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Graded aerobic exercise is a simple, cheap, and effective
treatment for people with fibromyalgia. Richards and Scott (p 185) report a randomised controlled trial of prescribed graded exercise against relaxation and flexibility training. After three months exercise led to significantly more participants rating themselves as
much or very much better, and the benefits were maintained or improved
at one year follow up. The exercise group also had greater reductions
in tender point counts. Exercise training does have limitations, the
authors say, due to poor compliance. Strategies to increase the
efficacy of exercise as an intervention would therefore need to
confront compliance issues through additional cognitive behaviour
therapy.

(Credit: ALFRED PASIEKA/SPL)