ABSTRACT
Fibromyalgia (FM) is an idiopathic disease characterized by widespread pain and variety of symptoms. Symptoms are very diverse and include anxiety, depression, lack of sleep, morning stiffness, reduced muscle strength and endurance, and an inability to stand for prolonged periods of time. It has been suggested that FM affects 1%–11% of the U.S. population,1,2 with a worldwide prevalence ranging between 0.5% and 5.0%.3 In addition, FM mainly affects women, with a 9:1 ratio of women to men who are diagnosed.4 The condition also appears to predominantly affect individuals between the ages of 20 and 60 years.1 Clearly, FM may have signicant detrimental effects on quality of life, the ability to perform activities of daily living
Introduction ............................................................................................................ 131 Etiology of Fibromyalgia .................................................................................. 132 Pain Processing ................................................................................................. 132 Hypothalamic-Pituitary Dysfunction ................................................................ 133 Diagnosis ........................................................................................................... 134 Benets of Resistance Training for Fibromyalgia ............................................ 135 Designing Resistance Training Programs for Fibromyalgia ............................. 141
Decreasing Peripheral Pain Generators ........................................................ 141 Minimize Eccentric Work ............................................................................. 142 Nonrestorative Sleep and Morning Stiffness ................................................ 142 Medications .................................................................................................. 142 Depression, Anxiety, and Fear Prevalence ................................................... 142 Autonomic Dysfunction ............................................................................... 142 Avoid Overhead Lifts ................................................................................... 143 Energy Conservation .................................................................................... 143 Flare-Ups ...................................................................................................... 143
Cognitive Dysfunction ...................................................................................... 143 Positive Feedback Is Critical ........................................................................ 144
References .............................................................................................................. 144
(ADLs), as well as social interactions with friends and family. At this point in time, there is no known cause, or cure, for this condition.
