Multidisciplinary rehabilitation for fibromyalgia and musculoskeletal pain in working age adults
Open accessAbstract
BACKGROUND: Non-malignant musculoskeletal pain is an increasing problem in western countries. Fibromyalgia syndrome is an increasing recognised chronic musculoskeletal disorder. OBJECTIVES: The objective of this systematic review was to determine the effectiveness of multidisciplinary rehabilitation for fibromyalgia and widespread musculoskeletal pain among working age adults. SEARCH STRATEGY: An electronic search was conducted and included Medline from 1966, PsycLIT from 1967 and EMBASE from 1980 to April 1998. The Cochrane Musculoskeletal Group Trials Register was searched as well as, the Cochrane Controlled Trials Register (CCTR). The references of identified articles and reviews were checked, studies published in the Finnish medical database Medic from 1978 to 1998 screened and the Science Citation Index searched. Content experts were also contacted for additional or unpublished studies. SELECTION CRITERIA: From all references found in our original search, we selected all randomized controlled trials (RCTs) and clinical controlled trials (CCTs). Trials had to assess the effectiveness of multidisciplinary rehabilitation for patients suffering from fibromyalgia and widespread musculoskeletal pain among working age adults. The rehabilitation program was required to be multidisciplinary; that is, it had to consist of a physician's consultation, plus a psychological, social or vocational intervention, or a combination of both. DATA COLLECTION AND ANALYSIS: Four reviewers independently selected the RCTs and CCTs that met the specified inclusion criteria. Two experts in the field of rehabilitation evaluated the relevance and applicability of the findings of the selected studies to actual clinical use. Two other reviewers extracted the data and assessed the main results and the methodological quality of the studies using standardized forms. Finally, a qualitative analysis was performed to evaluate the level of scientific evidence for the effectiveness of multidisciplinary rehabilitation. MAIN RESULTS: After screening 1808 abstracts, and the references of 65 reviews, we found only seven relevant studies (1050 patients) that met our inclusion criteria. None of these were considered, methodologically, a high quality randomized controlled trial. Four of the included RCTs on fibromyalgia were graded low quality and suggest no quantifiable benefits. The three included RCTs on widespread musculoskeletal pain showed that based on limited evidence, overall, no evidence of efficacy was observed. However, behavioral treatment and stress management appear to be important components. Education combined with physical training showed some positive effects in long term follow up. REVIEWER'S CONCLUSIONS: We conclude that there appears to be little scientific evidence for the effectiveness of multidisciplinary rehabilitation for these musculoskeletal disorders. However, multidisciplinary rehabilitation is a commonly used intervention for chronic musculoskeletal disorders, which cause much personal suffering and substantial economic loss to the society. There is a need for high quality trials in this field.
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Short-term effects of multidimensional rehabilitation are well established, but concerns about long-term effects have been raised.
“The short-term effects are well established, but concerns about the long-term effects have been raised [7-11].”
The results of the long-term effects of multidimensional pain programs are inconclusive and the need for maintenance support has been clearly stated.
“Nevertheless, the results of the long-term effects of multidimensional pain programs are inconclusive and the need for maintenance support has been clearly stated [65,8,11,12].”
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Cites
Improving the Quality of Reporting of Randomized Controlled Trials: The CONSORT Statement
Begg, C. (1996) · JAMA · doi:10.1001/jama.1996.03540080059030 · Cited by 3,127 · see citing works
Systematic Reviews: Identifying relevant studies for systematic reviews
Dickersin, K., Scherer, R. W., & Lefebvre, C. (1994) · BMJ · doi:10.1136/bmj.309.6964.1286 · Cited by 2,255 · see citing works
Efficacy of multidisciplinary pain treatment centers: a meta-analytic review.
Flor, H., Fydrich, T., & Turk, D. C. (1992) · Pain · doi:10.1016/0304-3959(92)90145-2 · Cited by 1,227 · see citing works
van Tulder, M. W., Assendelft, W. J., Koes, B. W., & Bouter, L. M. (1997) · Spine · doi:10.1097/00007632-199710150-00001 · Cited by 727 · see citing works
Self-citationExercise Therapy for Low Back Pain
van Tulder, M. W., Malmivaara, A. V., Esmail, R., & Koes, B. W. (2000) · Spine · doi:10.1097/00007632-200011010-00011 · Cited by 560 · see citing works
Self-citationBurckhardt, C. S., Mannerkorpi, K., Hedenberg, L., & BJELLE, A. O. (1994) · PubMed · Cited by 393 · see citing works
Effects of Aerobic Exercise Versus Stress Management Treatment in Fibromyalgia
Wigers, S. H., Stiles, T. C., & Vogel, P. A. (1996) · Scandinavian Journal of Rheumatology · doi:10.3109/03009749609069212 · Cited by 328 · see citing works
Physiotherapy exercises and back pain: a blinded review.
Koes, B. W., Bouter, L. M., Beckerman, H., van der Heijden, G. J. M. G., & Knipschild, P. G. (1991) · BMJ · doi:10.1136/bmj.302.6792.1572 · Cited by 238 · see citing works
Self-citation(1996) · PubMed · Cited by 234 · see citing works
Group treatment of fibromyalgia: a 6 month outpatient program.
Bennett, R. M., Burckhardt, C. S., Clark, S. R., O'Reilly, C. A., Wiens, A. N., & Campbell, S. M. (1996) · PubMed · Cited by 210 · see citing works
Controlled trial of hypnotherapy in the treatment of refractory fibromyalgia.
Haanen, H. C. M., Hoenderdos, H. T. W., van Romunde, L. K. J., Hop, W. C. J., Mallee, C., Terwiel, J. P., & Hekster, G. B. (1991) · PubMed · Cited by 191 · see citing works
Does Nonsurgical Pain Center Treatment of Chronic Pain Return Patients to Work?
Cutler, R. B., Fishbain, D. A., Rosomoff, H. L., Abdel-Moty, E., Khalil, T. M., & Rosomoff, R. S. (1994) · Spine · doi:10.1097/00007632-199403001-00002 · Cited by 160 · see citing works
A controlled study of the effects of an early intervention on acute musculoskeletal pain problems
Linton, S. J., Hellsing, A.-L., & Andersson, D. K. G. (1993) · Pain · doi:10.1016/0304-3959(93)90037-p · Cited by 160 · see citing works
(1997) · PubMed · Cited by 149 · see citing works
EMG-biofeedback training in fibromyalgia syndrome.
Ferraccioli, G., Ghirelli, L., Scita, F., Nolli, M., Mozzani, M., Fontana, S., Scorsonelli, M., Tridenti, A., & RISIO, C. D. (1987) · PubMed · Cited by 134 · see citing works
Outpatient group treatment of chronic pain: Effects of spouse involvement.
Moore, J. E., & Chaney, E. F. (1985) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.53.3.326 · Cited by 89 · see citing works
Linton, S. J., & Götestam, K. G. (1984) · British Journal of Clinical Psychology · doi:10.1111/j.2044-8260.1984.tb01303.x · Cited by 86 · see citing works
Goossens, M. E. J. B., Mölken, M. R., Leidl, R., Bos, S., Vlaeyen, J. W. S., & Teeken-Gruben, N. J. (1996) · PubMed · Cited by 80 · see citing works
A Brief Introduction to the Critical Reading of the Clinical Literature
Shekelle, P., Andersson, G. B. J., Cherkin, D. C., Deyo, R. A., Keller, R., Lee, C., Liang, M. H., Lipscomb, B., Spratt, K. F., & Weinstein, J. N. (1994) · Spine · doi:10.1097/00007632-199409151-00002 · Cited by 69 · see citing works
Outpatient group treatment of chronic pain: Effects of spouse involvement.
Moore, J. E., & Chaney, E. F. (1985) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.53.3.326 · Cited by 69 · see citing works
Lindh, M. G., Lurie, M., & Sanne, H. (1997) · Journal of Rehabilitation Medicine · doi:10.2340/165019771997103112 · Cited by 55 · see citing works
Patient utilities in fibromyalgia and the association with other outcome measures.
Bakker, C., Rutten, M. V. H., van Santen‐Hoeufft, M. H. S., Bolwijn, P. H., van Doorslaer, E. K. A., Bennett, K., & van der Linden, S. (1995) · PubMed · Cited by 50 · see citing works
Evaluation of a Swedish version of the arthritis self-efficacy scale in people with fibromyalgia.
Lomi, C., Burckhardt, C., Nordholm, L., Bjelle, A., & Ekdahl, C. (1995) · Scandinavian Journal of Rheumatology · doi:10.3109/03009749509095164 · Cited by 47 · see citing works
The role of adjunctive therapy in the management of chronic nonmalignant pain
Allegrante, J. P. (1996) · The American Journal of Medicine · doi:10.1016/s0002-9343(96)00136-2 · Cited by 43 · see citing works
Controlled trials of therapy in fibromyalgia syndrome
Simms, R. W. (1994) · Baillière s Clinical Rheumatology · doi:10.1016/s0950-3579(05)80054-8 · Cited by 41 · see citing works
Patients with Fibromyalgia in Pain School
Kogstad, O., & Hintringer, F. (1993) · Journal of Musculoskeletal Pain · doi:10.1300/j094v01n03_28 · Cited by 15 · see citing works
Training work supervisors for reintegration of employees treated for musculoskeletal pain
Haldorsen, E. M. H., Jensen, I. B., Linton, S. J., Nygren, Å., & Ursin, H. (1997) · Journal of Occupational Rehabilitation · doi:10.1007/bf02765874 · Cited by 12 · see citing works
Flagged first, then by citations
1 of the 28 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- Mulrow CD, Oxman AD (eds). Cochrane Collaboration Handbook (updated 1 March 1997). In: The Cochrane Library (database on disk and CDROM). The Cochrane Collaboration. Oxford: Update Software; 1996‐Updated quarterly. [Google Scholar]
Cited by
Sorted by citations
EULAR revised recommendations for the management of fibromyalgia
Macfarlane, G. J., Kronisch, C., Dean, L. E., Atzeni, F., Häuser, W., Fluß, E., Choy, E., Kosek, E., Amris, K., Branco, J., et al. (2017) · Annals of the Rheumatic Diseases · doi:10.1136/annrheumdis-2016-209724 · Cited by 1,566 · see citing works
EULAR evidence-based recommendations for the management of fibromyalgia syndrome
Carville, S. F., Arendt-Nielsen, S., Bliddal, H., Blotman, F., Branco, J. C., Buskila, D., Da Silva, J. A. P., Danneskiold-Samsøe, B., Dincer, F., Henriksson, C., et al. (2008) · Annals of the Rheumatic Diseases · doi:10.1136/ard.2007.071522 · Cited by 752 · see citing works
Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews
Geneen, L. J., Moore, R. A., Clarke, C., Martin, D., Colvin, L. A., & Smith, B. H. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011279.pub2 · Cited by 719 · see citing works
Multidisciplinary treatment for chronic pain: a systematic review of interventions and outcomes
Scascighini, L., Toma, V., Dober-Spielmann, S., & Sprott, H. (2008) · Rheumatology · doi:10.1093/rheumatology/ken021 · Cited by 613 · see citing works
Ryan, R. E., Santesso, N., Lowe, D., Hill, S., Grimshaw, J. M., Prictor, M., Kaufman, C., Cowie, G., & Taylor, M. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007768.pub3 · Cited by 273 · see citing works
O’Keeffe, M., Cullinane, P., Hurley, J. A., Leahy, I., Bunzli, S., O’Sullivan, P., & O’Sullivan, K. (2015) · Physical Therapy · doi:10.2522/ptj.20150240 · Cited by 285 · see citing works
Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews
Geneen, L. J., Moore, R. A., Clarke, C., Martin, D., Colvin, L. A., & Smith, B. H. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011279.pub3 · Cited by 1,222 · see citing works
Fibromyalgia: a randomised, controlled trial of a treatment programme based on self management
Cedraschi, C., Desmeules, J., Rapiti, E., Baumgartner, E., Cohen, P., Finckh, A., Allaz, A. F., & Vischer, T. L. (2004) · Annals of the Rheumatic Diseases · doi:10.1136/ard.2002.004945 · Cited by 216 · see citing works
Quantitative Sensory Testing Profiles in Chronic Back Pain Are Distinct From Those in Fibromyalgia
Blumenstiel, K., Gerhardt, A., Rolke, R., Bieber, C. S., Tesarz, J., Friederich, H., Eich, W., & Treede, R. (2011) · Clinical Journal of Pain · doi:10.1097/ajp.0b013e3182177654 · Cited by 208 · see citing works
Kristjánsdóttir, Ó. B., Fors, E. A., Eide, E., Finset, A., Stensrud, T. L., van Dulmen, S., Wigers, S. H., & Eide, H. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2249 · Cited by 176 · see citing works
Self-management of rheumatic diseases: state of the art and future perspectives
Iversen, M. D., Hammond, A., & Betteridge, N. (2010) · Annals of the Rheumatic Diseases · doi:10.1136/ard.2010.129270 · Cited by 148 · see citing works
Errors in search strategies were identified by type and frequency
Sampson, M., & McGowan, J. (2006) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2006.01.007 · Cited by 142 · see citing works
Biology and therapy of fibromyalgia. New therapies in fibromyalgia.
Arnold (2006) · Arthritis Research & Therapy · doi:10.1186/ar1971 · Cited by 145 · see citing works
Cognitive Behavior Therapy, Exercise, or Both for Treating Chronic Widespread Pain
McBeth, J., Prescott, G. J., Scotland, G., Lovell, K., Keeley, P., Hannaford, P., McNamee, P., Symmons, D. P. M., Woby, S. R., Gkazinou, C., et al. (2011) · Archives of Internal Medicine · doi:10.1001/archinternmed.2011.555 · Cited by 135 · see citing works
Castro‐Sánchez, A. M., Matarán-Peñarrocha, G. A., Granero‐Molina, J., Aguilera‐Manrique, G., Quesada-Rubio, J.-M., & Moreno-Lorenzo, C. (2010) · Evidence-based Complementary and Alternative Medicine · doi:10.1155/2011/561753 · Cited by 128 · see citing works
Multi-disciplinary interventions for chronic pain involving education: a systematic review
Joypaul, S., Kelly, F., McMillan, S. S., & King, M. A. (2019) · PLOS ONE · doi:10.1371/journal.pone.0223306 · Cited by 119 · see citing works
Documento de consenso de la Sociedad Española de Reumatología sobre la fibromialgia
Rivera, J., Alegre, C., Ballina, F. J., Abelló, J. C., Carmona, L., Castel, B., Collado, A., Esteve, J. J., Martínez, F. G., Tornero, J., et al. (2006) · Reumatología Clínica · doi:10.1016/s1699-258x(06)73084-4 · Cited by 125 · see citing works
Complementary and alternative medicine in fibromyalgia and related syndromes
Holdcraft, L. C., Assefi, N. P., & Buchwald, D. (2003) · Best Practice & Research Clinical Rheumatology · doi:10.1016/s1521-6942(03)00037-8 · Cited by 125 · see citing works
Chapter 6. Sickness absence due to back and neck disorders
HANSSON, T. H., & Jensen, I. B. (2004) · Scandinavian Journal of Public Health · doi:10.1080/14034950410021862 · Cited by 125 · see citing works
Kundakci, B., Kaur, J., Goh, S. L., Hall, M. C., Doherty, M., Zhang, W., & Abhishek, A. (2021) · Pain · doi:10.1097/j.pain.0000000000002500 · Cited by 113 · see citing works
Treatment Strategy in Fibromyalgia Syndrome: Where Are We Now?
Sarzi‐Puttini, P., Buskila, D., Carrabba, M., Doria, A., & Atzeni, F. (2007) · Seminars in Arthritis and Rheumatism · doi:10.1016/j.semarthrit.2007.08.008 · Cited by 109 · see citing works
The effectiveness of hydrotherapy in the management of fibromyalgia syndrome: a systematic review
McVeigh, J. G., McGaughey, H., Hall, M. W., & Kane, P. (2008) · Rheumatology International · doi:10.1007/s00296-008-0674-9 · Cited by 100 · see citing works
Jensen, I. B., Busch, H., Bodin, L., Hagberg, J., Nygren, Å., & Bergström, G. (2009) · Pain · doi:10.1016/j.pain.2008.12.015 · Cited by 95 · see citing works
Hammond, A., & Freeman, K. (2006) · Clinical Rehabilitation · doi:10.1177/0269215506072173 · Cited by 92 · see citing works
Nampiaparampil, D. E., & Shmerling, R. H. (2004) · PubMed · Cited by 92 · see citing works
Ryan, R. E., Santesso, N. A., Hill, S., Lowe, D. B., Kaufman, C., & Grimshaw, J. (2011) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007768.pub2 · Cited by 92 · see citing works
Boocock, M., McNair, P. J., Larmer, P. J., Armstrong, B., Collier, J., Simmonds, M. J., & Garrett, N. (2006) · Occupational and Environmental Medicine · doi:10.1136/oem.2005.025593 · Cited by 88 · see citing works
Kristjánsdóttir, Ó. B., Fors, E. A., Eide, E., Finset, A., Stensrud, T. L., van Dulmen, S., Wigers, S. H., & Eide, H. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2442 · Cited by 78 · see citing works
Maintenance of exercise in women with fibromyalgia
Dobkin, P. L., Abrahamowicz, M., Fitzcharles, M., Dritsa, M., & Costa, D. D. (2005) · Arthritis Care & Research · doi:10.1002/art.21470 · Cited by 77 · see citing works
Jain, A. K., Carruthers, B. M., van de Sande, M. I., Barron, S. R., Donaldson, C. C. S., Dunne, J. V., Gingrich, E., Heffez, D. S., Leung, F. Y.-K., Malone, D. G., et al. (2003) · Journal of Musculoskeletal Pain · doi:10.1300/j094v11n04_02 · Cited by 76 · see citing works
Update on Fibromyalgia Therapy
Abeles, M., Solitar, B. M., Pillinger, M. H., & Abeles, A. M. (2008) · The American Journal of Medicine · doi:10.1016/j.amjmed.2008.02.036 · Cited by 75 · see citing works
Patterns of sickness absence a decade after pain-related multidisciplinary rehabilitation
Busch, H., Bodin, L., Bergström, G., & Jensen, I. B. (2011) · Pain · doi:10.1016/j.pain.2011.02.004 · Cited by 73 · see citing works
Temporomandibular disorders: improving outcomes using a multidisciplinary approach
Garrigós-Pedrón, M., Elizagaray-García, I., Gordillo, A. Á. D., Del-Castillo-Pardo-de-Vera, J. L., & Gil‐Martínez, A. (2019) · Journal of Multidisciplinary Healthcare · doi:10.2147/jmdh.s178507 · Cited by 75 · see citing works
Colle, F., Rannou, F., Revel, M., Fermanian, J., & Poiraudeau, S. (2002) · Archives of Physical Medicine and Rehabilitation · doi:10.1053/apmr.2002.35657 · Cited by 68 · see citing works
Aagaard, T. V., Lund, H., & Juhl, C. B. (2016) · BMC Medical Research Methodology · doi:10.1186/s12874-016-0264-6 · Cited by 67 · see citing works
Nonpharmacologic management strategies in fibromyalgia
Burckhardt, C. S. (2002) · Rheumatic Disease Clinics of North America · doi:10.1016/s0889-857x(01)00005-9 · Cited by 65 · see citing works
Chiropractic Management of Fibromyalgia Syndrome: A Systematic Review of the Literature
Schneider, M., Vernon, H. T., Ko, G. D., Lawson, G. E., & Perera, J. (2008) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2008.08.012 · Cited by 62 · see citing works
Skouen, J. S., Grasdal, A. L., & Haldorsen, E. M. H. (2005) · European Journal of Pain · doi:10.1016/j.ejpain.2005.02.005 · Cited by 60 · see citing works
Fennelly, O., Blake, C. M., Desmeules, F., Stokes, D., & Cunningham, C. (2017) · Musculoskeletal Care · doi:10.1002/msc.1200 · Cited by 61 · see citing works
Economic Evaluation of Multidisciplinary Pain Management in Chronic Pain Patients
Thomsen, A. B., Sørensen, J. R., Sjøgren, P., & Eriksen, J. (2001) · Journal of Pain and Symptom Management · doi:10.1016/s0885-3924(01)00326-8 · Cited by 59 · see citing works
Brendbekken, R., Eriksen, H. R., Grasdal, A. L., Harris, A., Hagen, E. M., & Tangen, T. (2016) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-016-9634-5 · Cited by 59 · see citing works
Effectiveness of multidisciplinary programmes for clinical pain conditions: an umbrella review.
Dragioti, E., Evangelou, E., Larsson, B., & Gerdle, B. (2018) · Journal of Rehabilitation Medicine · doi:10.2340/16501977-2377 · Cited by 53 · see citing works
Meta-review of high-quality systematic reviews of interventions in key areas of liaison psychiatry
Ruddy, R., & House, A. O. (2005) · The British Journal of Psychiatry · doi:10.1192/bjp.187.2.109 · Cited by 54 · see citing works
Reducing sick leave by minimal postal intervention: a randomised, controlled intervention study
Fleten, N., & Johnsen, R. (2006) · Occupational and Environmental Medicine · doi:10.1136/oem.2005.020438 · Cited by 53 · see citing works
Giusti, E. M., Castelnuovo, G., & Molinari, E. (2017) · Pain Research and Management · doi:10.1155/2017/7261468 · Cited by 53 · see citing works
Cost-effectiveness of Spa treatment for fibromyalgia: general health improvement is not for free
Zijlstra, T. R., Braakman‐Jansen, L. M. A., Taal, E., Rasker, J. J., & van de Laar, M. A. F. J. (2007) · Lara D. Veeken · doi:10.1093/rheumatology/kem157 · Cited by 53 · see citing works
Comparison of pain neurophysiology knowledge among health sciences students: a cross-sectional study
Adillón, C., Lozano, È., & Salvat, I. (2015) · BMC Research Notes · doi:10.1186/s13104-015-1585-y · Cited by 52 · see citing works
Lera, S., Gelman, S. M., López, M. J., Abenoza, M., Zorrilla, J. G., Castro-Fornieles, J., & Salamero, M. (2009) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2009.01.012 · Cited by 68 · see citing works
Kumar, S. P., & Saha, S. (2011) · Indian Journal of Palliative Care · doi:10.4103/0973-1075.78458 · Cited by 47 · see citing works
Repetition-induced activity-related summation of pain in patients with fibromyalgia
Lambin, D. I., Thibault, P., Simmonds, M. J., Larivière, C., & Sullivan, M. J. L. (2011) · Pain · doi:10.1016/j.pain.2011.02.030 · Cited by 45 · see citing works
Fibromyalgia: A misconnection in a multiconnected world?
Perrot, S. (2019) · European Journal of Pain · doi:10.1002/ejp.1367 · Cited by 51 · see citing works
Shea, B., Bouter, L. M., Grimshaw, J., Francis, D. P., Ortiz, Z., Wells, G. A., Tugwell, P., & Boers, M. (2006) · PubMed · Cited by 41 · see citing works
Multidisciplinary pain treatment – Which patients do benefit?
Heiskanen, T., Roine, R. P., & Kalso, E. A. (2012) · Scandinavian Journal of Pain · doi:10.1016/j.sjpain.2012.05.073 · Cited by 38 · see citing works
Self-citationCasey, M., Smart, K. M., Segurado, R., & Doody, C. (2020) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000871 · Cited by 38 · see citing works
Fibromyalgia—Management of a misunderstood disorder
Peterson, E. L. (2007) · Journal of the American Academy of Nurse Practitioners · doi:10.1111/j.1745-7599.2007.00235.x · Cited by 36 · see citing works
Rizzo, R. R. N., Cashin, A. G., Wand, B. M., Ferraro, M. C., Sharma, S., Lee, H., O’Hagan, E. T., Maher, C. G., Furlan, A. D., van Tulder, M. W., et al. (2025) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd014691.pub2 · Cited by 53 · see citing works
Bujak, B. K., Regan, E. W., Beattie, P., & Harrington, S. (2019) · Pain Management · doi:10.2217/pmt-2018-0087 · Cited by 38 · see citing works
Multidisciplinary Intervention in Patients with Musculoskeletal Pain: a Randomized Clinical Trial
Brendbekken, R., Harris, A., Ursin, H., Eriksen, H. R., & Tangen, T. (2015) · International Journal of Behavioral Medicine · doi:10.1007/s12529-015-9486-y · Cited by 32 · see citing works
Systematic review and network meta-analysis of interventions for fibromyalgia: a protocol
Busse, J. W., Ebrahim, S., Connell, G. P., Coomes, E. A., Bruno, P. A., Malik, K., Torrance, D., Ngo, T., Kirmayr, K., Avrahami, D., et al. (2013) · Systematic Reviews · doi:10.1186/2046-4053-2-18 · Cited by 30 · see citing works
Eftedal, M., Kvaal, A. M., Ree, E., Øyeflaten, I., & Maeland, S. (2017) · BMC Health Services Research · doi:10.1186/s12913-017-2709-y · Cited by 29 · see citing works
Biopsychosocial rehabilitation for upper limb repetitive strain injuries in working age adults
Karjalainen, K. A., Malmivaara, A. O. V., van Tulder, M. W., Roine, R. P., Jauhiainen, M., Hurri, H., & Koes, B. W. (2009) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002269.pub2 · Cited by 29 · see citing works
Self-citationNorrbrink, C., & Löfgren, M. (2015) · Disability and Rehabilitation · doi:10.3109/09638288.2015.1035456 · Cited by 28 · see citing works
Targeting Catastrophic Thinking to Promote Return to Work in Individuals With Fibromyalgia
Sullivan, M. J. L., Adams, H., & Ellis, T. (2012) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.26.2.130 · Cited by 28 · see citing works
Clinical Aspects and Management of Fibromyalgia Syndrome
Chong, Y., & Ng, B.-Y. (2009) · Annals of the Academy of Medicine Singapore · doi:10.47102/annals-acadmedsg.v38n11p967 · Cited by 27 · see citing works
Interdisciplinary pain management with pain patients: evidence for its effectiveness
Okifuji, A. (2003) · Seminars in Pain Medicine · doi:10.1016/s1537-5897(03)00025-9 · Cited by 27 · see citing works
Angst, F., Lehmann, S., Sándor, P. S., & Benz, T. (2022) · European Journal of Pain · doi:10.1002/ejp.1983 · Cited by 26 · see citing works
de Buck, P. D. M., Breedveld, J., van der Giesen, F. J., & Vlieland, T. P. M. V. (2004) · Annals of the Rheumatic Diseases · doi:10.1136/ard.2003.007260 · Cited by 26 · see citing works
Fibromyalgia: knowns, unknowns, and current treatment.
Solitar, B. M. (2010) · PubMed · Cited by 25 · see citing works
Saltychev, M., Laimi, K., Oksanen, T., Pentti, J., Virtanen, M., Mika Kivimaki, B., & Vahtera, J. (2011) · Journal of Rehabilitation Medicine · doi:10.2340/16501977-0788 · Cited by 25 · see citing works
Gerhardt, A., Hartmann, M., Tesarz, J., Janke, S., Leisner, S., Seidler, G. H., & Eich, W. (2012) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-13-136 · Cited by 25 · see citing works
Saltychev, M., Laimi, K., El‐Metwally, A., Oksanen, T., Pentti, J., Virtanen, M., Mika Kivimaki, B., & Vahtera, J. (2011) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.3169 · Cited by 25 · see citing works
Kroese, M., Schulpen, G., Bessems-Beks, M., Nijhuis, F. J. N., Severens, J. L., & Landewé, R. (2009) · Clinical Rheumatology · doi:10.1007/s10067-009-1176-1 · Cited by 24 · see citing works
Jung, A., Balzer, J., Braun, T., & Luedtke, K. (2022) · BMC Medical Research Methodology · doi:10.1186/s12874-022-01561-5 · Cited by 22 · see citing works
Scascighini, L., Litschi, M., Walti, M., & Sprott, H. (2011) · Pain Medicine · doi:10.1111/j.1526-4637.2011.01085.x · Cited by 23 · see citing works
Négrini, S., Minozzi, S., Taricco, M., Ziliani, V., & Zaina, F. (2007) · PubMed · Cited by 23 · see citing works
Tayeb, B. O., Barreiro, A. E., Bradshaw, Y. S., Chui, K. K. H., & Carr, D. B. (2016) · Pain Medicine · doi:10.1093/pm/pnw245 · Cited by 22 · see citing works
Chronischer Rückenschmerz als somatoforme Schmerzstörung
Egle, U. T., & Nickel, R. (2008) · Der Orthopäde · doi:10.1007/s00132-008-1224-6 · Cited by 20 · see citing works
Fibromyalgia and Exercise Training: A Systematic Review of Randomized Clinical Trials
Busch, A. J., Schachter, C. L., & Peloso, P. M. J. (2001) · Physical Therapy Reviews · doi:10.1179/ptr.2001.6.4.287 · Cited by 20 · see citing works
Baker, P. N., Coole, C., Drummond, A. E., Khan, S., McDaid, C., Hewitt, C. E., Kottam, L., Ronaldson, S. J., Coleman, E., McDonald, D. A., et al. (2020) · Health Technology Assessment · doi:10.3310/hta24450 · Cited by 18 · see citing works
Schneider, M., Brady, D. M., & Perle, S. M. (2006) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2006.06.010 · Cited by 18 · see citing works
Management of occupation-related musculoskeletal disorders
Jezukaitis, P. T., & Kapur, D. (2011) · Best Practice & Research Clinical Rheumatology · doi:10.1016/j.berh.2011.01.010 · Cited by 16 · see citing works
Occupational health systematic reviews: An overview
Schönstein, E., & Verbeek, J. H. A. M. (2006) · Work · doi:10.3233/wor-2006-00519 · Cited by 16 · see citing works
Managing Chronic Pain in Patients With Opioid Dependence
Liebschutz, J. M., Beers, D., & Lange, A. V. (2014) · Current Treatment Options in Psychiatry · doi:10.1007/s40501-014-0015-4 · Cited by 15 · see citing works
McCluskey, A., Lovarini, M., Bennett, S. H., McKenna, K. T., Tooth, L. R., & Hoffmann, T. (2005) · British Journal of Occupational Therapy · doi:10.1177/030802260506801003 · Cited by 15 · see citing works
The Impact of Enrollment in a Specialized Interdisciplinary Neuropathic Pain Clinic
Garven, A., Brady, S., Wood, S. P., Hatfield, M., Bestard, J. A., Korngut, L. W., & Toth, C. C. (2011) · Pain Research and Management · doi:10.1155/2011/518710 · Cited by 15 · see citing works
Hultberg, E.-L., Lönnroth, K., Allebeck, P., & Hensing, G. K. E. (2006) · Work · doi:10.3233/wor-2006-00532 · Cited by 14 · see citing works
Patterns of chronic pain in the population
Carnes, D. (2011) · International journal of osteopathic medicine · doi:10.1016/j.ijosm.2011.07.004 · Cited by 14 · see citing works
Psychological factors unrelated to activity level in patients with chronic musculoskeletal pain
Helmus, M., Preuper, H. R. S., Hof, A. L., Geertzen, J. H. B., & Reneman, M. F. (2012) · European Journal of Pain · doi:10.1002/j.1532-2149.2011.00109.x · Cited by 13 · see citing works
Biewer, W., Conrad, I., & H�user, W. (2004) · Der Schmerz · doi:10.1007/s00482-003-0300-4 · Cited by 14 · see citing works
Murad, M. S., O’Brien, L., Farnworth, L., & Chien, C. (2013) · Occupational Therapy In Health Care · doi:10.3109/07380577.2013.808782 · Cited by 13 · see citing works
McCuish, W. J., & Bearne, L. (2014) · Musculoskeletal Care · doi:10.1002/msc.1072 · Cited by 13 · see citing works
Examining semantics in interprofessional research: A bibliometric study
Perrier, L., Adhihetty, C., & Soobiah, C. (2016) · Journal of Interprofessional Care · doi:10.3109/13561820.2016.1142430 · Cited by 13 · see citing works
Crossland, V., Field, R., Ainsworth, P., Edwards, C. J., & Cherry, L. S. (2014) · Musculoskeletal Care · doi:10.1002/msc.1081 · Cited by 12 · see citing works
McIlroy, S., Vaughan, B., Crowe, H., & Bearne, L. (2022) · Musculoskeletal Care · doi:10.1002/msc.1672 · Cited by 11 · see citing works
Jansen, G. B. (2010) · Journal of Multidisciplinary Healthcare · doi:10.2147/jmdh.s11004 · Cited by 11 · see citing works
Brückle, W., & Zeidler, H. K. (2005) · Der Internist · doi:10.1007/s00108-005-1497-3 · Cited by 11 · see citing works
Bults, R., van Dongen, J. M., Ostelo, R., Nijs, J., Keizer, D., & van Wilgen, C. P. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12030885 · Cited by 8 · see citing works
Changing structure and resources in a rheumatology combined unit during 1977–1999
Kvalvik, A. G., Larsen, S., Aadland, H. A., & Høyeraal, H. M. (2007) · Scandinavian Journal of Rheumatology · doi:10.1080/03009740600907899 · Cited by 10 · see citing works
Linder, J., Ekholm, K. S., Ekholm, J., & Lundh, G. (2009) · Journal of Multidisciplinary Healthcare · doi:10.2147/jmdh.s4659 · Cited by 10 · see citing works
Psychosocial factors in osteopathic practice: To what extent should they be assessed?
Lucas, N. P. (2005) · International journal of osteopathic medicine · doi:10.1016/j.ijosm.2005.04.002 · Cited by 10 · see citing works
- Authors
- Karjalainen, K. A., Malmivaara, A., van Tulder, M. W., Roine, R., Jauhiainen, M., Hurri, H., & Koes, B. W.
- Affiliations
- Finnish Institute of Occupational Health (FI)
- Finnish Office for Health Care Technology Assessment; Occupational Medicine; Lintulahdenkuja 4 Helsinki Finland FIN-00530
- Faculty of Earth & Life Sciences, VU University; Department of Health Economics & Health Technology Assessment, Institute of Health Sciences; De Boelelaan 1081, room U443 Amsterdam Netherlands 1081 HV
- Helsinki University Hospital (FI)
- Tekonivelsairaala Orton (FI)
- Erasmus MC (NL)
- Venue
- Cochrane Database of Systematic Reviews
- Publisher
- Wiley
- Published
- 1999-07-26
- Volume
- 2010
- Issue
- 1
- Pages
- CD001984-CD001984
- ISSN
- 1361-6137 (ISSN-L)
- 1465-1858
- PMC
- PMC8409280
- OpenAlex
- W2123364617
- Cited by
- 180
- References
- 28
- Citations by year
- 2025: 5 · 2023: 2 · 2022: 8 · 2021: 2 · 2020: 4 · 2019: 5 · 2018: 1 · 2017: 5 · 2016: 8 · 2015: 6 · 2014: 7 · 2013: 7 · 2012: 11
- FWCI
- 0.33
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Cochrane Database of Systematic Reviews (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- VU Research Portal (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- fibromyalgia, chronic widespread pain, multidisciplinary rehabilitation, working-age adults, treatment effectiveness, behavior therapy, stress management, patient education, exercise training, psychological intervention, vocational interventions, chronic pain, methodological quality of trials, long-term outcomes, rehabilitation funding
- MeSH terms
- Adult, Chronic Disease, Fibromyalgia, Humans, Musculoskeletal Diseases, Pain, Pain Management
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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