CoChat
Sign Up
Cited by 180Fibromyalgia and Chronic Fatigue Syndrome ResearchMusculoskeletal pain and rehabilitationMedical Practices and Rehabilitation

The DOI matches its Crossref record; 26 of the 28 references it cites were found in a registry or an index.

Multidisciplinary rehabilitation for fibromyalgia and musculoskeletal pain in working age adults

Open access
Karjalainen, Kaija A, Malmivaara, Antti, van Tulder, Maurits W, Roine, Risto, Jauhiainen, Merja, Hurri, Heikki, Koes, Bart W·1999·Cochrane Database of Systematic Reviews
DOI 10.1002/14651858.cd001984PMC PMC8409280
Open this paper in CoChat — free account

Abstract

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 Content experts were also contacted for additional or unpublished studies.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.

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1002/14651858.cd001984

Cites

26 of 26 references verified0 citation errors · 0 not checkable

Statistics

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

Cites

Flagged first, then by citations

Show all 28 references

2 of the 28 references couldn’t be matched to a known paper.

Research works printed but not linked: 2

  1. Guzman, Multidisciplinary team approaches for the treatment of chronic low back pain, (Cochrane review in process)
  2. Mulrow, 1996-Updated quarterly, Cochrane Collaboration Handbook (updated 1 March 1997), In: The Cochrane Library (database on disk and CDROM). The Cochrane Collaboration. Oxford: Update Software;

Cited by

Sorted by citations

Items 101–180 of 180

Related

See all

Metadata

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)
ORCID
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
DOI
10.1002/14651858.cd001984
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
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 › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › 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.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review