlu D, Kul-Panza E, Gündüz OH, Güven Z. Fibromiyalji sendromlu hastalarda klinik belirtilerin sıklığı ve fibromiyalji sendromu-hipermobilite ilişkisi. Turk J Phys Med Rehab 2004;50:9-12.
6. Erdal A, Hacıbeyoğlu K, Şenel K. Fibromiyalji sendromlu hastalarımızın klinik ve demografik özellikleri. Fiziksel Tıp 2002;5:135-9.
7. Garip Y, Öztaş D, Güler T. Prevalence of fibromyalgia in Turkish geriatric population and its impact on quality of life. Agri 2016;28:165-70.
8. Dymon TE. Fibromyalgia. ACSAP Neurologic and. Psychiatric Care 2015:5-18.
9. Gür A. Fibromiyaljide etiyopatogenez. Türk Fiz Tıp Rehab Derg 2008;54:4-11.
10. Berker E. Fibromiyalji sendromunda fizyopatolojik mekanizmalar. Türk Fiz Tıp Rehab Derg 2007;53:36-40.
11. Ay S. Fibromiyalji sendromunun patogenezi. Türkiye Klinikleri J PM&R-Special Topics 2015;8:5-9.
12. Fitzcharles MA, Ste-Marie PA, Goldenberg DL, Pereira JX, Abbey S, Choinière M, et al. 2012 Canadian Guidelines for the Diagnosis and Management of Fibromyalgia Syndrome. Available at: http://fmguidelines.ca/ [Access data: August 12, 2017].
13. World Health Organization. General guidelines for methodologies on research and traditional medicine. Available at: http://apps.who.int/medicinedocs/en/d/ Jwhozip42e/13.1.html. [ Access data:: November 20, 2017].
14. Rossy LA, Buckelew SP, Dorr N, Hagglund KJ, Thayer JF, McIntosh MJ, et al. A meta-analysis of fibromyalgia treatment interventions. Ann Behav Med 1999;21:180-91.
15. Sindel D, Saral İ, Esmaeilzadeh S. Fibromiyalji sendromunda uygulanan tedavi yöntemleri. Turk J Phys Med Rehab 2012;58:136-42.
16. Sarzi-Puttini P, Atzeni F, Salaffi F, Cazzola M, Benucci M, Mease PJ. Multidisciplinary approach to fibromyalgia: what is the teaching? Best Pract Res Clin Rheumatol 2011;25:311-9.
17. Kibar S. Fibromiyalji sendromu tedavisine kanıta dayalı tıp açısından yaklaşım. Türkiye Klinikleri J PM&R-Special Topics 2015;8:57-62.
18. Ediz L, Hiz Ö. Physical therapy in treating fibromyalgia syndrome: A Brief Review. J PMR Sci 2011;14:28-32.
19. Genç A. Fibromiyalji sendromunda nonfarmakolojik tedavi yöntemleri. Türkiye Klinikleri J PM&R-Special Topics 2015;8:36-44.
20. Koldaş Doğan Ş, Ay S, Evcik D. Fibromiyalji tedavisinde güncel yaklaşımlar. Yeni Tıp Dergisi 2011;28:73-8.
21. Rooks DS, Gautam S, Romeling M, Cross ML, Stratigakis D, Evans B, et al. Group exercise, education, and combination self-management in women with fibromyalgia: a randomized trial. Arch Intern Med 2007;167:2192-200.
22. Hammond A, Freeman K. Community patient education and exercise for people with fibromyalgia: a parallel group randomized controlled trial. Clin Rehabil 2006;20:835-46.
23. Martins MR, Gritti CC, dos Santos Junior R, de Araújo MC, Dias LC, Foss MH, et al. Randomized controlled trial of a therapeutic intervention group in patients with fibromyalgia syndrome. Rev Bras Reumatol 2014;54:179-84.
24. Gowans SE, deHueck A. Effectiveness of exercise in management of fibromyalgia. Curr Opin Rheumatol 2004;16:138-42.
25. Sindel D, Ketenci A. Fibromiyalji. Fibromiyaljide diğer tedavi yaklaşımları. Gokce Kutsal Y, editor. Modern Tıp Seminerleri 2001;16;45-56.
26. Geneen LJ, Moore RA, Clarke C, Martin D, Colvin LA, Smith BH. Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. Cochrane Database Syst Rev 2017;4:CD011279.
27. Macfarlane GJ, Kronisch C, Dean LE, Atzeni F, Häuser W, Fluß E, et al. EULAR revised recommendations for the management of fibromyalgia. Ann Rheum Dis 2017;76:318-28.
28. Bidonde J, Busch AJ, Webber SC, Schachter CL, Danyliw A, Overend TJ, et al. Aquatic exercise training for fibromyalgia. Cochrane Database Syst Rev 2014;10:CD011336.
29. Kibar S, Yıldız HE, Ay S, Evcik D, Ergin ES. New approach in fibromyalgia exercise program: a preliminary study regarding the effectiveness of balance training. Arch Phys Med Rehabil 2015;96:1576-82.
30. Sonel Tur B. Fibromiyalji sendromunda egzersiz tedavisi. Türkiye Klinikleri J PM&R-Special Topics 2015;8:45-9.
31. Bidonde J, Busch AJ, Schachter CL, Overend TJ, Kim SY, Góes SM, et al. Aerobic exercise training for adults with fibromyalgia. Cochrane Database Syst Rev 2017;6:CD012700.
32. Busch AJ, Webber SC, Brachaniec M, Bidonde J, Bello-Haas VD, Danyliw AD, et al. Exercise therapy for fibromyalgia. Curr Pain Headache Rep 2011;15:358-67.
33. Busch AJ, Webber SC, Richards RS, Bidonde J, Schachter CL, Schafer LA, et al. Resistance exercise training for fibromyalgia. Cochrane Database Syst Rev 2013;12:CD010884.
34. Valim V, Oliveira L, Suda A, Silva L, de Assis M, Barros Neto T, et al. Aerobic fitness effects in fibromyalgia. J Rheumatol 2003;30:1060-9.
35. Lorena SB, Lima Mdo C, Ranzolin A, Duarte ÂL. Effects of muscle stretching exercises in the treatment of fibromyalgia: a systematic review. Rev Bras Reumatol 2015;55:167-73.
36. Altan L, Bingöl U, Aykaç M, Koç Z, Yurtkuran M. Investigation of the effects of pool-based exercise on fibromyalgia syndrome. Rheumatol Int 2004;24:272-7.
37. Evcik D, Yigit I, Pusak H, Kavuncu V. Effectiveness of aquatic therapy in the treatment of fibromyalgia syndrome: a randomized controlled open study. Rheumatol Int 2008;28:885-90.
38. Fernandes G, Jennings F, Nery Cabral MV, Pirozzi Buosi AL, Natour J. Swimming Improves Pain and Functional Capacity of Patients With Fibromyalgia: A Randomized Controlled Trial. Arch Phys Med Rehabil 2016;97:1269-75.
39. Salazar AP, Stein C, Marchese RR, Plentz RD, Pagnussat AS. Electric stimulation for pain relief in patients with fibromyalgia: a systematic review and meta-analysis of randomized controlled trials. Pain Physician 2017;20:15-25.
40. Sluka KA, Walsh D. Transcutaneous electrical nerve stimulation: basic science mechanisms and clinical effectiveness. J Pain 2003;4:109-21.
41. Maeda Y, Lisi TL, Vance CG, Sluka KA. Release of GABA and activation of GABA(A) in the spinal cord mediates the effects of TENS in rats. Brain Res 2007;1136:43-50.
42. Löfgren M, Norrbrink C. Pain relief in women with fibromyalgia: a cross-over study of superficial warmth stimulation and transcutaneous electrical nerve stimulation. J Rehabil Med 2009;41:557-62.
43. Mutlu B, Paker N, Bugdayci D, Tekdos D, Kesiktas N. Efficacy of supervised exercise combined with transcutaneous electrical nerve stimulation in women with fibromyalgia: a prospective controlled study. Rheumatol Int 2013;33:649-55.
44. Yağcı İ, Ağırman M, Öztürk D, Eren B. Is the transcranial magnetic stimulation an adjunctive treatment in fibromyalgia patients? Turk J Phys Med Rehab 2014;60:206-11.
45. Passard A, Attal N, Benadhira R, Brasseur L, Saba G, Sichere P, et al. Effects of unilateral repetitive transcranial magnetic stimulation of the motor cortex on chronic widespread pain in fibromyalgia. Brain 2007;130:2661-70.
46. Sampson SM, Rome JD, Rummans TA. Slowfrequency rTMS reduces fibromyalgia pain. Pain Med 2006;7:115-8.
47. Thomas AW, Graham K, Prato FS, McKay J, Forster PM, Moulin DE, et al. A randomized, double-blind, placebocontrolled clinical trial using a low-frequency magnetic field in the treatment of musculoskeletal chronic pain. Pain Res Manag 2007;12:249-58.
48. Sutbeyaz ST, Sezer N, Koseoglu F, Kibar S. Low-frequency pulsed electromagnetic field therapy in fibromyalgia: a randomized, double-blind, sham-controlled clinical study. Clin J Pain 2009;25:722-8.
49. Boyer L, Dousset A, Roussel P, Dossetto N, Cammilleri S, Piano V, et al. rTMS in fibromyalgia: a randomized trial evaluating QoL and its brain metabolic substrate. Neurology 2014;82:1231-8.
50. Hou WH, Wang TY, Kang JH. The effects of add-on non-invasive brain stimulation in fibromyalgia: a metaanalysis and meta-regression of randomized controlled trials. Rheumatology (Oxford) 2016;55:1507-17.
51. Matsutani LA, Marques AP, Ferreira EA, Assumpção A, Lage LV, Casarotto RA, et al. Effectiveness of muscle stretching exercises with and without laser therapy at tender points for patients with fibromyalgia. Clin Exp Rheumatol 2007;25:410-5.
52. Gür A, Karakoc M, Nas K, Cevik R, Sarac J, Ataoglu S. Effects of low power laser and low dose amitriptyline therapy on clinical symptoms and quality of life in fibromyalgia: a single-blind, placebo-controlled trial. Rheumatol Int 2002;22:188-93.
53. Korkmaz Oltulu H, Cantürk F. Primer fibromiyalji sendromunda ultrason ve lazer tedavilerinin etkinliklerinin karşılaştırılması. Turk J Phys Med Rehab 1998;1:25-8.
54. Citak-Karakaya I, Akbayrak T, Demirtürk F, Ekici G, Bakar Y. Short and long-term results of connective tissue manipulation and combined ultrasound therapy in patients with fibromyalgia. J Manipulative Physiol Ther 2006;29:524-8.
55. Kozanoğlu ME, Uysal FG, Kapuağası G, Sur S, Göncü K. İnterferansiyel akımın fibromiyaljili hastalardaki analjezik etkinliği. Romatoloji ve Tıbbi Rehabilitasyon Dergisi 2000;11:189-92.
56. Perraton L, Machotka Z, Kumar S. Components of effective randomized controlled trials of hydrotherapy programs for fibromyalgia syndrome: A systematic review. J Pain Res 2009;2:165-73.
57. McVeigh JG, McGaughey H, Hall M, Kane P. The effectiveness of hydrotherapy in the management of fibromyalgia syndrome: a systematic review. Rheumatol Int 2008;29:119-30.
58. Langhorst J, Musial F, Klose P, Häuser W. Efficacy of hydrotherapy in fibromyalgia syndrome--a meta-analysis of randomized controlled clinical trials. Rheumatology (Oxford) 2009;48:1155-9.
59. Naumann J, Sadaghiani C. Therapeutic benefit of balneotherapy and hydrotherapy in the management of fibromyalgia syndrome: a qualitative systematic review and meta-analysis of randomized controlled trials. Arthritis Res Ther 2014;16:R141.
60. Yuan SL, Matsutani LA, Marques AP. Effectiveness of different styles of massage therapy in fibromyalgia: a systematic review and meta-analysis. Man Ther 2015;20:257-64.
61. Reimers N, Reimers CD. Exercise for lower back pain, hip and knee osteoarthritis, and fibromyalgia: effects on pain-a literature review. Aktuelle Rheumatologie 2012;37:174-88.
62. van Koulil S, Effting M, Kraaimaat FW, van Lankveld W, van Helmond T, Cats H, et al. Cognitive-behavioural therapies and exercise programmes for patients with fibromyalgia: state of the art and future directions. Ann Rheum Dis 2007;66:571-81.
63. Minelli A, Vaona A. Effectiveness of cognitive behavioral therapy in the treatment of fibromyalgia syndrome: a metaanalytic literature review. Reumatismo 2012;64:151-7.
64. Bernardy K, Füber N, Köllner V, Häuser W. Efficacy of cognitive-behavioral therapies in fibromyalgia syndrome - a systematic review and metaanalysis of randomized controlled trials. J Rheumatol 2010;37:1991-2005.
65. Bernardy K, Klose P, Busch AJ, Choy EH, Häuser W. Cognitive behavioural therapies for fibromyalgia. Cochrane Database Syst Rev 2013;9:CD009796.
66. Williams DA. Psychological and behavioural therapies in fibromyalgia and related syndromes. Best Pract Res Clin Rheumatol 2003;17:649-65.
67. Öncü J. Fibromiyalji sendromunda farmakolojik tedavi. Türkiye Klinikleri J PM&R-Special Topics 2015;8:28-35.
68. Goldenberg DL, Burckhardt C, Crofford L. Management of fibromyalgia syndrome. JAMA 2004;292:2388-95.
69. Calandre EP, Rico-Villademoros F, Rodríguez-López CM. Monotherapy or combination therapy for fibromyalgia treatment? Curr Rheumatol Rep 2012;14:568-75.
70. Cohen H. Controversies and challenges in fibromyalgia: a review and a proposal. Ther Adv Musculoskelet Dis 2017;9:115-127.
71. Üçeyler N, Sommer C, Walitt B, Häuser W. Anticonvulsants for fibromyalgia. Cochrane Database Syst Rev 2017;10:CD010782.
72. Roth T, Bhadra-Brown P, Pitman VW, Resnick EM. Pregabalin Improves Fibromyalgia-related Sleep Disturbance. Clin J Pain 2016;32:308-12.
73. Gerardi MC, Atzeni F, Batticciotto A, Di Franco M, Rizzi M, Sarzi-Puttini P. The safety of pregabalin in the treatment of fibromyalgia. Expert Opin Drug Saf 2016;15:1541-8.
74. Cooper TE, Derry S, Wiffen PJ, Moore RA. Gabapentin for fibromyalgia pain in adults. Cochrane Database Syst Rev 2017;1:CD012188.
75. Choy E, Marshall D, Gabriel ZL, Mitchell SA, Gylee E, Dakin HA. A systematic review and mixed treatment comparison of the efficacy of pharmacological treatments for fibromyalgia. Semin Arthritis Rheum 2011;41:335-45.
76. Häuser W, Bernardy K, Uçeyler N, Sommer C. Treatment of fibromyalgia syndrome with antidepressants: a metaanalysis. JAMA 2009;301:198-209.
77. Tort S, Urrútia G, Nishishinya MB, Walitt B. Monoamine oxidase inhibitors (MAOIs) for fibromyalgia syndrome. Cochrane Database Syst Rev 2012;4:CD009807.
78. Ablin J, Fitzcharles MA, Buskila D, Shir Y, Sommer C, Häuser W. Treatment of fibromyalgia syndrome: recommendations of recent evidence-based interdisciplinary guidelines with special emphasis on complementary and alternative therapies. Evid Based Complement Alternat Med 2013;2013:485272.
79. Koyuncu H, Kılınç F, Aydın T, Nejat F, Uludağ M. Fibromiyalji sendromunda moklobemidin klinik etkinlik ve tolerabilitesi. Turk J Phys Med Rehab 2004;50:3.
80. Derry S, Wiffen PJ, Häuser W, Mücke M, Tölle TR, Bell RF, et al. Oral nonsteroidal anti-inflammatory drugs for fibromyalgia in adults. Cochrane Database Syst Rev 2017;3:CD012332.
81. Perrot S, Russell IJ. More ubiquitous effects from nonpharmacologic than from pharmacologic treatments for fibromyalgia syndrome: a meta-analysis examining six core symptoms. Eur J Pain 2014;18:1067-80.
82. Uçeyler N, Häuser W, Sommer C. A systematic review on the effectiveness of treatment with antidepressants in fibromyalgia syndrome. Arthritis Rheum 2008;59:1279-98.
83. Häuser W, Wolfe F, Tölle T, Uçeyler N, Sommer C. The role of antidepressants in the management of fibromyalgia syndrome: a systematic review and meta-analysis. CNS Drugs 2012;26:297-307.
84. Arnold LM, Keck PE Jr, Welge JA. Antidepressant treatment of fibromyalgia. A meta-analysis and review. Psychosomatics 2000;41:104-13.
85. Jung AC, Staiger T, Sullivan M. The efficacy of selective serotonin reuptake inhibitors for the management of chronic pain. J Gen Intern Med 1997;12:384-9.
86. Walitt B, Urrútia G, Nishishinya MB, Cantrell SE, Häuser W. Selective serotonin reuptake inhibitors for fibromyalgia syndrome. Cochrane Database Syst Rev 2015;6:CD011735.
87. Häuser W, Urrútia G, Tort S, Uçeyler N, Walitt B. Serotonin and noradrenaline reuptake inhibitors (SNRIs) for fibromyalgia syndrome. Cochrane Database Syst Rev 2013;1:CD010292.
88. Tofferi JK, Jackson JL, O'Malley PG. Treatment of fibromyalgia with cyclobenzaprine: A meta-analysis. Arthritis Rheum 2004;51:9-13.
89. Roskell NS, Beard SM, Zhao Y, Le TK. A meta-analysis of pain response in the treatment of fibromyalgia. Pain Pract 2011;11:516-27.
90. Lawson K. A Brief review of the pharmacology of amitriptyline and clinical outcomes in treating fibromyalgia. Biomedicines 2017;5. pii: E24.
91. Häuser W, Petzke F, Üçeyler N, Sommer C. Comparative efficacy and acceptability of amitriptyline, duloxetine and milnacipran in fibromyalgia syndrome: a systematic review with meta-analysis. Rheumatology (Oxford) 2011;50:532-43.
92. Nishishinya B, Urrútia G, Walitt B, Rodriguez A, Bonfill X, Alegre C, et al. Amitriptyline in the treatment of fibromyalgia: a systematic review of its efficacy. Rheumatology (Oxford) 2008;47:1741-6.
93. Moore RA, Derry S, Aldington D, Cole P, Wiffen PJ. Amitriptyline for neuropathic pain and fibromyalgia in adults. Cochrane Database Syst Rev 2012;12:CD008242.
94. de Souza Nascimento S, Desantana JM, Nampo FK, Ribeiro EA, da Silva DL, Araújo-Júnior JX, et al. Efficacy and safety of medicinal plants or related natural products for fibromyalgia: a systematic review. Evid Based Complement Alternat Med 2013;2013:149468.
95. Deare JC, Zheng Z, Xue CC, Liu JP, Shang J, Scott SW, et al. Acupuncture for treating fibromyalgia. Cochrane Database Syst Rev 2013;5:CD007070.
96. Berman BM, Ezzo J, Hadhazy V, Swyers JP. Is acupuncture effective in the treatment of fibromyalgia? J Fam Pract 1999;48:213-8.
97. Cao H, Li X, Han M, Liu J. Acupoint stimulation for fibromyalgia: a systematic review of randomized controlled trials. Evid Based Complement Alternat Med 2013;2013:362831.
98. Daya S. The efficacy of acupuncture in the treatment of fibromyalgia syndrome. Acupunct Assoc Charter Physiother 2007;3:35-46.
99. Langhorst J, Klose P, Musial F, Irnich D, Häuser W. Efficacy of acupuncture in fibromyalgia syndrome--a systematic review with a meta-analysis of controlled clinical trials. Rheumatology (Oxford) 2010;49:778-88.
100. Martin-Sanchez E, Torralba E, Díaz-Domínguez E, Barriga A, Martin JL. Efficacy of acupuncture for the treatment of fibromyalgia: systematic review and meta-analysis of randomized trials. Open Rheumatol J 2009;3:25-9.
101. Mayhew E, Ernst E. Acupuncture for fibromyalgia- -a systematic review of randomized clinical trials. Rheumatology (Oxford) 2007;46:801-4.
102. Yang B, Yi G, Hong W, Bo C, Wang Z, Liu Y, et al. Efficacy of acupuncture on fibromyalgia syndrome: a meta-analysis. J Tradit Chin Med 2014;34:381-91.
103. Demir G, Ediz L, Tekeoğlu L. A randomized controlled trial of acupuncture added to escitalopram treatment for fibromyalgia and related conditions. FTR Bil Der 2010;13:93-8.
104. Vas J, Santos-Rey K, Navarro-Pablo R, Modesto M, Aguilar I, Campos MÁ, et al. Acupuncture for fibromyalgia in primary care: a randomised controlled trial. Acupunct Med 2016;34:257-66.
105. Lauche R, Cramer H, Dobos G, Langhorst J, Schmidt S. A systematic review and meta-analysis of mindfulnessbased stress reduction for the fibromyalgia syndrome. J Psychosom Res 2013;75:500-10.
106. Adler-Neal AL, Zeidan F. Mindfulness Meditation for Fibromyalgia: Mechanistic and Clinical Considerations. Curr Rheumatol Rep 2017;19:59.
107. Langhorst J, Klose P, Dobos GJ, Bernardy K, Häuser W. Efficacy and safety of meditative movement therapies in fibromyalgia syndrome: a systematic review and metaanalysis of randomized controlled trials. Rheumatol Int 2013;33:193-207.
108. Langhorst J, Heldmann P, Henningsen P, Kopke K, Krumbein L, Lucius H, et al. Complementary and alternative procedures for fibromyalgia syndrome: Updated guidelines 2017 and overview of systematic review articles]. Schmerz 2017;31:289-95. [Abstract]
109. Maddali Bongi S, Paoletti G, Calà M, Del Rosso A, El Aoufy K, Mikhaylova S. Efficacy of rehabilitation with Tai Ji Quan in an Italian cohort of patients with Fibromyalgia Syndrome. Complement Ther Clin Pract 2016;24:109-15.
110. Okifuji A, Gao J, Bokat C, Hare BD. Management of fibromyalgia syndrome in 2016. Pain Manag 2016;6:383- 400.
111. Vayvay ES, Tok D, Turgut E, Tunay VB. The effect of Laser and taping on pain, functional status and quality of life in patients with fibromyalgia syndrome: A placeborandomized controlled clinical trial. J Back Musculoskelet Rehabil 2016;29:77-83.
112. Barilaro G, Francesco Masala I, Parracchini R, Iesu C, Caddia G, Sarzi-Puttini P, et al. The role of hyperbaric oxygen therapy in orthopedics and rheumatological diseases. Isr Med Assoc J 2017;19:429-34.
113. Efrati S, Golan H, Bechor Y, Faran Y, Daphna-Tekoah S, Sekler G, et al. Hyperbaric oxygen therapy can diminish fibromyalgia syndrome--prospective clinical trial. PLoS One 2015;10:e0127012.
114. Thimineur M, De Ridder D. C2 area neurostimulation: a surgical treatment for fibromyalgia. Pain Med 2007;8:639-46.
115. Plazier M, Dekelver I, Vanneste S, Stassijns G, Menovsky T, Thimineur M, et al. Occipital nerve stimulation in fibromyalgia: a double-blind placebo-controlled pilot study with a six-month follow-up. Neuromodulation 2014;17:256-63.
116. Schafranski MD, Malucelli T, Machado F, Takeshi H, Kaiber F, Schmidt C, et al. Intravenous lidocaine for fibromyalgia syndrome: an open trial. Clin Rheumatol 2009;28:853-5.
117. Vlainich R, Issy AM, Gerola LR, Sakata RK. Effect of intravenous lidocaine on manifestations of fibromyalgia. Pain Pract 2010;10:301-5.
118. Raphael JH, Southall JL, Treharne GJ, Kitas GD. Efficacy and adverse effects of intravenous lignocaine therapy in fibromyalgia syndrome. BMC Musculoskelet Disord 2002;3:21.
119. Cao H, Liu J, Lewith GT. Traditional Chinese Medicine for treatment of fibromyalgia: a systematic review of randomized controlled trials. J Altern Complement Med 2010;16:397-409.
120. De Silva V, El-Metwally A, Ernst E, Lewith G, Macfarlane GJ. Evidence for the efficacy of complementary and alternative medicines in the management of fibromyalgia: a systematic review. Rheumatology (Oxford) 2010;49:1063-8.
121. Perry R, Terry R, Ernst E. A systematic review of homoeopathy for the treatment of fibromyalgia. Clin Rheumatol 2010;29:457-64.
122. Boehm K, Raak C, Cramer H, Lauche R, Ostermann T. Homeopathy in the treatment of fibromyalgia- -a comprehensive literature-review and meta-analysis. Complement Ther Med 2014;22:731-42.
123. Häuser W, Ablin J, Perrot S, Fitzcharles MA. Management of fibromyalgia: practical guides from recent evidencebased guidelines. Pol Arch Intern Med 2017;127:47-56.
124. Saral I, Sindel D, Esmaeilzadeh S, Sertel-Berk HO, Oral A. The effects of long- and short-term interdisciplinary treatment approaches in women with fibromyalgia: a randomized controlled trial. Rheumatol Int 2016;36:1379-89.
125. van Koulil S, Kraaimaat FW, van Lankveld W, van Riel PL, Evers AW. A patient's perspective on multidisciplinary treatment gain for fibromyalgia: an indicator for pre-post treatment effects? Arthritis Rheum 2009;61:1626-32.
126. Salaffi F, Ciapetti A, Gasparini S, Atzeni F, Sarzi-Puttini P, Baroni M. Web/Internet-based telemonitoring of a randomized controlled trial evaluating the time-integrated effects of a 24-week multicomponent intervention on key health outcomes in patients with fibromyalgia. Clin Exp Rheumatol 2015;33:93-101.

APA	Evcik F, Ketenci A, Sindel D (2019). The Turkish Society of Physical Medicine and Rehabilitation (TSPMR) guideline recommendations for the management of fibromyalgia syndrome. , 111 - 123. 10.5606/tftrd.2019.4815
Chicago	Evcik Fatma Deniz,Ketenci Ayşegül,Sindel Dilsad The Turkish Society of Physical Medicine and Rehabilitation (TSPMR) guideline recommendations for the management of fibromyalgia syndrome. (2019): 111 - 123. 10.5606/tftrd.2019.4815
MLA	Evcik Fatma Deniz,Ketenci Ayşegül,Sindel Dilsad The Turkish Society of Physical Medicine and Rehabilitation (TSPMR) guideline recommendations for the management of fibromyalgia syndrome. , 2019, ss.111 - 123. 10.5606/tftrd.2019.4815
AMA	Evcik F,Ketenci A,Sindel D The Turkish Society of Physical Medicine and Rehabilitation (TSPMR) guideline recommendations for the management of fibromyalgia syndrome. . 2019; 111 - 123. 10.5606/tftrd.2019.4815
Vancouver	Evcik F,Ketenci A,Sindel D The Turkish Society of Physical Medicine and Rehabilitation (TSPMR) guideline recommendations for the management of fibromyalgia syndrome. . 2019; 111 - 123. 10.5606/tftrd.2019.4815
IEEE	Evcik F,Ketenci A,Sindel D "The Turkish Society of Physical Medicine and Rehabilitation (TSPMR) guideline recommendations for the management of fibromyalgia syndrome." , ss.111 - 123, 2019. 10.5606/tftrd.2019.4815
ISNAD	Evcik, Fatma Deniz vd. "The Turkish Society of Physical Medicine and Rehabilitation (TSPMR) guideline recommendations for the management of fibromyalgia syndrome". (2019), 111-123. https://doi.org/10.5606/tftrd.2019.4815

APA	Evcik F, Ketenci A, Sindel D (2019). The Turkish Society of Physical Medicine and Rehabilitation (TSPMR) guideline recommendations for the management of fibromyalgia syndrome. Turkish Journal of Physical Medicine and Rehabilitation, 65(2), 111 - 123. 10.5606/tftrd.2019.4815
Chicago	Evcik Fatma Deniz,Ketenci Ayşegül,Sindel Dilsad The Turkish Society of Physical Medicine and Rehabilitation (TSPMR) guideline recommendations for the management of fibromyalgia syndrome. Turkish Journal of Physical Medicine and Rehabilitation 65, no.2 (2019): 111 - 123. 10.5606/tftrd.2019.4815
MLA	Evcik Fatma Deniz,Ketenci Ayşegül,Sindel Dilsad The Turkish Society of Physical Medicine and Rehabilitation (TSPMR) guideline recommendations for the management of fibromyalgia syndrome. Turkish Journal of Physical Medicine and Rehabilitation, vol.65, no.2, 2019, ss.111 - 123. 10.5606/tftrd.2019.4815
AMA	Evcik F,Ketenci A,Sindel D The Turkish Society of Physical Medicine and Rehabilitation (TSPMR) guideline recommendations for the management of fibromyalgia syndrome. Turkish Journal of Physical Medicine and Rehabilitation. 2019; 65(2): 111 - 123. 10.5606/tftrd.2019.4815
Vancouver	Evcik F,Ketenci A,Sindel D The Turkish Society of Physical Medicine and Rehabilitation (TSPMR) guideline recommendations for the management of fibromyalgia syndrome. Turkish Journal of Physical Medicine and Rehabilitation. 2019; 65(2): 111 - 123. 10.5606/tftrd.2019.4815
IEEE	Evcik F,Ketenci A,Sindel D "The Turkish Society of Physical Medicine and Rehabilitation (TSPMR) guideline recommendations for the management of fibromyalgia syndrome." Turkish Journal of Physical Medicine and Rehabilitation, 65, ss.111 - 123, 2019. 10.5606/tftrd.2019.4815
ISNAD	Evcik, Fatma Deniz vd. "The Turkish Society of Physical Medicine and Rehabilitation (TSPMR) guideline recommendations for the management of fibromyalgia syndrome". Turkish Journal of Physical Medicine and Rehabilitation 65/2 (2019), 111-123. https://doi.org/10.5606/tftrd.2019.4815