Although some studies evaluated the effectiveness of massage therapy for fibromyalgia FMthe role of Now Backnang classifieds adult therapy in the management of FM remained controversial.
The purpose of this systematic review is to evaluate the evidence of massage therapy for patients with FM. Electronic databases up to June were searched to identify relevant studies. The main outcome measures were pain, anxiety, depression, and sleep disturbance. Two reviewers independently abstracted data and appraised risk of bias. The risk of bias of eligible studies was assessed based on Cochrane tools. And heterogeneity was placez based on the I 2 statistic.
Nine randomized controlled trials involving patients met the inclusion criteria. Massage therapy should be one of the viable complementary and alternative treatments for FM.
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However, plces fewer eligible studies in subgroup meta-analyses and no evidence on follow-up effects, large-scale randomized controlled trials with long follow-up are warrant to confirm the current findings. This is an open-access article distributed under the terms of the Creative Commons Attribution Licensewhich permits unrestricted use, distribution, and reproduction in any medium, Baker brothers Prenzlauer Berg the original author and source are credited.
Competing interests: The authors have declared that no competing interests exist. Fibromyalgia FM is a complex clinical syndrome characterized by chronic widespread pain and a cluster of other symptoms including anxiety, depression, sleep disturbance, place, and a variety of somatic complaints  — . Patients often seek symptomatic relief from multiple medical and complementary and alternative treatments  — .
Massage therapy, as one of complementary and alternative treatments, has been widely used for FM. It may improve pain, anxiety, depression, and sleep disturbance by complex interplay of both physical and mental modes of action .
However, the conclusions of sy therapy for FM are inconsistent.
Some reviews maintained that the effects of massage therapy for FM still kept inconclusive  or negative . The others suggested that the studies had provided beneficial evidence of use of massage therapy in treating FM but most of them were only qualitative researches without a quantitative meta-analysis .
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