Perception and lived experience of movement in patients with fibromyalgia: a qualitative systematic review with meta-synthesis and meta-summary - Summary - MDSpire
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Perception and lived experience of movement in patients with fibromyalgia: a qualitative systematic review with meta-synthesis and meta-summary
To synthesize qualitative evidence on how adults with fibromyalgia perceive exercise and everyday movement strategies, specifically identifying barriers and facilitators influencing adherence to exercise.
Key Findings:
Fibromyalgia patients exhibit heterogeneous and ambivalent perceptions of movement and exercise.
Barriers to exercise include pain, fatigue, and fear of symptom flares, while facilitators include group activities, professional guidance, and graded pacing.
Walking is perceived variably, ranging from discomfort to a source of social interaction.
Interpretation:
The findings highlight the complex relationship fibromyalgia patients have with movement, emphasizing the need for individualized rehabilitation strategies that consider personal beliefs and experiences, ultimately improving adherence to exercise.
Limitations:
Existing qualitative syntheses focus more on lived experiences rather than exercise and movement, which may limit the applicability of findings.
Studies involving mixed populations were included only if FM-specific data were clearly identifiable, potentially affecting the generalizability of results.
Conclusion:
A dedicated qualitative synthesis is essential to inform patient-centered rehabilitation plans by understanding the nuanced perceptions of movement in fibromyalgia patients, thereby enhancing adherence to exercise.
