Efficacy of non-pharmacological interventions for pain intensity Fibromyalgia. Systematic Review

In the first review, for pain intensity, high quality evidence was found in favor of cognitive behavioral therapy at short-term (interventions of up to three months of duration after the randomisation process) and in favor of central nervous system depressants and antidepressants in the medium-term (interventions lasting longer than three months and shorter than 12 months). In the second review (NMA), for pain intensity at immediate-term (interventions up to two weeks in duration after the randomisation process), most interventions were effective compared to the control node were low quality evidence. For pain intensity at short-term (interventions lasting more than two weeks and less than three months), moderate quality evidence showed that acupuncture, aerobic exercise, aquatic exercise, balneotherapy, dry needling, electrotherapy, magnetic field therapy, manual therapy, photobiomodulation therapy, resistance exercise, whole body vibration, transcranial stimulation by direct current.